Background Behavioral activation treatment (BAT) is an evidence-based treatment for depression. However, depressive symptoms can make it difficult to engage in activities crucial for the success of behavioral activation. Mental imagery may assist with activity engagement. This study examined the effectiveness of imagery-based BAT (BAT-I) compared to standard BAT in reducing depressive symptoms and improving behavioral activation, activity anticipation, activity motivation, and activity completion rates.
Methods Thirty adults with moderate to severe depressive symptoms were randomly assigned to either the BAT-I or BAT groups. The participants received eight sessions of twice-weekly BAT intervention, with an additional four-eight mental imagery sessions provided for the BAT-I group.
Results Repeated measures analysis of variance indicated that participants in both groups showed reductions in depressive symptoms and improvements in behavioral activation, activity anticipation, and activity motivation. However, the BAT-I group demonstrated significantly higher activity motivation (6.1> 5.1) and activity completion rates (93.17%>66.18%) than the BAT group.
Conclusions While use of imagery appears to support activity engagement, further research is needed to explore how imagery can be utilized to enhance the BAT effectiveness.
Background This study examines the influence of negative life changes experienced after becoming single mothers and their influence on parenting stress, focusing on the moderated mediation effect of depression influenced by low-income status.
Methods The research questions were tested by using raw data from the Survey of Single-parent Families and applying the PROCESS macro method.
Results First, the negative life changes experienced after becoming single mothers were found to positively and significantly influence parenting stress. Second, a partial mediation effect was observed: The levels of negative life changes increased the levels of depression, which, in turn, increased the levels of parenting stress. Third, the mediating effect of depression on the relationship between single mothers’ negative life changes and parenting stress was more pronounced for those with low income compared to those with medium and high income.
Conclusions This study suggests strategies to address single mothers’ parenting stress.
Background This study explored the relationship between childhood trauma, disconnection-rejection schemas, and depression among youths in the transition to independent living. Additionally, this study examined whether the impact of childhood trauma on depression, mediated by disconnection-rejection schemas, was moderated by the type of out-of-home care (residential care centers, group homes, and foster homes).
Methods A survey questionnaire measuring childhood trauma, disconnection-rejection schemas, and depression was administered to 201 participants.
Results Mistrust-abuse and defectiveness-shame schemas mediated the relationship between childhood trauma and depression. In all types of out-of-home care, both the mistrust-abuse and defectiveness-shame schemas mediated the relationship between childhood trauma and depression. There were no significant differences in mediating effects based on the type of out-of-home care.
Conclusions The findings of this study can be applied to the treatment of depression during the transition to independent living in individuals who have experienced childhood trauma.
Background This study aimed to determine the association between blood cadmium levels and suicidal ideation.
Methods Using data from the 3rd to 7th Korea National Health and Nutrition Examination Surveys, the geometric mean of blood cadmium levels according to suicidal ideation was compared using multiple linear regression analyses in male and female adults. The frequency of suicidal ideation according to the blood cadmium levels was also compared using multiple logistic regression models.
Results In total, 6,877 men and 6,698 women were included in the study. When adjusting for all potential confounding factors, the geometric mean of blood cadmium levels was significantly higher in participants with suicidal ideation than in those without suicidal ideation in both men (0.92 ng/ml [95% confidence interval 0.87∼0.97 ng/ml] vs. 0.86 ng/ml [0.84∼0.88 ng/ml]; p=.026) and women (1.05 ng/ml [95% confidence interval 1.01∼1.10 ng/ml] vs. 0.99 ng/ml [0.98∼1.02 ng/ml]; p=.006). After adjusting for potential confounders, the frequency of suicidal ideation significantly increased as blood cadmium levels increased in men (p for trend=.014) and women (p for trend=.034).
Conclusions Results revealed an association between blood cadmium levels and suicidal ideation in Korean adults.
Background This study investigates the dual mediation effect of evaluative concerns perfectionism and mindfulness in the relationship between temperament and depression among office workers.
Methods 220 Korean office workers completed online surveys measuring levels of FCB-TI perseveration (PE) and emotional reactivity (ER), evaluative concerns perfectionism, mindfulness, and depression.
Results The data analysis results showed that evaluative concerns perfectionism and mindfulness both mediated the relationship between temperament types and depression. Additionally, evaluative concerns perfectionism and mindfulness had dual mediating effect between temperament and depression.
Conclusions Based on the results of this study, PE and ER temperament could increase the level of evaluative concerns perfectionism, decreasing the level of mindfulness and increasing the risk of depression. The findings highlight the potential value of mindfulness-based interventions focusing on alleviating perfectionism concerning others’ evaluation for preventing and treating depression in office settings.
Background This study examined whether automatic attention bias toward emotional stimuli differs among individuals with varying anxiety and depression levels in the non-clinical population.
Methods A total of 494 participants from the community completed the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7). The dot-probe task was conducted to compare attention biases when emotional stimuli appeared before the target versus neutral stimuli did.
Results There were differences in attention bias based on the stimuli types, even among the non-clinical community. The anxiety tendency group showed attention bias towards positive expressions, while the depression tendency group showed attention bias toward negative expressions. The group with anxiety and depression tendencies showed mixed characteristics observed in both the anxiety and depression groups.
Conclusions This study showed that attention bias toward emotional stimuli is an information-processing bias influenced by an individual’s internal state. This study contributes to the understanding of attention bias differences among groups based on anxiety and depression tendencies in non-clinical population of various ages.
Background This study used inhalation toxicity experiments, open field experiments, and tail suspension tests to investigate the antidepressant effect of a combination of nine types of refined oils extracted from domestic native plants.
Methods Non-irritability was confirmed through an inhalation toxicity test, locomotor activity was measured using an open field test, and the antidepressant effect was assessed by measuring immobility time during a tail suspension test.
Results The inhalation toxicity test confirmed that both samples were non-stimulated with a negative stimulation index of 0.0. In the tail suspension experiment, the floating time was significantly shorter than the depression model, with an average of 142.33±18.31 seconds compared to the control group at 0.5% concentration (F=10.582, p<.001).
Conclusions This study’s results suggest that combining refined oils extracted from domestic native plants could be used to develop prototypes that effectively alleviate depression. Future studies should include usability evaluation and human application tests to further investigate these potential benefits.
Background This study aims to analyze the relationship between interpersonal competence, social support, ADHD traits, and depression in early adulthood, and by using the double-mediation model, to examine the effect of the first two variables on the last two.
Methods The participants comprised 146 male and 155 female adults aged between 19 and 34, from whom data was collected through the Korean version of the WHO Adult ADHD Self-Report Scale, interpersonal competence and depression subscales of the mental health test developed by Suh et al., and social support scale developed by Iverson et al.
Results The results showed that adult ADHD traits were negatively correlated with interpersonal competence and social support, and positively correlated with depression. In addition, interpersonal competence was positively correlated with social support and negatively correlated with depression, whereas social support was negatively correlated with depression. Finally, interpersonal competence and social support sequentially mediated adult ADHD traits and depression.
Conclusions This sequential double-mediating effect is of great academic significance and suggests that improving interpersonal competence and social support may be effective in mitigating the negative effect of ADHD traits on depression in early adulthood.
Background This study aimed to verify the influence of parental stress on depression among single parents with preschool children during the COVID-19 pandemic and the moderating effect of self-rated health status.
Methods The study conducted regression analyses with a sample of 335 single parents raising children under seven years old from the raw data of the Study on the Status of Sole-parent Families conducted by the Korean Ministry of Gender Equality and Family in 2021.
Results Single parents’ parenting stress had a positive and significant influence on their depression, moderated by their self-rated health status. That is, the influence of parenting stress on depression was more pronounced for parents who rated their health status as not good compared with those who rated their health status as good.
Conclusions Based on the findings, the discussion suggested interventions for dealing with depression among single parents with preschool children.
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Influence of the Negative Life Changes Experienced after Becoming Single Mothers on Parenting Stress: Focusing on the Moderated Mediation Effect of Depression by Low-Income Status RaeHyuck Lee STRESS.2024; 32(2): 85. CrossRef
Background This study examined the moderating effect of emotional support from acquaintances and the mediating effect of disability acceptance in the association between disability-related negative experiences and depression in disabled people with cancer.
Methods Data were collected from 295 participants in the“Disabled-Life Panel Research” conducted by the Korea Disabled people’s Development Institute. The collected data were analyzed using SPSS Windows 26.0 with the PROCESS Macro program 4.0 as a moderated mediating model.
Results Higher disability-related negative experiences caused lower disability acceptance, which predicted higher depression levels. Emotional support played a significant moderating role in this relationship. The effect of negative experiences on disability acceptance was weaker in disabled individuals with cancer who perceived higher social support from acquaintances.
Conclusions These results suggest that focusing on emotional support is important in protecting the psychological health of disabled people with cancer who are alienated from society.
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Disability acceptance and depressive symptoms: the moderating role of social support Gum-Ryeong Park, Sujeong Park, Jinho Kim Disability and Rehabilitation.2024; 46(26): 6424. CrossRef
Background This study aimed to examine the influence of future orientation on smartphone overdependence through depression among out-of-school adolescents and the moderated mediation effect of parental emotional support.
Methods This study analyzed data from the Panel Survey of School Dropouts with the Process macro Models 4 and 14.
Results First, out-of-school adolescents’ future orientation negatively influenced smartphone overdependence. Second, out-of-school adolescents’ depression partially mediated the influence of future orientation on smartphone overdependence. Third, out-of-school adolescents’ parental emotional support moderated the mediation effect of future orientation on smartphone overdependence through depression.
Conclusions The results suggest ways to manage smartphone overdependence among out-of-school adolescents.
Background This study aimed to verify the influence of COVID-19-induced depression on smartphone usage time among multicultural adolescents, as well as the moderated mediation effect of gender through anxiety.
Methods Using the raw data from the 2021 Korea Youth Risk Behavior Survey, a sample of 1,161 multicultural adolescents was recruited for this study. Models 4 and 7 of the PROCESS macro method were used for data analysis.
Results COVID-19-induced depression among multicultural adolescents positively influenced their smartphone usage time. Moreover, their anxiety fully mediated the influence of COVID-19-induced depression on their smartphone usage time. The mediation effect of COVID-19-induced depression on smartphone usage time through anxiety was moderated by their gender.
Conclusions The results are significant in that they provide insights for addressing the problem of smartphone usage among multicultural adolescents amid a disaster like COVID-19.
Background This study examined how frailty, depression, and loneliness impact ego-integrity among the community-dwelling elderly
Methods The study participants comprised 187 elderly people in J-province. Data collected in October 2018 via structured self-report questionnaires were used to assess the participants’ general characteristics, frailty, depression, loneliness, and ego-integrity. Data were analyzed using descriptive statistics, independent t-test, one-way ANOVA, Pearson’s correlation coefficients, and multiple regression.
Results Significantly positive correlations were found among frailty, depression, and loneliness. Ego-integrity showed significantly negative correlations with frailty, depression, and loneliness. Finally, loneliness was a significant factor, explaining about 28.7% of the variance on ego-identity.
Conclusions The study’s findings suggest that an intervention focused on reducing loneliness would improve ego-integrity among the elderly.
Background With the increasing number of multicultural adolescents, concerns about their healthy development are also on the rise. This study aimed to examine the influence of mothers’ acculturative stress on adolescents’ depression in multicultural families with respect to the moderating effect of sex.
Methods A series of regression analyses were conducted using a sample of 1,052 adolescents from multicultural families composed of a foreign-born mother and a Korean father based on the 9th wave of the Multicultural Adolescents Panel Study (MAPS).
Results First, foreign-born mothers’ acculturative stress positively and significantly influenced adolescents’ depression. When the level of acculturative stress increased, so did the level of depression. Second, the influence of mothers’ acculturative stress on adolescents’ depression was moderated by sex. The influence was larger for female than for male adolescents.
Conclusions Based on its findings, this study discussed intervention strategies to address depression among multicultural adolescents.
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The Influence of COVID-19-Induced Depression on Smartphone Usage Time among Multicultural Adolescents and the Moderated Mediation Effect of Gender through Anxiety RaeHyuck Lee STRESS.2022; 30(3): 147. CrossRef
Background As the number of people working from home has increased since the COVID-19 pandemic, it is important to understand workers’ stress and psychological state while working from home. Work-family conflict and loneliness may be related to working from home, and they could be experienced differently depending on individual traits. Therefore, this study examined the parallel multiple mediating effects of work-family conflict and loneliness in the relationship between personal temperaments and negative emotions such as depression and anxiety.
Methods Data were collected online from people currently working from home for at least one month, more than once per week. They answered K-DASS-21, UCLA loneliness scale, Work-Family Conflict, and FCB-TI. Only four temperaments were used in the statistic step: Briskness and Sense sensitivity as protective factors and Perseveration and Emotional reactivity as vulnerable factors. The multiple mediating effects were analyzed independently by using the PROCESS macro.
Results Firstly, Briskness and Sense sensitivity were found to negatively affect depression and anxiety while working from home by significantly mediating work-family conflict and loneliness. Thus, these temperaments would be protective factors while working from home. Secondly, Perseveration and Emotional reactivity positively influenced both negative emotions by mediating two mediation variables, which means that both temperaments are vulnerable factors.
Conclusions The results suggest that personality traits can impact how people experience stress and negative emotions in working situations, leading to negative psychological states. Consequently, personal temperaments would be important to understand relationships between environments and internal experiences.
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The Dual Mediation Effect of Evaluative Concerns Perfectionism and Mindfulness in the Relationship between Temperament and Depression among Office Workers SeoYeon Park, Yejin Cho, Myoung-Ho Hyun STRESS.2023; 31(2): 87. CrossRef