@article{31480, keywords = {leprosy, Depression, Loneliness, Coping, Mental Health}, author = {Cho Y S}, title = {Depression, loneliness and coping in client with Hansen's disease.}, abstract = {
The purpose of this study was to examine the mental health and coping of patients with Hansen's disease and the correlation between their mental health and coping. Data were gathered from August 25 to September 30, 2009 by conducting a survey on Hansen clients who were at the age of 60 and up. And the collected answer sheets from 116 respondents were analyzed. A SPSS 17.0 program was employed to analyze the collected data. Statistical data on mean and standard deviation were obtained, and frequency analysis, t-test and ANOVA were utilized. Besides, Duncan's multiple range test was carried out to make a post-hoc analysis. The major findings of the study were as follows: First, the Hansen clients investigated got a mean of 18.66(SD=7.68) in depression. As to the level of depression, those who didn't suffered from depression accounted for 31.9 percent, and the rates of the patients with mild depression, moderate depression and severe depression respectively stood at 16.4 percent, 8.6 percent and 43.1 percent. Thus, severe depression was most prevalent. Second, they got a mean of 62.17(SD=9.26) in coping, which was above the average. They got a mean of 30.47(SD=8.55) in loneliness, which was slightly below the average. Third, as for connections between general characteristics and depression, the degree of depression was significantly different according to gender (t=-3.44, p<.001), education(F=2.63, p<.05), employment(F=-1.94, p=0.05), a means of income(F=2.98, p<.05), leisure activities(F=3.41, p<.05) and subjective health status(F=15.95, p<.001). Fourth, three factors were selected as the components of loneliness: communication, self-esteem and conflicts with their children. There was a significant gap in loneliness according to marital status(F=3.20, p<.05), education(F=5.06, p<.01), the type of residence(F=2.83, p<.05), a mean of income(F=2.41, p<.05) and subjective health status(F=10.33, p<.001). In the case of the subfactors of loneliness, academic credential made a significant difference to communication and self-esteem, and conflicts with children significantly varied with the type of residence. A means of income made a significant difference to communication, and subjective health status significantly differed with all the three subfactors. Fifth, concerning relationship between the general characteristics and coping, academic credential(F=3.29, p<.05), presence or absence of spouse (F=2.33, p<.05) and health state(F=3.93, p<.05) made significant differences to coping. Sixth. there was a significantly positive correlation between depression and loneliness(r=0.43, p<.001). Severer depression led to deeper loneliness, but no significant correlation was found between depression and coping and between loneliness and coping. Seventh, in regard to coping patterns, emotion-focused coping was more rampant than problem-focused one.
}, year = {2009}, journal = {Korean Leprosy Bulletin}, volume = {42}, pages = {99-114}, language = {kor}, }