Gender Differences in the Association between Eating Behavior and Depression of Adolescents: Evidence from a National Korean Cross-sectional Survey

현혜순 한국지역사회간호학회 2016 지역사회간호학회지 Vol.27 No.2

Purpose: The purpose of this study was to determine the relationship between unhealthy eating behavior and depression in adolescents, with confounding variables adjusted. Methods: This study is a secondary analysis of the data collected from the 2013 Korean Youth Risk Behavior Web-based Survey (KYRBWS). The analysis included 72,435 participants (36,655 male and 35,780 female). The data were analyzed by x2 test, t-test, and logistic regression analysis using SPSS Version 21 by complex samples analysis. Results: Compared with male adolescents with healthy eating behavior, those who with unhealthy eating behavior were more likely to suffer depression with other factors controlled (OR=1.37, 1.07~1.75). On the other hand, female adolescents with unhealthy eating behavior were less likely to feel depressed compared with female adolescents with unhealthy eating behavior and with other factors controlled (OR=0.98, 0.64~1.50). However, it was not statistically significant. Conclusion: Our findings suggest that healthy eating behavior may be a protective factor against depression in male adolescents, but not in female adolescents. Furthermore, our results suggest that the longitudinal associations between mental health and healthy eating behavior and other lifestyle factors are complex.

우리나라 지역사회 재가노인의 체질량지수 관련 요인: 전기 및 후기 노인 비교

현혜순,이인숙 한국지역사회간호학회 2013 지역사회간호학회지 Vol.24 No.1

Purpose: The purpose of the study is to identify differences in BMI between early and late elderly people, and factors having influence of them. Methods: This study is an analysis of secondary data that used the raw materials from the KNHANES from 2008 to 2010. The subjects involved in the final analysis were 4,772 elders aged 65 or higher. Descriptive statistics, x2-test and F-test, and CSGLM from the complex sample design were used for the data analysis with SPSS/WIN 19.0. Results: Significant differences were observed in the socio-demographic characteristics, health behaviors and diet habits between early and late elderly people. Adjusted for gender, location of residence, and living alone, the factors that affected BMI of the early elderly people included current smoking status, number of disease, difficulty in chewing, and number of meals per day while those that affected BMI of the late elderly people were current smoking status, number of disease, self-rated health, and difficulty in chewing. Conclusion: The study concludes that we should consider age-specific traits for monitoring the weight status of the elderly and providing appropriate weight management programs for the elderly.

간호대학생의 교수-학생 상호작용과 취업불안의 관계에서 전문직 자아개념의 매개효과

현혜순,김윤영,장은수 보건의료산업학회 2018 보건의료산업학회지 Vol.12 No.1

Objectives : The purpose of this study was to examine the mediating effect of professional self-concept on the relationship between professor-student interaction and job-seeking anxiety among nursing students. Methods : A cross-sectional survey was conducted using a convenient sampling method with data collected from a sample of 294 nursing students. The structured questionnaire included items to assess job-seeking anxiety, professional self-concept, and professor-student interaction among nursing students. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and multiple regression using the SPSS 24.0 program. Mediation analysis was performed according to the Sobel test. Results : Analysis of the mediating effect of professional self-concept showed a significant mediating influence of professional self-concept on the relationship between professor-student interaction and job-seeking anxiety. Conclusion : The findings suggest that professional self-concept may play a role in increasing the effect of professor-student interaction on job-seeking anxiety. Therefore, this study underscores the need to consider ways of enhancing professional self-concept during interventions for nursing students.

한국 임금근로자의 근무환경과 업무상 손상과의 관계

현혜순 한국디지털정책학회 2018 디지털융복합연구 Vol.16 No.12

This study was conducted to investigate the relation between working conditions and occupational injuries among Korean employees. This study was based on the 4th Korean Working Conditions Survey(KWCS) and a total of 36,292 data were analyzed. Multivariate logistic regression was used to investigate the relation of working conditions and occupational injuries after controlling for individual variables. After control of personal factors, perception of the threat to health or safety(OR=3.77, 95% CI=2.934-4.844), 49-59 working hours(OR=1.63, 95% CI=1.023-2.601), 60 hours or more per week(OR=2.66, 95% CI=1.683-4.197), and manual occupation type(OR=1.76, 95% CI=1.218-2.536) were associated with occupational injuries. Our results indicate that working conditions influence occupational injuries, and the focus should be on prevention and management strategies for occupational injuries to vulnerable workers. 본 연구는 한국 임금근로자의 근무환경과 업무상 손상과의 관계를 확인하고자 시도되었다. 연구 자료는 4차 근로환경조사(2014) 자료를 이용하여 임금근로자 총 36,292명을 대상으로 분석하였다. 임금근로자의 개인적 요인을 통제한 후, 업무상 손상에 영향을 미치는 요인을 파악하기 위해 다변량 로지스틱 회귀분석을 수행하였다. 개인적 요인을 보정한 상태에서 건강이나 안전에의 위협정도(OR=3.77, 95% CI=2.934-4.844), 주당 49-59시간(OR=1.63, 95% CI=1.023-2.601) 혹은 60시간 이상(OR=2.66, 95% CI=1.683-4.197)의 근무시간, 육체노동직군의 직업분류(OR=1.76, 95% CI=1.218-2.536)가 업무상 손상에 영향을 미치는 요인으로 나타났다. 그러므로 업무상 손상 위험에 취약한 근로자 집단을 위한 업무상 손상 예방 및 관리 전략에 초점을 맞춘 정책적, 사회적 지원 노력이 요구된다.

성폭력 피해자의 후유증에 관한 연구 : 친족성폭력 피해자를 중심으로

현혜순 서울여자대학교 학생생활연구소 2000 학생생활연구 Vol.13 No.-

[초록없음]

일 지역 여성노인의 우울과 자아통합감과의 관계에서 회복탄력성의 매개효과

현혜순,김윤영 보건의료산업학회 2021 보건의료산업학회지 Vol.15 No.2

Objectives: The purpose of this study was to examine the mediating effect of Resilience on the Relationship between Depression and Ego-Integrity in Community-Dwelling Elderly Women. Methods: A cross-sectional survey was conducted using a convenient sampling method with data collected from a sample of 144 elderly women. The structured questionnaire included items to assess depression, ego-integrity, and resilience among elderly women. The data were analyzed with descriptive statistics, t-test, ANOVA, Pearson’s correlation coefficient, and hierarchical multiple regression analysis using the SPSS 24.0 program. Mediation analysis was performed according to the Sobel test. Results: The results show that depression had a direct effect on ego-integrity and was also partially mediated by resilience. Conclusions: The findings suggest that resilience may play a role in decreasing the effect of depression on ego-integrity. Therefore, this study underscores the need to consider ways of enhancing resilience during interventions for community-dwelling elderly women.

아내폭력 가해자 집단치료 프로그램 개발 가능성 탐색 : 여성주의 인지행동 접근을 중심으로

현혜순 서울여자대학교 여성연구소 2004 여성연구논총 Vol.19 No.-

This study attempted to explore the possibility of developing a new group treatment program for domestic violence perpetrators by examining the effectiveness of the current group treatment program. This study also examined case studies in order to prevent and deal with domestic violence effectively. The feminist approach was adopted to deal with patriarchical gender roles in Korean society, and the cognitive behavioral approach was utilized to help domestic violence perpetrators change their violent behaviors and coping skills. The feminist perspectives are helpful in providing them with the framework to understand the domestic violence caused by a patriarchical and male-dominant Korean society, the cognitive behavior approach helps the perpetrators gain cognitive insights and coping skills. The comprehensive feminism and cognitive behavioral group treatment (FCBT) program consists of implementing the equality of gender roles, teaching anger management and communication skills. The following procedures were undertaken to develop the current FCBT group treatment program: First, literature reviews on domestic violence and group treatment programs for perpetrators were conducted to suggest a theoretical model for the FCBT group treatment program. Second, a group treatment program based on the FCBT model was formulated with 10 sessions. The nine domestic violence perpetrators who were referred from the Seoul domestic court system participated in the group program approximately three hours and a half a week. Altogether, they spent a total of 35 hours during the ten week span of the program. Both male and female group leaders ran the program. Third, participants' changes in violent behaviors and gender role, reduction of anger level, and effectiveness of coping skills were statistically analysed and case studies were also conducted to find out the process of actual change and explore the possibility of a new group treatment program. The examination of group treatment effectiveness was conducted in two ways: 1) The self-report scales were administered before, during and after the group sessions. The pre-post retests for violent behaviors, gender role and attitudes, anger level, and coping skill scales for the participants were done. 2) Sequential analysis on the participants' reports taken verbatim from ten sessions were statistically analysed to find out how much responsibility they accepted for their violent behaviors. The participants' reports were recorded and analysed by the GLM system and one factorial variance analysis. The case study was focused on participants' gender roles and attitudes to develop an FCBT group treatment program for the perpetrators. The following results were found: First, the FCBT program was effective in reducing participants' violent behaviors. All the participants demonstrated a significant reduction of domestic violence behaviors. They were able to maintain non-violent behaviors even after the three month follow-up period. Second, all the participants showed meaningful changes in gender roles and attitudes. For example, they became more flexible and open to gender roles and maintained their new cognitive attitudes after three months. The results were very significant from the feminist point which emphasized equal and flexible relationships between men and women. The case study results also showed that participants who maintained male dominant and sexist attitudes in the beginning of the program were converted to more equal and flexible gender roles and attitudes towards the end of the program. Third, the participants were able to control their anger more effectively and use those skills continuously. For example, participants reduced their level of anger significantly later in the program and maintained a lower anger level during the follow-up period. The case study indicated that the participants expressed anger to control and manipulate their wives, consistent with patriarchical value systems. The feminist cognitive approach is important and necessary in correcting this dysfunctional male-dominant value system of the participants. Fourth, although participants did not improve their coping skills statistically, they were observed using coping skills such as anger control, time-out and communication skills after the termination of the program. This result suggests that a more comprehensive FCBT coping skills program should be provided in the early part of the program. Fifth, the participants showed a tendency to accept their responsibility for using violence in general. Initially, they did not accept responsibility and blamed their spouses for triggering their violent behaviors, but they later began to have insight about their role of responsibility. In doing so, they also attempted to control their anger more effectively by using skills learned from the program. Later, they showed a high level of responsibility for their violent behaviors by having a clear understanding of the whole picture of domestic violence and coping with it more effectively. The results demonstrated that FCBT approach is effective and appropriate in reducing the domestic violence in Korean society. The study showed high possibility of development of FCBT domestic violence program for the Korean perpetrators. In summary, FCBT program for domestic violence perpetrators was proven to be effective, and the model is appropriate for domestic violence.

베트남 참전군인의 외상 후 스트레스와 사회적 지지가 우울에 미치는 영향

현혜순,김태열,김윤영 보건의료산업학회 2018 보건의료산업학회지 Vol.12 No.1

Objectives : The purpose of this study was to identify the post-traumatic stress, social support, and depression of Vietnam veterans and the effects of post-traumatic stress and social support on depression. Methods : This study was carried out from June 2017 to September 2017 with the cooperation of the Korean Society of Veterans' Affairs and 250 Vietnamese veterans from D city were randomly sampled and collected. The collected data were used by SPSS 24.0 Statistics Program. Results : Social support was inversely correlated with post-traumatic stress (r=-.268, p<.001) and depression (r=-.333, p<.001), and post-traumatic stress and depression (r=.592, p<.001) were positively correlated. Post-traumatic stress and social support of veterans had a significant effect on depression, and post-traumatic stress and social support showed an explanatory power of 37.7% in depression. Conclusions : It is necessary to improve soldiers’ mental health by mediating their post-traumatic stress and reducing their depression level by establishing a social support system.

노인의 불안이 우울에 미치는 영향에서 자아통제감의 매개효과

현혜순,김윤영 (사)위기관리이론과실천 2023 Crisisonomy Vol.19 No.11

This study identified the mediating effect of a sense of control on the relationship between geriatric anxiety and depression among community-dwelling elderly using a cross-sectional survey with a convenient sampling method. The structured questionnaire included items from the geriatric anxiety, depression, and sense of control. To analyze the mediating effect of a sense of control in the relationship between geriatirc anxiety and depression, hierarchical multiple regression analysis was performed. Analysis of the effect of a sense of control showed that there was a significant mediating effect of a sense of control on the relationship between geriatric anxiety and depression. The findings suggest that a sense of control may play a role in reducing the impact of geriatric anxiety on older adults' on depression and underscore the need to consider ways of enhancing the sense of control in depression-related interventions for community-dwelling elderly.

성인의 신체활동 실천에 영향을 미치는 지역사회환경의 주관적 인식 평가도구에 대한 체계적 고찰

현혜순,방활란,김봉정 한국웰니스학회 2018 한국웰니스학회지 Vol.13 No.1

The purpose of this study was to identify measuring elements and evaluate the quality of measurement properties of tools to assess the perceived social and physical environment for physical activity of adults. Fourteen relevant studies were found through a systematic literature review. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) checklist was used to assess the methodological quality of studies on measurement properties. Physical domains of self-reported measurement of environmental factors included infrastructure/facilities, accessability to facilities, traffic safety, and aesthetic qualities. Social domains of self-reported measurement of environmental factors included crime safety and physical activity of neighbors. In general, the methodological quality of measures was rated 'good'. Compared with the physical environment factors affecting physical activity, the measurement of social environmental factors was very insufficient. In conclusion, to develop Korean tool with excellent methodological quality, it is necessary to consider not only the physical environmental factors, but also social environmental factors affecting physical activity of adults. 본 연구의 목적은 성인의 신체활동 실천과 관련된 지역사회환경에 대한 주관적 인식 평가 도구를 고찰하여 평가 요소를 확인하고, 질적 평가를 수행하는 것이다. 체계적 문헌고찰 절차에 근거하여 신체활동에 영향을 미치는 지역사회환경에 대해 주관적 인식을 평가한 총 14개의 도구를 분석하였고, 선정 논문의 방법론적 질 평가는 COSMIN (COnsensus-based Standards for the selection of health Measurement INstruments) checklist를 적용하였다. 환경 평가 요소로 물리적 환경은 인프라/시설, 인프라/시설의 접근성, 교통안전, 심미적 요소 등을, 사회적 환경은 범죄 안전, 지역주민의 신체적 활동성 등을 포함하고 있었다. 선정 논문의 방법론적 질 평가 결과는 대체로 ‘좋음(good)’으로 평가되었으며, 신체활동 실천과 관련된 지역사회환경 측정을 위한 도구는 물리적 환경 요소에 대한 평가에 비해 사회적 환경 요소에 대한 평가가 미흡하였다. 결론적으로 한국형 환경 평가도구 개발을 위해 물리적 환경 요소뿐만 아니라 다양한 사회적 환경 요소를 포함하고, 방법론적 질적 수준이 우수한 도구의 개발이 요구된다.