Abstract
Objectives
This study investigates the relationships between soldiers' social relations, stress, and depressive symptoms. We also investigated the effect of previous suicide-related behaviors on their correlations.
Methods
This study was conducted on a total of 1000 soldiers. Study subjects were tested using clinical scales including the Korean Mini-International Neuropsychiatric Interview, the Center for Epidemiological Studies for Depression Scale, the Worker's Stress Response Inventory and the Lubbens Social Network Scale-6. Sociodemographic characteristics and history of suicide-related behaviors were also examined. In order to investigate the relationships between stress, depression, and social relations in groups with and without a history of suicide-related behavior, one-way correlation analysis was performed.
Results
Depressive symptoms and stress were positively correlated when sociodemographic factors are controlled, regardless of past history of suicide-related behaviors. Depressive symptoms and social relations showed a weak negative correlation. Furthermore, stress and social relations showed a weak negative correlation. When the stress response was additionally controlled, there was no significant correlation between depressive symptoms and social relations. There was a stronger correlation between the group with a history of suicide-related behavior and the group without suicide - related behavior.
Conclusion
There was a significant positive correlation between depressive symptoms and stress, and this correlation was greater in patients with a history of suicidal behavior than in those without prior suicidal behavior. In addition, social relations did not directly affect depressive symptoms but was found to mediate stress indirectly.
Figures and Tables
Table 4
*p<0.05, **p<0.01. Model 1 : Adjusted for age, rank, religion, presence of depression, and past psychiatric history. Model 2 : Adjusted for age, rank, religion, presence of depression, past psychiatric history, and LSNS-6. Model 3 : Adjusted for age, rank, religion, presence of depression, past psychiatric history, and WSRI. Model 4 : Adjusted for age, rank, religion, presence of depression, past psychiatric history, and CES-D. CES-D : Center for Epidemiological Studies for Depression Scale, WSRI : Worker's Stress Response Inventory, LSNS-6 : Lubbens Social Network Scale-6
References
1. Index.go.kr [homepage on the Internet]. Daejeon: Ministry of National Defense Republic of Korea;cited 2018 Apr 10. Available from: http://www.index.go.kr/potal/main/EachDtlPageDetail.do?idx_cd=1701.
2. Kostat.go.kr [homepage on the Internet]. Daejeon: Statistics Korea;cited 2017 Sep 22. Available from: https://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&bSeq=&aSeq=363268&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt=.
3. Yu JH, Yun SK, Kim SJ, Hahm BJ, Cho IH, Kim JH, et al. Prevalence and correlates of suicide-related behaviors of army personnel. J Korean Assoc Soc Psychiatry. 2009; 14:12–17.
4. Mohw.go.kr [homepage on the Internet]. Sejong: Ministry of Health and Welfare;cited 2017 Apr 13. Available from: http://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032902&CONT_SEQ=339138&page=1.
5. Mnd.go.kr [homepage on the Internet]. Seoul: Ministry of National Defense;cited 2017 Apr 26. Available from: http://www.mnd.go.kr/cop/pblictn/selectPublicationUser.do?siteId=mnd&componentId=14&categoryId=15&publicationSeq=761&pageIndex=1&id=mnd_050601000000.
6. Kim SY, Hah YS. Influencing factorson perceived stress and menta health among army soldiers. Journal of Military Nursing Research. 2013; 31:31–41.
7. Hyun MS, Chung HI, Kang HS. Influencing factors on military adaptation among Korean soldiers. J Korean Acad Psychiatr Ment Health Nurs. 2009; 18:305–312.
8. An HJ, Kwon SC, Kim HM. Factors that influence non-combat military soldiers’ suicidal ideation. J Korean Acad Psychiatr Ment Health Nurs. 2010; 19:299–306.
9. Kim S, Kim H, Keum R, Noh D. Factors affecting on suicidal ideation in maladjusted soldiers. J Korean Acad Psychiatr Ment Health Nurs. 2013; 22:117–127.
10. Cohen S, Wills TA. Stress, social support, and the buffering hypothesis. Psychol Bull. 1985; 98:310–357.
11. Seo HS, Kim Ju, Lee Ds. A study of the relationship between stress, Depression and social support in the ROK army. J Trans Anal Couns. 2011; 1:79–93.
12. Kim JS, Shin KR. A study on depression, stress, and social support in adult women. J Korean Acad Nurs. 2004; 34:352–361.
13. Kim MR. The relationship between housewives life stress and depression tendency: the mediating and moderating effects of self-esteem and social [dissertation]. Gwangju: Chonnam national University;2006.
14. Yoo SW, Kim YS, Noh JS, Oh KS, Kim CH, Namkoong K, et al. Validity of Korean version of the Mini-International Neuropsychiatric Interview. Anxiety Mood. 2006; 2:50–55.
15. Cho MJ, Kim KH. Use of the center for epidemiologic studies depression (CES-D) scale in Korea. J Nerv Ment Dis. 1998; 186:304–310.
16. Choi SM, Kang TY, Woo JM. Development and validation of a modified form of the stress response inventory for workers. J Korean Neuropsychiatr Assoc. 2006; 45:541–553.
17. Lubben J, Blozik E, Gillmann G, Iliffe S, von Renteln Kruse W, Beck JC, et al. Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations. Gerontologist. 2006; 46:503–513.
18. Kim CH. A the effects of social support on the relationship between job stress and depression in the public service officers. Korean J Care Manag. 2017; 24:139–166.
19. Davidson SK, Dowrick CF, Gunn JM. Impact of functional and structural social relationships on two year depression outcomes: a multivariate analysis. J Affect Disord. 2016; 193:274–281.
20. George LK, Blazer DG, Hughes DC, Fowler N. Social support and the outcome of major depression. Br J Psychiatry. 1989; 154:478–485.
21. Caspi A, Sugden K, Moffitt TE, Taylor A, Craig IW, Harrington H, et al. Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science. 2003; 301:386–389.
22. Park SI, Lee DG. Influence of job satisfaction, job stress, anger expression, depression, and hopelessness of junior officers of armed forces on their suicidal ideation. Korean J Couns Psychother. 2014; 26:545–571.