• Journal of muscle and joint health
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• v.27 no.2
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• pp.199-209
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• 2020

Purpose: This study examined the prevalence of depressive symptoms and psycho-behavioral factors affecting depressive symptoms in patients with osteoarthritis. Methods: This cross-sectional study enrolled a convenience sample of 157 patients with osteoarthritis in a university hospital between March and December 2018. Depressive symptoms, osteoarthritis function, therapeutic self-efficacy, and health-related quality of life (QoL) were measured using structured questionnaires. Logistic regression analysis was used to investigate factors affecting depressive symptoms. Results: The mean age of participants was 73.3 years with 76.4% of them being women. The prevalence of depressive symptoms was 38.5%. Patients with depressive symptoms were more likely to be currently smoking and had an occupation and worse flexibility function associated with osteoarthritis. Whereas they were less likely to engage in regular physical activity and had a low level of therapeutic self-efficacy and perceived health-related QoL. Conclusion: Therapeutic self-efficacy to regular physical activity, including flexibility function may be primary factors influencing depressive symptoms in patients with osteoarthritis. With the management of osteoarthritis, psycho-behavioral factors should be considered in developing interventions to prevent depressive symptoms in patients with osteoarthritis.

• Human Ecology Research
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• v.57 no.2
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• pp.201-211
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• 2019

This study examines the effects of chronic disease/disability and stress from health on depressive symptoms among one-person households living in Seoul and Gyeonggi Province in Korea. This study also investigates the moderating effect of social support on the relationship between 1)having a chronic disease/disability and depressive symptoms as well as 2)stress from health and depressive symptoms. This study used data from an online survey targeting one-person households living in Seoul and Gyeonggi Province. The final sample included 499 one-person households. Using a multiple regression analysis with SPSS 20.0, results showed that having a chronic disease/disability was associated with a higher level of depressive symptoms. In addition, stress from health was associated with a higher level of depressive symptoms. In regard to the roles of social support, economic support and emotional support had a direct negative effect on depressive symptoms. Emotional support had a moderating effect on the relationship between having a chronic disease/disability and depressive symptoms. In addition, emotional support also had a moderating effect on the relationship between stress from health and depressive symptoms. Based on these findings, this study suggests that policy makers should reduce the economic burden from a chronic disease/disability and help one-person households to strengthen their social support network.

• Journal of the Korean Home Economics Association
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• v.48 no.9
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• pp.103-111
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• 2010

The purpose of this study was to investigate the effects of perceived parental acceptance on social anxiety and depressive symptoms in children. Seven hundred and thirty eight 5th and 6th graders completed questionnaires. Regression analyses indicated that low levels of paternal acceptance was associated with higher social anxiety and depressive symptoms. Gender was a moderator of the effects of maternal acceptance on social anxiety and depressive symptoms. With high levels of maternal acceptance, girls were significantly less likely to report social anxiety and depressive symptoms, compared to boys. These results highlight the important role of parental acceptance in manifestations of social anxiety and depressive symptoms and clarify the relation of maternal acceptance to social anxiety and depressive symptoms as a function of gender.

• Journal of the Korean Data and Information Science Society
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• v.27 no.6
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• pp.1631-1643
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• 2016

Depressive symptoms are one of the biggest mental health issues among Korean American adolescents. Previous studies have found that parental warmth and intergenerational family conflict have a major impact on depressive symptoms among Korean American adolescents. This cross-sectional study examines the mediation effects of intergenerational family conflict between perceived parental warmth and depressive symptoms among 97 Korean American adolescents aged 14 to 18 years old in the Pacific Northwest region. The results revealed that 60% of participants experienced depressive symptoms. In addition, mother-adolescent conflict significantly mediated between perceived parental warmth and depressive symptoms while father-adolescent conflict did not significantly mediate. The finding suggests the need to develop intervention programs for Korean American adolescents and their parents that focus on creating an understanding of the difference between Korean culture and American culture, identifying early signs of depressive symptoms, and decreasing intergenerational family conflict by teaching parents to express parental warmth effectively.

• Journal of the Korean Society of School Health
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• v.14 no.2
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• pp.227-235
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• 2001

Depression is one of the most common psychologic disorder and dealt as a major public health concern. School students have heavy school work loads and stress from various evaluations representing school performance. In this study, to examine the effect of school performance and stress on depressive symptoms, we assessed the frequency of risk factors for depressive symptoms among 2,717 high school students. From April 2001 to May 2001, using a self-reported questionnaire, we collected data on the frequency of occurrence of depressive symptoms and potential risk factors for depressive symptoms. Depressive symptoms were measured using Center Epidemiologlc Studies Depression (DES-D) index. Thirty-seven percent of high school students reported having high depressive symptoms for a week Female students had a higher prevalence of depressive symptoms than males (OR=1.44, 95% CI 1.22-1.70). In a multiple logistic regression model, we found that good perceived school performance (OR=0.43, 95% CI 0.31-0.60) had a negative association with depressive symptoms. On the contrary, we also found that stress from school performance (OR=2.03, 95% CI 1.69-2.44) associated with high depressive symptoms. In conclusion, high school students had a relatively high prevalence of depressive symptoms. Students with stress from school performance had the higher risk for depressive symptoms.

• Korean Journal of Biological Psychiatry
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• v.27 no.2
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• pp.101-111
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• 2020

Objectives The aim of this study is to investigate the association between secondhand smoke (SHS) exposure and depressive symptoms among Korean adults. This study also explored the mediating role of self-rated health (SRH) and perceived usual stress (PUS) in the association between depressive symptoms, suicidal ideation and SHS exposure. Methods Data from the Korea National Health and Nutrition Examination Surveys (KNHANES) in 2014 and 2016 was analyzed for 10539 participants aged 19 years or older. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated in the logistic regression analysis with adjustment for the potential confounding factors. We also adopted the mediation analysis method by Hayes and Preacher. Results After adjusting for the potential confounding factors, SHS at home and at public places were associated with depressive symptoms and suicidal ideation among non-smokers. After adjusting for the potential confounding factors, SHS at home and at public places was associated with depressive symptoms and suicidal ideation among non-smokers. Meanwhile SHS at workplaces was associated with depressive symptoms among former smokers and with suicidal ideation among current smokers. There was an additive effect of SHS on depressive symptoms only among non-smokers. SRH mediated the association between SHS and depressive symptoms and suicidal ideation among non-smokers. We did not observe any significant mediating effect of SRH nor PUS on the association between SHS and depressive symptoms among former and current smokers. Conclusions SHS may be associated with depressive symptoms and suicidal ideation in Korean adults. Our study elucidated how SHS interacted with depressive symptoms among non-smokers through the mediation by SRH.

• Korean Journal of Occupational Health Nursing
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• v.20 no.3
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• pp.308-318
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• 2011

Purpose: This study was conducted to identify the level of emotional labor, social support, and depressive symptoms of nurses, and the relationships among them. Methods: The data were collected from 314 nurses. Surface and deep-acting scales of the Emotional Labor Scale (ELS), the personal resource questionnaire, the organizational support scale, and the Korean version of the Center for Epidemiologic Studies Rating Scale for Depression (CES-D) were used. Collected data were analyzed by descriptive statistics, t-test, ANOVA, and Scheffe test. Results: Fifty six percent of total subjects had mild or major depressive symptoms. As the level of surface-acting of ELS was higher, so was the level of depressive symptoms, while as the level of individual and organizational support was higher, the level of depressive symptoms was lower. Conclusion: It is necessary to provide organizational-level support and to manage surface-acting in order to prevent the nurses' depressive symptoms. In particular, for the nurses who show relatively higher level of depressive symptoms; who are in 20s and have short employed years or not married, it is urgently required to be provided depressive symptoms management programs that targeted for those nurses.

• Journal of the Korean Society of School Health
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• v.32 no.1
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• pp.50-58
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• 2019

Purpose: The purpose of this study was to examine the mediating effect of self-perception on the relationship between body image and depressive symptoms in middle school adolescents. Methods: This study performed a pathway analysis with a sample of 284 adolescents recruited from three middle schools. Self-reported questionnaires consisted of items regarding body image, self-perception, and depressive symptoms. Results: Body image, self-perception, and depressive symptoms showed a significant correlation. Self-perception was directly affected by body image and depressive symptoms were not affected by body image. The mediating effect of self-perception on body image's impact on depressive symptoms was confirmed. Self-perception had a significant indirect effect on depressive symptoms, which means that self-perception has a full mediating effect on body image's impact on depressive symptoms. Conclusion: The effect of body image on depressive symptoms was fully mediated by self-perception in early adolescents. It suggests that self-perception needs to be considered when providing nursing interventions for adolescents.

• Journal of Korean Academy of Nursing
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• v.53 no.4
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• pp.453-467
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• 2023

Purpose: This study investigated the cumulative effects of depressive symptoms on cognitive function over time in community-dwelling older adults. Methods: Data were investigated from 2,533 community-dwelling older adults who participated in the Korean Longitudinal Study of Aging (KLoSA) from the 5th (2014) to the 8th wave (2020). The association between cumulative depressive symptoms and cognitive function was identified through multiple regression analysis. Results: When the multiple regression analysis was conducted from each wave, the current depressive symptoms scores and cognitive function scores were negatively associated, regardless of the waves (B5th = - 0.26, B6th = - 0.26, B7th = - 0.26, and B8th = - 0.27; all p < .001). Further, when all the previous depressive symptoms scores were added as explanatory variables in the 8th wave, the current one (B8th = - 0.09, p < .001) and the previous ones (B5th = - 0.11, B6th = - 0.09, and B7th = - 0.13; all p < .001) were also negatively associated with the cognitive function score. The delta R², which indicates the difference between the model's R² with and without the depressive symptoms scores, was greater in the model with all the previous and current depressive symptoms scores (6.4%) than in the model with only the current depressive symptoms score (3.6%). Conclusion: Depressive symptoms in older adults have a long-term impact. This results in an accumulated adverse effect on the cognitive function. Therefore, to prevent cognitive decline in older adults, we suggest detecting their depressive symptoms early and providing continuous intervention to reduce exposure to long-term depressive symptoms.

• Korean Journal of Health Education and Promotion
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• v.29 no.1
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• pp.59-72
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• 2012

Objectives: This study aimed to estimate the trajectory of depressive symptoms among aged 20 years adults and examine the direct and indirect pathway linking socioeconomic status(education attainment, household income, occupation), alcohol use and depressive symptoms. It particularly focused on whether alcohol use would mediate the relationship between socioeconomic status and depressive symptoms. Methods: This study analysed 13,763 households of Korean Welfare Panel Study 1st, 2nd, 3rd data using Latent Growth Curve Modeling. Results: The results showed that study participants tend to decrease depressive symptoms with years. Similar to the findings of the previous studies, education attainment and household income among the socioeconomic status factors effected directly depressive symptoms and indirectly by mediating alcohol volume controlling sex and age. Conclusions: Based on findings of this study, the policy and practical implications were discussed.