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Effectiveness of a cognitive behavioral therapy program in stroke patients in the Republic of Korea: a mixed-methods study
So-Eun Choi, Deok-Ju Kim
Osong Public Health Res Perspect. 2024;15(5):461-475.   Published online September 30, 2024
DOI: https://doi.org/10.24171/j.phrp.2024.0116
  • 287 View
  • 14 Download
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Objectives
This study aimed to explore the effects of a cognitive behavioral therapy (CBT) program on stroke patients, as well as their experiences participating in the program.
Methods
This study employed a mixed-methods design, integrating qualitative case studies with quantitative analysis. We included 20 stroke patients, randomly divided into 2 groups of 10 each: an experimental group and a control group. The experimental group underwent a CBT program comprising 20 sessions, in addition to receiving general occupational therapy. Conversely, the control group participated in meditation relaxation sessions alongside their general occupational therapy. Both interventions were administered daily for 60 minutes, 5 days a week, over a 4-week period.
Results
After the intervention, the experimental group exhibited significant improvements in depression, anxiety, self-efficacy, and rehabilitation motivation (p<0.01, p<0.05). In contrast, the control group only demonstrated a significant reduction in anxiety (p<0.05). A comparison of the changes between the 2 groups showed significant differences in depression and anxiety (p<0.01), but no significant differences in self-efficacy and rehabilitation motivation (p>0.05). In-depth interviews with 10 participants from the experimental group were conducted and analyzed, revealing 4 core themes: “psychological stability,” “physical symptom relief,” “altered daily routines,” and “challenges and hopes for change.”
Conclusion
The findings of this study suggest that CBT programs may serve as a valuable intervention, offering psychological support and rehabilitation for stroke patients.
Associations of type and intensity of social participation with depression, self-rated health, and life satisfaction among community-dwelling older adults in the Republic of Korea: a nationwide cross-sectional study
Myo-Gyeong Kim, Sookja Choi
Osong Public Health Res Perspect. 2024;15(5):451-460.   Published online August 21, 2024
DOI: https://doi.org/10.24171/j.phrp.2024.0039
  • 504 View
  • 23 Download
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Objectives
Social activities are important and influential factors for healthy aging. However, limited information is available regarding the associations of the type and intensity of social participation with health and well-being. This study aimed to investigate how various types of social activities are associated with several dimensions of health outcomes.
Methods
This cross-sectional study utilized data from the Seventh Korean Longitudinal Study of Aging, which included 5,526 adults aged 60 years and older. Multivariate linear regression analysis was employed to analyze the associations of social activities with depression, self-rated health, and life satisfaction. Additionally, subgroup analyses by sex and age were performed.
Results
Among the participants, 73.5% reported involvement in at least 1 of the 4 types of social engagement. After adjustment for all covariates, individuals who participated in any social activity reported better self-rated health and higher life satisfaction compared to those who did not participate. However, the intensity of engagement in different social activities had varying impacts on subjective health outcomes. An increased level of participation was associated with a lower rate of depression and improved self-rated health. However, no significant differences were observed in the relationship between the intensity of participation in activities (with the exception of alumni societies or family councils) and life satisfaction.
Conclusion
This study suggests that to improve their health, older adults in the Republic of Korea should not only engage in social activities but also do so actively and regularly.
Factors affecting depression and health-related quality of life in the elderly during the COVID-19 pandemic
Deok-Ju Kim
Osong Public Health Res Perspect. 2023;14(6):520-529.   Published online November 16, 2023
DOI: https://doi.org/10.24171/j.phrp.2023.0166
  • 1,610 View
  • 71 Download
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Objectives
This study investigated changes in the health behaviors of the elderly due to coronavirus disease 2019 (COVID-19), concerns due to COVID-19, depression, and healthrelated quality of life (HRQOL), and aimed to identify factors that affect depression and HRQOL in the elderly. Methods: This study was conducted using data from the 2021 Community Health Survey of the Korea Disease Control and Prevention Agency. From a total sample size of 229,242 individuals, 74,376 elderly people aged 65 or older were selected as subjects, and changes in health behaviors, concerns due to COVID-19, depression, and HRQOL were measured and analyzed. Results: The level of depression associated with sleep and fatigue was high. The lowest HRQOL was related to physical pain and discomfort, while the most common concerns were related to economic difficulties. Factors influencing depression included worries about infection and economic harm, while factors impacting HRQOL encompassed concerns about infection, economic harm, and criticism from others. Conclusion: If an infectious disease situation such as COVID-19 reoccurs in the future, it will be necessary to encourage participation in hybrid online and offline programs at senior welfare centers. This should also extend to community counseling institutions like mental health welfare centers. Additionally, establishing connections with stable senior job projects can help to mitigate the effects of social interaction restrictions, physical and psychological health issues, and economic difficulties experienced by the elderly.
Mental health and its determinants among adolescents living in families with separated or divorced parents in an urban area of Vietnam
Binh Thang Tran, Minh Tu Nguyen, Minh Tam Nguyen, Thanh Gia Nguyen, Vo Nu Hong Duc, Thi Tra My Tran
Osong Public Health Res Perspect. 2023;14(4):300-311.   Published online August 9, 2023
DOI: https://doi.org/10.24171/j.phrp.2023.0110
  • 3,680 View
  • 217 Download
  • 1 Web of Science
  • 2 Crossref
Graphical AbstractGraphical Abstract AbstractAbstract PDF
Objectives
We assessed the prevalence of stress, anxiety, and depression among adolescents living in families with separated or divorced parents in Hue City, Vietnam and identified factors associated with these conditions.
Methods
This cross-sectional study enrolled 309 adolescents, aged 12 to 17 years, living in families with separated or divorced parents in Hue City, Vietnam. The depression anxiety stress scale-21 (DASS-21) was used to measure stress, anxiety, and depression. Predictors of overall and individual mental health problems were identified using ordered and binary logistic regression, respectively.
Results
The DASS-21 scale revealed a 49.2% prevalence of stress, while anxiety and depression had s prevalence rates of 61.5%. Among participants, 42.4% experienced all 3 mental health issues. Several factors were identified as significant predictors of mental health problems, including poor to average economic status (adjusted odds ratio [aOR], 2.00; 95% confidence interval [CI], 1.21–3.31; p=0.007); being in high school (aOR, 5.02; 95% CI, 2.93–8.60; p<0.001); maternal occupation of teacher, healthcare professional, or official (aOR, 2.39; 95% CI, 1.13–5.03; p=0.022); longer duration of family separation or divorce (aOR, 1.24; 95% CI, 1.05–1.45; p=0.009); living with one’s mother (aOR, 1.69; 95% CI, 1.03–2.76; p=0.04); alcohol consumption (aOR, 1.70; 95% CI, 0.99–2.92; p=0.050); and being bullied (aOR, 5.33; 95% CI, 1.10–25.69; p=0.037). Most of these factors were associated with stress, anxiety, and depression. Additionally, smoking was associated with stress.
Conclusion
Adolescents with separated or divorced parents were at increased risk of stress, anxiety, and depression. The findings of this study provide important implications for prevention programs.

Citations

Citations to this article as recorded by  
  • Mental health among ethnic minority adolescents in Vietnam and correlated factors: A cross-sectional study
    Ngo Anh Vinh, Vu Thi My Hanh, Do Thi Bich Van, Duong Anh Tai, Do Minh Loan, Le Thi Thanh Thuy
    Journal of Affective Disorders Reports.2024; 17: 100795.     CrossRef
  • Subgrouping of anxiety symptoms and stress levels in Chinese adolescents: results of a latent profile analysis
    Xuefeng Li, Jingyan Chen, Jinpeng Wang, Jinhong Ding, Jing Xiao
    Current Psychology.2024; 43(36): 28685.     CrossRef
Sex differences in the relationship between depression and cardiovascular disease risk: a nationwide study in Korea
Seol-bin Kim, Ihn Sook Jeong
Osong Public Health Res Perspect. 2021;12(2):105-114.   Published online April 29, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.12.2.08
  • 7,411 View
  • 99 Download
  • 1 Web of Science
  • 2 Crossref
AbstractAbstract PDFSupplementary Material
Objectives
This study aimed to identify sex differences in the association between depression and the risk of developing cardiovascular disease (CVD).
Methods
A secondary analysis was conducted of data from the fifth to seventh waves (2010−2018) of the Korea National Health and Nutrition Examination Survey. The participants were adults aged 30−74 years who had no diagnosis of CVD. The CVD risk was calculated using the Framingham Risk Score algorithm. Multiple linear regression analysis was conducted to identify the association between depression and CVD risk using a complex sample design.
Results
The mean CVD risk was higher in males and females with current depression (14.72% vs. 6.35%, respectively) than in males without current depression (11.67% and 4.42%, respectively). Current depression showed a significant association with CVD risk after controlling for only health-related characteristics, but the significance disappeared in both males and females when demographic characteristics were additionally controlled.
Conclusion
The presence of depression was not associated with CVD risk regardless of sex after controlling for confounding factors. Further studies are recommended to investigate the relationship between depression and CVD risk in a larger sample of both males and females with depression.

Citations

Citations to this article as recorded by  
  • Sex Differences in the Association Between Depression and Incident Cardiovascular Disease
    Keitaro Senoo, Hidehiro Kaneko, Kensuke Ueno, Yuta Suzuki, Akira Okada, Katsuhito Fujiu, Taisuke Jo, Norifumi Takeda, Hiroyuki Morita, Kentaro Kamiya, Junya Ako, Koichi Node, Hideo Yasunaga, Issei Komuro
    JACC: Asia.2024; 4(4): 279.     CrossRef
  • Sex Differences in the Association of Depression Symptoms and Cardiovascular Disease in Adults in the United States
    Bhaskar Thakur, Chance Strenth, Elizabeth Mayfield Arnold, Frank David Schneider
    American Journal of Health Promotion.2024; 38(8): 1199.     CrossRef
Gender Difference in the Association Between E-Cigarette Use and Depression among US Adults
Baksun Sung
Osong Public Health Res Perspect. 2021;12(1):13-19.   Published online February 23, 2021
DOI: https://doi.org/10.24171/j.phrp.2021.12.1.03
  • 9,889 View
  • 158 Download
  • 3 Web of Science
  • 5 Crossref
AbstractAbstract PDF
Objectives

The objective of this study was to determine the association between e-cigarette use and depression and examine how this association is different by gender among US adults.

Methods

Data from the 2017 Behavioral Risk Factor Surveillance System and Selected Metropolitan/Micropolitan Area Risk Trends was used, and included 174,351 of 230,875 US adults aged 18 years and older. Data were analyzed using the multivariate logistic regression models.

Results

After adjusting for age, race, education, income, marital status, employment status, smoking status, and physical activity, firstly, “current daily e-cigarette users” (AOR = 2.487, p < 0.001), “current non-daily e-cigarette users” (AOR = 1.623, p < 0.001), and “former e-cigarette users” (AOR = 1.573, p < 0.001) were associated with increased odds of depression compared with “never e-cigarette users.” Secondly, women were associated with increased odds of depression compared with men (AOR = 1.797, p < 0.001). Finally, male “current daily e-cigarette users” (AOR = 1.366, p < 0.01) were associated with increased odds of depression compared with female “never e-cigarette users.”

Conclusion

Thus, even though women tend to be more vulnerable to depression compared with men, e-cigarette use was positively associated with depression among both men and women.

Citations

Citations to this article as recorded by  
  • Patterns of Alcohol, Cannabis, and E-Cigarette Use/Co-Use and Mental Health Among U.S. College Students
    Camillia K. Lui, Wura Jacobs, Joshua S. Yang
    Substance Use & Misuse.2024; : 1.     CrossRef
  • Association between e-cigarette use behaviors and perceived harmfulness of e-cigarettes and anxiety/depression symptoms among Black/African American Adults
    David Adzrago, Kayo Fujimoto, Melissa B. Harrell, Antwan Jones, J. Michael Wilkerson
    Preventive Medicine Reports.2023; 31: 102080.     CrossRef
  • Association between E-Cigarette Use Behaviors and Anxiety/Depression among Black/African American Adults Based on Sexual Identity
    David Adzrago, Melissa B. Harrell, Kayo Fujimoto, Antwan Jones, J. Michael Wilkerson
    International Journal of Environmental Research an.2023; 20(3): 2078.     CrossRef
  • The Association Between Nicotine Dependence and Mental Health in the General Population of Saudi Arabia: A Cross-Sectional Analytical Study
    Danah Abdullah Albarrak, Abdulrahman Bandar Alotaibi, Roaa Faisal Alotaibi, Sara Hussain Alramadhan, Alhanouf Ibrahim Bin Muhanna, Abdulrahman Mohammed Aldehan, Khalid A Bin Abdulrahman
    International Journal of General Medicine.2023; Volume 16: 5801.     CrossRef
  • Use of electronic vaping products and mental health among adolescent high school students in the United States: The moderating effect of sex
    Philip Baiden, Hannah S. Szlyk, Patricia Cavazos-Rehg, Henry K. Onyeaka, JaNiene E. Peoples, Erin Kasson
    Journal of Psychiatric Research.2022; 147: 24.     CrossRef
A Study on the Physical Activities, Mental Health, and Health-Related Quality of Life of Osteoarthritis Patients
Deok-Ju Kim
Osong Public Health Res Perspect. 2019;10(6):368-375.   Published online December 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.6.07
  • 6,899 View
  • 251 Download
  • 4 Crossref
AbstractAbstract PDF
Objectives

The purpose of this study was to investigate the physical activities, mental health, and health-related quality of life (HRQOL) of osteoarthritis patients.

Methods

This study was conducted using data from the first year of the 7th Korea National Health and Nutritional Examination Survey. There were 8,150 participants included in the survey, and 665 participants had been diagnosed with osteoarthritis. This study analyzed the measurements of physical activities, depression, and HRQOL in participants with osteoarthritis.

Results

The mean age of the participants was 67 ± 9.9 years and 83.1% were female. Participants rarely engaged in work-related physical activity, and engaged in leisure-related physical activities infrequently. Most of the participants (85.9%) did not do regular exercise, but 1/3 of the participants walked for over 10 minutes a day. “Pain/discomfort” had the least impact upon HRQOL, and among the depression subcategories, “difficult to sleep and tiredness” had the most impact. Multiple logistic regression analysis showed that an adverse HRQOL score was statistically significantly associated with “location changes/physical activities” (p < 0. 01), “depression” (p < 0.001) and “age” (p < 0.001).

Conclusion

Exercise programs should be in place which are manageable in everyday life for the elderly (> 65 years). Changes in daily routine so that patients become more active, should be supported by the family and community, together with assistance in managing psychological problems such as depression.

Citations

Citations to this article as recorded by  
  • Prevalence and Predictors of Depression in Women with Osteoarthritis: Cross-Sectional Analysis of Nationally Representative Survey Data
    Ananya Ravi, Elisabeth C. DeMarco, Sarah Gebauer, Michael P. Poirier, Leslie J. Hinyard
    Healthcare.2024; 12(5): 502.     CrossRef
  • A scalable 12-week exercise and education programme reduces symptoms and improves function and wellbeing in people with hip and knee osteoarthritis
    Jemma L. Smith, Aidan Q. Innes, Danielle S. Burns, Davina Deniszczyc, James Selfe, Stephen MacConville, Kevin Deighton, Benjamin M. Kelly
    Frontiers in Rehabilitation Sciences.2023;[Epub]     CrossRef
  • Special Issue on Biomechanical and Biomedical Factors of Knee Osteoarthritis
    Hanatsu Nagano
    Applied Sciences.2022; 12(22): 11807.     CrossRef
  • Investigation on the association between diabetes distress and productivity among patients with uncontrolled type 2 diabetes mellitus in the primary healthcare institutions
    Yingqi Xu, Gabrielle Yin Yern Tong, Joyce Yu-Chia Lee
    Primary Care Diabetes.2020; 14(5): 538.     CrossRef
Body Weight Misperception and Psychological Distress Among Children and Adolescents: The CASPIAN-V Study
Roya Riahi, Mohammad Esmaeil Motlagh, Ramin Heshmat, Mostafa Qorbani, Seyede Shahrbanoo Daniali, Roya Kelishadi
Osong Public Health Res Perspect. 2019;10(5):315-324.   Published online October 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.5.08
  • 6,790 View
  • 174 Download
  • 10 Crossref
AbstractAbstract PDF
Objectives

Misperception of weight status is a risk factor that affects psychological health. The aim of this study was to evaluate the association between weight misperception patterns and psychological distress among Iranian children and adolescents.

Methods

This was a cross-sectional nationwide study where data was collected from 14,440 students, aged 7–18 years who participated in the national school-based surveillance program (CASPIAN-V). The students’ weight perception and psychological distress were assessed by validated questionnaires. Weight misperception was classified as misperception of being either underweight or overweight with respect to actual weight.

Results

The rate of weight misperception in all study participants was 59.1%. In groups with a perception of being underweight or overweight, the risks of worthlessness, being worried, experiencing aggression, insomnia, or depression, were significantly higher than groups with an accurate weight perception (p < 0.05). The risk of anxiety in girls of normal weight who perceived themselves as underweight, decreased by 57% compared to girls with an accurate weight perception (OR: 0.43; 95% CI, 0.28–0.66).

Conclusion

Weight misperception is highly prevalent among Iranian children and adolescents and is associated with their psychological health status. Appropriate education intervention needs to be developed to improve the children and adolescents’ perception of their body weight status.

Citations

Citations to this article as recorded by  
  • Association between weight, weight perception, weight teasing and mental health among adolescents
    Wenxin Gu, Xiaoyan Yu, Yinliang Tan, Zhiping Yu, Jingfen Zhu
    Child and Adolescent Psychiatry and Mental Health.2024;[Epub]     CrossRef
  • Body image and behavioural and emotional difficulties in German children and adolescents
    Lea Krause, Tanja Poulain, Wieland Kiess, Mandy Vogel
    BMC Pediatrics.2023;[Epub]     CrossRef
  • Extracting the Hidden Patterns Affecting Mental Health through Data Mining Techniques
    Maryam Jahanbakhsh, Asal Aghadavodian Jolfaee, Roya Kelishadi, Mohammad Sattari
    Journal of Advances in Medical and Biomedical Rese.2022; 30(140): 281.     CrossRef
  • Migrating Populations and Health: Risk Factors for Cardiovascular Disease and Metabolic Syndrome
    Talma Rosenthal, Rhian M. Touyz, Suzanne Oparil
    Current Hypertension Reports.2022; 24(9): 325.     CrossRef
  • Understanding the Turkish adolescents' weight perception: A cross‐sectional study
    Figen I. Esenay, Tufan A. Sezer
    Journal of Child and Adolescent Psychiatric Nursin.2022; 35(4): 349.     CrossRef
  • Scene Matching Method for Children’s Psychological Distress Based on Deep Learning Algorithm
    Junli Su, Wei Wang
    Complexity.2021;[Epub]     CrossRef
  • Weight self-perception in adolescents: evidence from a population-based study
    Mariana Contiero San Martini, Daniela de Assumpção, Marilisa Berti de Azevedo Barros, Antônio de Azevedo Barros Filho, Josiemer Mattei
    Public Health Nutrition.2021; 24(7): 1648.     CrossRef
  • Childhood obesity prevention policies in Iran: a policy analysis of agenda-setting using Kingdon’s multiple streams
    Shahnaz Taghizadeh, Rahim Khodayari-Zarnaq, Mahdieh Abbasalizad Farhangi
    BMC Pediatrics.2021;[Epub]     CrossRef
  • Stakeholders perspectives of barriers and facilitators of childhood obesity prevention policies in Iran: A Delphi method study
    Shahnaz Taghizadeh, Mahdieh Abbasalizad Farhangi, Rahim Khodayari-Zarnaq
    BMC Public Health.2021;[Epub]     CrossRef
  • Between perception and reality: BMI in adolescence
    Alessia Margarito, Eleonora Guaitoli, Giovanni Di Trapani, Lorenzo Petrucci
    Journal of Advanced Health Care.2020;[Epub]     CrossRef
Gender Differences in Harmful Use of Alcohol Among Korean Adults
Eunok Park, Yeon Sook Kim
Osong Public Health Res Perspect. 2019;10(4):205-214.   Published online August 31, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.4.02
  • 6,776 View
  • 76 Download
  • 9 Crossref
AbstractAbstract PDF
Objectives

Harmful alcohol consumption is associated with considerable social and economic damage to individuals and society. Because gender and ethnic background influence alcohol intake differently, examining gender specific factors influencing harmful drinking is necessary. This study investigated gender differences in alcohol consumption, harmful drinking, and the associated factors among Korean adults.

Methods

We analyzed the data from the 2012–2015 Korean National Health and Nutrition Examination Survey. Data from survey participants aged 20–64 years (N = 18,581) were included. The Alcohol Use Disorders Identification Test was used for alcohol dependence, and pooled weights were used. Chi-squared tests and multiple logistic regression analyses were conducted.

Results

The prevalence of harmful alcohol use (Alcohol Use Disorders Identification Test score ≥ 16) was 10.7% in the total sample; 18.4% in men and 3.4% in women, which constituted a significant difference. Education, marital status, smoking, perceived stress, and depressive feeling were associated with harmful drinking in both genders. However, household income, occupation, and perceived health status were associated with harmful drinking only in men.

Conclusion

Since there are gender differences in harmful drinking and alcohol dependence, gender tailored prevention and intervention strategies for alcohol dependence are necessary including consideration of smoking, stress, and depressive feeling.

Citations

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  • Trends in alcohol use and alcoholic liver disease in South Korea: a nationwide cohort study
    Jeong-Ju Yoo, Dong Hyeon Lee, Young Chang, Hoongil Jo, Young Youn Cho, Sangheun Lee, Log Young Kim, Jae Young Jang
    BMC Public Health.2024;[Epub]     CrossRef
  • Sex differences in the association between social jetlag and hazardous alcohol consumption in Korean workers: A nationwide cross-sectional study
    Seong-Uk Baek, Jong-Uk Won, Yu-Min Lee, Jin-Ha Yoon
    Sleep Medicine.2024; 119: 549.     CrossRef
  • Association between handgrip strength and physical activity: A nationwide population‐based study in Korea
    Hye Young Shin, Ka Young Kim, Purum Kang
    Public Health Nursing.2024; 41(5): 987.     CrossRef
  • Prevalence, Awareness, Treatment, and Control of Type 2 Diabetes in South Korea (1998 to 2022): Nationwide Cross-Sectional Study
    Wonwoo Jang, Seokjun Kim, Yejun Son, Soeun Kim, Hyeon Jin Kim, Hyesu Jo, Jaeyu Park, Kyeongmin Lee, Hayeon Lee, Mark A Tully, Masoud Rahmati, Lee Smith, Jiseung Kang, Selin Woo, Sunyoung Kim, Jiyoung Hwang, Sang Youl Rhee, Dong Keon Yon
    JMIR Public Health and Surveillance.2024; 10: e59571.     CrossRef
  • Prevalence of problem drinking in the Swedish workforce: differences between labour market industries based on gender composition and main job activity
    Hasan Tareq, Anna Nyberg, Peter Wennberg, David Redmalm, Susanna Toivanen, Aziz Mensah
    BMC Public Health.2024;[Epub]     CrossRef
  • Characteristics and Clinical Course of Diabetes of the Exocrine Pancreas: A Nationwide Population-Based Cohort Study
    Nami Lee, So Jeong Park, Dongwoo Kang, Ja Young Jeon, Hae Jin Kim, Dae Jung Kim, Kwan-Woo Lee, Edward J. Boyko, Seung Jin Han
    Diabetes Care.2022; 45(5): 1141.     CrossRef
  • Harmful alcohol use among mothers of under-five child: findings from the Panel Study on Korean Children
    Seulgi Kim, Seung-Ah Choe, Sung-Il Cho
    BMC Women's Health.2021;[Epub]     CrossRef
  • Characteristics and Clinical Course of Diabetes of the Exocrine Pancreas: A Nationwide Population-Based Cohort Studybrief Title: Diabetes of the Exocrine Pancreas
    Nami Lee, So Jeong Park, Dongwoo Kang, Ja Young Jeon, Hae Jin Kim, Dae Jung Kim, Kwan-Woo Lee, Edward J. Boyko, Seung Jin Han
    SSRN Electronic Journal .2021;[Epub]     CrossRef
  • Associations between Harmful Experiences from Alcohol Use of Others and Mental Health in Korean Adolescents
    Mi Ah Han
    International Journal of Environmental Research an.2019; 16(21): 4240.     CrossRef
Factors Affecting Activity Limitation in the Elderly: Data Processed from the Korea National Health and Nutrition Examination Survey, 2016
Jong-Hoon Moon
Osong Public Health Res Perspect. 2019;10(3):117-122.   Published online June 30, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.3.02
  • 6,332 View
  • 52 Download
  • 4 Crossref
AbstractAbstract PDF
Objectives

The aim of this study was to compare the sociodemographic characteristics, depression, and the health-related quality of life outcome, among the Korean elderly population, with and without activity limitation.

Methods

The data used was drawn from the raw data of the seventh Korea National Health and Nutrition Examination Survey (N = 8,150). There were 1,632 records for individuals aged 65 or older extracted from the seventh Korea National Health and Nutrition Examination Survey database, 199 of those had missing responses (n = 1,433). Differences within the sociodemographic characteristic, the Patient Health Questionnaire-9, and the EuroQol-5 Dimension were analyzed using logistic regression analysis according to the presence or absence of activity limitation.

Results

The prevalence of activity limitation among the elderly individuals surveyed was 19.9%. In the unadjusted regression analysis, the odds ratios of all independent variables (age, gender, education level, type of region, family income, the Patient Health Questionnaire-9, all 5 domains of the EuroQol-5 Dimension) between the elderly individuals with and without activity limitation, were significant. Although, in the adjusted logistic regression analysis, it was observed that the only factors that were significantly associated with activity limitation were the Patient Health Questionnaire-9, EuroQol-5 Dimension, type of region, and family income.

Conclusion

These findings demonstrated that activity limitation in elderly individuals is associated with the sociodemographic characteristics of family income and type of region of residence, as well as depression and the health-related quality of life outcome.

Citations

Citations to this article as recorded by  
  • Higher physical activity is associated with lower activity limitation: Cross-sectional analyses among the Spanish working population
    R. López-Bueno, G.F. López-Sánchez, L. Smith, E. Sundstrup, L.L. Andersen, J.A. Casajús
    Science & Sports.2023; 38(3): 247.     CrossRef
  • Self-Reported Reasons for Activity Limitations According to Age and Sex in Community-Dwelling Stroke Survivors
    Young-Ah Choi, Yeo Hyung Kim
    Healthcare.2023; 11(10): 1420.     CrossRef
  • Comparative analysis of health status and health service utilization patterns among rural and urban elderly populations in Hungary: a study on the challenges of unhealthy aging
    Nora Kovacs, Peter Piko, Attila Juhasz, Csilla Nagy, Beatrix Oroszi, Zoltan Ungvari, Roza Adany
    GeroScience.2023;[Epub]     CrossRef
  • Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults
    Michio Maruta, Hyuma Makizako, Yuriko Ikeda, Hironori Miyata, Atsushi Nakamura, Gwanghee Han, Suguru Shimokihara, Keiichiro Tokuda, Takuro Kubozono, Mitsuru Ohishi, Kounosuke Tomori, Takayuki Tabira
    Journal of Clinical Medicine.2020; 9(3): 795.     CrossRef
The Effects of Restricted Physical Activity on Health-Related Quality of Life in Adult Patients with Depression
Deok-Ju Kim
Osong Public Health Res Perspect. 2019;10(2):85-92.   Published online April 30, 2019
DOI: https://doi.org/10.24171/j.phrp.2019.10.2.07
  • 7,928 View
  • 90 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives

The objective was to identify restricted physical activity in patients with depression, and to determine the effects of that restricted activity, on their health-related quality of life (HRQOL).

Methods

Data was analysed from Year 1 of the 7th Korea National Health and Nutrition Examination Survey (KNHANES VII-1). From a total sample of 8,150 subjects, 277 adults aged ≥19 years who were diagnosed with depression were selected. The results were derived using restricted activity and HRQOL data measured from the subjects.

Results

Most of the participants were females ≥ 50 years old. HRQOL scores were high in the “self-care” dimension and low in the “pain/discomfort” and “anxiety/depression” dimensions. Their restricted activity due to illness in the past year, led to increases in participants being bedridden or absent from work. Many participants reported being bedridden for more than 3 months. A higher number of absences owing to illness in the past year, and longer durations of being bedridden, had a negative impact on HRQOL. Age, marital status, educational level, income level, and occupation were the sociodemographic variables that had an impact on HRQOL.

Conclusion

Patients with depression experiencing stress in their daily lives should take measures to avoid illness and pain that may lead to them becoming bedridden, and employ lifestyle habits with support from families and community health promotion centres, where mental health counselling can be accessed.

Citations

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  • Childhood trauma, inflammatory biomarkers and the presence of a current depressive episode: Is there a relationship in subjects from a population study?
    Leonardo Carvalho Oliveira, Natália Wirowski, Pedro Borges de Souza, Andressa Schneider Lobato, Karen Jansen, Taiane de Azevedo Cardoso, Thaíse Campos Mondin, Jean Pierre Oses, Flávio Kapczinski, Luciano Dias de Mattos Souza, Ricardo Azevedo da Silva, Fer
    Journal of Psychiatric Research.2023; 158: 255.     CrossRef
  • The Relationship between Physical Activity and Health-Related Quality of Life in Korean Adults: The Eighth Korea National Health and Nutrition Examination Survey
    Mun-Gyu Jun, Se-Hyeon Han
    Healthcare.2023; 11(21): 2861.     CrossRef
Regional Differences of Mental Health Status and Associated Factors: Based on the Community Health Survey
Ji Hye Lim
Osong Public Health Res Perspect. 2018;9(4):175-184.   Published online August 31, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.4.06
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AbstractAbstract PDF
Objectives

The aim of this study was to determine whether there were differences in mental health specific to regions in Korea, and the factors that affected mental health status.

Methods

Data from the 2016 Community Health Survey in Korea were used; 224,421 health survey participants provided responses on mental health issues, demographics, and health behavior, and were included in the study.

Results

A statistically significant difference was observed in the incidence of mental health status between different regions of Korea. Independent variables that affected mental health were sex, age, marital status, household income, economic activity, whether living with dementia patients, self-reported health status, smoking, alcohol drinking, sleep time, and chronic diseases. Risk factors associated with symptoms of depression were gender (female), bereavement or being divorced, low household income, family member with dementia, poor self-reported health status, currently smoking, level of physical activity, insufficient hours of sleep and suffering from chronic diseases.

Conclusion

This study suggests that a standardized healthcare policy is needed to reduce regional variation in mental health. In the future, similar studies that include medical expenses for mental healthcare and relevant variables according to regions of Korea should be conducted.

Citations

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    Youngmin Cho
    Child & Family Social Work.2023; 28(4): 1089.     CrossRef
  • Factors Affecting Activity Limitation in the Elderly: Data Processed from the Korea National Health and Nutrition Examination Survey, 2016
    Jong-Hoon Moon
    Osong Public Health and Research Perspectives.2019; 10(3): 117.     CrossRef
  • Depression Status in Korea
    Soo Kyung Koo
    Osong Public Health and Research Perspectives.2018; 9(4): 141.     CrossRef
Effects of Physical Activity on Depression in Adults with Diabetes
Deok-Ju Kim
Osong Public Health Res Perspect. 2018;9(4):143-149.   Published online August 31, 2018
DOI: https://doi.org/10.24171/j.phrp.2018.9.4.02
  • 6,596 View
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  • 8 Crossref
AbstractAbstract PDF
Objectives

The purpose of this study was to identify the current state of physical activity in adults with diabetes and to investigate the effect of physical activity on depression.

Methods

The present study was conducted using data from the 2nd year of the 6th Korea National Health and Nutritional Examination Survey. From the total of 7,550 individuals, 418 adults diagnosed with diabetes were selected as participants, and their physical activity and depression levels were examined.

Results

The physical activity status of the participants showed that they did not usually engage in physical activities at work, and only a few participants were involved in moderate intensity physical leisure activity. Apart from walking for 10 minutes each day, which accounted for 1/3 of the participants, most of the participants did not engage in specific forms of exercise. An examination of the effects of physical activity on depression revealed that moderate intensity physical activity at work and leisure influenced depression. In terms of demographic characteristics, gender, occupation, income quintile, and subjective health status were all found to affect depression.

Conclusion

For elderly (60 years or older) patients with diabetes, which accounted for the majority of the diabetic population, a systematic leisure program and professional education are necessary to help them to manage stress and depression in daily life. Additionally, provision of community and family support should encourage regular, moderate intensity exercise and promote lifestyle changes to encourage increased physical activity.

Citations

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  • Association of Physical Activity and Sleep Metrics with Depression in People with Type 1 Diabetes
    Abdullah Al-Ozairi, Mohammad Irshad, Husain Alsaraf, Jumana AlKandari, Ebaa Al-Ozairi, Stuart Gray
    Psychology Research and Behavior Management.2024; Volume 17: 2717.     CrossRef
  • Prevalence of comorbid depression and associated factors among hospitalized patients with type 2 diabetes mellitus in Hunan, China
    Rehanguli Maimaitituerxun, Wenhang Chen, Jingsha Xiang, Atipatsa C. Kaminga, Xin Yin Wu, Letao Chen, Jianzhou Yang, Aizhong Liu, Wenjie Dai
    BMC Psychiatry.2023;[Epub]     CrossRef
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    Aatik Arsh, Saima Afaq, Claire Carswell, Karen Coales, Najma Siddiqi
    Mental Health and Physical Activity.2023; 25: 100542.     CrossRef
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    Diogo Veiga, Miguel Peralta, Élvio R. Gouveia, Laura Carvalho, Jorge Encantado, Pedro J. Teixeira, Adilson Marques
    Sports.2023; 12(1): 3.     CrossRef
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    Bhina Patria
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Sex-based Association between Depression and Metabolic Syndrome in Korean Middle-aged and Older Adults
Jin Suk Ra, Hye Sun Kim
Osong Public Health Res Perspect. 2017;8(2):130-137.   Published online April 30, 2017
DOI: https://doi.org/10.24171/j.phrp.2017.8.2.05
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AbstractAbstract PDF
Objectives

This study aimed to identify the sex-based association between depression and the development of metabolic syndrome (Mets) among middle-aged and older Korean adults.

Methods

A cross-sectional design was used for the secondary analysis of the 2010–2014 Korean National Health and Nutrition Examination Survey. Data from 1,938 men and 2,404 women were analyzed. Mets was defined in accordance with the criteria used for clinical diagnosis. Depression was assessed with a question about having clinical depression. The association between depression and the development of Mets with or without adjustment for covariates was identified by conducting logistic regression analysis on weighted data using a complex sample procedure.

Results

More women than men had depression. Before covariate adjustment, depression was significantly associated with the development of Mets among women (odds ratio [OR], 1.586; 95% confidence interval [CI], 1.152–2.183) and with a higher triglyceride level among men (OR, 1.679; 95% CI, 1.001–2.818). After covariate adjustment; depression was significantly associated with higher waist circumference among women (adjusted OR [AOR], 1.532; 95% CI, 1.046–2.245) and higher triglyceride level (AOR, 1.511; 95% CI, 1.029–2.219) than was Mets. Conversely, depression did not have significant effects on the development of Mets among men.

Conclusion

Depression was associated with the development of Mets among middle-aged and older Korean women. Healthcare providers in communities should assess women with depression for the presence of Mets components. Interventions for relieving depressive symptoms should also be provided to women at risk for Mets.

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    Mitra Abbasifard, Gholamreza Bazmandegan, Hamid Ostadebrahimi, Fatemeh Foroutanian, Zahra Kamiab
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    Mee Young Im
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    Thao Nguyen, Hiromasa Tsujiguchi, Yasuhiro Kambayashi, Akinori Hara, Sakae Miyagi, Yohei Yamada, Haruki Nakamura, Yukari Shimizu, Daisuke Hori, Fumihiko Suzuki, Koichiro Hayashi, Hiroyuki Nakamura
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    Hae-Wol Cho, Chaeshin Chu
    Osong Public Health and Research Perspectives.2017; 8(2): 105.     CrossRef
How do Sexual Identity, and Coming Out Affect Stress, Depression, and Suicidal Ideation and Attempts Among Men Who Have Sex With Men in South Korea?
Byonghee Cho, Aeree Sohn
Osong Public Health Res Perspect. 2016;7(5):281-288.   Published online October 31, 2016
DOI: https://doi.org/10.1016/j.phrp.2016.09.001
  • 3,843 View
  • 31 Download
  • 16 Crossref
AbstractAbstract PDF
Objectives
This study investigated the status of sexual identity, perceived stigma, stress, depression, and suicidal ideation and attempts. It also examined how sexual identity and “coming out” affect stress, depression, and suicidal ideation and attempts.
Methods
Suicidal ideation, psychological health status, and health-related behaviors were assessed using the Internet to maximize the confidentiality of the participants, men who have sex with men (MSM). The data were collected from a total of 873 MSM aged between 19 years and 59 years in 2014.
Results
Only 20.9% of the MSM had come out (18.0% voluntarily and 2.9% by others). The prevalences of perceived stress and depression among MSM were 46.7% and 42.7%, respectively, compared with 20.1% and 7.4% among general men. Approximately 32% of the MSM reported any suicidal ideation, and 3.3% had attempted suicide in the past year. The likelihood of suicidal ideation was significantly associated with being age 30–39 years [odds ratio (OR) = 1.8], high school or less (OR = 1.6), having been outed (OR = 5.2), feeling stressed (OR = 1.8), and feeling depressed (OR = 12.4) after sociodemographic factors and other perceptions were controlled for.
Conclusion
The present study provides evidence that MSM are at an elevated risk for suicidal ideation and attempts with high stress and depression. Some risk factors were specific to being gay or bisexual in a hostile environment.

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