Research in Community and Public Health Nursing

Original Articles

[English] The Mediating Effect of Depressive Symptoms on the Relationship between Activity Engagement and Cognitive Function among Older Adults: Da Eun Kim, Bokyoung Kim; Res Community Public Health Nurs. 2025;36(3):328-338. Published online September 30, 2025; DOI: https://doi.org/10.12799/rcphn.2025.01179

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Abstract PDF: Purpose
Engaging in activities in later life is beneficial for maintaining cognitive function. This study examined whether depressive symptoms mediate the relationship between activity engagement and cognitive function among older adults. Methods: A secondary data analysis was conducted using the 2022 Health and Retirement Study (HRS), including 2,741 participants aged 65 years and older. Mediation analyses were performed using SPSS PROCESS Macro Model 4 with bootstrapping. Results: A partial mediating effect of depressive symptoms was identified in the relationship between different types of activity engagement (e.g., physical, cognitive, and social activities) and cognitive function. The standardized indirect effects of depressive symptoms were β=.02 (95% boot CI=0.01 to 0.03) for physical activity, β=.01 (95% boot CI=0.01 to 0.02) for cognitive activity, and β=.02 (95% boot CI=0.01 to 0.03) for social activity. Conclusion: These findings suggest that activity engagement may enhance cognitive function by reducing depressive symptoms among older adults. The results highlight the importance of developing and strengthening community-based physical, cognitive, and social activity programs that incorporate depressive symptom management as practical strategies to prevent cognitive decline in older adults.

[English] Factors Influencing Suicidal Ideation among Korean Workers: Myeong Hwa Lee, Eun Suk Choi; Res Community Public Health Nurs. 2025;36(2):179-191. Published online June 27, 2025; DOI: https://doi.org/10.12799/rcphn.2024.00864

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Abstract PDF: Purpose
This study aimed to identify factors influencing suicidal ideation among workers using data from the 2021 Korea National Health and Nutrition Examination Survey (KNHANES VIII-3), providing foundational data for workplace suicide prevention programs.
Methods
This descriptive correlational study analyzed data from 2,287 employed workers using hierarchical logistic regression to examine relationships between general characteristics, health behaviors, physical and mental health, and suicidal ideation.
Results
The prevalence of suicidal ideation among workers was 3.6%. The primary influencing factors were lower educational level (≤ middle school; OR = 3.33), depression (OR = 10.77), generalized anxiety disorder (OR = 4.63), mild anxiety (OR = 2.51), and stress (OR = 1.82). Mental health variables significantly increased explanatory power from 8% to 37%.
Conclusion
These findings highlight the critical role of mental health, particularly depression and anxiety, in predicting suicidal ideation among workers. Workplace mental health management programs should include comprehensive mental health assessments and early intervention strategies addressing not only severe conditions but also mild anxiety symptoms.

[English] Trajectories of Depressive Symptoms among Multicultural Middle and High School Adolescents: A Longitudinal Study Using Latent Class Growth Model: Sujin Lee, Soo Jin Lee, Hyanglan Kim; Res Community Public Health Nurs. 2024;35(4):401-414. Published online December 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00696

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Abstract PDF: Purpose
This study aimed to identify latent classifications based on trajectories of change in depressive symptoms among multicultural adolescents in middle and high school and to identify factors that influence classification.
Methods
This study used six time-point data from the Multicultural Adolescents Panel Study (MAPS) conducted by the National Youth Policy Institute (NYPI). We longitudinally analyzed data from 2014 to 2019, which corresponds to the participants' middle and high school years. Latent Growth Curve Modeling (LGCM) was used to analyze the depressive developmental trajectories of multicultural youth in middle and high school. Latent Class Growth Modeling (LCGM) was used to determine the number and shape of latent classes according to the type of depression among multicultural adolescents. We applied multinomial logistics regression analysis to explore the predictors of each class.
Results
A model with three latent classes was identified: (1) low-decreasing class (intercept=13.34, slope=-0.07, 37.9%), (2) moderate-increasing class (intercept=17.76, slope=0.41, 47.6%), (3) high-increasing class (intercept=23.22, slope=0.44, 14.5%). Multinomial logistic regression showed multicultural adolescents who were male, experienced high acculturative stress and social withdrawal, and had low self-esteem, life satisfaction, and family support tended to belong to either the moderate-increasing or high-increasing class.
Conclusion
These findings suggest that preliminary assessments of gender, acculturation stress, self-esteem, life satisfaction, social withdrawal, and family support among multicultural adolescents may be valuable for developing tailored mental health programs.

[English] The moderated mediating effect of parental smartphone addiction in the relationship between smartphone addiction, sleep duration, and depression among adolescents: Eunha Jeong; Res Community Public Health Nurs. 2024;35(3):216-225. Published online September 30, 2024; DOI: https://doi.org/10.12799/rcphn.2024.00549

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Abstract PDF

Purpose
This study aimed to examine whether sleep duration mediated the relationship between adolescent smartphone addiction and depression. Moreover, we investigated whether the mediating effects of sleep duration were moderated by parental smartphone addiction.
Methods
Wave 4(2021) data collected in 2021 from the Korean Children and Youth Panel Survey (KCYPS) 2018 was used. The data collected from 4,392 matched pairs of parents and their children was analyzed, using the SPSS PROCESS macro.
Results
Sleep duration partially mediated the relationship between adolescent smartphone addiction and depression. Also, parental smartphone addiction moderated the indirect effect of this mediation model.
Conclusion
This suggests that it is necessary to include content on the use of smartphones by adolescents as well as their parents when designing education and intervention programs to prevent depression in adolescents.

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Parenting styles and suicidal probability of adolescents: the moderating role of social anxiety and smartphone addiction
Hassan Mohammed Sonbol, Alaa Salah Abd El Mawgoud, Mayar AlaaEldeen Aly, Eman Sameh AbdElhay
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery.2025;[Epub] CrossRef

[English] Bidirectional Relationship Between Depression and Frailty in Older Adults aged 70-84 years using Random Intercepts Cross-Lagged Panel Analysis: Ji Hye Shin, Gyeong A Kang, Sun Young Kim, Won Chang Won, Ju Young Yoon; Res Community Public Health Nurs. 2024;35(1):1-9. Published online February 29, 2024; DOI: https://doi.org/10.12799/rcphn.2023.00381

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Abstract PDF

Purpose
Depression and frailty are common health problems that occur separately or simultaneously in later life. The two syndromes are correlated, but they need to be distinguished to promote successful aging. Previous studies have examined the reciprocal relationship between depression and frailty, but there are limitations in the methods or statistical analysis. This study aims to confirm the potential prospective bidirectional and causal relationship between depression and frailty.
Methods
We used data from 887 older adults aged 70 to 84 from the Korean Frailty and Aging Cohort Study (KFACS) in 2016, 2018, and 2020 (3 waves). We separated the within-individual process from the stable between-individual differences using the random intercepts cross-lagged panel model.
Results
Significant bidirectional causal effects were observed in 2 paths. Older adults with higher depression than their within-person average at T1 had a higher risk of frailty at T2 (β=.22, p=.008). Subsequently, older adults with higher-than-average frailty scores at T2 showed higher depression at T3 (β=.14, p=.010). Autoregressive effects were only significant from T2 to T3 for both constructs (Depression: β=.16, p=.044; Frailty: β=.13, p=.028). At the between-person level, the correlation was significant between the random intercepts between depression and frailty (β=.47, p<.001).
Conclusions
We find that depressed older adults have an increased risk of frailty, which contributes to the onset of depression and the maintenance of frailty. Therefore, interventions for each condition may prevent the entry and worsening of the other condition, as well as prevent comorbidity.

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Four-year associations of wish-to-die trajectories with changes in the frailty of European citizens aged 50 and over
Marcelo de Maio Nascimento, Adilson Marques, Gerson Ferrari, Francisco Martins, Cíntia França, Élvio R. Gouveia, Andreas Ihle
Journal of Affective Disorders.2025; 379: 624. CrossRef
Suicide in later life: the role of frailty and depression
Brian Draper, Anne P.F. Wand
Current Opinion in Psychiatry.2025; 38(5): 383. CrossRef
The Interaction Among Depressive Symptoms, Pain, and Frailty in Middle‐Aged and Older Adults: A Longitudinal Cross‐Lagged Panel Analysis
Tian-Ming Song, Xue Chen, Xue-He Chen, Si-Jia Tan, Chen-Huan Song, Lin Fan, Jia-Yi Li, Hong-Li Li, Raffaella Bosurgi
Depression and Anxiety.2025;[Epub] CrossRef

[English] Gender Differences in Older Adults’ Muscle Strength and Depressive Symptoms: A Relationship Mediated Through Perceived Stress: Gyeong A Kang, Jihye Shin, Ju Young Yoon; Res Community Public Health Nurs. 2023;34(3):196-204. Published online September 27, 2023; DOI: https://doi.org/10.12799/rcphn.2023.00164

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Abstract PDF

Purpose
Preventing the effects of physical vulnerability is a practical approach to improving older adults’ depressive symptoms. This study aims to examine the relationship between gender differences related to muscle strength and depressive symptoms mediated by perceived stress.
Methods
In this cross-sectional study, data from 2,705 older adults (65 years old or older) from the Korea National Health and Nutrition Examination Survey VII 2016 and 2018 were analyzed. The moderated mediation model was developed; the outcome, independent, mediation, and moderated mediation variables in the literature-based research model were depressive symptoms, muscle strength, perceived stress, and gender, respectively.
Results
Perceived stress had a mediating effect on the relationship between muscle strength and depressive symptoms. The indirect effect of muscle strength on depressive symptoms mediated by perceived stress was β = -.02 (95% CI:-0.03~-0.01). The moderated mediation model demonstrated that the interaction term of handgrip strength and gender negatively affected perceived stress, which indicated that gender moderated the mediating model of perceived stress on the association of muscle strength and depressive symptoms (β = -.01, p <.05). The conditional indirect effect model was insignificant in the male group (β = -.00, 95% CI:-0.01~0.01) but significant in the female group (β = -.01, 95% CI: -0.02~0.00). Conclusions: Perceived stress mediated the relationship between muscle strength and depressive symptoms. However, the effect differed by gender. A stress-mediated depressive symptoms intervention program for older adults should be developed to consider women’s needs.

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Exploring patients’ understanding of behavioral risk factors for non-communicable diseases: a study on diabetes and hypertension in Bushbuckridge, South Africa
Thabo D. Pilusa, Cairo B. Ntimana, Mahlodi P. Maphakela, Eric Maimela
BMC Public Health.2025;[Epub] CrossRef

[Korean] A Path Analysis for Health-related Quality of Life in Long-term Care Insurance In-home Service Users: Je Hyun Kim, Seung Mi Park; Res Community Public Health Nurs. 2023;34(1):1-11. Published online March 31, 2023; DOI: https://doi.org/10.12799/rcphn.2022.00283

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Abstract PDF

Purpose
The purpose of this study is to construct and verify a path model for the factors affecting on quality of life in long-term care insurance in-home service users.
Methods
Total 246 participants using long-term care insurance in-home service were recruited from long-term care agencies. Data collection was conducted using a structured questionnaire from March 1st to March 31st 2021. The collected data were analyzed using SPSS 26 and AMOS 26 programs.
Results
The hypothetical path model was suitable for explaining the health-related quality of life in long-term care insurance in-home service users and has an explanatory power of 39.8%. Long-term care grade, depression, perceived health status, social support, age and living arrangement had a significant total effect on the quality of life in long-term care insurance in-home service users.
Conclusion
Long-term care insurance in-home service policies need to be expanded, such as screening and relieving depression, strengthening social support, and fostering a positive perception of health to improve the quality of life of the elderly.

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Factors associated with health literacy in older adults aged 65 and over: a secondary data analysis of the 2021 Korea Health Panel applying the Andersen behavioural model
Yeong Eun Kim, Ol Han, Chang Sun Moon
BMJ Open.2025; 15(3): e085696. CrossRef
Path Analysis of Factors Influencing Health-Related Quality of Life for Community-Dwelling Vulnerable Older Adults with Chronic Diseases in Korea
Hyun-Ju Lee
Research in Community and Public Health Nursing.2025; 36: 315. CrossRef
Prediction model of health-related quality of life in older adults according to gender using a decision tree model: a study based on the Korea National Health and Nutrition Examination Survey
Hee Sun Kim, Seok Hee Jeong
Journal of Korean Biological Nursing Science.2024; 26(1): 26. CrossRef

[English] Effects of Depression, Social Support of Tuberculosis Patients on Self-care: Go Un Lee, Hye Kyung Lee; J Korean Acad Community Health Nurs. 2022;33(4):456-464. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.456

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Abstract PDF

Purpose
The purpose of this study was by understanding the correlation between the depression, social support and self-care of tuberculosis patients and by identifying the factors that influence the self-care. Methods: The study subjects were 119 outpatients who were diagnosed with pulmonary and respiratory tuberculosis at a university hospital in D city. The survey questions measured depression, social support, self-care. Using the SPSS/WIN 23.0 program, the collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlations and multiple regression analysis. Results: As a result of correlation analysis, there was a statistically significant negative correlation between self-care and depression (r=-.53, p<.001), and there was a significant positive correlation between self-care and social support (r=.68, p<.001). Factors affecting self-care of the subjects were social support (β=.51, p<.001), depression (β=-.32, p<.001), drug discontinuation experience (β=-.30, p<.001) and drug resistance (β=-.14, p<.001). These factors explained 62% of the variance. Conclusion: In order to improve the self-care ability of tuberculosis patients, it is necessary to develop education and nursing intervention programs that can lower patients' depression and strengthen social support.

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Factors Influencing the Medication Adherence in Patients with Pulmonary Tuberculosis in the COVID-19 Pandemic
Bongsil Lim, Min Young Kim
The Korean Journal of Rehabilitation Nursing.2023; 26(2): 87. CrossRef

[English] Factors Associated with Depression in Older Adults Living Alone during the COVID-19 Pandemic: Eun Hye Hong, Kyung Hee Lee; J Korean Acad Community Health Nurs. 2022;33(4):418-431. Published online December 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.4.418

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Purpose
The aims of this study were to examine the rate of depression among older adults living alone and to identify factors associated with depression in older adults living alone during the COVID-19 pandemic. Methods: A secondary data analysis was performed using data from the 2020 Korea Community Health Survey. The study participants were 18,824 older adults aged 65 years and over living alone. The data of the complex sample design was analyzed with consideration for weights, stratification, and clustering. Complex sample multiple logistic regression was conducted to identify factors associated with depression in older adults living alone during the COVID-19 pandemic. Results: The results showed that the rate of depression in older adults living alone was 6.3%. Older adults living alone with decreased physical activity, decreased hours of sleep, and an increased or similar frequency of meeting with friends or neighbors were found to be more likely to have depression. In terms of factors related to the practice of COVID-19 infection prevention and control rules, not disinfecting regularly and not wearing a mask indoors were related to depression. For health-related factors, fair or poor self-rated health status, not having breakfast every day, and feeling stressed were related to depression. Conclusion: It is recommended to develop tailored interventions to prevent depression among older adults living alone by considering the factors related to their depression during the COVID-19 pandemic.

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Global burden of sleep disturbances among older adults and the disparities by geographical regions and pandemic periods
Min Du, Min Liu, Yaping Wang, Chenyuan Qin, Jue Liu
SSM - Population Health.2024; 25: 101588. CrossRef
Sadness, counseling for sadness, and sleep time and COVID-19 pandemic in South Korea: Rapid review and a post-hoc analysis
Jungwoo Choi, Minji Kim, Min Seo Kim, Guillaume Fond, Laurent Boyer, Guillermo F López Sánchez, Elena Dragioti, Samuele Cortese, Ai Koyanagi
Life Cycle.2023;[Epub] CrossRef

[English] Latent Classes of Depressive Symptom Trajectories of Adolescents and Determinants of Classes: Eun Joo Kim; J Korean Acad Community Health Nurs. 2022;33(3):299-311. Published online September 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.3.299

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4 Citations

Abstract PDF

Purpose
Untreated depression in adolescents affects their entire life. It is important to detect and intervene early depression in adolescence considering the characteristics of adolescent’s depressive symptoms accompanied by internalization and externalization. The aim of this study was to identify latent classes of depressive symptom trajectories of adolescents and determinants of classes in Korea. Methods: The three time-point (2018~2020) data derived from the Korean Children and Youth Panel Survey 2018 were used (N=2,325). Latent Growth Curve Modeling (LGCM) was conducted to explore the depressive symptom trajectories in all adolescents, and Latent Class Growth Modeling (LCGM) was conducted to identify each latent class. Multinomial logistic regression analysis was performed to confirm the determinants of each latent class. Results: The LGCM results showed that there was no statistically significant change in all adolescents' depressive symptoms for 3 years. However, the LCGM results showed that four latent classes showing different trajectories were distinguished: 1) Low-stable (intercept=14.39, non-significant slope), 2) moderate-increasing (intercept=19.62, significantly increasing slope), 3) high-stable (intercept=26.30, non-significant slope), and 4) high-rapidly decreasing (intercept=26.34, significantly rapidly decreasing slope). The multinomial logistic regression analysis showed that the significant determinants (i.e., gender, self-esteem, aggression, somatization, peer relationship) of each latent class were different. Conclusion: When screening adolescent’s depression, it is necessary to monitor not only direct depression symptoms but also self-esteem, aggression, somatization symptoms, and peer relationships. The findings of this study may be valuable for nurses and policy makers to develop mental health programs for adolescents.

Citations

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How final year high school students’ depression develop during COVID-19 in China? A latent class growth modeling analysis
Xinyu Zhang, Guangdong Zhou
Current Psychology.2024; 43(13): 12221. CrossRef
What differentiates suicidal ideation from depressive symptoms amongst Korean young adults aged 20–39 years?
Jiwon Kang, Soong-nang Jang, Hyun-soo Kim
International Review of Psychiatry.2024; 36(4-5): 315. CrossRef
Trajectories of Depressive Symptoms among Multicultural Middle and High School Adolescents: A Longitudinal Study Using Latent Class Growth Model
Sujin Lee, Soo Jin Lee, Hyanglan Kim
Research in Community and Public Health Nursing.2024; 35: 401. CrossRef
Factors Influencing Depression in Adolescents Focusing on the Degree of Appearance Stress
Mihye Lim, Myoungjin Kwon
Nursing Reports.2023; 13(1): 518. CrossRef

[English] Influencing Factors on Health-related Quality of Life among Japanese Middle-aged Marriage-based Immigrant Women in South Korea: A Cross-Sectional Study: Keiko Asami, Duck Hee Chae; J Korean Acad Community Health Nurs. 2022;33(2):188-195. Published online June 30, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.2.188

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Purpose
With the first generation of marriage-based immigrant women in East Asia now reaching their middle or old age, the need to focus investigations on their health-related quality of life has arisen. This study aimed to examine the extent to which physical and mental health, and psychosocial variables can predict health-related quality of life among Japanese middle-aged immigrant women. Methods This study has a descriptive cross-sectional design. A convenience sample of 197 Japanese middle-aged marriage-based immigrant women from two regions of South Korea were recruited between December 2017 and March 2018. Participants completed self-administered questionnaires on health-related quality of life, menopausal symptoms, depression, perceived health status, disease morbidity, social support, and acculturation. The data were analyzed using hierarchical multiple regression. Results Depression was the strongest predictor of health-related quality of life, followed by perceived health status, social support, and household income. Menopausal symptoms, presence of disease, and acculturation appeared to have no additional impact on participant’s health-related quality of life. Conclusion In times of rapid growth of global migration and the aging of immigrants in new destination countries, nursing interventions and public health policies for aging marriage-based immigrant women should be prioritized to improve their mental health by facilitating social support and disease management. In addition, social and employment policies that can help immigrant women transition to a healthy midlife are needed.

Citations

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Patterns of service needs and their influence on aging anxiety among middle-aged marriage immigrant women in South Korea
Ja Hyun Shin, Jisoo Yang
Journal of Women & Aging.2025; 37(5): 319. CrossRef
Home-based walking intervention for middle-aged migrant women using 360-degree virtual videos and a wearable activity tracker: A mixed-methods pilot study
Duckhee Chae, Keiko Asami, Jaseon Kim, Kukhyeon Kim, Jeeheon Ryu, Ardith Z. Doorenbos
Research in Community and Public Health Nursing.2024; 35: 10. CrossRef

[English] The Effect of Instrumental Activities of Daily Living and Depression on the Life Satisfaction of the Elderly Living Together during the Daytime in the Rural Areas: Jin Kim, Jeong In Bae, Nam Hyun Cha; J Korean Acad Community Health Nurs. 2022;33(1):96-104. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.96

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4 Citations

Abstract PDF

Purpose
The purpose of this study is to identify the factors affecting the life satisfaction during the communal life of the elderly in rural areas.
Methods
A total of 143 subjects were selected through convenient sampling. Data were collected in self-reporting questionnaires from 1 August to 30 August 2019. The data were analyzed with SPSS/WIN 23.0.
Results
The Instrumental Activities of Daily Living (IADL) was significantly different according to age, education, and cohabitation. Depression was significantly different according to gender, age, education, and cohabitation. Life satisfaction was significantly different according to age, education, religion, and cohabitation. There was a positive correlation between Instrumental Activities of Daily Living and depression, except for life satisfaction. 41.0% of life satisfaction was explained by depression, religion, and IADL.
Conclusion
The results of this study may be useful in understanding the life satisfaction level of elderly communal life and developing more specific programs for mental activity programs, and depression management strategies are required.

Citations

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Social influences on the psychological well-being of elderly individuals
Mohammad Shahadat Hossen, Siti Fatimah Binti Salleh
Journal of Humanities and Applied Social Sciences.2025; 7(4): 315. CrossRef
Bidirectional association between ADL disability and depressive symptoms among older adults: longitudinal evidence from CHARLS
Wenjing Yan, Lina Wang, Chao Li, Yihan Meng, Qi Guo, Hongjuan Li
Scientific Reports.2025;[Epub] CrossRef
The mediating effect of life satisfaction between daily living abilities and depressive symptoms in the Chinese older people: evidence from CHARLS 2020
Mingsheng Liao, Xuesi Zhang, Zhiquan Xie, Limei Li, Liqin Zou
Frontiers in Public Health.2024;[Epub] CrossRef
Dual Mediating Effect of Electronic Device Utilization and Life Satisfaction on the Relationship between Instrumental Activities of Daily Living and Depression in Older Adults
Hwa-Soo Koong, Mihye Lim, Kawoun Seo
International Journal of Environmental Research and Public Health.2022; 19(17): 10617. CrossRef

[English] The Mediating Effects of Health Concern and Depression in the Relation between Self-quarantined People’s COVID-19 Stress and Fatigue: Sun Hwa Shin, Eun Hye Lee; J Korean Acad Community Health Nurs. 2022;33(1):43-52. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.43

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Purpose
This study was to investigate the mediating effects of health concern and depression on the stress and fatigue of COVID-19 self-quarantine.
Methods
This was a cross-sectional study. A total of 227 people with COVID-19 self-quarantine experience were recruited during May 2021. Participants were invited to complete self-reported questionnaires that measure stress, health concern, depression, fatigue and demographic information. The data obtained were analyzed using multiple regression and dual mediation model applying the PROCESS macro with 95% bias-corrected bootstrap confidence interval.
Results
This study analyzed the direct effects of COVID-19 stress on the health concern, depression and fatigue. And COVID-19 stress had indirect effects on their fatigue via health concern and depression. Both health concern and depression had dual mediating effects in the influence of COVID-19 stress on fatigue. In the relationship between COVID-19 stress and fatigue, the mediating effect of depression was significant.
Conclusion
Fatigue due to prolonged COVID-19 can be alleviated by managing stress and mediating health concern and depression, and so therefore active nursing intervention is required.

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Illness attitudes and the flourishing of university students of South Korea in a pandemic: a cross-sectional descriptive study
Insil Jang, Yoonjung Kim, Hyeji Shin
Psychology, Health & Medicine.2025; 30(8): 1607. CrossRef
Income Changes and Depression Status Following the Impact of Household Income Levels During the COVID-19 Period
Hyunjin Goo, Gyu Bin Park
Journal of Health Informatics and Statistics.2024; 49(4): 365. CrossRef

[English] The Effect of Depression on Quality of Life in Patients with Parkinson's Disease: Mediating Effect of Family Function: Eun Sook Bae, Hye Seung Kang; J Korean Acad Community Health Nurs. 2022;33(1):105-113. Published online March 31, 2022; DOI: https://doi.org/10.12799/jkachn.2022.33.1.105

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Purpose
The purpose of this study is to explore the roles and function of family in mediating the relationship between depression and quality of life of patients with Parkinson’s disease (PD). Most studies have found that depression is particularly common in patients with PD and further associated with poor quality of life. Family function, as a mediator, is based on a strength orientation perspective that emphasizes not only their responsibilities and risks but also recuperative powers and growth potential.
Methods
Overall 157 adults with idiopathic Parkinson’s disease were enrolled in this study via outpatient clinic and completed a set of assessment to measure depression using BDI, family APGAR questionnaire, and patients’ quality of life using PDQ-8. Hierarchical multiple regression analysis was conducted to examine the mediating role of family APGAR score in the relationship between BDI and PDQ-8.
Results
Patients' depression, gait disturbance, duration of illness, and family function were statistically significant on quality of life. These factors accounted for 60% of the variance in quality of life. Family function has a partial mediating effect on the relationship between depression and quality of life.
Conclusion
Findings from the study suggest that although PD patients' depression impacts their quality of life, by having strong family function, the extent to which depression impacts the quality of life can be favorably mitigated. Additionally, these outcomes have important implications for future model development regarding PD patients.

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Neurologists’ perspectives on management challenges and mitigation strategies for Parkinson’s disease patients: A qualitative study in Iraq
Mena Khalid Ibrahim, Samer Imad Mohammed, Gheyath Abd Ali Shallal Al-Gawwam, Ioannis Liampas
PLOS One.2025; 20(6): e0326851. CrossRef
Mediating Role of Social Support and Family Functioning on Quality of Life of Family Caregivers of Individuals With Alcohol Use Disorder
Hunny Kalra, Suninder Tung
Indian Journal of Psychological Medicine.2024;[Epub] CrossRef
Factors Influencing Suicidal Ideation in Middle Aged Adults: Focused on Gender Differences
Jaerin Kim, Kuem Sun Han
Journal of Korean Academy of psychiatric and Mental Health Nursing.2023; 32(1): 45. CrossRef

[English] The Effect of Senior Elementary School Students’ Emotional Perception Clarity, Emotion Regulation, and Family Relationship on Non-Suicidal Self-Injury and Depression: Ji-hye Shin, Suk-Sun Kim; J Korean Acad Community Health Nurs. 2021;32(4):457-466. Published online December 31, 2021; DOI: https://doi.org/10.12799/jkachn.2021.32.4.457

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Purpose
The purpose of this study was to examine the correlations among emotional perception clarity, emotion regulation, family relationship, non-suicidal self-injury, and depression, and to determine associated factors of non-suicidal self-injury and depression for senior elementary school students.
Methods
Data were collected from 150 early adolescences in K region, Korea. A self-report questionnaire consisted of Trait Meta-Mood Scale, Cognitive Emotion Regulation Questionnaire, Family Relationship Assessment Scale, Functional Assessment of Self-Mutilation, and Children's Depression Inventory. The data were analyzed using t-test, Pearson’s correlation coefficient, logistic regression, and multiple regression analysis. Results: Non-suicidal self-injury and depression were positively associated with maladaptive emotion regulation strategy and family conflict, but negatively related to emotional perception clarity and family support. Adaptive emotion regulation strategy and family togetherness were only significantly correlated with depression. In logistic regression analysis, significant predictors of non-suicidal self-injury were emotional perception clarity, maladaptive emotion regulation strategy, and family support. Multiple regression analysis found that significant factors of depression were adaptive and maladaptive emotion regulation strategies, which explained 38.0% of the variance.
Conclusion
Our study findings suggest that targeted intervention to reinforce the adaptive emotion regulation strategy and family relationship may prevent non-suicidal self-injury, and depression for senior elementary school students.

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학교모래놀이 집단상담이 초기자해행동 초등학생의 애착에 미치는 효과:예비연구
Ester Park, Un-Kyoung Ahn
School Counselling and Sandplay.2024; 6(2): 18. CrossRef

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