• Title/Summary/Keyword: Depression symptoms

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Depression in Cancer Patients (암 환자의 우울증)

  • Kim, Sung-Wan;Lee, Sam-Yeon;Kim, Jae-Min
    • Korean Journal of Biological Psychiatry
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    • v.13 no.2
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    • pp.59-69
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    • 2006
  • Bidirectional relationships exist between cancer and depression; the prevalence of depression in cancer patients is higher than in the general population, and depression predicts cancer progression and mortality. The mechanisms through which depression contributes to the progression of cancer are related with dysregulation of the hypothalamic-pituitary-adrenal axis and impairment of immune function. However, depression in cancer patients tends to be underdiagnosed and not appropriately treated. The methods of diagnosis and assessment of depression in cancer patents have been debated because physical symptoms of depression mimic both cancer symptoms per se and the side effects of cancer treatment. Many studies have shown that various psychosocial and/or pharmacological interventions are effective at improving de-pressive symptoms and quality of life in cancer patients. Furthermore, antidepressant treatments are effective for various physical symptoms related to cancer, such as fatigue, anorexia, pain, hot flashes, and itching. This article reviews and discusses current knowledge about depression in cancer patients.

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An Analysis of the Realtionship between Menopausal Symptoms and Depression (중년 여성의 갱년기 증상과 우울에 관한 연구)

  • Kwon, Sook-Hee;Kim, Yung-Ja;Moon, Guil-Nam;Kim, In-Soon;Park, Geum-Ja;Park, Choon-Hwa;Baim, Jeung-Yee;Sing, Ae-Ri;Yoe, Jung-Hee;Chung, Eun-Soon;Jung, Hyang-Mi
    • Women's Health Nursing
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    • v.2 no.2
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    • pp.270-283
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    • 1996
  • This study was done for the purpose of analyzing the relationship between menopausal symptoms and depression. Data were collected by a questionnaire from November 28 to December 30, 1995. The subjects were 134 women between 40-61 years of age. The instruments used for this study were The Menopausal symptom scale by Neugartom and Depression scale by Zung. The results of the study were as follows. 1. Mean score of menopausal symptoms was 1.59. Mean score orders of experienced symptoms were "Rack pain and joint pain"(2.02), "General weakness"(1.98), "Nervousness"(1.96). The most serious menopausal symptom was psychosomatic symptom.(1.88) Total score orders of experienced symptoms was 27.9 and over 90.3% of women complained menopausal symptom. 2. Mean score orders of depression was 39.13. It was normal range of depression. 85.1% of the women were normal range of depression and 14.2% of women mild depression. 3. The relationship between menopausal symptoms and depression was statistically significant(r=0.5307, p=0.000). When the relationship among three dimensions of menopausal symptoms were explored the psychosomatic symptom(r=0.4090, P=0.000), Physical symptom(r=0.319, P=0.000), Physical symptom(r=0.319, P=0.000) were statistically significant. 4. General characteristic variables were significantly related to the level of menopausal symptoms as follows ; environment of living(F=2.89, p=0.038), religion(F=4.18, P=0.007), times of birth(F=2.66, p=0.043). The analysis of this study have implication for management of middle aged women's health, to solve the nursing problems, and to prevent and relieve climacteric symptoms.

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A Prediction Model for Psychiatric Counseling for Depression among Subjects with Depressive Symptoms (우울증 대상자의 정신 상담 경험 여부 예측 모형)

  • Han, Myeunghee
    • Journal of Korean Public Health Nursing
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    • v.37 no.1
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    • pp.125-135
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    • 2023
  • Purpose: The number of patients suffering from depression is rapidly increasing worldwide, and by 2030, it is expected to pose a severe social and economic burden. Reports suggest that approximately 30% of subjects with symptoms of depression do not attempt treatment. Therefore, predicting the characteristics of subjects with depressive symptoms who have not even attempted counseling treatment is essential to increase the participation rate for such treatment. This study intends to predict the participation rates for psychological counseling treatment for depression among subjects with depressive symptoms. Methods: This study used data from the 2021 Korea Community Health Survey (KCHS). Data analysis was carried out using a decision tree to design a model that predicted participation in psychological counseling for depression. Results: The results showed that subjects aged 65 to 74 had difficulty understanding the explanations of medical staff even though they did not have cognitive impairment. Only 11.1% of this group received psychological counseling, which was the lowest rate among the various age groups. Among the subjects, 62.4% of those aged 19-44 or 45-64, who had suicidal thoughts and attempted suicide, received psychological counseling and this was the highest rate among the age groups surveyed. Conclusion: The identification of people showing depressive symptoms is crucial for encouraging them to undertake treatment. Also, proper depression-oriented medical services should be developed and implemented for people with depressive symptoms who exhibit a blind spot towards attempting treatment.

Musculoskeletal Pains, Menopausal Symptoms and Depression by Women's Menopausal Stage (폐경단계별 근골격계 통증, 폐경증상 및 우울)

  • Jang, Hyun-Jung;Ahn, Suk-Hee
    • Journal of muscle and joint health
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    • v.18 no.2
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    • pp.158-168
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    • 2011
  • Purpose: The purpose of this study was to compare musculoskeletal pain, menopausal symptoms and depression by women's menopausal stage. Method: With a survey design, a convenience sample of 203 women between age of 40 to 64 was recruited through a community. Data were collected via a structured study questionnaire from May to July, 2008. Measures included with symptom severity list for menopausal symptoms, Aches and Pains scale, and Beck's Depression Inventory. Results: Thirty-seven percent of women belong to early peri-menopausal stage, 31% to late peri-menopausal stage, and 32% to postmenopausal stage. By group comparison, late peri-menopausal and post menopausal women reported higher scores of depression than early peri-menopausal women. Postmenopausal women had greater scores in two pain subscales (bodily pain and pain that interferes with normal work) and two menopausal symptoms subscales (sleep pattern and sexual behaviors) than early peri-menopausal women. There were moderate levels of positive relationships among study variables at each menopausal stage. Conclusion: Postmenopausal women seem to have greater musculoskeletal pain and menopausal symptoms, and have depression more than did early peri-menopausal women. Tailored nursing strategies are required to reduce these kinds of common symptoms for women with menopausal transition to improve their physical and psychological wellbeing.

A Case Study en the Effect of Ca Intake on Depression and Anxiety (칼슘섭취가 60세 전후 성인의 우울 및 불안 성향에 미치는 영향에 관한 사례연구)

  • 박귀선;이경애
    • Journal of Nutrition and Health
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    • v.35 no.1
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    • pp.45-52
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    • 2002
  • This study was to investigate 1) the correlation of serum Ca, with depression and anxiety ; and 2) the effect of Ca intake on those symptoms. The subjects were three females and two males who were 53-66 years old with the severe subjective symptoms of depression and anxiety. They have taken more than twice Ca of RDA(recommended dietary allowances for Koreans) daily for 6 months(dietary treatment). The prestudy Ca intake of the subjects was low: 60% of RDA for Koreans. Their serum Ca concentration was also low: 6.67 $\pm$ 0.15mg/d1 before the dietary treatment. They expressed severs depression and anxiety, with high self scores in a psychological test. Their serum Ca concentration increased to 8.32 $\pm$ 0.17mg/dl after six months of dietary treatment, while the symptoms of depression and anxiety decreased significantly after two months and nearly disappeared after six months. This result seemed to be an effect of the dietary high Ca intake. Serum Ca and the psychological states of depression and anxiety correlated negatively, and the coefficients of determination were high in the results of linear regression analysis of depression and anxiety by serum Ca. Therefore the serum Ca concentration could be a good marker to predict depression or anxiety relatively well. The continuous high Ca intake could decrease the probability of developing depression or anxiety and mitigate their symptoms because serum Ca concentration increased, while the state of depression and anxiety decreased with the increased Ca intake.

Comparison of Clinical Symptoms between Early and Late Onset Depression in Elderly Depressive Patients in Korea (한국의 노인우울증 환자에서 조발성 우울증과 만발성 우울증의 임상증상의 비교)

  • Park, Ki-Hong;Lee, Hwa-Young;Ham, Byung-Joo;Lee, Min-Soo
    • Korean Journal of Biological Psychiatry
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    • v.17 no.3
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    • pp.145-152
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    • 2010
  • Objectives : Clinical differences between elderly patients with early and late onset depression have been described although these have been inconsistent. We aimed to compare differences of clinical symptoms using the 17 items Hamilton Rating Scale for Depression(HAM-D-17) between two groups. Methods : Data of 175 elderly patients with a diagnosis of major depressive disorder according to DSM-IV from January 2005 to November 2009 were collected. Seventy five patients were early onset depression and one hundred patients were late onset depression. Depressive symptoms were assessed by the 17-item Hamilton Rating Scale for depression. Results : There were some differences in HAM-D-17 scores between early and late onset depression. Early onset depression patients scored significantly higher in retardation(t = 2.41, p = 0.017) and somatic symptoms( general)(t = 2.37, p = 0.019) than late onset depression patients. Conclusion : We concluded that early onset depression patients have more severe psychomotor retardation and general somatic symptoms than late onset depression patients in Korea. Because of some limitations of this study, further investigations will be needed to validate this study results.

The effects of symptoms of dementia elderly on the primary caregiver's depression : moderating effects of family support (치매환자의 증상정도가 주부양자의 우울에 미치는 영향 : 가족지지의 보호효과를 중심으로)

  • Park, Sun Won;Kwak, Ju Yeon
    • Journal of Family Relations
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    • v.21 no.3
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    • pp.3-23
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    • 2016
  • Objectives: The purpose of this study is to examine the effects of symptoms of dementia elderly on the primary caregiver's depression. In addition, moderating effect of family support was examined. Based on the results, the necessity for intervention in the level of social welfare as a way to mitigate primary caregiver's depression was suggested. Method: In order to accomplish these purposes, a total of 197 who are spouse and adult-children of dementia elderly using day care facilities or services in Seoul, Gyeonggi, Busan province, South Korea were utilized. Data were analyzed by frequency analysis and descriptive statistics, regression model analysis with SPSS 18.0. Results: In case of analysis results, the mean value was reported 0.9 out of four point about primary caregiver's depression and the mean value of family support was reported 3.34 out of five point. And besides, the analysis result of dementia elderly's symptoms showed that prevalence of depression/dysphoria were 62.2%, prevalence of aberrant motor were 61.3%, prevalence of apathy/indifference were 56.6%. Crucial findings are as follows: the symptoms of dementia elderly was significantly associated with the primary caregiver's depression. At the same time, family support significantly influenced lower level of the primary caregiver's depression. While, in the relationship between the symptoms of dementia elderly and the primary caregiver's depression, family support has a moderation effect by important protection factor. Conclusions: From these findings, the necessities to provide the care service for dementia elderly to help improve symptoms of dementia as well as the policy and service to manage the mental health of the family as primary caregiver were suggested. Also, the necessities to provide the family therapy program to improve the relationship with family members were suggested.

The Relationship between Young Korean Adults' Depressive Symptoms and Patterns of Interest

  • Ahn, Si-Nae
    • International journal of advanced smart convergence
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    • v.9 no.1
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    • pp.209-214
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    • 2020
  • Mental health issues related to depression and individual's patterns of interest impact development. This study is to identify patterns of interest and their effects on depressive symptoms in young adults. This cross-sectional study involved 40 participants. The participants were assessed for depressive symptoms, patterns of interest in daily life, and social participation. The depressive symptoms and patterns of interest were assessed by a well-trained interviewer using a face-to-face method. Descriptive statistics, correlation analysis, and logistic regression analysis were implemented using SPSS 22.0. In terms of depressive symptoms, 32.5% of participants reported no depression, while 67.5% were depressed. When comparing interest patterns from the past, present, and future, the degree of depression was significantly correlated with interests in the past (p<.05). The effect of patterns of interest on depressive symptoms was not statistically significant (p>.05). Participation in a variety of activities can help prevent depressive symptoms. Participation in activities of interest can, therefore, be of great help during middle- and late-adult development.

Self-reported Climacteric Symptoms, Self concept and Depression in Middle-Aged Women (중년여성의 갱년기 증상, 자아개념 및 우울간의 관계)

  • Sung, Mi-Hae
    • Korean Journal of Adult Nursing
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    • v.14 no.1
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    • pp.102-113
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    • 2002
  • Purpose: This study was designed to identify the relationship between self reported climacteric symptoms, self concept and depression in middle aged women. Method: Data were collected through self-reported questionaires which were constructed to include a climacteric symptoms, self-concept and depression of middle-aged women scale. The subjects for this study were 102 women between 40-59 years of age living in P city. The data were analyzed by descriptive statistics, t-test, ANOVA, Pearson Correlation Coefficient. Results: The results obtained from this study were as follows : 1) The relationship between self reported climacteric symptoms and self concept was statistically significant with a negative correlation (r=-0.4862, P0.001). The relationship between self reported climacteric symptoms and depression had a statistically significant positive correlation (r=0.5393, P<0.001). The Relationship between self-concept and depression had a statistically significant negative correlation (r=-0.3769, P<0.001). 2) General characteristic variables significantly related to self reported climacteric symptoms were age (F=3.13, P<0.05) and frequency of pregnancy (F=3.24, P<0.05). General characteristic variables significantly related to frequency of self-concept were age (F=3.13, P<0.05), education level (F=2.97, P<0.05) and occupation (t=1.84, P<0.05). General characteristic variables significantly related to depression were age (F=3.12, P<0.05) and number of children (t=3.59, P<0.05). 3) The obstetrical characteristic variable significantly related to self-reported climacteric symptoms was the frequency of pregnancy (t=3.24, P<0.05). Conclusion: This study shows possible implications for nursing intervention for middle-aged women's health to prevent and relieve climacteric symptoms.

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A Study on the Relationship between Climacteric and Depressive Symptoms in Middle Aged Women in an area (일개지역 중년 여성의 갱년기 및 우울증상과의 관계 연구)

  • Lee, Kyung-Soo;Kang, Gyung-Won
    • Journal of Korean Clinical Health Science
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    • v.6 no.2
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    • pp.1171-1179
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    • 2018
  • Purpose. The purpose of the project is to provide basic data to help middle aged women manage their health by identifying their relationships with Climacteric and depression patients and studying ways to properly overcome the changes in the Climacteric Methods. After distributing the questionnaire to women who were approved for middle-aged women in one region from April 14, 2017 to May 1, 2017 a total of 138 sections were collected and 130 copies were used as research and analysis data, excluding eight inappropriate ones Results. The average score for Climacteric was 1.53 out of 2 points on average for Climateric symptoms, and depression was 10.74 out of 60 points. There were three analysis of Climacteric symptoms: physical symptoms, mental symptoms, and sexuality, and a large number of symptoms were reported as physical symptoms with 1.56 points Conclusions. A program of measures to reduce depression in middle-aged women requires active social attention and support to alleviate menopausal symptoms, and further research is needed to determine the relationship between these concerns and support for depression.