The Relationship between Sense of Loss and Suicidal Ideation among Rural Elders use Primary Health Care Post's Services : Mediating Effect of Depression / 農村醫學 地域保健

Purpose@#The purpose of this study was to examine the mediating effects of depression on relationship between sense of loss and suicidal ideation among Rural Elders use Primary Health Care Post's Services. @*Methods@#This study was conducted using a descriptive survey design. Participants were 345 rural elders use Primary Health Care Post's Services in Jeollanam-do. Data were collected from August 1 to 31, 2017 using self-report questionnaires. Data were analyzed using descriptive statistics, Pearson's correlation coefficient, hierarchical regression and Sobel test with SPSS 21.0. @*Results@#There were significant positive correlations between sense of loss, depression and suicidal ideation. It was found that physical loss is very high and significantly different only subjective health status on suicidal ideation. Also, Depression partially mediated the relationship between sense of loss and suicidal ideation of Rural Elders. Addtionally, The results show that depression plays a key role in suicidal ideation of Rural Elders. @*Conclusions@#Based on the present findings, nursing interventions should be developed to decrease depression, with additional consideration towards sense of loss, specially physical loss, in order to prevent suicidal ideation among Rural Elders use Primary Health Care Post's Services.

Impact of Parents' Problem Drinking on Suicidal Ideation of Their University Student Children: The Multiple Mediating Effects of Childhood Trauma, Experiential Avoidance and Depression

PURPOSE: The purpose of this study was to construct and test a hypothetical model about impact of parents' problem drinking on suicidal ideation of their children who are university students and the multiple mediating effects of childhood trauma, experiential avoidance, and depression based on stress-vulnerability model. METHODS: A purposive sample of 400 university students was recruited from three universities in provincial areas and the data were collected between October and November 2016. The collected data were then analyzed using SPSS 20.0 and AMOS 20.0 programs. For data analysis, descriptive statistics, factor analysis, and structural equation modeling were performed. Multiple mediating effects analysis using phantom variable and bootstrapping were implemented to verify the mediating effect of the research model. RESULTS: We found no significant direct effect on depression and suicidal ideation of parents' problem drinking, but multiple mediating effects of childhood trauma and experiential avoidance between parents' problem drinking and depression (B=.38, p=.001). The path from parents' problem drinking to suicidal ideation was significantly mediated by childhood trauma and depression (B=.02, p=.016) and by childhood trauma, experiential avoidance, and depression (B=.05, p=.011), but experiential avoidance did not have a significant direct effect on suicidal ideation (B=.02, p=.616). CONCLUSION: Based on the results of this study, it can be suggested that in order to decrease depression and prevent suicide of university students, considering of parents' problem drinking and childhood trauma, intervention methods that decreased chronic use of experiential avoidance and strengthen acceptance should be developed and made available to them.

Impact of Childhood Trauma and Parents' Problem Drinking on Problem Drinking of their University Student Children: Mediating Effects of Experiential Avoidance / 정신간호학회지

PURPOSE: The purpose of this study was to examine the mediating effects of experiential avoidance on the impact of childhood trauma and parent problem drinking on problem drinking of the university student children of theses parents. METHODS: This study was conducted using a descriptive survey design. Participants were 250 university students from four universities in Gwangju city, Jeollanam-do, Jeollabuk-do, and Gyongsangnam-do. Data were collected from March 2 to March 31 2015 using self-report questionnaires. Data were analyzed using SPSS 19.0. RESULTS: There were significant positive correlations between childhood trauma, parent problem drinking, experiential avoidance and university students' problem drinking. It was found that experiential avoidance partially mediated the relationship between parent problem drinking and university students' problem drinking. Also, it was found that experiential avoidance fully mediated the relationship between childhood trauma and university students' problem drinking. CONCLUSION: Based on the present findings, nursing interventions should be developed to decrease experiential avoidance, with additional consideration of childhood trauma and parent problem drinking, in order to prevent problem drinking among university students.

Impact of Parents' Problematic Drinking on the Problematic Drinking of Their Collegiate Children: Mediating Effects of Alcohol Outcome Expectancy and Depression / 한국간호교육학회지

PURPOSE: The purpose of this study was to examine the mediating effects of alcohol outcome expectancy and depression on the relation between parents' problematic drinking and their collegiate children's problematic drinking. METHODS: This study was conducted using a descriptive survey design. Subjects were 342 university students from three universities in Gwangju city and Jeollanamdo. Data were collected from November to December 2013 using self-report questionnaires. Data were analyzed using SPSS 19.0. RESULTS: Of the participants, 31.0% were in the adult children of alcoholics (ACOA) group. The ACOA group scored significantly higher on problem drinking, alcohol outcome expectancy, and depression measures than did the non-ACOA group. There were significant positive correlations between parent problematic drinking and university students' alcohol outcome expectancy, depression and, problematic drinking. It was also found that alcohol outcome expectancy partially mediated the relationship between parent problematic drinking and their children's problematic drinking. This was not found for depression. CONCLUSIONS: Based on the present findings, nursing interventions should be developed to decrease alcohol outcome expectancy, with additional consideration regarding depression, in order to prevent problematic drinking among ACOA.

Effects of Women Focused Relapse Prevention Program on Abstinence Self-efficacy and Depression in Alcoholic Women / 정신간호학회지

PURPOSE: This study was done to assess effects of women focused relapse prevention program on abstinence self-efficacy and depression in alcoholic women. METHODS: This study was a non-equivalent control group non-synchronized design with two groups, an experimental group (13 patients) and a control group (16 patients). The instruments were the Situational Confidence Questionnaire (SCQ-39) and the Beck depression Inventory (BDI). Data collection was done between July and December, 2008, during which a pre-test, the total of 8 group sessions for four weeks, and a post-test were given to alcoholic women who were admitted to K hospital in U city and D hospital in G city. The collected data were analyzed using descriptive statistics, Fisher's exact test, Mann-Whitney U test and ANCOVA with SPSS/WIN program. RESULTS: The scores for abstinence self-efficacy were significantly higher and for depression lower, for the experimental group after the women focused relapse prevention program. CONCLUSION: This study shows that the women focused relapse prevention program can be applied as an effective nursing intervention by clinical nurses.