Website and Mobile Application-Based Interventions for Adolescents and Young Adults with Depression: A Systematic Review and Meta-Analysis / 정신간호학회지

Purpose@#This systematic review and meta-analysis aimed to examine previous research on website and mobile application-based interventions for adolescents and young adults with depression and to evaluate their effectiveness on depressive symptoms. @*Methods@#PubMed, EMBASE, and Cochrane Library CENTRAL databases were searched and 22 articles were identified from 16 randomized controlled trial studies. @*Results@#The most frequently used intervention strategy was Internet-based cognitive behavioral therapy (ICBT). Most studies (n = 14) used websites. Two studies used mobile applications. Meta-analysis revealed a significant effect of overall website and mobile application-based interventions on depression at posttest. Subgroup meta-analyses showed that ICBT and website-based interventions had significant effects on depression at posttest. However, there was no significant effect at follow-up assessments. @*Conclusion@#Website and mobile application-based interventions, specifically ICBT, are recommended for adolescents and young adults with depression. Further randomized controlled trials conducting follow-up assessments are required to confirm their long-term effects.

Efficient Suicide Prevention Intervention: Meta-Analysis / 정신간호학회지

PURPOSE: The purpose of this study was to evaluate the suicide ideation effects of suicide prevention program. METHODS: Using several databases, studies were collected from March, 2012 to August, 2012. For the purpose of a systematic literature review, in this study analysis was done of pretested-posttested research among non-randomized studies utilizing suicide prevention program, and having set the intervention as the independent variable suicidal idea as a dependent variable. RESULTS: The result of interventions on suicide prevention showed a moderate effect at -0.72 (96% CI: -0.96, 0.48). For intervention types, reality therapy was most effective overall, while the life cycle was found to be most effective for young people (d=-1.57, 95% CI: -2.70, -0.43). The periods for the intervention on suicide prevention was shown to be most effective when it was repeated over 20 times (d=-1.55, 95% CI:-2.75, -0.35), and also it worked better for the risk group than a general group (d=-0.89, 95% CI: -1.26, 0.52). CONCLUSION: The findings of this study support basic data for interventions to prevent future suicide and the need for further development of prevention programs.

Effects of a Self-discovery Program for Ego resilience, Self-esteem, Stress and Depression in Elementary School Students / 정신간호학회지

PURPOSE: This study was done to identify the effects of a Self-discovery Program for elementary school students. The study consisted of two phases: Developing the program and evaluating its effectiveness. METHODS: Forty six students who were in elementary school in B city participated in a survey, which was carried out from May 25 to July 15, 2010. To test the effects of the Self-discovery Program, the participants were divided into two groups, an experimental group (n=23) and a control group (n=23). The research design used in this study was a non-equivalent control group pretest-posttest research design. Data were analyzed by using chi2-test, t-test and ANCOVA with the SPSS/WIN 14.0 program. RESULTS: Significant differences were found in scores for self-esteem (t=2.60, p=.006), stress (F=18.65, p<.001) and depression (F=23.88, p<.001) between the experimental group and the control group. CONCLUSION: The results indicate that Self-discovery Program should be used with children to help them and to improve their mental health.

Factors Influencing Depression in Patients with Chronic Renal Failure / 정신간호학회지

PURPOSE: Objectives of this study were to identify factors influencing depression in patients with chronic renal failure according to patient characteristics and to provide basic data to develop nursing interventions for depression in these patients. METHODS: This descriptive correlative study was conducted using structured questionnaires with 114 patients diagnosed with chronic renal failure. Data were analyzed using t-tests, ANOVA, Pearson's correlation and multiple regression analysis with SPSS/WIN 18.0. RESULTS: 1) Level of depression was different according to the history of smoking (p<.001), past health history (p=.001), only drugs as therapy, peritoneal dialysis, hemodialysis (p=.028), and perceived health status (p<.001); 2) Significant correlations were found between depression, stress, value of life and social support; 3) multiple regression analysis showed that stress (beta=.24, t=3.41, p=.001), value of life (beta=-.46, t=-6.37, p<.001) and social support (beta=-.19, t=-2.79, p=.006) in that order contributed to depression and explained 56.4% of variance in depression. CONCLUSION: Findings from this study indicate that health professionals should provide proper management for depression for patients with chronic renal failure, as well as factors influencing depression, including stress, value of life and social support. There is also a need to implement stress management and self-help group programs for these patients.

Depression and the Influencing Factors in Korean American Immigrants / 정신간호학회지

PURPOSE: The objective of this study was to investigate the degree of depression in Korean American immigrants according to their characteristics. METHODS: This descriptive correlation study conducted visit-surveys with organized questionnaires and sampled 330 Korean American immigrants living in Houston, Seattle and New York areas. SCL-90 was used to measure the degree of depression. Data was analyzed by t-tests, ANOVA, Pearson's correlation coefficients and multiple regression analysis using SPSS/WIN 14.0. RESULTS: Findings revealed that; 1) the degree of depression in Korean American immigrants according to their characteristics were significantly different in age, occupation, immigration life satisfaction, and health status; 2) Pearson's correlation revealed a significant association among depression, immigrant life stress, self esteem, and quality of life; 3) multi regression analysis showed immigrant life stress, self esteem, and quality of life significantly influenced depression in Korean American immigrants. CONCLUSION: Based on the findings of this study, health professionals should provide proper management of depression as well as its influencing factors, namely, immigrant life stress, self esteem, and quality of life especially for new immigrant populations.

Depression and the Influencing Factors in Korean American Immigrants / 정신간호학회지

PURPOSE: The objective of this study was to investigate the degree of depression in Korean American immigrants according to their characteristics. METHODS: This descriptive correlation study conducted visit-surveys with organized questionnaires and sampled 330 Korean American immigrants living in Houston, Seattle and New York areas. SCL-90 was used to measure the degree of depression. Data was analyzed by t-tests, ANOVA, Pearson's correlation coefficients and multiple regression analysis using SPSS/WIN 14.0. RESULTS: Findings revealed that; 1) the degree of depression in Korean American immigrants according to their characteristics were significantly different in age, occupation, immigration life satisfaction, and health status; 2) Pearson's correlation revealed a significant association among depression, immigrant life stress, self esteem, and quality of life; 3) multi regression analysis showed immigrant life stress, self esteem, and quality of life significantly influenced depression in Korean American immigrants. CONCLUSION: Based on the findings of this study, health professionals should provide proper management of depression as well as its influencing factors, namely, immigrant life stress, self esteem, and quality of life especially for new immigrant populations.

Metastasectomy for Hepatic Metastases from Adenoid Cystic Carcinoma of the Trachea

The role of metastasectomy for recurrent disease in patients with adenoid cystic carcinoma (ACC) is not defined clearly yet. A 52-year-old woman found two hepatic metastatic nodules 3 years after the completion of treatment for primary ACC of the trachea. After confirming the absence of other lesions, metastasectomy was performed on the two metastatic nodules. Regular follow-up for more than 24 months showed no evidence of recurrent disease after the hepatic metastasectomy. Therefore, we suggest metastasectomy as an option for certain cases of metastatic ACC.