• Title/Summary/Keyword: long-term depression

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Effects of Clay and Drawing Art Program on Self-expression and Depression in Elderly Patients at a Long-term Care Hospital (점토 미술 프로그램과 그림그리기 미술 프로그램이 요양병원 노인 환자의 자기표현 및 우울에 미치는 효과 비교)

  • Kim, Dong-Hee;Bae, Young-Sil;Kim, Sang-Ho
    • Research in Community and Public Health Nursing
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    • v.28 no.2
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    • pp.196-205
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    • 2017
  • Purpose: Art program has been found to enhance mood such as increasing motivation, self-expression and decreasing depression in older adults. This study was conducted to investigate the effects of clay art and drawing on depression and self-expression among elderly people at a long-term care center. Methods: The research was a pre-test and post-test non-equivalent design. Sixty older patients (clay art program=28. Drawing art program=32) over the age of 65 were recruited from 2 long-term care hospitals to participate in the 5 weeks program. Each group was scheduled with 10,120-minute evaluation sessions, twice per week. Test measures were completed before and after the 5 week intervention period for all participants. The data was collected from April 27 to May 29, 2015. It was analyzed with SPSS 22.0 using chi-square, t-test and paired t-test. Results: There were no significant difference in the levels of depression (t=0.21, p=.830) and total score of self-expression (t=-0.10, p=.919) between the two groups. However, the pre-post scores of self-expression in the clay art program (t=0.22, p=.826) were improved compared to the drawing art program (t=0.80, p=.430). Conclusion: Further studies are needed to evaluate the effectiveness of clay art program for extended senior care applications.

Long-Term Potentiation of Excitatory Synaptic Strength in Spinothalamic Tract Neurons of the Rat Spinal Cord

  • Hur, Sung Won;Park, Joo Min
    • The Korean Journal of Physiology and Pharmacology
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    • v.17 no.6
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    • pp.553-558
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    • 2013
  • Spinal dorsal horn nociceptive neurons have been shown to undergo long-term synaptic plasticity, including long-term potentiation (LTP) and long-term depression (LTD). Here, we focused on the spinothalamic tract (STT) neurons that are the main nociceptive neurons projecting from the spinal cord to the thalamus. Optical technique using fluorescent dye has made it possible to identify the STT neurons in the spinal cord. Evoked fast mono-synaptic, excitatory postsynaptic currents (eEPSCs) were measured in the STT neurons. Time-based tetanic stimulation (TBS) was employed to induce long-term potentiation (LTP) in the STT neurons. Coincident stimulation of both pre- and postsynaptic neurons using TBS showed immediate and persistent increase in AMPA receptor-mediated EPSCs. LTP can also be induced by postsynaptic spiking together with pharmacological stimulation using chemical NMDA. TBS-induced LTP observed in STT neurons was blocked by internal BAPTA, or $Ni^{2+}$, a T-type VOCC blocker. However, LTP was intact in the presence of L-type VOCC blocker. These results suggest that long-term plastic change of STT neurons requires NMDA receptor activation and postsynaptic calcium but is differentially sensitive to T-type VOCCs.

Influences of Nutritional Status and Depression on Satisfaction with Life in Middle-Aged Long-Term Care Patients (중년기 장기요양 환자의 영양 상태, 우울이 삶의 만족도에 미치는 영향)

  • Oh, Cheong-Uk;Park, Yoon-Jin
    • Journal of Digital Convergence
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    • v.15 no.1
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    • pp.363-372
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    • 2017
  • This study aimed to identify influences which nutritional status and depression have on satisfaction with life on middle-aged long-term care patients. This study is a descriptive study conducted with 120 patients aged 40-65 from February 1st to March 31th, 2015 in hospital. Data were analyzed using t-test, ANOVA, Scheff's test, Pearson's correlation coefficients, multiple regression. The average of nutrition status, depression, satisfaction of life was $15.85{\pm}3.85$, $24.70{\pm}15.85$, $3.54{\pm}1.22$ each. The findings show nutritional status(r=.281, p<.005) have correlation(+) with satisfaction of life, otherwise, nutritional status(r=.439, p<.001) and satisfaction of life(r=-.-574, p<.001) have correlation(-) with depression both. Influencing factors on satisfaction of life were subjective health(${\beta}=.387$, p=.000) and depression(${\beta}=.251$, p=.010), explained 36.0% of the variance. Therefore, management program for improving satisfaction of life is needed on middle-aged long term care patients.

Factors Affecting Awareness of Long Term Care Insurance: An Exploratory Study (노인장기요양보험인지도에 영향을 미치는 요인에 대한 탐색적 연구)

  • Won, Seojin;Kim, Hyemee
    • Journal of the Korea Convergence Society
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    • v.10 no.9
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    • pp.229-236
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    • 2019
  • This is an exploratory study examining factors associated with awareness of the National Long Term Care Insurance in Korea. The researchers also examined the differences in factors based on their age, between the middle-aged group(45-64 years of age) and the elderly group(65 years and older). The 6th wave of Korean Longitudinal Study of Ageing(KLoSA) was used for secondary data analysis. Results indicated that for the middle-aged, gender, volunteer participation, ADL, IADL, and depression were related to their awareness of the long term care insurance. However, for the elderly, social capital factors were significantly related to their awareness of the insurance. Age and depression were also significant factors associated with the awareness level of the long term care insurance among the elderly. Based on the findings, implications for social welfare policy are discussed.

The Effects of Postpartum Depression on the Development of Children (산후 우울증이 소아 발달에 미치는 영향)

  • Oh, Esook
    • Clinical and Experimental Pediatrics
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    • v.48 no.5
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    • pp.469-475
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    • 2005
  • Mother-infant interaction is a crucial component of an infant's cognitive, emotional and behavioral development. Most people are preoccupied with fetal education, the physical conditions of the postpartum mother and baby, and emphasizing an early start in the child's education. However, the effects of a mother's postnatal emotional state on the development of the infant are often overlooked. Postpartum depression is a significant health problem affecting 10-20 percent of new mothers. Recent research findings indicate that the suffering caused by postpartum depression is not limited to these mothers alone; their babies and close family members are vulnerable to short-term and long-term effects as well. This review summarizes the findings of recent research works, in the light of publications within the last seven years.

The Effects of Visiting Nursing Services in Long-term Care Insurance: A Difference-in-Difference Analysis (이중차이분석을 활용한 노인장기요양보험제도의 방문간호서비스 효과)

  • Kim, Jieun;Lee, Insook
    • Research in Community and Public Health Nursing
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    • v.26 no.2
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    • pp.89-99
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    • 2015
  • Purpose: The purpose of this study was to demonstrate the effects of visiting nursing services in long-term care (LTC) insurance on changes in health status and physical functions among the elderly. Methods: We analyzed survey data on the living status and welfare needs of the elderly from 2008 and 2011 using the difference-in-difference method with propensity score matching. Results: The subjects were 76 elders including 38 visiting nursing service users(intervention group) and 38 home-based LTC service users (control group). Results from DID analysis confirmed that the subjective health status level of the intervention group was 2.2 points higher (p=.044) and the depression level was 0.3 point lower (p=.039) than the control group. In addition, the intervention group's ADL score was 1.9 (p=.027) and IADL 3.9 (p=.030), showing that their health was deteriorated less. Conclusion: Visiting nursing service in LTC insurance was associated with delayed deterioration of subjective health status, depression, ADL and IADL. These findings suggest the need of rebuilding visiting nursing service programs focusing on prevention services, which will be more contributive to elderly health care and the reduction of social costs.

The Effectiveness of a Laughter Therapy Program : Focusing on Depression, Cognitive Function and Pulmonary Function among Elderly Patients (기능강화웃음치료가 노인의 우울, 인지 및 폐기능에 미치는 효과)

  • Hwang, Myoung Sook;Yoo, Moon Sook
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.23 no.2
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    • pp.121-128
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    • 2016
  • Purpose: This study was aimed at constructing and examining the effects of a laughter therapy program for elderly patients in long-term care hospitals. Methods: A prospective, two-group quasi-experimental design was used and 50 patients (25 experimental and 25 control group patients) from two long-term care hospitals in Gyeonggido province, South Korea, were study participants. The experimental group received 24 laughter therapy sessions twice a week for 12 weeks, and the control group received laughter therapy after data collection. Data were collected between May 26 and August 17, 2014. Results: The level of cognitive function for the experimental group increased(t=3.27, p=.002). The level of forced vital capacity (t=2.78, p=.008) and forced expiratory volume in 1 second (t=4.94, p<.001) increased among members of the experimental group. Conclusion: These results indicated that the laughter program was effective in improving cognitive and pulmonary functions among older patients who were receiving long-term care in hospitals. This program could be used for community-based elderly patients.

Review of Synaptic Plasticity (시냅스 가소성에 관한 고찰)

  • Kim, Souk-Boum;Kim, Jin-Sang
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.229-235
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    • 2001
  • Clinical interest has lately been roused by evidence that comprehension of synaptic plasticity may be based on the theoretical opinion. This paper describes perception of synaptic plasticity. Especially processes of long term potentiation(LTP) and long term depression(LTD) are discussed. Recently, it is assessed to genetical parts from development of molecular biology. Therefore this review also represents aspect of molecular events of synaptic plasticity.

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5-HTTLPR and Long-term Effect of Antidepressant Treatment in Korean Depressive Patients (한국인 우울 장애 환자에서 5-HTTLPR과 항우울제의 장기 치료 반응)

  • Lee, Hwa Young;Ham, Byung-Joo;Lee, Min Soo
    • Korean Journal of Biological Psychiatry
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    • v.9 no.1
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    • pp.34-41
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    • 2002
  • Background:Since serotonin neurotrasnmission plays an important role in the pathophysiology of depression, the drug that acts on serotonin transporter can be an effective antidepressant. The aim of this study was to investigate the relationship between serotonin transporter polymorphisms(5-HTTLPR) and the long-term effect of the antidepressant treatment. Method:The 175 depressive patients, who met DSM-IV criteria for major depressive disorder or dysthymic disorder were enrolled into three year study. The genotypes of the patients were investigated by polymerase chain reaction of genomic DNA with promoter regions of the serotonin transporter gene. The patients were assessed by the Clinical Global Impression Scale, at the 1st visit, 8th week, 16th week, 1st year, 2nd and 3rd year after the antidepressant treatment. Result:The genotypes of 138 patients were investigated and 128 of them finished this 1st year study and 107 remained in the study after 2-year treatment, and, 97 completed this 3-year study. The therapeutic response of each subset was not different at 8th, 16th week, but the subset with homozygote(l/l) of long variant showed a better antidepressant therapeutic response than heterozygote(l/s). The heterozygote(l/s) showed a better response than the subset with homozygote(s/s) of short variant at 1st, 2nd and 3rd year after the antidepressant treatment in CGI-global improvement score. Conclusion:This result shows that the serotonin transporter polymorphism may be related to the long-term effect of antidepressant treatment and there may be also ethnic difference.

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