PURPOSE: The purpose of this study was to investigate the prevalence of depression and suicidal ideation in elders with dementia and to identify factors influencing their suicidal ideation. METHODS: A descriptive and cross-sectional study was conducted from February to March, 2011. The participants were 298 older adults whose MMSE-KC score was 15 to 23. Collected Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. RESULTS: According to the Geriatric Depression Scale (GDS) classification criteria, 86.2% of the elders in this study exhibited depression (GDS=5), and 31.5% manifested severe depression. The mean score of suicidal ideation was 5.70 (range 0-20). The risk factors for suicidal ideation were depression, suicidal attempt experience, present location for care, and activities of daily living. CONCLUSION: The results of this study can be utilized in the development of suicide prevention programs for older adults with dementia. In particular, depression should be screened and managed to reduce suicidal ideation of older adults with dementia.
Activities of Daily Living ; Aged ; Aged, 80 and over ; Analysis of Variance ; Cross-Sectional Studies ; Dementia/*psychology ; Depression/*epidemiology ; Female ; Humans ; Male ; Questionnaires ; Risk Factors ; *Suicidal Ideation ; Suicide, Attempted

PURPOSE: The purpose of this study was to examine the effect of a laughter therapy on pain, depression, and quality of life of elderly people with osteoarthritis. METHODS: A quasi-experimental, nonequivalent control group pretest-posttest design was used. Participants (n=60) included older adults who were diagnosed with osteoarthritis and received treatment at the out patient departments of two different hospitals. Data were collected from March 9 to 30, 2011. Experimental group (n=30) participated in laughter therapy four times, once a week for 50 min per session. Questionnaires were used to measure pretest and posttest levels of pain, depression, and quality of life. RESULTS: At the end of four-week intervention, pain (F=11.32, p=.001) and depression (F=10.77, p=.002) were significantly decreased in the experimental group. Quality of life (F=6.28, p=.015) were significantly improve in the experimental group. CONCLUSION: The study results suggest that the laughter therapy is an effective intervention to reduce the pain and depression, and to improve quality of life. It seems that this program can widely be utilized as one of nursing intervention programs for the elderly people with osteoarthritis.
Adult ; Aged* ; Depression* ; Humans ; Laughter Therapy* ; Laughter* ; Nursing ; Osteoarthritis* ; Quality of Life* ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to evaluate the effects of cognitive behavioral group therapy improving social cognition on the self efficacy, relationship function and social skills for chronic schizophrenia. METHODS: This study employed a nonequivalent control group pretest-posttest design. Fifty-two participants were selected from patients with chronic schizophrenia, and they divided into an experimental group(26) and control group(26). Cognitive behavioral group therapy was used as the experimental treatment from March to May. Therapy was administered once a week over 10-weeks. RESULTS: The results showed that compared to the control group, experimental group improved on relationship function and social skills and showed better self-reported self efficacy. CONCLUSION: These results indicated that the cognitive behavioral group therapy improving social cognition is an effective nursing intervention to increase the levels of self efficacy, relationship function and social skills.
Cognition* ; Humans ; Nursing ; Psychotherapy, Group* ; Schizophrenia* ; Self Efficacy* ; Social Skills*

PURPOSE: The purpose of this study was to evaluate the contribution of group therapy to the improvement of self-esteem, anger, stress coping and communication of those who were violent in to family. METHODS: The research design was a onegroup- pretest-posttest design in quasi-experimental research, and the period of this study was from March to October, 2005. Participants were 14 offenders who were ordered to be counseled according to 'the special exemption law for punishing domestic violence.' Group therapy was applied once a week for 8 weeks. Results were collected by using a questionnaire for self-esteem, anger, stress coping and communication. In the data analysis, Wilcoxon signed test with SPSS/WIN 12.0 program was used. RESULTS: The scores of self-esteem and communication showed statistically significant improvement from pre to post therapy. However, the scores of anger and stress coping were not significantly changed from pre to post therapy. CONCLUSION: This group therapy was effective in improving the self-esteem and communication in offenders of family violence.
Adult ; Anger ; Communication ; *Domestic Violence ; Female ; Humans ; Interviews as Topic ; Male ; Middle Aged ; Psychometrics ; *Psychotherapy, Group ; Questionnaires ; Self Concept ; Stress, Psychological

PURPOSE: This study was done to verify effects of a positive psychotherapy program on depression, self-esteem, and hope in patients with major depressive disorders. METHODS: A nonequivalent control group pre-post design was used. Participants were 53 people (control group=27 and experimental group=26) who were diagnosed with a major depressive disorder and received psychiatric outpatient treatment. The data were collected from July 1 to December 30, 2013. The experimental group received the positive psychotherapy program 8 times over 8 weeks. Data analysis was conducted using chi2-test, Fisher's exact test and t-test. RESULTS: As the result of the intervention, depression (p<.001), self-esteem (p<.001) and hope (p<.001) improved significantly in the experimental group compared to the control group. CONCLUSION: The results suggest that the positive psychotherapy program can be widely utilized as one of the nursing intervention programs for depressive patients.
Depression* ; Depressive Disorder, Major* ; Hope* ; Humans ; Nursing ; Outpatients ; Psychotherapy* ; Statistics as Topic

PURPOSE: The purpose of this study was to examine risk factors for pathological gambling of horse race participants. METHODS: The participants, 508 horse race gamblers, completed the DSM-IV criteria of pathological gambling, Alcohol Use Disorders Identification Test (AUDIT-K) and Symptom Checklist-47-Revision (SCL-47-R). Data were analyzed using t-test, chi2-test, Fisher's exact test, and logistic regression analyses. Behaviors related to horse racing, alcohol abuse, and mental health were analyzed between problem or pathological gamblers compared to recreational gamblers. RESULTS: The prevalence rates of recreational, problem, and pathological gambling were 36.6%, 39.4%, and 24.0%, respectively. Frequency of gambling (> or =4/day), frequency of racetrack visiting (> or =3/month), accompaniment (alone), and mental health (SCL-47-R scores) were all associated with increased risks of problem and pathological gambling. Expenditure on betting (> or =200,000 won/day) and alcohol abuse (AUDIT-K 8-20 scores) group members had higher levels of gambling pathology than recreational gamblers. CONCLUSION: Problem and pathological gambling are highly associated with alcohol abuse and mental health disorders, suggesting that clinicians should carefully evaluate this population.
Adult ; Alcoholism ; Female ; Gambling/*psychology ; Humans ; Logistic Models ; Male ; Mental Health ; Middle Aged ; Risk Factors

PURPOSE: This study was done to investigate community attitudes towards people with mental illness and to mental health services. METHODS: From August to October of 2006, 474 citizens of Siheung city were asked to give demographic data and their personal attitude toward mental illness and mental health services. RESULTS: The residents of Siheung community showed slightly negative attitudes, with a mean opinion about mental illness score of 93.38+/-17.29. According to the study, health professionals and citizens showed a positive attitude to the establishment of day care centers and residential facilities (62.2% and 55.4% respectively). Civil servants showed negative attitudes (40.4%). There were significant differences in attitudes according to gender, age, education level, occupation, religion, and income. Positive attitudes were found for health professionals and negative attitudes for civil servants. CONCLUSION: The results of this study indicate a need to provide public information and education for civil servants, and for those who have negative attitudes, in particular, men, people in the younger age group, who have lower education levels, who are Buddhists, monthly renters, who have a monthly income below 1 million won, who have no children and no experience with people who have a mental illness.
Adult ; *Attitude ; Community Mental Health Services ; Female ; Humans ; Male ; Mental Disorders/*psychology ; Mental Health Services ; Middle Aged ; Psychiatric Status Rating Scales ; *Public Opinion ; Questionnaires ; Social Distance

PURPOSE: This study was done to examine the relation of self-esteem, stress, social support, and quality of life on fishermen's and to identify factor influencing quality of life. METHODS: Data were collected from 120 the fishermen's who trained at the sailors educational institution located in Busan, Korea. The collected data were analyzed by descriptive statistics, t-test, ANOVA, and stepwise multiple regression. RESULTS: The quality of life shows a positive correlation with self-esteem and social support, and a negative correlation with stress. The results of multiple regression analysis show that significant variables influencing the quality of life are stress, self-esteem, social support, and job satisfaction. And these variables explained 62.7% of the varience in quality of life. CONCLUSION: The study results suggest that stress is the main factor influencing fishermen's quality of life and therefore a variety of interventions designed to lower stress levels are needed. In addition, comprehensive programs that can increase the levels of fishermen's self-esteem, social support, and job satisfaction need to be implemented.
Busan ; Humans ; Job Satisfaction ; Korea ; Military Personnel ; Quality of Life*

PURPOSE: The purpose of this study was to identify the interpersonal problems andmental health of college students according to their experience of bullies and of being victims of bullying in childhood and adolescence. METHODS: The questionnaire was completed by 221 college students in J city. Data were collected during November and December, 2015. The data were analyzed and interpreted using descriptive statistics and ANOVA with the PASW Statistics 18.0 program. RESULTS: Nearly 65% of participants reported having experienced bullying victimization, bullying perpetration when they were in elementary, middle or high school. Interpersonal problems were significantly different between victims or victim-perpetrator and a control group (F=13.12, p<.001). Mental health was significantly different between victims, perpetrator or victim-perpetrator and a control group, (F=13.15, p<.001). CONCLUSION: Participants commonly reported experiencing bullying while at school and these reports were associated with higher interpersonal problems and lower levels ofmental health. Bullying experience needs further investigation as a preventable cause of interpersonal problems and mental health problems across the lifespan.
Adolescent ; Bullying* ; Crime Victims ; Humans ; Mental Health

PURPOSE: The aim of this study was to explore the relationship between perfectionism dimensions and postpartum depression among parturient women between 2 weeks to 12 months, using the Frost Multidimensional Perfectionism Scale (FMPS). METHODS: Participants were 150 women who had their infants examined for health in two public health centers in a city. The participants completed a self-administered questionnaire, which included the FMPS, Postpartum Depression Predictors Inventory-Revised and the Korean version of the Edinburgh Postpartum Depression Scale (K-EPDS). The data were analyzed using independent t-tests and a multiple linear regression. RESULTS: The prevalence of postpartum depression was 43.3% (K-EPDS≥9.5). Multiple regression analysis showed that postpartum depression was significantly associated with parental criticism (β=.21), concern over mistakes (β=.19), postnatal maternal blues (β=.22), history of depression (β=.20), social support (β=.13), marital relationship/satisfaction (β=.14), prenatal anxiety (β=.17), and self-esteem (β=.15, all p values < .05). These variables explained 57.2% of the variance in postpartum depression. CONCLUSION: Parental criticism and concern over mistakes are personality dimensions that can be exhibited by participants and are therefore associated with the development of postpartum depression in parents of infants. The perfectionism assessment is needed to detect postpartum depression and develop strategies to provide effective and preventive interventions.
Anxiety ; Depression ; Depression, Postpartum ; Female ; Humans ; Infant ; Linear Models ; Parents ; Postpartum Period ; Prevalence ; Public Health