• Asian Oncology Nursing
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• v.12 no.4
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• pp.274-279
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• 2012

Purpose: This study was conducted to test whether sleep disturbance mediates the effect of pain on fatigue, whether fatigue mediates the effect of pain on depression, and whether fatigue mediates the effect of sleep disturbance on depression. Methods: This study was conducted from September 12th to December 20th, 2011. One hundred eighty-eight breast cancer patients were recruited from D city and S city in Korea. The instruments used in this study were the pain, sleep disturbance, fatigue, and depression scales. Data were analyzed using descriptive statistics, Pearson correlation coefficients, and mediation pathway with the SPSS 12.0 and AMOS 20.0 programs. Results: There was correlation among pain, fatigue, sleep disturbance, and depression. Mediation analyses indicated that pain influences fatigue. sleep disturbance, and depression directly as well as indirectly. Sleep disturbance influences fatigue and depression directly, also fatigue influences depression directly. But sleep disturbance had no direct effect on depression. Conclusion: Significant correlations among the four symptoms supported the existence of the symptom cluster. Effects of pain on fatigue was partially mediated by sleep disturbance, also effects of pain on depression was partially mediated by fatigue. However, the effects of sleep disturbance on depression was fully mediated by fatigue.

• Journal of Korean Academy of Nursing
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• v.45 no.2
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• pp.211-220
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• 2015

Purpose: This study was done to develop a prediction model for postpartum depression by verifying the mediation effect of antepartum depression. A hypothesized model was developed based on literature reviews and predictors of postpartum depression by Beck. Methods: Data were collected from 186 pregnant women who had a gestation period of more than 32 weeks and were patients at a maternity hospital, two obstetrics and gynecology specialized hospitals, or the outpatient clinic of K medical center. Data were analysed with descriptive statistics, correlation and exploratory factor analysis using the SPSS/WIN 18.0 and AMOS 18.0 programs. Results: The final modified model had good fit indices. Parenting stress, antepartum depression and postpartum family support had statistically significant effects on postpartum depression, and defined 74.7% of total explained variance of postpartum depression. Antepartum depression had significant mediation effects on postpartum depression from stress in pregnancy and self-esteem. Conclusion: The results of this study suggest that it is important to develop nursing interventions including strategies to reduce parenting stress and improve postpartum family support in order to prevent postpartum depression. Especially, it is necessary to detect and treat antepartum depression early to prevent postpartum depression as antepartum depression can affect postpartum depression by mediating antepartum factors.

• Korean Journal of Social Welfare
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• v.68 no.1
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• pp.53-71
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• 2016

This study, we analyzed the following in order to verify the effects of depression on suicidal ideation. First, correlations among depression, family solidarity and suicide variables were analysed. Second, the hierarchical regression analysis was conducted to examine the effects of suicidal ideation. Third, family solidarity Sobel-test was performed to investigate whether family solidarity mediates the link between depression and suicidal ideation. The data used in the study comes from the survey conducted by Hallym Aging Research Institute in 2014. Through stratified multi-stage random sampling, 2,034 individuals aged 65 and over and living in Chun-cheon city were analysed. The result with depression and family solidarity together shows the higher the level of depression is, the more suicide ideation is. which means depression has a direct impact on suicide ideation. In addition, it indicates the higher family solidarity is, the less suicide ideation is. Sobel-test which examines indirect effects of depression on suicidal ideation through family solidarity produces a statistically meaningful result. The result is family solidarity mediates the link between depression and suicidal ideation.

• Journal of muscle and joint health
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• v.26 no.3
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• pp.214-222
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• 2019

Purpose: The purpose of this study was to examine the mediating effects of self-esteem and meaning of life in the relationship between stress and depression in adults. Methods: The subjects of this study were 162 adults aged 19 to 64 who live in Jeollabuk-do and capital area. Data were collected from March to April 2018. The data were analyzed by independent t-test and one way ANOVA analysis. The mediating effects were verified by the Bootstrapping method using the PROCESS macro for SPSS. Results: The results showed that stress had a direct effect on self-esteem and depression, self-esteem had a direct effect on depression. Self-esteem had a mediating effect on the relationship between stress and depression. However, the meaning of life did not have any direct or mediating effects on depression. Conclusion: In order to reduce depression in adults, strategies for improving self-esteem are needed along with stress management. As for the effect of life meaning on depression, it is necessary to measure and apply the meaning of multidimensional life repeatedly.

• Journal of Family Relations
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• v.22 no.1
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• pp.3-22
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• 2017

Objectives: The purpose of this study was to identify the mediating effects of family resilience and depression in a relation between family stress and psychological well-being among middle-aged. Method: The subjects were 409 of men and women between 40 to 59 living in D and G province. They completed the questionnaire on family stress, family resilience, depression, and psychological well-being. Correlation and structural equation models of SPSS 23.0 and AMOS 22.0 were used to examine the relations between the variables. Results: The results are as follows. First, family stress had no significant effect on psychological well-being of middle age men and women, while it directly influenced on family resilience and depression. Second, family resilience and depression had direct influence on psychological well-being. Third, there were significant mediating effects of family resilience and depression in a relationship between family stress and psychological well-being. Conclusions: Family stress has an indirect effect on psychological well-being among middle age men and women mediated by family resilience and depression. The result suggest that psychological well-being influenced by family stress can be improved by enhancing Family Resilience and reducing Depression.

• Journal of Korean Public Health Nursing
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• v.31 no.3
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• pp.528-539
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• 2017

Purpose: This study examined the mediating effects of gratitude on the relationship between life stress and depression in nursing students. Methods: The participants were 181 nursing students recruited from 2 universities in B and D cities in South Korea. Baron and Kenny's regression method and the Sobel test were employed to analyze the mediating effects of gratitude on the association between life stress and depression, via the SPSS/WIN 18.0 program. Results: The participants' mean depression score was 9.58, and there were significant differences in depression according to perceived interpersonal relationships and perceived physical health statue. In addition, gratitude exerted partial mediating effects on the relationship between life stress and depression. Conclusion: This study indicated gratitude as factors managing depression in nursing students. Based on the results of this study, strategies to increase nursing students' gratitude are highly recommended for management of their depression.

• KSII Transactions on Internet and Information Systems (TIIS)
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• v.13 no.3
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• pp.1626-1638
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• 2019

Social Networking Sites (SNS) provide people with unique online social interaction environments where users can disclose their thoughts, feelings, and opinions to their personal contacts. Although previous studies have suggested that such activities produce positive effects on SNS user well-being, this study considered potential negative effects by investigating the relationship between SNS use and depression. In particular, This stydy examined how specific activities are related to different types of social comparison (upward/downward/horizontal) and how these different types of social comparison influence depressed moods among college students. The analysis of a survey of 245 Instagram users found that (1) looking at other people's status updates and commenting on other people's photos influences upward social comparison, (2) frequency of Instagram use predicts upward/downward/horizontal social comparison, and (3) upward social comparison was postively associated with depression, while downward social comparison was negatively associated with depression. Furthermore, the path anlaysis show that social comparison mediates the effect of Instagram use on depression. It suggests that Instagram use does not directly increase depression but it can lead to depression when social comparison on Instagram triggers depression.

• Korean Journal of Childcare and Education
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• v.14 no.5
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• pp.101-115
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• 2018

Objective: The goals of this research were (1)to examine the relationship among parental conflict, mothers' depression and preschoolers' sleep problems, and (2) to examine the mediating effects of mothers' depression between marital conflict and preschoolers' sleep problems. Methods: The participants were 1,639 mothers with preschoolers taken from the 5th year Korean Children Panel. Date were analyzed using descriptive statistics, partial correlation analysis, and multiple regression analysis. Results: The results were as follows: First, preschoolers' sleep problems were positively related to marital conflicts. Second, preschoolers' sleep problems were positively related to mothers' depression. Third, marital conflict was positively related to mothers' depression. Lastly, mothers' depression fully mediated the relationship between marital conflict and preschoolers' sleep problems. That is, marital conflict had an effect on preschoolers' sleep problem, only through mothers' depression. Conclusion/Implications: Based on the results, intervention programs should be developed to prevent preschoolers' sleep problems such as marital relationship improvement programs and mothers' depression improvement programs.

• Research in Community and Public Health Nursing
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• v.26 no.4
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• pp.405-414
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• 2015

Purpose: The purposes of this study were to examine the effects of home visit healthcare using a complex program on community-dwelling frail elders' physical strength, frailty, and depression and to compare the effects among three regions. Methods: This study was conducted as a quasi-experimental study using one-group pretest-posttest design. A total of 86 subjects were sampled from three regions (metropolis, small city, and rural area). The program was applied for 14 weeks. This program consisted of disease management by a visiting nurse, exercise with a visiting nurse, self exercise, telephone monitoring, health education, counseling, providing handbook, and incentive. Physical strength was measured by balance, upper-limb, and lower-limb muscle strength. Frailty was measured by the Korean Frail Scale and depression was measured by the Geriatric Depression Scale. Paired t-test and ANCOVA were used to analyze the effects. Results: Physical strength, frailty, and depression were significantly improved after applying the complex program. There were not differences among the regions. Conclusion: Home visit healthcare using a complex program was effective in improving frail elders' physical strength, frailty, and depression. There were not differences among the regions. Therefore, home visit healthcare using a complex program needs to be expanded to other regions.

• Journal of Korean Public Health Nursing
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• v.36 no.2
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• pp.240-252
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• 2022

Purpose: The purpose of this study was to draw practical implications applicable to the field by analyzing a double-mediator model of social participation and depression in relation to the utilization of Information Communication Technology (ICT) and cognitive function. Methods: The data from the Fifth Living Profiles of Older People Survey in Korea was used, and the sample included 3,925 people, 75 years of age or older. Descriptive statistics, correlation analysis, and the PROCESS macro test were used for verification of the double mediator model. Results: The results were as follows: First, ICT utilization was rated at an average of 1.4 out of 10, social participation at an average of 1.1 out of 7, depression at an average of 3.72 out of 15, and cognitive function at an average of 22.42 out of 30. Second, ICT utilization has a significant effect on cognitive function. Third, the mediating effects of social participation between ICT utilization and cognitive function were significant. Fourth, the mediating effects of depression between ICT utilization and cognitive function were not significant. Fifth, the serial double mediator effects leading to ICT utilization, social participation, depression, and cognitive function were significant. Conclusion: The study discussed the implications of maintaining and protecting cognitive function in the vulnerable elderly through the utilization of ICT.