1.A Longitudinal Study of the Reciprocal Relationship between Depression and Income among Korean Older Men and Women
Journal of Korean Academy of Nursing 2022;52(4):451-463
Purpose:
This study examined the reciprocal relationships between depression and income, and gender differences in these relationships among older adults in South Korea.
Methods:
Using 2015 to 2019 of the Korea Welfare Panel Study (KoWePS), we studied 6,070 older adults (2,394 men and 3,676 women) aged 60 years over in 2015. The generalized estimating equation was employed to explore the effect of an individual income on depression and the reverse causal link-that of depression on income.
Results:
The study found the reciprocal relationships between income and depression. Income has a significant impact on depression. Higher-income was linked to decreased risks of the Center for Epidemiologic Studies Depression (CES-D) scores among older adults (B = - 0.121, p < 0.001). Estimates of the reverse causal link show that higher CES-D scores were also linked to income reduction among Korean older adults (B = - 0.007, p < 0.001). In addition, we also observed gender differences in the impact of income on depression but not in the reverse causal link. Income has more detrimental to psychological consequence for older men (B = - 0.108, p < 0.001) than older women (B = - 0.057, p < 0.001).
Conclusion
The finding implies that both psychological and social protection policies for the elderly are needed in view of gender perspective.
2.Socioeconomic Inequalities in Depressive Symptoms among Korean Older Men and Women: Contribution of Social Support Resources
Jeong LEE ; Kyungwon CHOI ; Gyeong-Suk JEON
Journal of Korean Academy of Community Health Nursing 2020;31(1):13-23
Purpose:
This study explored the contribution of social support resources to the explanation of socioeconomic inequalities in depressive symptoms of older Korean men and women.
Methods:
Data were derived from Living Profiles of Older People Survey (LPOPS), which comprises a nationally representative sample of non-institutionalized Korean older adults living in the community. The data were analyzed by using multiple logistic regression. The sample consisted of 4,046 men and 6,036 women aged ≥65 years. The Korean version of the Geriatric Depression Scale-Short form (SGDS-K) was employed as an outcome variable.
Results:
Compared to the older men and women who were in higher socioeconomic status, those in lower socioeconomic status had significantly higher risk of depressive symptoms after adjusting for other covariates. When social support resources were individually included in the base model, each factor contributed to inequalities in depressive symptoms. Social networks explained about 20% of the differential impact of education and 10% to 15% of the differential impact of household income for depressive symptoms in men. Among women, it mitigated 23.6% to 39.0% of education and household income inequalities for depressive symptoms. Social participation contributed to buffer depressive symptom inequalities of 24.0% to 46.3% among men and those of 11.7% to 45.3% among women.
Conclusion
Our findings suggest community care nurses acknowledge the value of social support resources to alleviate socioeconomic inequality in depressive symptoms among older men and women.
3.Predictive Model for Quality of Life of the Older Men Living Alone
Journal of Korean Academy of Nursing 2020;50(6):799-812
Purpose:
This study aimed to construct and test a predictive model that explains and predicts the quality of life in older men living alone.
Methods:
A self-report questionnaire was used to collect data from 334 older adult men living along aged 65 years or over living in Jeollanam-do provinces. The endogenous variables were depression, self-rated health, instrumental activity of daily life, health promotion behaviors, the number of social participation activities and quality of life. Data were analyzed using the SPSS 21.0 and AMOS 21.0 programs.
Results:
The final model with 14 of the 8 analysed paths showed a good fit to the empirical data: χ2= 173.26(p < .001, df = 53),normed χ2= 3.27, GFI = .92, NFI = .90, CFI = .93, TLI = .89, RMSEA = .08 and SRMR = .06. Activities had direct effect on quality of life of older men living alone and social support had both direct and indirect effects. Meanwhile, function and socioeconomic status showed only indirect effects.The variables included in the eight significant paths explained 83.7% of variance in the prediction model.
Conclusion
Instrumental activities of daily living and social support effect directly on quality of life in the older men living alone. Findings suggest that health care providers including community nurses need to provide social support as well as empowerment programs of instrumental activities of daily living and health promotion for improving quality of life of the older men living alone.
4.Social Interaction Test in Home Cage as a Novel and Ethological Measure of Social Behavior in Mice
Do Gyeong KIM ; Edson Luck GONZALES ; Seonmin KIM ; Yujeong KIM ; Keremkleroo Jym ADIL ; Se Jin JEON ; Kyu Suk CHO ; Kyoung Ja KWON ; Chan Young SHIN
Experimental Neurobiology 2019;28(2):247-260
Sociability is the disposition to interact with one another. Rodents have a rich repertoire of social behaviors and demonstrate strong sociability. Various methods have been established to measure the sociability of rodents in simple and direct ways, which includes reciprocal social interaction, juvenile social play, and three-chamber social tests. There are possible confounding factors while performing some of these tasks, such as aggression, avoidance of interaction by the stimulus mouse, exposure to a new environment, and lengthy procedures. The present study devised a method to complement these shortcomings and measure sociability as a group in the home cage setting, which prevents group-housed mice from isolation or exposure to a new environment. The home cage social test can allow high-throughput screening of social behaviors in a short amount of time. We developed two types of home cage setup: a home cage social target interaction test that measures sociability by putting the wire cage in the center area of the cage and a home cage two-choice sociability and social preference test that measures both sociability or social preference by putting cage racks at opposite sides of the cage. Interestingly, our results showed that the two types of home cage setup that we used in this study can extract abnormal social behaviors in various animal models, similar to the three-chamber assay. Thus, this study establishes a new and effective method to measure sociability or social preference that could be a complementary assay to evaluate the social behavior of mice in various setup conditions.
Aggression
;
Animals
;
Complement System Proteins
;
Interpersonal Relations
;
Mass Screening
;
Methods
;
Mice
;
Models, Animal
;
Rodentia
;
Social Behavior
5.Prediction Model for Health-Related Quality of Life in Hospitalized Patients with Pulmonary Tuberculosis.
Kwang Sim JANG ; Gyeong Suk JEON
Journal of Korean Academy of Nursing 2017;47(1):60-70
PURPOSE: This study was conducted to construct and test a structural equation model of health-related quality of life (HRQoL) among hospitalized patients with pulmonary tuberculosis (PTB). METHODS: Participants were 256 patients with PTB who were 20 years or older and admitted in two national tuberculosis hospitals. The patients participated in pulmonary function testing and responded to structured questionaries. RESULTS: The goodness-of-fit statistics of the final hypothetical model were as follows: χ2/df=2.19, RMSEA=.07, SRMR=.05, GFI=.95, NFI=.95, CFI=.96, TLI=.92, and PCFI=.52. Symptoms and general health perception had significant direct effects, and subjective economic status, social support and stigma had significant indirect effect on HRQoL of hospitalized patients with PTB. These variables explained 64% of variance in the prediction model. CONCLUSION: Findings suggest that strategies and intervention for physical symptoms and depressive symptoms are crucial to improve the quality of life in hospitalized patients with PTB. The development of various social support programs is also recommended.
Depression
;
Hospitals, Chronic Disease
;
Humans
;
Quality of Life*
;
Respiratory Function Tests
;
Social Stigma
;
Tuberculosis, Pulmonary*
6.The Impacts of Psychosocial Work Environments on Depressive Symptoms among Korean Registered Nurses.
Korean Journal of Occupational Health Nursing 2017;26(1):30-39
PURPOSE: The aim of this study was to explore the association between psychosocial work environments and depressive symptoms among Korean registered nurses. METHODS: The study population of 331 registered nurses was derived from the 2014 Korean Working Condition Survey (KWCS). Depressive symptom was assessed using the WHO-5 wellbeing index. RESULTS: The thirty-five percentage of Korean registered nurses reported the risk for depressive symptom. Korean nurses with higher ‘work-family conflict’ were more likely at the risk of depression almost 1.83 (95% CI 1.04~3.20) times than their counterpart. Higher ‘possibilities for development’ were more likely decrease almost 60% of the risk of depressive symptom. CONCLUSION: Work-family conflict and possibility of development were associated with depressive symptom among Korean registered nurses. We suggest future researches identifying strategies for decreasing work-family conflict and its negative effects.
Depression*
;
Humans
;
Nurses*
7.Correlates of Depressive Symptoms and Stress among Korean Women Care-workers for Older Adults Dwelling in Community.
Gyeong Suk JEON ; Sun Ju YOU ; Myo Gyeong KIM ; Yoo Mi KIM
Korean Journal of Occupational Health Nursing 2017;26(1):10-18
PURPOSE: This study identified the prevalence of depressive symptoms and explored correlates of depressive symptoms among Korean women care-workers caring older adults living in community. METHODS: A total of 465 participants were recruited for the study. Depressive symptoms was measured by the CES-D10 and distress was assessed using a single question given 5 Likert scale. RESULTS: The prevalence of depressive symptoms and distress among care-workers were 32.5% and 32.0% respectively. Work environment safety, violence exposure experience, work-family conflict, weekly care work time, and poor health status were significantly associated with depressive symptoms. Only violence exposure experience and poor health status were associated with distress. CONCLUSION: Our findings suggest more attention on mental health of care-workers and their risky work condition such as violence.
Adult*
;
Depression*
;
Exposure to Violence
;
Female
;
Humans
;
Mental Health
;
Prevalence
;
Violence
8.Correlates of Depression among Married Immigrant Women in Korea.
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2017;26(4):402-411
PURPOSE: This study was done to examine the prevalence and associated factors of depressive symptoms among married immigrant women in South Korea. METHODS: Data from the 2015 Living Profiles of Multiculture Family Survey were used in this study. The sample consisted of 1,579 married immigrant women aged 19 to 39 years. Sociodemographic, acculturation, and social support factors were analyzed. Logistic regression was used for the data analysis. RESULTS: Married immigrant women having a poor relationship with their husbands and a culture gap with husbands were more likely to report depressive symptoms. Low socioeconomic status, no satisfaction with mother role, and no satisfaction with father role, and high social support resources were associated with depressive symptoms among married immigrant women in Korea. Having a moderate level of social support resources was more likely to lower the risk of depressive symptoms than high social support resources. CONCLUSION: The findings in this study indicate that prevention of depressive symptoms in married immigrant women in Korea could be aided by acculturation programs that include participation of husbands and social supports for the parenting role.
Acculturation
;
Depression*
;
Emigrants and Immigrants*
;
Fathers
;
Female
;
Humans
;
Korea*
;
Logistic Models
;
Mothers
;
Parenting
;
Parents
;
Prevalence
;
Social Class
;
Spouses
;
Statistics as Topic
9.Influence of Stigma and Social Support on Depressive Symptoms in Hospitalized Patients with Pulmonary Tuberculosis.
Gyeong Suk JEON ; Kyungwon CHOI ; Kwang Sim JANG
Journal of Korean Academy of Psychiatric and Mental Health Nursing 2017;26(4):344-352
PURPOSE: The aim of this study was to examine the relationships between depressive symptoms, stigma and social support in hospitalized PTB (pulmonary tuberculosis) patients. METHODS: Participants were 256 patients with PTB who were admitted in two national tuberculosis hospitals. RESULTS: Higher levels of stigma were significantly related to depressive symptoms in patients with PTB. Self-reports of social support by medical staff were negatively associated with depressive symptoms in patients with PTB. Stigma and social support by medical staff were found to be significant predictors of depressive symptoms after controlling for potential confounders. CONCLUSION: Findings suggest that intervention for depressive symptoms be incorporated into treatment for patients with PTB, and strategies to decrease TB-related stigma and increase social support by medical staff be provided to prevent depressive symptoms.
Depression*
;
Hospitals, Chronic Disease
;
Humans
;
Medical Staff
;
Social Stigma
;
Tuberculosis, Pulmonary*
10.Effects of Frailty on Health-related Quality of Life of Rural Community-dwelling Elderly: Mediating and Moderating Effects of Fall-Related Efficacy and Social Support.
Kyung Won CHOI ; Gyeong Suk JEON
Journal of Korean Academy of Community Health Nursing 2016;27(4):380-387
PURPOSE: The purpose of this study was to examine the mediating and moderating effects of fall-related efficacy and social support on the relationship between frailty and health-related quality of life among rural community-dwelling elderly. METHODS: A cross-sectional survey was conducted with a convenient sampling method, and data of 438 elderly residents living in a rural community was used. The structured questionnaire included items from the Euro Quality of life-5 Dimensions (mobility, self-care, usual activities, pain/discomfort, anxiety/ depression), fall-related efficacy and social support. RESULTS: Analysis of the mediating effect of fall-related efficacy and social support showed that there was significant mediating influence of fall-related efficacy on the relationship between frailty and health-related quality of life. There were no moderating effects of fall-related efficacy and social support. CONCLUSION: The findings suggest that fall-related efficacy may play a role in reducing the effect of frailty on health-related quality of life and underscore the need to consider ways of enhancing fall-related efficacy in interventions for rural community-dwelling frail elderly.
Aged*
;
Cross-Sectional Studies
;
Frail Elderly
;
Humans
;
Methods
;
Negotiating*
;
Quality of Life*
;
Rural Population
;
Self Care
;
Self Efficacy

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