Purpose: The purpose of this study was to report the level of suicidal ideation in older Korean adults living in the community and identify the factors associated with suicidal ideation. Methods: A total of 73,326 older adults were selected and analyzed using the 2021 Community Health Survey. The collected data were analyzed using the Rao-scott test and logistic regression using SAS 9.4. Results: Among older adults, 9.2% had suicidal ideations. Life dissatisfaction was the factor most strongly associated with suicidal ideation, followed by depression, poor subjective health, high stress, cognitive disability, lower economic state, living alone, older age, smoking, low education, older women, and diabetes. Conclusion When developing suicide preventive interventions for older adults, it is important to consider mental health indicators, such as life satisfaction, depression, and stress. In addition, active efforts to identify more vulnerable subgroups of older adults should consider older individual adult’s economic status, family structure, age, and education rather than taking a generalized approach.

Background: Although there are various interventions for eating disorders in type 1 diabetes patients, it is difficult to interpret them comprehensively. The purpose of this study is to analyze eating disorder intervention studies in type 1 diabetes patients and to compare the characteristics of each study. Methods: For this study, PICOTS-SD was established. We searched studies published in Korean and English from 2000 to 2020 in KCI, RISS, NDSL, KISS, MEDLINE, CINAHL, Pubmed, and Embase. Results: For the intervention of eating disorders in patients with type 1 diabetes, psycho-education and self-compassion programs were implemented. The intervention period varied from 4 to 6 weeks, and physiological variables, eating disorder variables, and emotional variables were used interventions. But the number of participants was small and the results of the study were inconsistent. Conclusions Through this study, the possibility of resolving the difficulties of eating disorder intervention in type 1 diabetes patients was confirmed. In the future, more randomized controlled trials with larger samples are needed to extend the evidence base.

OBJECTIVES: This study investigated the effects of Emotionally Focused Therapy (EFT) on distressed married couples. METHODS: We conducted 5 to 19 EFT sessions once a week with 10 couples from Yongin Mental Hospital who were experiencing marital conflict. We assessed participants before and after EFT, using the Beck Depression Inventory (BDI), Symptom Checklist 90-R (SCL-90R), and Korean Marital Satisfaction Inventory (K-MSI). The EFT consisted of 3 stages comprising 9 steps. Every couple followed this EFT structure. RESULTS: After completing the EFT sessions, the inventories showed the couples experiencing significant improvements in various psychological symptoms and marital satisfactions. CONCLUSION: These results indicate that EFT could be applied to distressed couples in a clinical setting and could effectively reduce psychological symptoms and improve marital satisfaction. Further study of the generalizability of these results and of the process variables are needed.
Checklist ; Depression ; Equipment and Supplies ; Family Characteristics ; Family Conflict ; Hospitals, Psychiatric ; Pilot Projects

Purpose: The purpose of this study was to verify the mediating effects of body dissatisfaction, selfesteem, and depression on the association between the body mass index (BMI) and eating disorders in adolescents with type 1 diabetes. Methods: Secondary data were analyzed in this study. The original analysis was conducted using data from 136 adolescents aged 13–18 years with type 1 diabetes. The results of testing for mediating effects were analyzed using a serial-multiple mediation model (model 6) using the PROCESS macro in SPSS ver. 3.3. Results: The direct effect of the BMI on eating disorders was not statistically significant (effect=0.22; 95 % confidence interval [CI], -0.20 to 0.64), but the indirect effects were statistically significant (effect=0.28; 95% CI, 0.05–0.63). In detail, the indirect effect of BMI on eating disorders mediated by body dissatisfaction was statistically significant (effect=0.28; 95% CI, 0.10–0.61); by body dissatisfaction and depression was statistically significant (effect=0.06; 95% CI, 0.01–0.15); and by body dissatisfaction, self-esteem, and depression was statistically significant (effect=0.05; 95% CI, 0.01–0.11). Conclusion Individual interventions according to BMI are required to prevent the development of eating disorders in adolescents with type 1 diabetes. Adolescents with type 1 diabetes require intervention programs that may positively change their attitudes toward themselves, increasing self-esteem and lowering depression.

Purpose: The purpose of this study was to verify the mediating effects of body dissatisfaction, selfesteem, and depression on the association between the body mass index (BMI) and eating disorders in adolescents with type 1 diabetes. Methods: Secondary data were analyzed in this study. The original analysis was conducted using data from 136 adolescents aged 13–18 years with type 1 diabetes. The results of testing for mediating effects were analyzed using a serial-multiple mediation model (model 6) using the PROCESS macro in SPSS ver. 3.3. Results: The direct effect of the BMI on eating disorders was not statistically significant (effect=0.22; 95 % confidence interval [CI], -0.20 to 0.64), but the indirect effects were statistically significant (effect=0.28; 95% CI, 0.05–0.63). In detail, the indirect effect of BMI on eating disorders mediated by body dissatisfaction was statistically significant (effect=0.28; 95% CI, 0.10–0.61); by body dissatisfaction and depression was statistically significant (effect=0.06; 95% CI, 0.01–0.15); and by body dissatisfaction, self-esteem, and depression was statistically significant (effect=0.05; 95% CI, 0.01–0.11). Conclusion Individual interventions according to BMI are required to prevent the development of eating disorders in adolescents with type 1 diabetes. Adolescents with type 1 diabetes require intervention programs that may positively change their attitudes toward themselves, increasing self-esteem and lowering depression.

Purpose: Diabulimia is a serious problem that can cause a variety of complications in adolescents with type 1 diabetes. The purpose of this study was to evaluate the effectiveness of Internet-based cognitive behavioral therapy program for adolescents with diabulimia. Methods: A randomized controlled trial was conducted on 38 adolescents aged between 13 and 18 years with type 1 diabetes who scored 20 or higher on the Diabetes Eating Problem SurveyRevised (DEPS-R). The experimental group received eight sessions of an Internet-based cognitive behavioral therapy. Results: Immediately after the intervention and four weeks later, the experimental group demonstrated significant reductions in automatic thoughts, depression,and diabetic eating disorder behavior with an increase in body satisfaction compared to the control group. Conclusion The Internet-based cognitive behavioral therapy for adolescents with diabulimia used various techniques to find dysfunctional thoughts that could induce negative emotions and behaviors based on actual experience. When delivered via the Internet, it provided participants with unrestricted access in terms of both time and location.

Purpose: Diabulimia is a serious problem that can cause a variety of complications in adolescents with type 1 diabetes. The purpose of this study was to evaluate the effectiveness of Internet-based cognitive behavioral therapy program for adolescents with diabulimia. Methods: A randomized controlled trial was conducted on 38 adolescents aged between 13 and 18 years with type 1 diabetes who scored 20 or higher on the Diabetes Eating Problem SurveyRevised (DEPS-R). The experimental group received eight sessions of an Internet-based cognitive behavioral therapy. Results: Immediately after the intervention and four weeks later, the experimental group demonstrated significant reductions in automatic thoughts, depression,and diabetic eating disorder behavior with an increase in body satisfaction compared to the control group. Conclusion The Internet-based cognitive behavioral therapy for adolescents with diabulimia used various techniques to find dysfunctional thoughts that could induce negative emotions and behaviors based on actual experience. When delivered via the Internet, it provided participants with unrestricted access in terms of both time and location.

Purpose: Diabulimia is a serious problem that can cause a variety of complications in adolescents with type 1 diabetes. The purpose of this study was to evaluate the effectiveness of Internet-based cognitive behavioral therapy program for adolescents with diabulimia. Methods: A randomized controlled trial was conducted on 38 adolescents aged between 13 and 18 years with type 1 diabetes who scored 20 or higher on the Diabetes Eating Problem SurveyRevised (DEPS-R). The experimental group received eight sessions of an Internet-based cognitive behavioral therapy. Results: Immediately after the intervention and four weeks later, the experimental group demonstrated significant reductions in automatic thoughts, depression,and diabetic eating disorder behavior with an increase in body satisfaction compared to the control group. Conclusion The Internet-based cognitive behavioral therapy for adolescents with diabulimia used various techniques to find dysfunctional thoughts that could induce negative emotions and behaviors based on actual experience. When delivered via the Internet, it provided participants with unrestricted access in terms of both time and location.

Purpose: Diabulimia is a serious problem that can cause a variety of complications in adolescents with type 1 diabetes. The purpose of this study was to evaluate the effectiveness of Internet-based cognitive behavioral therapy program for adolescents with diabulimia. Methods: A randomized controlled trial was conducted on 38 adolescents aged between 13 and 18 years with type 1 diabetes who scored 20 or higher on the Diabetes Eating Problem SurveyRevised (DEPS-R). The experimental group received eight sessions of an Internet-based cognitive behavioral therapy. Results: Immediately after the intervention and four weeks later, the experimental group demonstrated significant reductions in automatic thoughts, depression,and diabetic eating disorder behavior with an increase in body satisfaction compared to the control group. Conclusion The Internet-based cognitive behavioral therapy for adolescents with diabulimia used various techniques to find dysfunctional thoughts that could induce negative emotions and behaviors based on actual experience. When delivered via the Internet, it provided participants with unrestricted access in terms of both time and location.

Background: This study aimed to compare the stress-coping measurement scales used in the nursing field in South Korea through a literature review based on the types of tools assessed, their characteristics, frequency of use, target stress, target population, and coping outcomes. Methods: The data base periodical information academic, Korea citation index, Korean studies information sharing service, Korean medical database, National discovery for science leaders, KoreaMed, National assemble library, and National library of Korea databases were searched for articles related to coping with stress and nursing published between 2009 and 2018 in South Korea. Of the total 1,666 articles searched, 59 articles that were aligned with the study purpose were finally selected after reviewing the original texts and excluding duplicates. Results: The study identified six stress-coping scales used by Korean nurses, among which the ways of coping (WCQ) was the most frequently used. Most of the studies involved nursing students, followed by patients and health workers (nurses and caregivers). Regarding the types of stress, the WCQ was used the most by studies on work-related and daily living stress, followed by those focusing on health-related stress and clinical practice stress. Secondary analysis of WCQ usage showed that 48.5% of the studies interpreted the scale results for individual coping methods, and the remaining 45.5% interpreted the results based on the overall score. Conclusions Researchers need to appropriately use and interpret the results of scales that have been translated into Korean and validated for each situation and participant.