Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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A Systematic Review of Non-pharmacological Intervention for Depression in Korean Middle-aged Women

한국 중년여성의 비약물적 우울중재연구: 체계적 문헌고찰

  • Received : 2015.12.07
  • Accepted : 2016.03.03
  • Published : 2016.03.31
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Abstract

The purpose of this study was to review the literature and examine the effects on non-pharmacological depression intervention for middle-aged women in Korea. This systematic review analyzed the literature from 2006 to September, 2015. The existing literature was searched in the electronic databases in RISS, KISS and DBPia using the following key words: middle-aged women and depression, menopause and depression, climacterium and depression. Two hundred eighty studies were found through the database. According to PICOTS-SD, twelve studies were included for analysis. Among the twelve studies, four studies were conducted in the nursing field. Six studies were randomized controlled trials. Aerobic exercise, laughter therapy, meditation, aroma massage, counseling and art therapy were performed as non-pharmacological interventions for depression in Korean middle-aged women. The length of each session ranged from 20 to 120 minutes. The intervention period varied from 2 to 24 weeks, and the total number of the interventions ranged from 8 to 72 times. They influenced not only depression, but also physical aspects that are associated with obesity and psychosocial variables, such as anxiety, quality of life, life satisfaction, etc.

본 연구는 중년여성을 대상으로 한 비약물적 우울중재연구를 고찰하고 그 효과를 탐색하기 위해 수행되었다. 체계적 문헌고찰은 국내 데이터베이스인 RISS, KISS, DBPia의 온라인 검색을 통해 2006년부터 2015년 9월까지 국내 학술지에 게재된 연구 논문을 대상으로 하였으며. 자료 검색어는 중년여성과 우울, 폐경기와 우울, 갱년기와 우울로 하였다. 그 결과, 280편이 검색되었고, PICOTS-SD에 따라 최종 12편이 분석에 이용되었다. 그 중 4편은 간호학 분야 연구였고, 6편은 무작위 배정이 이루어진 무작위 대조군 실험연구였다. 비약물적 우울중재는 에어로빅 등 신체적 활동을 포함하는 형태가 4편으로 가장 많았고, 웃음요법과 단전 등 명상 각각 3편, 아로마 마사지와 상담 각각 2편, 미술요법이 1편으로 나타났고, 복합중재가 적용된 논문은 3편이었다. 중재 프로그램의 1회 적용 시간은 20분에서 120분, 중재 적용 기간은 2주에서 24주, 총 중재 회기는 8회에서 72회로 나타났고, 이들 프로그램은 우울뿐만 아니라 비만과 관련된 신체적 측면과 불안, 삶의 질, 삶의 만족도 등 사회 심리적 변수에 유의한 영향을 주는 것으로 나타났다.

Keywords

References

  1. H. K. Kim, “Comparison of Physical, Psychological and Cognitive Factors, and Depression between Middle-aged Women and Middle-aged Men,” Journal of Korean Academy of Adult Nursing, Vol. 18, No. 3, pp. 446-456, 2006.
  2. C. H. Chou, H. C. Ko, J. Y. Wu, F. M. Chang, Y. Y. Tung, "The Effect of the Previous Diagnoses of Depression, Menopause Status, Vasomotor Symptoms and Neuroticism on Depressive Symptoms among Climacteric Women: A 30-Month Follow-Up," Taiwanese Journal of Obstetrics & Gynecology, Vol. 54, No. 4. pp. 385-389. 2015. DOI: http://dx.doi.org/10.1016/j.tjog.2015.03.004
  3. Ministry of Health and Welfare․Korean Centers for Disease Control and Prevention. Korean Health Statistics 2013, Korea National Health and Nutrition Examination Survey [KNHANES VI-1][Internet]. Ministry of Health and Welfare, 2014 [cited Dec 7, 2015] Available From: https://knhanes.cdc.go.kr/knhanes/index.do
  4. Healthcare Bigdata Hub [Internet]. Statistics of National Concerning Disease. Seoul: Health Insurance Review & Assessment Service, 2015 [cited Dec 7, 2015] Available From:http://opendata.hira.or.kr/
  5. J. S. Kim, S. Kang, “A Study on Body Image, Sexual Quality of Life, Depression, and Quality of Life in Middle-Aged Adults,” Asian Nursing Research, Vol. 9, No. 2, pp. 96-103, 2015. DOI: http://dx.doi.org/10.1016/j.anr.2014.12.001
  6. B. S. Park, “The Path Analysis for Mutual Relationship of Stress and Depression that Affect the Suicidality: Comparison of Sex and Age Group,” Health and Social Welfare Review, Vol. 32, No. 3, pp. 485-521, 2012. DOI: http://dx.doi.org/10.15709/hswr.2012.32.3.485
  7. E. Y. Kim, S. H. Kim, K. Ha, H. J. Lee, D. H. Yoon, Y. M. Ahn, "Depression Trajectories and the Association with Metabolic Adversities among The Middle-Aged Adults," Journal of Affective Disorders, Vol. 188, pp. 14-21, 2015. https://doi.org/10.1016/j.jad.2015.08.024
  8. R. Slopien, A. Slopien, A. Warenik-Szymankiewicz, S. Sajdak, "Depressive Symptoms and Hormonal Profile in Climacteric Women," Clinical and Experimental Obstetrics & Gynecology. Vol. 42, No. 3. pp. 285-291, 2015.
  9. J. T. Bromberger, L. L. Schott, H. M. Kravitz, M,. Sowers, N. E. Avis, E. B. Gold, J. F. Jr Randolph, K. A. Matthews, “Longitudinal Change in Reproductive Hormones and Depressive Symptoms across the Menopausal Transition: Results from the Study of Women's Health Across the Nation (SWAN),” Archives of General Psychiatry, Vol. 67, No. 6, pp. 598-607, 2010. DOI: http://dx.doi.org/10.1001/archgenpsychiatry.2010.55
  10. J. T. Bromberger, K. A. Matthews, L. L. Schott, S. Brockwell, N. E. Avis, H. M. Kravitz, S. A. Everson-Rose, E. B. Gold, M. Sowers, J. F. Jr. Randolph, "Depressive Symptoms during the Menopausal Transition: the Study of Women's Health Across the Nation (SWAN)." Journal of Affective Disorders, Vol. 103, No. 1, pp. 267-272. 2007. DOI: http://dx.doi.org/10.1016/j.jad.2007.01.034
  11. G. J. Park, K. H. Lee, “A Structural Model for Depression in Middle-Aged Women,” Korean Journal of Women Health Nursing, Vol. 8, No. 1, pp. 69-84, 2002.
  12. S. J. Kim, S. Y. Kim, “A Study on the Relationship of Marital Intimacy, Depression, and Menopausal Symptoms in Middle-Aged Women,” Korean Journal of Women Health Nursing, Vol. 19, No. 3, pp. 176-187, 2013. DOI: http://dx.doi.org/10.4069/kjwhn.2013.19.3.176
  13. B. Arroll, C. R. Elley, T. Fishman, F. A. Goodyear-Smith, T. Kenealy, G. Blashki, N. Kerse, S. Macgillivray, "Antidepressants versus Placebo for Depression in Primary Care," The Cochrane Database of Systematic Reviews, Vol. 8, No. 3, CD007954. 2009. DOI: http://dx.doi.org/10.1002/14651858.cd007954
  14. K. H. Sung, "Self-perceived Stigma, Self-efficacy, and Quality of Life in Psychiatric Outpatients," Journal of Korean Clinical Nursing Research, Vol. 15, No. 2. pp. 127-138, 2009.
  15. J. E. Zweifel, W. H. O'Brien, “A Meta-analysis of the Effect of Hormone Replacement Therapy upon Depressed Mood,” Psychoneuroendocrinology, Vol. 22, No. 3, pp. 189-212, 1997. DOI: http://dx.doi.org/10.1016/S0306-4530(96)00034-0
  16. I. Bjorn, T. Backstrom, “Drug Related Negative Side-effects Is a Common Reason for Poor Compliance in Hormone Replacement Therapy,” Maturitas, Vol. 32, No. 2, pp. 77-86, 1999. DOI: http://dx.doi.org/10.1016/S0378-5122(99)00018-3
  17. J. S. Kim, "Influence of Ganggangsullae Dance Program Applying the Laughter Therapy on Climacteric Symptoms and Depression in Middle Aged Women," Journal of Korean Dance, Vol. 5, pp. 143-170, 2007.
  18. S. H. So, H. J. Kim, H. Y. Ha, N. S. Kim, “The Effect of Dance Movement Therapy on Anxiety, Depression, and the Quality of Life in Climacteric Women,” The Journal of Oriental Gynecology, Vol. 25, No. 2, pp. 154-173, 2012.
  19. S. H. Na, “The Effects of Pilates on Bone Mineral Density, Abdominal Fat, Depression in Postmenopausal Middle-Aged Women,” The Korean Journal of Sports Science, Vol. 23, No. 4, pp. 969-978, 2014.
  20. S. K. Park, E. H. Kim, Y. C. Kwon, “Effect of the Yoga Program on Health Related Fitness, Depression, Stress Related Factors and Immune Cell in Middle-aged Women,” Journal of Sport and Leisure Studies, Vol. 33, No. 2, pp. 999-1010, 2008.
  21. K. W. Kim, "Effects of Dan Jeon Breathing Intervention on Physical Endurance, Cognitive Function, and Depression in Middle-aged Women," Journal of East-West Nursing Research, Vol. 17, No. 1 pp. 24-30, 2011.
  22. S. Y. You, M. Kim, J. H. Kim, “Effects of Mindfulness Meditation on Symptoms of Depression, Anxiety, Stress, and Hwa-Byung among Middle-Aged Women with Hwa-Byung Disorders,” Korean Journal of Health Psychology, Vol. 19, No. 1, pp. 83-94, 2014. https://doi.org/10.17315/kjhp.2014.19.1.005
  23. M. Y. Cha, Y. K. Na, H. S. Hong, “An Effect of Optimism, Self-esteem and Depression on Laughter Therapy of Menopausal Women,” Korean Journal of Women Health Nursing, Vol. 18, No. 4, pp. 248-256, 2012. DOI: http://dx.doi.org/10.4069/kjwhn.2012.18.4.248
  24. M. Y. Cha, H. S. Hong, “Effect and Path Analysis of Laughter Therapy on Serotonin Depression and Quality of Life in Middle-aged Women,” Journal of Korean Academy of Nursing, Vol. 45, No. 2, pp. 221-230, 2015. DOI: http://dx.doi.org/10.4040/jkan.2015.45.2.221
  25. H. J. Kim, S. A. Ahn, “The Effects of the Aroma Massage on Abdominally Obese on Middle-age Women's Physiological Indices, Depression and Concern with Look,” Journal of The Korean Society of Cosmetology, Vol. 15, No. 4, pp. 1261-1270, 2009.
  26. S. H. Park, H. O. Soh, "Effects of Aroma Massage on Depression and Psychological Well-Being in the Menopausal Women," Journal of The Korean Society of Cosmetology, Vol. 16, No. 3, pp. 840-849. 2010.
  27. S. J. Pyun, “A Study on Effect of Group Art Therapy for Life Satisfaction and Elevation of Personal Relations of Middle-aged Women,” Korean Journal of Local Government & Administration Studies, Vol. 24, No. 1, pp. 307-325, 2010. DOI: http://dx.doi.org/10.18398/kjlgas.2010.24.1.307
  28. J. S. Park, H. K. Cho, Y. T. Kim, “Impact of Music Therapy Program on the Self-Esteem and Depression of Middle-Aged Women,” The Korean Journal of Rehabilitation Psychology, Vol. 19, No. 1, pp. 63-83, 2012.
  29. W. J. Byeon, C. K. Kim, "Effects of the Internal Family Systems Therapy Group Counseling Program on Decreasing Depression of Middle-Aged Women," Korea Journal of Counseling, Vol. 8, No. 4, pp. 1391-1409, 2007. DOI: http://dx.doi.org/10.15703/kjc.8.4.200712.1391
  30. I. D. Ko, J. Kim, “A Study on the Effects of the Gestalt Relationship Improvement Program on the Depression of Middle-aged Women,” Korean Journal of Gestalt Therapy, Vol. 1, No. 1, pp. 33-50, 2011.
  31. N. H. Park, C. I. Han, E. O. Choi, “The Effects of a Combined Exercise Program and Telephone Counseling on Physiological Functions, Self-efficacy and Depression Obese Middle-aged Women,” Journal of Korean Academy of Community Health Nursing, Vol. 18, No. 1, pp. 69-78, 2007.
  32. S. Hur, “The Effects of Aerobic Exercise and Meditation Training on Cardiovascular Disease Risk Factors in Middle-aged Women with Type D Personality,” The Korean Journal of Physical Education, Vol. 52, No. 1, pp. 409-419, 2013.
  33. Y. H. Kim, M. S. An, Y. C. Oh, J. A. Oh, Y. E. Lee, J. W. Lee, et al. Human Growth & Development, and Health Promotion. Seoul: Sumoonsa, 2006.
  34. J. Battle, “Relationship between Self-esteem and Depression,” Psychological Reports, Vol. 42, No. 3, pp. 745-746, 1978. DOI: http://dx.doi.org/10.2466/pr0.1978.42.3.745
  35. J. P. T. Higgins, S. Green, Cochrane Handbook for Systematic Reviews of Interventions version 5.1.0 [Internet]. The Cochrane Collaboration. [cited Sep 1, 2015] Available From: http://handbook.cochrane.org/
  36. D. Moher, A. Liberati, J. Tetzlaff, D. G. Altman, “Preferred Reporting Iitems for Systematic Reviews and Meta-analyses: The PRISMA Statement,” Annals of Internal Medicine, Vol. 151, No. 4, pp. 264-269, 2009. DOI: http://dx.doi.org/10.7326/0003-4819-151-4-200908180-00135
  37. K. Slim, E. Nini, D. Forestier, F. Kwiatkowski, Y. Panis, J. Chipponi, "Methodological Index for Nonrandomized Studies (MINORS): Development and Validation of a New Instrument," Australian and New Zealand Journal of Surgery, No. 73, Vol. 9, pp. 712-716, 2003. DOI: http://dx.doi.org/10.1046/j.1445-2197.2003.02748.x
  38. Health Insurance Review & Assessment Service. The Total Cost of Treatment and Medical Personnel Status by Age and Gender (2009-2013years) [Internet]. Health Insurance Review & Assessment Service, 2014 [cited Nov 7, 2015]. Available From: http://www.hira.or.kr
  39. H. S. Park, A. J. Kim, K. E. Bae, “Life Stress, Life Satisfaction, and Adaptation of Middle-aged Women in the Menopause Period,” Korean Parent Child Health, Vol. 13, No. 2, pp. 55-62, 2010.
  40. E. Kim, S. Cheon, S. Kim, “A Meta-analysis of the Group Psychotherapy Effect on Depression,” The Journal of Developmental Disabilities, Vol. 18, No. 1, pp. 1-28, 2014.
  41. S. H. Kim, H. Kim, “The Meta analysis of the Effects of Self-esteem and Depression Programs of the Elderly,” Journal of Social Science, Vol. 40, No. 3, pp. 77-97, 2014.
  42. K. B. H. Baerentsen, B. Stodkilde-Jorgensen, T. Sommerlund, J. Hartmann, M. F. Damsgaard-Madsen, A. C. Green, “An Investigation of Brain Process Supporting Meditation,” Cognitive Processing, Vol. 11, No. 1, pp. 57-84, 2010. DOI: http://dx.doi.org/10.1007/s10339-009-0342-3
  43. H. M. Ryu, K. J. Cheong, “A Meta-analysis on the Intervention Effects of Various Mediation Types, such as Yoga, Buddhism, Mindfulness, and Combined-related Mediation,” Journal of Arts Psychotherapy, Vol. 10, No. 3, pp. 1-17, 2014.
  44. Y. Jeon, N. Woo, "A Meta-Analysis of Obesity Management Effects of Aromatherapy Use," Korean Journal of Aesthetics and Cosmetology. Vol. 12, No. 2, pp. 275-281, 2014.
  45. K. H. Roh, H. Park, “A Meta-Analysis of the Effects of Aromatherapy on Psychological Variables in Nursing,” Journal of Korean Academy Community Health Nursing, Vol. 20, No. 2, pp. 113-122, 2009.
  46. H. Lee, “A Meta-analysis on the Effect of Depression Improvement Programs,” Korean Journal of Social Welfare Studies, Vol. 43, No. 4, pp. 257-281, 2012. DOI: http://dx.doi.org/10.16999/kasws.2012.43.4.257
  47. S. Oestergaard, C. Moldrup. "Improving Outcomes for Patients with Depression by Enhancing Antidepressant Therapy with Non-pharmacological Interventions: A Systematic Review of Reviews," Public Health, Vol. 125, pp. 357-367, 2011. DOI: http://dx.doi.org/10.1016/j.puhe.2011.02.001
  48. A. K. Forsman, I. Schierenbeck, K. Wahlbeck, “Psychosocial Interventions for the Prevention of Depression in Older Adults: Systematic Review and Meta-Analysis,” Journal of Aging and Health, Vol. 23, No. 3, pp. 387-416, 2011. DOI: http://dx.doi.org/10.1177/0898264310378041
  49. E. Atlantis, M. Baker, “Obesity Effects on Depression: Systematic Review of Epidemiological Studies,” International Journal of Obesity, Vol. 32, No. 6, pp. 881-891, 2008. DOI: http://dx.doi.org/10.1038/ijo.2008.54
  50. D. A. Lawlor, S. W. Hopker, “The Effectiveness of Exercise as an Intervention in the Management of Depression: Systematic Review and Meta-regression Analysis of Randomised Controlled Trials,” British Medical Association, Vol. 31, No. 322(7289), pp. 763-767, 2001.
  51. S. J. Jun, H. K. Kim, S. M. Lee, S. A. Kim, “Factors Influencing Middle-aged Women's Depression,” The Journal of Korean Community Nursing, Vol. 15, No. 2, pp. 266-276, 2004.
  52. C. Kim, "A Qualitative Study on Depression Experiences of Middle Aged Depressed Women," Korean Journal of Counseling, Vol. 11, No. 4, pp. 1783-1806, 2010. DOI: http://dx.doi.org/10.15703/kjc.11.4.201012.1783