• Journal of Korean Medical Science
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• v.33 no.45
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• pp.284.1-284.12
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• 2018

Background: Posttraumatic stress symptoms (PTSS) in patients with psychological trauma lead to poor health-related quality of life. Understanding of the relationships among PTSS, anxiety, depression, and illness intrusiveness will guide the development of efficient approaches to enhance subjective well-being in patients with psychological trauma. This study investigated whether anxiety and depression mediate the relationship between PTSS and illness intrusiveness in the hope of providing more comprehensive and effective trauma treatment. Methods: Psychiatric outpatients who visited the trauma clinic of a university hospital (n = 260) participated in this study. Assessments were conducted for PTSS, anxiety, depression, and illness intrusiveness. Structural equation modeling and path analysis were performed to analyze the mediating effects of anxiety and depression on the relationship between PTSS and illness intrusiveness. Results: PTSS had both direct and indirect exacerbating effects on illness intrusiveness. Anxiety exhibited the largest direct exacerbating effect on illness intrusiveness. The indirect effects of PTSS on illness intrusiveness through anxiety alone and through a depression-to-anxiety pathway were significant, but the indirect effect through depression alone was not. Conclusion: The findings demonstrate that anxiety, both independently and as part of an interrelated pathway with depression, partially mediates the relationship between PTSS and illness intrusiveness. Appropriate interventions and a comprehensive approach to alleviate anxiety and depression could mitigate the negative effects of PTSS on illness intrusiveness in patients with psychological trauma.

• Journal of Family Resource Management and Policy Review
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• v.20 no.1
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• pp.141-158
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• 2016

The purpose of this study was to analyze the effects of family stress on instances of depression in married, middle-aged women; more specifically, this study examined the moderating effects family strength and support have on depression in middle-aged women. Three hundred women from 40 to 60 years of aged, all of whom resided in Gyeonggi-do, participated in this study. For the final analysis, 249 self-reported questionnaires were used. Descriptive statistics, correlative analysis, and multiple regression analysis were conducted using SPSS ver. 21.0. The major results of this study were as follows. First, the mean scores of family strengths and family support were higher than the median scores. The mean level of depression was lower than the median of depression frequency, while the mean for the family stress scores was the same as the median. Second, depressions frequency was influenced by family type, health status, and average income. There was a positive correlation between depression and family stress. Third, family support had a moderating effect on depression. Family strength did not seem to have the same moderating effect, while there did seem to be a moderating effect of instrumental support from families on the relationship between family stress and depression. In conclusion, to decrease the frequency of depression in married, middle-aged women', it may be necessary to increase family support, and it seems to be especially necessary to increase the amount of instrumental support from families.

• Journal of Korean Academy of Nursing
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• v.40 no.4
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• pp.542-550
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• 2010

Purpose: This study was done to identify the factors which influence depression for elderly people who live at home. Methods: The participants were 134 elderly people living at home in M city. Data were collected from April 2 to 30, 2009 and analyzed using SPSS/WIN 12.0 and AMOS 5.0 program. I assumed path coefficients by doing path analysis to understand synthetically causal relationship which influences on depression. Results: Social support, sleep pattern and self esteem had significant direct effects on life satisfaction and accounted for 50% of the total variance in life satisfaction. Physical symptoms, sleep pattern and life satisfaction also had significant direct effects on depression and accounted for 59% of the variance in depression. But social support, self assertiveness and self esteem were not significant for depression. Conclusion: These results provide guidance for designing useful strategies to reduce depression in elderly people living at home.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.10
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• pp.7021-7033
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• 2015

This study aims to verify the structured relationship between college students' stress and their stress in the meditating depression and self-efficacy. Findings of the research are summarized as follows. The study looked into how stress would directly affect depression and self-efficacy. It was found that the stress would have immediate effects on depression and self-efficacy. In addition, it was noticed that stress indirectly influences college students' subjective happiness in meditating factors of depression and self-efficacy. After the investigation on the immediate effects of depression in relation to the self-efficacy, results of the study indicated that depression has an immediate negative influence on the self-efficacy. Self-efficacy appeared to affect subjective happiness positively and directly. However, its indirect effects on the subjective happiness was confirmed. Although the study failed to find any direct influence of the stress on subjective happiness, it was learned that stress causes an indirect effect through the meditating factors of depression and self-efficacy. In conclusion, the study suggests that subjective happiness can be improved by stress and depression relaxation, and improvement of self-efficacy.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.5
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• pp.227-236
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• 2016

This study tested the effects of stress on smartphone addiction via depression and self-efficacy among college students, and the analysis results were as follows: setting mediator and extra variables significantly correlated with the criterion variable as covariates and applying the regression analysis and SPSS Macro as well as bootstrapping method, to verify the mediating effects of depression and self-efficacy in stress and smartphone addiction. This study analyzed the direct effects of stress on the depression, self-efficacy, and smartphone addiction of college students and found that stress had direct effects on their depression and self-efficacy and also indirect effects on their smartphone addiction via depression and self-efficacy. Both depression and self-efficacy had dual and partial mediating effects on the influences of stress on their smartphone addiction. Stress had significant dual mediating effects on their smartphone addiction via the indirect paths of depression and self-efficacy, and high stress also had significant direct effects on their smartphone addiction, thus validating the dual mediation model. These findings demonstrate the need to develop programs to mitigate the stress and depression of college students and enhance their self-efficacy in order to reduce their smartphone addiction.

• Korean Journal of Human Ecology
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• v.22 no.6
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• pp.599-613
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• 2013

The purpose of this study was to investigate the mediating effects of empathic ability and depression on the relationship between adult attachment and psychological well-being of university students. We conducted a survey on 318 university students in Cheongju-si and Hongseong gun. The data were analyzed by Pearson' productive correlation, hierarchical regression analysis and Sobel test. The results were as follows: Firstly, anxiety attachment, empathic ability and depression were significant predictors of the psychological well-being of university students. Depression was the strongest predictors psychological well-being. Secondly, depression mediated partially the relationship between anxiety attachment and psychological well-being, and empathic ability and depression mediated partially the relationship between avoidance attachment and psychological well-being. In conclusion, the empathic ability and depression mediate the effects of adult attachment on psychological well-being of university students. The implications and limitations of this study were discussed.

• Korean Journal of Childcare and Education
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• v.13 no.5
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• pp.1-19
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• 2017

Objective: The purpose of this study was to examine the mediating effects of smartphone addiction tendency on the relationship between depression of mothers with 3 to 5 year-old children and rejecting-neglecting parenting style. Methods: Three hundred and twenty-eight mothers answered questionnaires on three research variables. To analyze the data, Pearson correlation analyses and regression analyses were conducted. Results: First, mothers' depression, smartphone addiction tendency and rejecting-neglecting parenting style showed positive correlations, respectively. Specifically, mothers with a high level of depression were more addicted to smartphones and exhibited more rejecting-neglecting style of parenting. Also, mothers who were more obsessed with smartphones showed more rejecting-neglecting parenting style. Second, this study found partial mediating effects of smartphone addiction tendency on the relationship between depression and rejecting-neglecting parenting style. Conclusion/Implications: This study confirmed that mothers' depression and smartphone overuse had an influence on their negative parenting behaviors. The results of this study address the need of various interventions for mothers to decrease their depression and smartphone overuse.

• Korean Journal of Adult Nursing
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• v.26 no.2
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• pp.214-222
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• 2014

Purpose: This study was to identify factors predicting the occurrence of depression among patients with hepatitis C treated with Peg-interferon. Methods: The subjects were 134 patients treated with Peg-interferon after the diagnosis with hepatitis C at the D University Hospital and 3 hospitals located in Busan, South Korea. The predictors of depression were identified by measuring the general characteristics of the subjects and their disease-related characteristics, social support, sleep disorders, and degree of side effects by interferon. The data were analyzed with a t-test, ANOVA, and logistic regression using the SPSS/WIN 18.0 program. Results: Sixty-six point four percent of the subjects suffered from mild to more severe depression. Fatigue, hair loss, itching, and sleep disorders turned out to be significant predictors. In addition, the explanatory power of these variables for the occurrence of depression was 70%. Conclusion: Sleep disorders and drug side effects were determined to have significant influence on the development of depression in hepatitis C patients treated with Peg-interferon. Therefore, the development of nursing intervention programs aimed to prevent depression by effectively managing sleep disorders and side effects is mandated in future to help the given population.

• Journal of the Korean Society of School Health
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• v.37 no.2
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• pp.73-82
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• 2024

Purpose: This study was conducted to investigate the structural relationship among maternal depression, adolescents' depression, and smartphone overdependence that influences externalizing problems in adolescents. Methods: This study used the data from 1,080 first-year middle school students from the 14th (2021) Panel Study on Korean Children by the Korea Institute of Child Care and Education. The data were analyzed by a structural equation model based on the least squares method using SmartPLS, and bootstrapping was utilized to confirm the mediating effect in the research model. Results: The direct paths of maternal depression, adolescent depression, and smartphone overdependence leading to externalizing problems in middle school students were all significant. Additionally, in the relationship between maternal depression and adolescent externalizing problems, the simple and sequential mediating effects of adolescent depression and smartphone overdependence were significant. Conclusion: It was found that maternal depression, adolescent depression, and smartphone overdependence not only directly influenced adolescents' externalizing problems but also did so through mediating paths among the influencing factors. Therefore, an integrated and systematic strategy that considers the mental health status and smartphone overdependence of adolescents, including the impact of maternal depression, is needed to take a customized approach to externalizing problems in adolescents.

• Journal of Family Relations
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• v.22 no.2
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• pp.27-50
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• 2017

Objectives: This study explored the effect of adolescents' sociodemographic variables, parenting rearing styles, resilience, and life satisfaction on adolescents' depression. The resilience as mediating effects of parental rearing styles and life satisfaction on depression was examined as well. Method: The data were from 2,108 middle school freshmen panel of a national sample at the forth year, Korea Children and Youth Panel Survey(KCYPS). Hierarchical multiple regressions and mediation regression analyses, steps for testing mediation by Baron and Kenny, were conducted. Results: Adolescents' resilience had both direct and mediating significant effects, showing that resilience partially mediated the effects of affective parental rearing style and life satisfaction on depression, respectively. Life satisfaction had the most significant impact on adolescents' depression. Conclusions: While some parental rearing styles were significant, adolescents' personal properties including resilience and life satisfaction revealed the most significant explanatory power of adolescents' depression. Life satisfaction was the most powerful predictor for lessening adolescents' depression.