• Journal of Korean Biological Nursing Science
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• 제24권2호
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• pp.86-94
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• 2022

Purpose: Patients experiencing chemotherapy-induced peripheral neuropathy (CIPN) apply various palliative care as well as drugs in their daily life to alleviate symptoms. There is a need to identify the influence of these efforts and patients' psychosocial status on the relief of CIPN symptoms. This short-term prospective study investigated how prescription drugs, non-pharmacological behaviors (exercise, massage, and heat therapy), and psychological states (social support, depression, and anxiety) affected CIPN symptoms. Methods: Participants scheduled to receive postoperative platinum or taxane-based chemotherapy were enrolled consecutively. CIPN was measured with the Neurotoxicity-12 subscale of the Functional Assessment of Cancer Therapy/Gynecologic Oncology Group-Neurotoxicity-12 instrument. Data were collected three times during the 4 or 5 cycles of chemotherapy. Results: At the end of the 2nd chemotherapy cycle, 93.1% of participants reported CIPN symptoms. Multiple regression analyses showed that a heat therapy (β= -.34, p< .001), massage (β= -.21, p= .012), and walking 5 times or more per week (β= -.26, p= .021) provided relieve for CIPN symptoms. Depression (β= .19, p= .027) significantly exacerbated CIPN symptoms. Conclusion: These results suggested that a comprehensive management program that includes walking, heat therapy, massage, and mood therapy should be encouraged. Moreover, patients should be educated at chemotherapy initiation to understand appropriate interventions that can relieve CIPN symptoms.

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.495-503
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• 2023

Objectives: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. Methods: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU. Results: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization. Conclusions: This finding implies that CCU could be beneficial for improving mental health among older adults.

• Safety and Health at Work
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• 제9권2호
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• pp.210-215
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• 2018

Background: The aims of this study were to determine the extent of workplace bullying perceptions among the employees of a Faculty of Medicine, evaluating the variables considered to be associated, and determining the effect of workplace bullying perceptions on their psychological symptoms evaluated by the Brief Symptom Inventory (BSI). Methods: This cross-sectional study was performed involving 355 (88.75%) employees. Results: Levels of perceived workplace bullying were found to increase with the increasing scores for BSI and BSI sub-dimensions of anxiety, depression, negative self, somatization, and hostility (all p < 0.001). One point increase in the workplace bullying perception score was associated with a 0.47 point increase in psychological symptoms evaluated by BSI. Moreover, the workplace bullying perception scores were most strongly affected by the scores of anxiety, negative self, depression, hostility, and somatization (all p < 0.05). Conclusion: The present results revealed that young individuals, divorced individuals, faculty members, and individuals with a chronic disease had the greatest workplace bullying perceptions with our study population. Additionally, the BSI, anxiety, depression, negative self, somatization, and hostility scores of the individuals with high levels of workplace bullying perceptions were also high.

• 한국산학기술학회논문지
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• 제14권6호
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• pp.2828-2838
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• 2013

본 연구는 대학생들이 경험하는 스트레스, 불안 및 우울수준을 파악하고 그에 관련된 요인을 검토하고자 실시하였다. 조사대상은 대전광역시에 소재하고 있는 대학에 재학 중인 대학생 551명으로 하였으며, 자료 수집은 2012년 4월 1일부터 6월 30일까지의 기간 동안에 표준화된 자기기입식 설문지(self-administered questionnaire)를 사용한 설문조사에 의하였다. 설문지의 내용은 독립변수로 학생들의 개인 및 가정생활특성, 학교생활 특성 및 건강관련행위 특성을 조사하였고, 종속변수로는 사회심리적 스트레스수준, 불안수준 및 우울수준을 조사하였다. 연구결과, 조사대상 대학생들이 경험하고 있는 고위험 스트레스는 22.7%, 불안은 15.6%, 우울은 22.1%로 나타났으며, 이들에 관련된 요인으로는 성별, 가정의 경제상태, 가정생활의 만족도, 학교성적, 교우관계, 학교생활에 대한 만족도, 주관적인 수면의질 및 주관적인 건강상태 등을 지적할 수 있었다. 특히, 사회심리적 스트레스에는 개인 및 가정생활 특성 변수가, 불안 및 우울에는 사회심리적 스트레스가 많은 영향을 미치는 것으로 확인되었다. 따라서 대학생들의 스트레스, 불안 및 우울수준을 낮추기 위해서는 개인 및 가정생활 특성이나 학교생활 특성 외에도 사회심리적 스트레스 요인을 적절하게 통제할 수 있는 프로그램의 개발 및 운영이 필요하다고 본다.

• 한국산학기술학회논문지
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• 제12권4호
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• pp.1721-1731
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• 2011

본 연구는 일부 도시지역 노인들의 인구사회학적 특성, 건강관련행위 특성, 건강상태, 사회적 지지망과 사회 활동특성, 사회적지지 및 가족지지에 따른 우울수준을 파악하고, 우울에 영향을 미치는 요인을 알아보고자 시도하였다. 조사대상은 도시지역 노인 412명(남자 191명, 여자 221명)으로 하였으며, 자료 수집은 2010년 6월 1일부터 7월 31일까지의 기간 동안에 표준화된 무기명식 면접조사용 설문지를 사용하여 면접조사를 실시하였다. 연구결과 조사대상노인의 우울수준은 사회적 지지 및 가족지지가 낮을수록 유의하게 높았으며(p=0.000), 우울수준은 사회적 지지 및 가족지지와 유의한 음의 상관관계를 보였다. 다중회귀분석 결과 조사대상자의 우울수준에 영향을 미치는 요인으로는 사회적지지, 눈의 부자유 유무, 일상생활에 대한 만족도, 친구 수, 교육정도, 배우자유무, 취미활동 빈도, 요실금 유무 및 가족지지가 유의한 변수로 선정되었다. 따라서 도시지역 노인들의 우울수준은 사회적지지 및 가족지지가 영향요인으로 작용하고 있을 뿐만 아니라 인구사회학적 특성, 건강관련행위 특성, 건강상태, 사회적 지지망과 사회활동특성 등 여러 변수들과도 관련성이 있었다.

• 지역사회간호학회지
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• 제28권4호
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• pp.359-365
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• 2017

Purpose: This study aims to investigate gender differences in the association between depressive symptoms and weight, weight perception, and body satisfaction among Korean adolescents. Methods: A secondary data analysis was performed on data from 33,374 adolescents who participated in the 2015 Adolescent Health Behavior Online Survey. They were classified as underweight, normal weight, or overweight/obese; weight perception was classified into perception of being underweight, normal weight, or overweight/obese; and weight satisfaction into desire to gain weight, satisfied, and desire to lose weight. Results: Among boys, perception of being underweight (adjusted odds ratio [AOR]: 1.20, 95% confidence interval [CI]: 1.07~1.35) and desire to gain weight (AOR: 1.45, 95% CI: 1.30~1.62) were associated with depression. Among girls, perception of being overweight or obese (AOR: 1.18, 95% CI: 1.07~1.29) and a desire to lose weight (AOR: 1.30, 95% CI: 1.18~1.42) were associated with depression. Conclusion: Gender differences were observed in the association between weight perception and depression in adolescents. The perception of being underweight among boys and the perception of being overweight/overweight among girls were associated with depression. Thus, gender-specific intervention programs to correct weight perception and weight satisfaction are needed in order to relieve depressive symptoms in adolescents.

• 동의신경정신과학회지
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• 제25권3호
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• pp.263-270
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• 2014

Objectives: This study aimed to examine the effects of multidimensional five senses treatment on patients with depression or anxiety. Methods: This study examined the effects of multidimensional five senses treatment for patients with depression or anxiety who visited the neuropsychiatric clinic of Korean medicine. STAI-X1,X2, BDI, BAI, PAS were used to determine whether the mood (depression or anxiety) of patients was improved. Results: Our results showed that multidimensional five senses treatment improved the depressive symptoms or anxiety symptoms. In addition, after the multidimensional five senses treatment, PAS score in patients with panic disorder was improved. Conclusions: The multidimensional five senses treatment was effective for the improvement of patients with depression or anxiety.

• 여성건강간호학회지
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• 제22권4호
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• pp.241-253
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• 2016

Purpose: The purpose of this qualitative research was to understand the meaning of the depression in low income elderly women. Methods: Participants were 15 elderly women, aged between 60 and 80 who were registered in two senior welfare centers in Seoul. Data were collected from June to December, 2012 after having obtained consent from participants. In-depth interviews were done with open-ended questions about their depression experiences, which were audio-taped and transcribed with verbatim. Data were analyzed using qualitative content analysis to discover the categories considering their relationships and abstractness. Results: Depressions of aged women were a part of the their life throughout their long lived hardship and was implied unhealed wounds within the relationship. Participants did not know how to manage with depression symptoms that they tried to overcome individually but due to decreased activities and interpersonal relationships, their depressions were tended to continue. They have tried to get out from depressive symptoms, but it still remains unseen shadow of mind. Conclusion: This results suppose that social support and aged welfare policy included reliving the economical difficulty and improving relationships will be provided to manage the depression for low income elderly women.

• 여성건강간호학회지
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• 제24권1호
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• pp.80-89
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• 2018

Purpose: To identify relationships among lifestyle, psychological distress, and reproductive health in female university students. Methods: We used a descriptive cross-sectional design. A total of 275 subjects were enrolled. Subjects agreed to undergo a face-to-face interview, including administration of structured questionnaires to determine health promotion lifestyle profile II (HPLP-II), depression anxiety stress scale for depression and anxiety (DASS-D, DASS-A), and reproductive health (knowledge, attitude, behavior, menstruation irregularity, dysmenorrhea, and gynecologic symptoms). Results: The mean age of subjects was 21.2 years. Those with low HPLP-II score showed significantly high menstruation irregularity. Those with high depression and anxiety had significantly high reproductive symptoms. In addition, high HPLP-II score was correlated with low depression, anxiety, and high reproductive health. Conclusion: The life style of female university students is associated with depression, anxiety, and reproductive health. To improve female university students' reproductive health, life style interventions including healthy nutritional habit, physical activity, and stress management are important.

• The Journal of Korean Physical Therapy
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• 제23권2호
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• pp.69-76
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• 2011

Purpose: The aim of this study was to investigate the prevalence of depressive symptoms in stroke patients and to compare characteristics of different rating scales - Hamilton Depression Rating Scale (HDRS), Beck Depression Inventory (BDI) and Hospital Anxiety and Depression Scale-Depression (HAD.D)- with regard to diagnosis and severity assessment for post-stroke depression. Methods: Participants included 44 stroke patients who could communicate. At admission, all study participants received a semi-structured interview using the HDRS and a self-completed questionnaire using the BDI and the HAD-D. Pearson's correlation method was used to examine associations among the three depression scales. The BDI and HAD-D were compared based on HDRS criteria, and the sensitivity and specificity using cut-off values were analyzed. Results: The HDRS showed that 52.30% of stroke patients had depressive symptoms on the BDI and HAD-D it was 59.10%. The HDRS correlated significantly with the BDI (r=0.81, p<0.01) and HAD-D (r=0.55, p<0.01). The BDI correlated significantly with HADS (r=0.50, p<0.01). After calculating the area under the ROC curve to decide on HDRS criteria, the BDI (AUC=0.91, 95% CI: 0.83.0.99) showed a significantly larger area compared to the HAD.D (AUC=0.82, 95% CI: 0.69-0.94). The cut-off value of the BDI was 12.50 points with a sensitivity of 81.00% and a specificity of 76.20%. Conclusion: These findings show that the BDI is a useful screening test for depression that most closely predicts the HRDS score.