• 대한불안의학회지
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• 제12권2호
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• pp.119-125
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• 2016

Objective : This study used the HEXACO personality structure model to evaluate the relationship between personality profiles and symptoms in patients with depression and/or anxiety disorders. Methods : Total 123 patients with depression or anxiety disorders completed Beck depression inventory (BDI), state-trait anxiety inventory (STAI), and HEXACO-personality inventory. Correlation analysis and independent t-test were performed for comparison between HEXACO and BDI or STAI scores. Results : Depressive symptoms were negatively correlated with extraversion, conscientiousness, agreeableness and openness to experiences. Both severity of state and trait anxiety were positively correlated with emotionality, and negatively correlated with conscientiousness and agreeableness. Moreover, state anxiety was negatively correlated with honesty-humility, and trait anxiety was negatively correlated with extraversion. The depression group showed significantly higher emotionality and lower extraversion, conscientiousness, openness to experiences, and agreeableness compared to the non-depression group. In a comparison of the HEXACO domain scores between the non-anxiety and anxiety group, honesty-humility and agreeableness in the state anxiety group and extraversion, conscientiousness, and agreeableness in trait anxiety group were significantly lower. Conclusion : Theses results suggest that the depression or anxiety symptoms were highly correlated with personality profiles. Therefore, evaluating the personality profiles in these patients may be helpful for directing appropriate therapeutic plans.

• 정신신체의학
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• 제24권1호
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• pp.109-116
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• 2016

연구목적 본 연구는 소방공무원에서 탄력성이 외상후스트레스 증상 및 해리에 미치는 영향과 함께, 탄력성과 각 외상후스트레스 증상 및 해리의 관계에서 우울의 매개효과에 대해서 알아보고자 하였다. 방 법 총 115명의 소방공무원을 대상으로, 생활사건 체크리스트, 사건충격척도-개정판, 해리경험척도, 벡 우울척도, 코너-데이비슨 탄력성 척도를 시행하였다. 탄력성이 외상후스트레스 증상과 해리에 미치는 영향 및 우울의 매개효과를 확인하기 위해 구조방정식모형(Structural equation modeling)과 경로분석(path analysis)을 실시하였다. 결 과 탄력성이 높을수록 낮은 외상후스트레스 증상과 낮은 해리를 보였으며, 각 탄력성과 외상후스트레스 증상 및 해리의 관계는 우울이 완전 매개를 하는 것으로 나타났다. 즉, 탄력성이 외상후스트레스 증상 및 해리에 대해 직접적인 영향이 아닌 우울을 통해 간접적으로 각 증상을 감소시킴을 보여주었다. 결 론 본 연구는 소방공무원에서 외상후스트레스 증상 및 해리의 예방과 치료에 있어 탄력성 강화와 우울 증상 감소를 목표로 한 임상적 개입이 중요함을 시사한다.

• 생물정신의학
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• 제24권4호
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• pp.212-218
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• 2017

Objectives We aimed to examine whether mindfulness skills are mediating the improvements of depressive symptoms in patients with mood disorders who practiced Mindfulness-Based Cognitive Therapy (MBCT). Methods A total of 19 patients with mood disorder were included in this study. The participants were divided into two subgroups: a normal to mild depression group and a moderate depression group. The participants completed questionnaires to assess depressive symptoms, anxiety, quality of life, suicidal idea, and mindfulness skills which were measured by the Five Facets of Mindfulness Questionnaire (FFMQ) before and after MBCT course. Results The moderate depression group showed improvements through MBCT in depressive symptoms and suicidal idea, but not in anxiety and quality of life. The normal to mild depression group showed no significant change through MBCT. The improvement of depressive symptoms in the moderate depression group was predictable by improvements of the five facets of mindfulness, especially by 'observe' and 'non-react' components. Conclusions This study showed that currently depressive patients with moderate severity but not with normal to mild severity benefit from MBCT in reducing depressive symptoms and suicidal idea. The improvement of depressive symptoms was mediated by improved mindfulness skills through MBCT.

• 대한불안의학회지
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• 제7권1호
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• pp.16-21
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• 2011

Objective : Depressive symptoms often coexist with other anxiety disorder symptoms. Furthermore, an anxiety disorder that is comorbid with a depressive disorder results in more severe symptoms and a poorer outcome prognosis. To understand the construct of depressive symptoms in anxiety disorder, this study investigated the factor structure of the Beck Depression Inventory among outpatients with anxiety disorders. Methods : All data were from psychiatric department outpatients at a university-affiliated hospital. We conducted a principal component analysis using data from 194 outpatients with DSM-IV anxiety disorders and calculated goodness-of-fit-indices. Results : Exploratory factor analysis revealed a four factor structure--Cognitive-affective symptoms (Factor 1), Somatic symptoms (Factor 2), Self-reproach (Factor 3), and Hypochondriasis/indecisiveness (Factor 4)--and a 57% total variance. This four-factor model demonstrated an acceptable level of model fit, and it fit better than did a three-factor solution from the literature on depressive disorder. Conclusion : This study's results suggest a difference in the construct of self-reported depressive symptoms in anxiety disorders. These findings also support a dimensional approach to studying anxiety and depression. Further studies may benefit from including comorbid depressive disorder and its influence on anxiety disorders.

• 보건교육건강증진학회지
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• 제20권4호
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• pp.13-26
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• 2003

Objectives： The aim of the present study was to determine the prevalence depressive symptoms, and the correlates of depressive symptoms, and to propose countermeasures for individual depression risk factors among college students. Methods： One university and three colleges in Jeju-do were selected as the study population and a total of 1000 students were selected by multiphasic cluster sampling to represent each department and year within each college. Of the 945 total respondents, 421 were men and 524 were women. The Beck Depression Inventory was used to evaluate depression and the BDI STEN score was used to assess depressive symptoms. Multiple logistic regression analysis was performed for comparisons. Results： 1. The prevalence of depressive symptoms among men was 14.4%, while among women the level rose to 26.8%. 2. Those with poor life satisfaction scores were significantly more likely to have depressive symptoms than those with good life satisfaction (odds ratio (OR) ＝ 2.62； (95% confidence interval (95%CI), 1.483-4.629). 3. Students over 23 years old were significantly more likely to have low levels of depressive symptoms than those under 18 (OR ＝ 0.439； 95%CI, 0.247-0.779). 4. Groups with poor body image satisfaction had higher levels of depressive symptoms when compared to respondents who had good body image (OR = 2.847; 95%CI, 1.341-6.045). 5. Students with poor perceived health status were significantly more likely to have high levels of depressive symptoms than those with good perceived health status (OR ＝ 2.029； 95%CI, 1.157-3.557). Conclusion： Universities and colleges should provide education programs, such as health education that facilitates the development of a healthy body image. In addition, they should focus on various scholarships that could improve satisfaction with student life, especially for alienated students. Furthermore, colleges should help direct students towards engagement in more productive work, and lead social policies away from the dominance of appearance.

• Environmental Analysis Health and Toxicology
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• 제31권
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• pp.18.1-18.8
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• 2016

Objectives This study aimed to evaluate the risk factors associated with depression and suicidal ideation in a rural population. Methods A survey was conducted with 543 farmers from Chungcheongnam-do Province using the Center for Epidemiologic Studies Depression Scale (CES-D) for depression, Lubben Social Network Scale (LSNS) for social support, Swedish Q16 for neurotoxicity symptoms and a survey tool for farmer's syndrome. Results After adjusting for socioeconomic factors using logistic regression analysis, poor self-rated health, low social support and neurotoxicity were positively associated with the risk of depression (odds ratio [OR], 15.96; 95% confidence interval [CI], 3.11 to 81.97; OR, 3.14; 95% CI, 1.26 to 7.82; and OR, 3.68; 95% CI, 1.08 to 12.57, respectively). The risk of suicidal ideation significantly increased with low social support, neurotoxicity and farmer's syndrome (OR, 2.28; 95% CI, 1.18 to 4.40; OR, 6.17; 95% CI, 2.85 to 13.34; and OR, 3.70; 95% CI, 1.51 to 9.07, respectively). Conclusions Given the overall results of this study, there is a need to establish programs which can improve the health and social relationships of farmers. Also, when farmers have neurological symptoms from pesticide exposure and characteristic symptoms of farmer's syndrome, a monitoring system for depression and suicide must be made available.

• 여성건강간호학회지
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• 제21권3호
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• pp.197-206
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• 2015

Purpose: The purpose of this study was to examine the effects of light therapy on sleep disturbance and depression in climacteric women with menopausal symptoms. Methods: The research design was a nonequivalent control group pre test-post test design. Data were collected from September 29, 2013 to November 11, 2013. Participants included 17 climacteric women in an artificial light therapy group, 17 climacteric women in a sun light therapy group and 16 climacteric women in a control group. Measures consisted of the sleep disturbance, depression, melatonin, and serotonin. Results: There was a statistically significant difference of Korean Sleep Scale A (F=53.87, p<.001), and melatonin (F=31.19, p<.001) among three groups. There was a statistically significant difference of Self-Rating Depression Scale (F=121.86, p<.001), and serotonin (F=102.37, p<.001) among three groups. Conclusion: Artificial and sun light therapy can be applied as a supportive nursing intervention to subjects with sleep disturbance and depression in climacteric women with menopausal symptoms. Artificial and sun light therapy is expected to be a complementary alternative intervention for health management of the subjects with sleep disturbance and depression in climacteric women with menopausal symptoms.

• 대한간호학회지
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• 제26권4호
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• pp.917-929
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• 1996

The purpose of this study is to explore types of postpartum depression and to understand the nature and structure of the postpartum depression by using Q-methodological approach. As a way of research, 55 statements concerning postpartum depression were selected through individual interviews with postpartum mothers and literature review. 30 women were chosen as a subject group for the study, with opinions shown in 55 statements divided into 9 scales by forced distribution. PC QUANL Program was used for analysis and Q-factors were analyzed by using principal component analysis. As a result, postpartum depression experience was classified into 5 types. There are "Role-Strain Type", "Unattributional Depression Type", "Psychosomatic Symptoms Type", "Self-Compassion Type", and "Role-Crisis Type". Type I was named "Role-Strain Type", referring to the strain generally experienced by mothers with regard to the new role as a mother and as a social member. Type II was named "Unattributional Depression Type", referring to the symptom experienced by people who were in a state of vanity and a sense of loss. They often break into tears for no specific reasons. In case of Type III, people in a state of "Psychosomatic Symptoms Type" develop physical symptoms after suffering from inherent emotional conflict. Type IV was named "Self-Compassion Type" refers to the symptom shown by those who feel pity for their children and for themselves. And they show inability to cope with the reality properly. Type V was named "Role -Crisis Type", which is experienced by people who have a burden and a severe fear of their own job and their children in their mind, also showing serious conflict with maternal role. Futhermore, it was carried out to examine structure of postpartum depression in terms of degree of depression and adjustment ability. Type I showed mild degree of depression and relatively good adjustment ability. Type II showed broad range of degree in depression and moderate adjustment ability. Type III showed moderate depression and relatively low adjustment ability. Type IV revealed relatively serious degree of depression and the lowest adjustment ability. Type V revealed very serious degree of depression and the lowest adjustment ability. As a result, considering the structure of postpartum depression. Type I is considered to be a normal depression sympton which most mothers generally experience, followed by Type II, Type III, Type IV and Type V, each of which show increasingly worse degree of depression and lower adjustment ability. In conclusion, it seems to be it is necessary to understand distinct symptoms of postpartum depression and to examine the characteristics and structure of those types, so that it could lead to more individual nursing approach.cteristics and structure of those types, so that it could lead to more individual nursing approach.

• 여성건강간호학회지
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• 제19권3호
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• pp.176-187
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• 2013

Purpose: This study aims to identify the relationship between marital intimacy, depression, and menopausal symptoms, and to provide basic data for the health promotion of middle-aged women. Methods: A sample of 231 middle-aged women was recruited from four cities in Korea. The survey was conducted with participants using self-reported questionnaire from July 9 to November 11, 2011. The data were analyzed using descriptive statistics, t-test, ANOVA, and Correlation Analysis. Results: There were differences of marital intimacy scores that were statistically significant in educational background (F=6.88, p=.001), religion (t=3.96, p<.001), own job (F=4.47, p=.012), own salary (F=3.01, p=.019), spouse's salary (F=6.72, p<.001), ownership of residence (t=4.00, p<.001), leisure with spouse (t=-5.05, p<.001), current treatment of disease (t=2.22, p=.027), and current disease (t=2.53, p=.012). Marital intimacy was correlated with depression (r=-0.61, p<.01) and menopausal symptoms (r=-0.39, p<.01). Conclusion: Marital intimacy in middle-aged women is closely related to both depression and menopausal symptoms. The nursing program that improves marital intimacy will be useful to promote the health of middle-aged women.

• 성인간호학회지
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• 제27권3호
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• pp.283-293
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• 2015

Purpose: Depression is a common sign of suffering among the patients with Parkinson's disease (PD). Frequent and severe neuropsychiatric symptoms lead to high levels of distress in patients and their caregivers, which results in the high levels of caregiver burden. The aim of this study was to determine the predictors of caregiver burden in caregivers of the patients with Parkinson's disease (PD). Methods: The study included 183 consecutive PD patients and their caregivers. Patients were assessed using the Hoehn and Yahr scale, Mini Mental State Examination (MMSE), Beck Depression Inventory (BDI), and Schwab and England Activities of Daily Living Scale. Caregivers' depressive symptoms were evaluated using the Caregiver Burden Inventor (CBI), BDI, and World Health Organization Quality of Life Scale. Results: All of the patients reported one or more neuropsychiatric symptoms. Patients' and caregivers' depressive symptoms, caregivers' age and education, time for caregiving, and quality of life were significantly associated with the increased caregiver burden. After controlling the level of education as a potential confounding variable, depression in both patients and caregivers, time for caregiving, and quality of life explained 45.6% of the variance in caregiver burden. Conclusion: Substantial attention needs to be given to the early identification of depression in PD patients and their caregivers to improve caregivers' quality of life and burden.