This study examined the mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life in people with schizophrenia. The participants were 123 people with schizophrenia (mean age = 41.87 years; 62.6% men) recruited from Soonchunhyang university hospital, a mental health center, and daytime rehabilitation facilities located in Seoul and Gyeonggi Province in South Korea. Using a cross-sectional survey, participants completed structured questionnaires with psychometric adequacy. The regression method of Baron and Kenny was used to test the mediating effects of self-esteem and resilience on the relationship between internalized stigma and quality of life. Self-esteem and resilience were found to be full and partial mediators, respectively, in the relationship between internalized stigma and quality of life. The findings of this study imply that effective future intervention strategies should target improvements in self-esteem and resilience to reduce the negative impact of internalized stigma on the quality of life of people with schizophrenia.

The prevalence of hypertension among women in Korea aged 65 years or older is 61.7%. Past research has emphasized the importance of health-promoting behaviors in hypertension management for the elderly. The purpose of this cross-sectional study was to identify the effects of self-efficacy, depression, trait anger, and anger expression on the health-promoting behaviors of elderly women with hypertension. Self-report questionnaires were completed by 208 women aged 65 and older (age range: 65 to 85) diagnosed with hypertension by physicians and living in the communities of G city and N city of Gyeonggi-do in South Korea. A hierarchical regression analysis revealed that exercise (β = 0.36, p < 0.001) had the most significant effect on health-promoting behaviors, followed by depression (β = −0.31, p < 0.001), trait anger (β = 0.21, p = 0.002), anger control (β = 0.20, p < 0.001), religion (β = 0.18, p = 0.001), and self-efficacy (β = 0.18, p = 0.003). Trait anger and anger control were identified to have a more significant effect on health-promoting behaviors than self-efficacy. Thus, health-promoting behaviors were influenced by exercise, depression, anger, religion, and self-efficacy. It is necessary to implement a nursing intervention strategy which pays attention to these factors to improve health-promoting behaviors of Korean community-dwelling elderly women.

This study investigated the prevalence and risk factors of metabolic syndrome in 100 community-dwelling people with schizophrenia registered in mental health facilities in Seoul, Korea. This study was conducted between 12 September and 15 November 2019. This study used a cross-sectional descriptive design. The data included were general and disease-related characteristics, diagnostic tests for metabolic syndrome, lifestyles, depression, and social support. The analysis of collected data was done by using the SPSS 24.0 program. The prevalence of metabolic syndrome was 42.0%. Higher body mass index (odds ratio [OR] = 1.60, 95% CI = 1.16–2.18, p = 0.004), and depression (OR = 1.22, 95% CI = 1.06–1.42, p = 0.008) were associated with higher risks of metabolic syndrome, while physical activity and weight control (OR = 0.71, 95% CI = 0.54–0.94, p = 0.018), dietary habits (OR = 0.72, 95% CI = 0.54–0.93, p = 0.011), and medication and health management (OR = 0.52, 95% CI = 0.31–0.86, p = 0.012) were associated with lower risks. Mental health care nurses need to recognize the high prevalence of metabolic syndrome in people with schizophrenia in the community and provide differentiated, customized lifestyle improvement programs based on the body mass index and depression status of each person with schizophrenia. Furthermore, comprehensive lifestyle improvement programs and health examination services that people with schizophrenia can easily adhere to should be developed.

Purpose: This study was to identify the relationship between stress, depression and suicidal ideation in the elderly. Methods: The subjects were 201 elderly adults over 60 in Seoul. Data were collected by questionnaire surveys using convenience sampling. The instruments used in this study are the Seo's SESS(Seo‘s Elderly Stress Scale) developed by Seo, Yu & Hah(2001), the GDSSF-K(Geriatric Depression Scale Short Form-Korea) by Kee( 1996) developed by Sheilkh & Yesavage(1986), and the SSI(Scale for Suicidal Ideation) developed by Beck et al.(1979). Data were analyzed by the SPSS/PC 11.0 program, using descriptive statistics, Pearson Correlation Coefficient, t-test, ANOVA and stepwise Multiple Regression. Results: The mean suicidal ideation score was 24.81, which was near moderate level. The suicidal ideation was influenced significantly by marrital status, income, spending money and perceived health status. There were significant correlations between all the predictive variables and the suicidal ideation(r= 0.481 〜 0.592, p <0.05). Stepwise multiple regression analysis showed that 34.3% of the suicidal ideation was significantly accounted by depression(25.7%)，stress(5.0%) and education(3.6%). Conclusion: These results suggested that depression and stress can be potential risk factors in suicidal ideation of the elderly. Therefore, these findings will give useful information for constructing an intervening and preventative program focused on suicidal prevention in the elderly.