보건교육건강증진학회지 (Korean Journal of Health Education and Promotion)

  • 제20권4호
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  • Pages.13-26
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  • 2003
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  • 1229-4128(pISSN)
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  • 2635-5302(eISSN)
한국보건교육건강증진학회 (Korean Society for Health Education and Promotion)
권호 표지

Correlates of Depressive Symptoms among College Students on Jeju Island in Korea

  • Kim, Moon-Doo (Department of Neuropsychiatry. College of Medicine. Cheju National University) ;
  • Lee, Chang-In (Department of Neuropsychiatry. College of Medicine. Cheju National University)
  • 발행 : 2003.12.01
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초록

Objectives： The aim of the present study was to determine the prevalence depressive symptoms, and the correlates of depressive symptoms, and to propose countermeasures for individual depression risk factors among college students. Methods： One university and three colleges in Jeju-do were selected as the study population and a total of 1000 students were selected by multiphasic cluster sampling to represent each department and year within each college. Of the 945 total respondents, 421 were men and 524 were women. The Beck Depression Inventory was used to evaluate depression and the BDI STEN score was used to assess depressive symptoms. Multiple logistic regression analysis was performed for comparisons. Results： 1. The prevalence of depressive symptoms among men was 14.4%, while among women the level rose to 26.8%. 2. Those with poor life satisfaction scores were significantly more likely to have depressive symptoms than those with good life satisfaction (odds ratio (OR) ＝ 2.62； (95% confidence interval (95%CI), 1.483-4.629). 3. Students over 23 years old were significantly more likely to have low levels of depressive symptoms than those under 18 (OR ＝ 0.439； 95%CI, 0.247-0.779). 4. Groups with poor body image satisfaction had higher levels of depressive symptoms when compared to respondents who had good body image (OR = 2.847; 95%CI, 1.341-6.045). 5. Students with poor perceived health status were significantly more likely to have high levels of depressive symptoms than those with good perceived health status (OR ＝ 2.029； 95%CI, 1.157-3.557). Conclusion： Universities and colleges should provide education programs, such as health education that facilitates the development of a healthy body image. In addition, they should focus on various scholarships that could improve satisfaction with student life, especially for alienated students. Furthermore, colleges should help direct students towards engagement in more productive work, and lead social policies away from the dominance of appearance.

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참고문헌

  1. Beck, A.T. 1967. Depression: Clinical experimental and theoretical aspects. New York, Harper & Row Publishers Inc
  2. Beck, A.T., Ward, C.H., Mendelson, M., Mock, J. and Erbaugh, J. 1961. An inventory for measuring depression. Arch Gen Psychiatry 4:53-63
  3. Blazer, D.G. 1986. Depression. Generations 10:21-23
  4. Buglass, D. 1976. The relation of social class to the characteristics and treatment of parasuicide. Soc Psychiatry 11:107-119 https://doi.org/10.1007/BF00579309
  5. Cho, M.J., Nam, J.J. and Sub, G.H. 1998. Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychitr Res 81:341-352 https://doi.org/10.1016/S0165-1781(98)00122-X
  6. Cho, M.J. and 9 persons. 1999. Depressive symptoms in a Korean rural sample-risk factor and factor structure. J Korean Neuropsychiatr Assoc 38:266-277
  7. Chung, W.H., Kim, S.B., Jang, K.Y., Sohn, J.W. and Park, C.S. 1997. A comparative study on the characteristics of demographic data, clinical features, and personality in hospitalized male and female alcoholics. J Korean Neuropsychiatr Assoc 36:688-704
  8. Craig, T.J. and Van Natta, P.A. 1979. Influence ofdemographic characteristics on two measures of depressive symptoms: the relation of prevalence and persistence of symptoms with sex, age, education and marital status. Arch Gen Psychiatry 36: 149-154 https://doi.org/10.1001/archpsyc.1979.01780020039003
  9. Doh and 5 persons. 1996. Correlates of Depression in Primary care Symptoms, Diseases. J Korean Acad Fam Med 17(9):775-783
  10. Endicott, J. and Spitzer, R.L. 1978. A diagnostic interview: The Schedule for Affective Disorders and Schizophrenia. Arch Gen Psychiatry 35:837-844 https://doi.org/10.1001/archpsyc.1978.01770310043002
  11. Hahn, H.M. and 5 persons. 1986. A standard- ization study of Beck Depression Inventory in Korea. J Korean Neuropsychiatr Assoc 25:752-765
  12. Hamilton, M. 1960. A rating scale for depression. J Neural Neurosurg Psychiatry 12:56-62
  13. Horwath, E, and Weissman, M.M. 1995. Epidemiology of depression and anxiety disorders. In : Textbook in Psychiatric Epidemiology Ed by Tsuang MT. Tohen M, Zahner GEP John Wiley&Son Inc
  14. Husaini, B.A., Neff, J.A., Harrington, J.B., Houghs, M.D. and Stone, R.H. 1980. Depression in rural communities: validating the CES-D scale. J Community Psychol 8:20-27 https://doi.org/10.1002/1520-6629(198001)8:1<20::AID-JCOP2290080105>3.0.CO;2-Y
  15. Kang, J.J. 2000. The study of relationship between satisfaction of body image and stress coping style. Master's thesis in collected papers of Ewha Women's University vi:57
  16. Kawakami, N., Haratami, T. and Koizumi, A. 1987. Relationship between health practices and depressive mood among industrial workers Jpn J Ind Health 29:55-63
  17. Kim, M.D., Hwang, S.W. and Hong, S.C. 2003. Prevalence of depression and correlates of depressive symptoms among residents in rural areas of Jeju island. J Korean Acad Fam Med 24: 833-844
  18. Koike, A.K., Unutzer, J. and Wells, K.B. 2002. Improving the care for depression in patients with comorbid medical illness. Am J Psychiatry 159:1738-1745 https://doi.org/10.1176/appi.ajp.159.10.1738
  19. Korea National Statistic Office. 2001. 2001 Annual Report on the Cause of Death Statistics
  20. Lee, J.B., Sub, H.S. and Cheung, S.D. 1986. A study on depression in college Freshmen. The Yeungnam Univ Med J 3(1):151-160 https://doi.org/10.12701/yujm.1986.3.1.151
  21. Ministry of Health and Welfare. 2002. 2001 national health and nutrition survey health behavior
  22. Mossey, J.M. and Shapiro, E. 1982. Self-rated health: a predictor of mortality among the elderly. AJPH 72:800-808 https://doi.org/10.2105/AJPH.72.8.800
  23. Myers, J.K. and Weissman, M.M. 1980. Use of a self- report symptom scale to detect depression in community sample. Am J Psychiatry 137:1081-1084 https://doi.org/10.1176/ajp.137.9.1081
  24. Park, K.C., Han, J.O. and Yoo, K.J. 1985. Suicides in whoeng-sung county, a Korean rural area. J Korean Neuropsychiatr Assoc 24:285-293
  25. Randolf, L.S. 1977. The CES-D scale: A self-report depression scale for research in the general population. J Appl Psychol Meas 1:385-401 https://doi.org/10.1177/014662167700100306
  26. Reiger, D.A., Boyd, J.H., Rae, D.S., Burke, J.D., Locke, B.I., Myers, J.K. and Kramer, M, et al. 1988. One month prevalence ofmental disorders in the US based on the five Epidemiologic Catchment Area sites. Arch Gen Psychiatry 45:977-986 https://doi.org/10.1001/archpsyc.1988.01800350011002
  27. Rhee, M.K. and 8 persons. 1995. A standardization study of Beck Depression Inventory I - Korean Version (K-BDI): Reliability and factor analysis. Kor J Psychopathol 4(1):77-95
  28. Rhee, M.K. and 6 persons. 1995. A standardization study of Beck Depression Inventory II -Korean Version(K-BDI): Validity. Kor J Psychopathol 4(1): 96-104
  29. Sadok, B.J. and Sadock, V.A. 2000. Suicide, in comprehensive Textbook of Psychiatry, 7th Ed. ed. by Sadok BJ and Sadock VA; Baltimore, Williams and Wilkins Co. 2031-2040
  30. Secord, T.E. and Jourard, S.M. 1953. The appraisal of body cathexis: Bodycathexis and The Self. J Couns Psychol. 17:343-347 https://doi.org/10.1037/h0060689
  31. Sung, S.K., Shin, D.H., Song, J.H. and Lee, K.H. 1999. Clinical characteristics of female alcoholic inpatients in a mental hospital. J Korean Neuropsychiatr Assoc 38:1262-1272
  32. Thomson, J.K. 1990. Body image disturbance: Assessment and treatment. New York: Pergamon Press
  33. Weissman, M.M. and Klerman, G.L. 1977. Sex differences in the epidemiology of depression. Arch Gen Psychiatry 34:98-111 https://doi.org/10.1001/archpsyc.1977.01770130100011
  34. Weissman, M.M. and Klerman, G.L. 1985. Gender and depression. Trend Neurosci 8:815-819
  35. Weissman, M.M. and Myers, J.K. 1978. Affective disorder in a US urban community. Arch Gen Psychiatry 35:1304-1311 https://doi.org/10.1001/archpsyc.1978.01770350030002
  36. Weissman, M.M., Myers, J.K. and Thompson, W.D. 1981. Depression and its treatment in a US urban community. Arch Gen Psychiatry 38:417-421 https://doi.org/10.1001/archpsyc.1981.01780290051005
  37. Zung, W.W.K. 1965. A self-rating depression scale. Arch Gen Psychiatry 13:62-70 https://doi.org/10.1001/archpsyc.1965.01730010064008