• The Journal of Korean Physical Therapy
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• 제33권3호
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• pp.131-135
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• 2021

Purpose: The purpose of this study was to investigate the mental health of physical therapy students in clinical practice during the COVID-19 pandemic. Methods: A cross-sectional survey was conducted during the pandemic and was completed by 100 physical therapy students in two universities in Gwangju and Jeollanam-do, South Korea. The Generalized Anxiety Disorder-7 (GAD-7) scale and the Patient Health Questionnaire-9 (PHQ-9) were used to evaluate their anxiety and depression status. A Chi-square test was conducted to evaluate the association of participant characteristics with the risk of having anxiety and depression. Logistic regression models were used to identify the general characteristic factors related to anxiety or depression. Results: Anxiety was found in 28 (28%) of the participants, and depression in 24 (24%). The risk of anxiety and depression in male physical therapy students was 0.189 and 0.211 times lower, respectively, than those female students (p<0.05). The risk of anxiety and depression in physical therapy students with a history of disease was 11.721 and 7.056 times higher, respectively, than those with a history of disease (p<0.05). The risk of anxiety in physical therapy students in clinical practice was 11.721 times higher than that in students who were not in clinical practice (p<0.05). Conclusion: The COVID-19 pandemic has led to a high risk of anxiety and depression among many physical therapy students. More attention and improvements are needed so that physical therapy students can study in a safe environment.

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.552-562
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• 2023

Objectives: Adolescents who engage in unhealthy behaviors are particularly vulnerable to anxiety. We hypothesized that participation in physical activity could influence the relationship between anxiety and unhealthy behaviors in adolescents. These behaviors include smoking, alcohol consumption, and unsafe sexual activity. Methods: This study included 50 301 students from the first year of middle school to the third year of high school, all from Korea. The unhealthy adolescent behaviors examined included current alcohol consumption, current smoking, and unsafe sexual behavior. Anxiety levels were assessed using the Generalized Anxiety Disorder-7 questionnaire (GAD-7). Results: The participants had a mean age of 15.19 years and an average GAD-7 score of 4.23. No significant differences were observed in GAD-7 score among exercising participants when categorized by smoking status (p=0.835) or unsafe sexual behavior (p=0.489). In contrast, participants in the non-exercise group who engaged in these behaviors demonstrated significantly higher GAD-7 scores (p<0.001 and 0.016, respectively). The only significant interaction was found between unsafe sexual behavior and exercise (p=0.009). Based on logistic regression analysis, within the non-exercise group, significant positive associations were observed between current smoking and anxiety (odds ratio [OR], 1.36; 95% confidence interval [CI], 1.18 to 1.57), as well as between unsafe sexual behavior and anxiety (OR, 1.33; 95% CI, 1.02 to 1.73). However, within the exercise group, no significant association was found between anxiety and either smoking or unsafe sexual behavior. Furthermore, no significant interaction was observed between unhealthy behaviors and exercise. Conclusions: These findings are insufficient to conclude that physical activity influences the relationship between unhealthy behaviors and anxiety.

• Journal of Yeungnam Medical Science
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• 제39권3호
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• pp.216-222
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• 2022

Background: This study assessed the psychological impact of the outbreak of coronavirus disease 2019 (COVID-19) on university hospital nurses. It provides an assessment of mental health issues, including depression, anxiety, distress, and burnout of nurses dealing directly and indirectly with COVID-19. Methods: In a web-based, cross-sectional study, 111 nurses from Daegu Catholic University Hospital in Korea were enrolled from August 4 to August 9, 2020. Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, Impact of Event Scale-Revised, and Maslach Burnout Inventory were used to assess the psychological symptoms of depression, anxiety, psychological distress, and burnout among the study participants. Results: Of 111 nurses, 35 (31.5%), nine (8.1%), 26 (23.4%), and 49 (44.1%) experienced depression, anxiety, distress, and burnout, respectively. Nurses who performed COVID-19-related tasks were more likely to have moderate depression (related vs. unrelated, 52.0% vs. 25.6%; p=0.037). There were no differences in anxiety, distress, and burnout between nurses with and without COVID-19-related tasks. More than 50% of the participants showed receptive and positive attitudes toward caring for COVID-19 patients. Conclusion: Nurses who performed COVID-19-related tasks had a higher risk of depression. There were no significant differences in anxiety, distress, and burnout between the two groups. Since nurses who perform COVID-19-related tasks are more prone to psychological distress, continued psychiatric interventions are required for infectious disease outbreaks with a high mortality rate for healthcare workers who are emotionally vulnerable.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• 제34권2호
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• pp.63-68
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• 2023

Objectives: The coronavirus disease (COVID-19) pandemic has had various effects on mankind, especially children and adolescents. Because children and adolescents spend a lot of time at school, COVID-19 has had a great impact on school mental health. In this study, we investigated the effect of prolonged COVID-19 on school mental health. Methods: We prepared self-report questionnaires for depression (Children's Depression Inventory, CDI), anxiety (Korean version of the Penn State Worry Questionnaire for Children; Generalized Anxiety Disorder-7, GAD-7), and post-traumatic stress (Primary Care Post-traumatic Stress Disorder, PC-PTSD) for administering to students aged between 7 and 18 years, recruited by a COVID-19 psychological prevention support group in the Gwangmyeong Mental Health Welfare Center for 2 years, in 2020 and 2021. Results: For children aged 7-12 years, there was no significant difference between the years 2020 and 2021 in the assessment of depression, anxiety, and post-traumatic stress. Conversely, for adolescents aged 13-18 years, there was a significant increase in the scale scores (CDI, PC-PTSD, and GAD-7). Conclusion: Prolonged COVID-19 might have had a significant impact on the mental health of adolescents who spent a lot of time at school. When comparing the years 2020 and 2021, middle and high school students were more affected by COVID-19 than elementary school students.

• 한국융합학회논문지
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• 제12권1호
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• pp.341-351
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• 2021

본 연구의 목적은 돌봄 종사자의 감정부조화와 우울, 불안 간의 관계를 조사하고, 감정부조화와 우울 및 불안 간의 관계에서 정서지능의 조절효과를 알아보는 것이다. 이를 위하여 돌봄 종사자 142명을 대상으로 감정부조화 평가척도, 정서지능 척도, PHQ-9, GAD-7을 실시하였다. 수집된 자료는 SPSS 25.0 프로그램으로 분석하였다. 분석 결과, 감정부조화와 타인 정서인식이 우울 및 불안에 유의한 영향을 미치는 것으로 나타났다. 또한, 감정부조화와 우울 간의 관계에서 타인 정서인식의 조절효과가 나타났다. 마지막으로, 이러한 결과를 바탕으로 돌봄 종사자의 감정노동 및 정신 건강 문제에 대한 개입 방안을 제안하고 논의하였다.

• Annals of Occupational and Environmental Medicine
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• 제34권
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• pp.11.1-11.9
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• 2022

Background: Although coronavirus disease 2019 is causing a variety of psychological problems for workers, there are few longitudinal studies on changes in workers' mental health by workplace intervention. This study aimed to evaluate the change in the prevalence of depression and anxiety according to the active involvement of the workplace. Methods: This study was conducted on 1,978 workers at a workplace who underwent a health screening from January 2019 to August 2020, and classified depression and anxiety disorders using a self-report questionnaire. After the first pandemic, the company stopped health screening, took paid leave and telecommuting, and conducted interventions such as operating its own screening clinic. To see if this workplace intervention affects workers' mental health, we conducted generalized estimating equations to compare odds ratio (OR). Results: In the pre-intervention group, 384 people (16.86%) had depression, and 507 people (22.26%) had anxiety disorder. Based on the OR before intervention, the OR of depression decreased to 0.76 (0.66-0.87) and the OR of anxiety disorder decreased to 0.73 (0.65-0.82). Conclusions: As a result of this study, it was confirmed that workplace intervention was related to a decrease in depression and anxiety. This study provides basic data to improve workers' mental health according to workplace intervention, and further research is needed according to workplace intervention in the future.

• 한국임상약학회지
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• 제27권4호
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• pp.267-275
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• 2017

Background and Objective: Whabyung is a Korean cultural disorder characterized by a combination of emotional stress and physical symptoms. Acupuncture, herbal medicines and other complementary medicinal treatments are used to treat the symptoms of whabyung. The purpose of this study is to investigate the effects of acupuncture treatment and herbal medicine treatments on anger, anxiety and depression of whabyung. Methods: Using PubMed, CENTRAL, AMED, MEDLINE, EMBASE, MEDLINE, CINAHL, Cnii, CNKI, J-SATGE, PsycArticles, KISS, KoreaMed, kmbase, NDSL, RISS, OASIS and Korean Traditional Knowledge Portal, articles published by March 2017 for whabyung or whabyung-related syndrome were searched. The quality of selected articles was evaluated using RoB and RoBANS. The effects of acupuncture and herbal medicines on anger, anxiety, and depression levels of whabyung patients were considered for meta-analyses. Results: Of the total 2408 articles retrieved from the database, 11 were finally selected and 4 articles were used for meta-analyses. Acupuncture reduced whabyung patients' anger and anxiety. Especially, the state anxiety was significantly reduced (effect size= -0.676, p= .026). Herbal medicine had effects on reducing anxiety and state anger while trait anger was increased without statistical significance. Conclusion: The present study showed the effectiveness of acupuncture and herbal medicines for whabyung patients in general. However, considering the limited availability of articles and the heterogeneity between them included for the meta-analysis, the results should be generalized with caution. In the future, more studies within the structure of evidence-based medicine need to be conducted to generate objective and valid evidences of korean medicine.

• 농촌의학ㆍ지역보건
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• 제22권1호
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• pp.49-59
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• 1997

Backgrounds : There has been many studies investigating the causes of farmers' syndrome. In some studies, psychologic stress is related to farmer's syndrome. And the diagnostic criteria of farmer's syndrome is similar to those of generalized anxiety disorder. So we carried out this study to investigate the psychiatric causes of farmers' syndrome. Methods : This study was done in some rural and urban areas of Kyoungsangnam Province, July, August, October and November of 1996. Those who came to free medical service and completed interview, medical examination and laboratory examination and 20-59 years old were 150 persons. And those who came to health center for health examination and completed only interview and 20-59 years old were 94 persons. The questionnaire was composed of sociodemographic factors, health risk factors, farmer's syndrome, work load, BEPSI(inventory to measure stress), Spielberger's state-trait anxiety inventory, self-rating depression scale. To examine statistical significance, we used X2-test, Mantel-Haenszel test for linear association, t-test, ANCOVA, correlation, multiple regression, logistic regression. Results : The prevalence of farmer's syndrome, adjusted for age and sex with population of Kyungsangnam Province of 1993 was 208 per 1,000(90 per 1,000 in men and 329 per 1,000 in women). In bivariate analysis, farmer's syndrome was significantly related to age, sex, job, income, smoking, alcohol drinking, work load, BEPSI, state anxiety, trait anxiety, depression, body mass index, Hwa-Byung, hypertension, anemia. However, when age and sex were adjusted, job was not significantly related to farmer's syndrome. The score of farmer's syndrome was significantly related to age, sex, work load, BEPSI, trait anxiety by multiple regression. Farmer's syndrome was significantly related to increasing age(odd ratio 1.079, 95% C.I. 1.060 - 1.099), sex(odds ratio of male 0.434, 95% C.I. 0.349 - 0.540), and BEPSI(odds ratio 1.231, 95% C.I. 1.148 - 1.320) by logistic regression. Results of logistic regression analysis of the component symptoms of farmer's syndrome were as follows. Shoulder stiffness was significantly related to increasing age, female sex and BEPSI. Lumbago was significantly related to increasing age, female sex and trait anxiety. Numb limbs and nocturia was significantly related to increasing age and female sex. Breathlessness was significantly related to work load, sleeplessness was significantly related to depression, dizziness was significantly related to job and state anxiety, and abdominal fullness was significantly related to female sex. Conclusion : Farmers' syndrome was related to work load, but was more related to psychiatric factors such as BEPSI and trait anxiety. And the occupation was not risk factor of farmers' syndrome in this study, so further study is needed to investigate the cause of farmers' syndrome.

• 보건행정학회지
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• 제34권3호
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• pp.309-318
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• 2024

연구배경: 폐경기 여성의 수면장애는 삶의 질을 저하시키는 요인으로 작용할 수 있다. 본 연구는 폐경 여성의 우울, 범불안장애, 스트레스와 같은 정신건강이 수면시간에 미치는 영향을 파악하여 폐경 여성의 정신건강 관리에 기여하고자 한다. 방법: 국민건강영양조사 2021년 자료를 이용하여 50-64세의 자연 폐경 여성 549명을 대상으로 빈도와 가중치를 적용한 백분율, 라오-스콧(Rao-Scott) 카이제곱 검정, logistic regression을 실시하였다. 결과: 대학교 이상의 졸업에서 수면시간이 적정한 것으로 나타났고(odds ratio [OR], 0.33; p=0.004), 우울은 우울이 없는 군에 비해 가벼운 우울을 보이는 군에서 적정수면을 취하지 못하는 것으로 나타났다(OR, 2.13; p=0.025). 스트레스는 스트레스가 거의 없는 군에 비해 스트레스를 많이 느끼는 군이 적정수면을 취하지 못하는 것으로 파악됐다(OR, 2.73; p=0.041). 결론: 우울, 스트레스와 수면시간은 관련성을 보이고 있고 이러한 정신건강은 복합적으로 경험하게 되어 생리적 문제를 가져오므로 일차적으로는 정신건강에 대한 개인적 관심 및 건강관리가 중요하고, 이를 위해서는 지역사회 중심의 치료 및 예방전략 개발이 필요할 것으로 보인다.

• 한국산학기술학회논문지
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• 제21권11호
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• pp.586-594
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• 2020

본 연구의 목적은 의료 종사자의 감정노동과 신체증상 간의 관계에서 우울과 불안의 매개효과를 검증하여 이들의 감정노동과 건강 문제에 대한 개입 방안을 제시하는 것이다. 이를 위하여 의료 종사자 200명을 대상으로 한국형 감정노동 평가척도, 신체증상 심각도 질문지-15, 우울 질문지-9, 불안 질문지-7을 실시하였다. 수집된 자료는 SPSS 25.0 프로그램으로 분석하였다. 본 연구의 주요 결과는 다음과 같다. 1. 의료 종사자들의 감정노동, 우울, 신체증상에 위험성이 나타났다. 2. 감정노동의 하위요인 중 조직의 지지 및 보호체계를 제외한 4가지 요인의 위험군이 정상군에 비교하여 우울 수준이 유의하게 높았다. 특히, 감정부조화 및 손상의 위험군은 우울이 중등도인 반면 정상군은 우울이 정상이었다. 3. 감정노동의 하위요인 중에서 오직 감정부조화 및 손상만이 신체증상에 영향을 미치는 것으로 나타났다. 이러한 결과를 반영하여, 감정부조화 및 손상과 신체증상 간의 관계에서 우울과 불안의 매개효과를 검증하였다. 그 결과, 우울은 부분 매개효과를 나타냈지만, 불안은 매개 효과를 나타내지 않았다. 마지막으로 의료 종사자의 감정노동 및 건강문제에는 감정부조화와 우울을 다루어야 함을 논의했다.