Somatic symptoms and sleep quality as indicators of depression and suicide risk among Korean military conscripts

Shim, Eun Jung; Hwang, Hyeon‐Jong; Lee, Kwang Min; Lee, Joo Young; Baik, Myung Jae; Shin, Min Sup; Moon, Hoseok; Hahm, Bong Jin

doi:10.1016/j.psychres.2020.112912

Cited by 13 publications

(9 citation statements)

References 34 publications

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“…The Moderate and Severe groups showed heavier concentration problems; however, there existed an argument on whether to divide concentration into the cognitive or somatic cluster ( 42 ). A recent study reported that heavier burdens of somatic symptoms were associated with the risk of suicide ( 43 ), which has been further proved in this study. As indicated by previous studies ( 44 ), subjects with different degrees of somatic symptoms also differ in the symptom of energy and appetite loss.…”

Section: Discussionsupporting

confidence: 81%

Identifying the Subtypes of Major Depressive Disorder Based on Somatic Symptoms: A Longitudinal Study Using Latent Profile Analysis

Zhu

et al. 2022

Front. Psychiatry

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BackgroundTwo-thirds of major depressive disorder (MDD) patients initially present with somatic symptoms, yet no study has used approaches based on somatic symptoms to subtype MDD. This study aimed to classify MDD via somatic symptoms and tracked the prognosis of each subtype.MethodsData were obtained from the study of Algorithm Guided Treatment Strategies for Major Depressive Disorder (AGTs-MDD). We recruited 395 subjects who received monotherapy of mirtazapine or escitalopram and conducted 2-, 4-, 6-, 8-, and 12-week follow-up assessments (n = 311, 278, 251, 199, and 178, respectively). Latent profile analysis (LPA) was performed on somatic symptom items of the depression and somatic symptoms scale (DSSS). Generalized linear mixed models (GLMM) were used to study the longitudinal prognosis of the subtypes classed by LPA. Primary outcome measures were the Hamilton Depression Rating Scale (HAMD), HAMD score reduction rate, as well as somatic and depressive items of DSSS.ResultsThree subtypes of MDD were found, namely, depression with mild somatic symptoms (68.9%), depression with moderate somatic symptoms (19.2%), and depression with severe somatic symptoms (11.9%). Scores of HAMD (F = 3.175, p = 0.001), somatic (F = 23.594, p < 0.001), and depressive (F = 4.163, p < 0.001) DSSS items throughout the 12-week follow-up showed statistical difference among the three subtypes. The moderate group displayed a higher HAMD-17 score and a lower reduction rate at the 6th week, and more severe depressive symptoms both at the 4th and 6th weeks.ConclusionThe results indicate that somatic symptoms should be emphasized in patients with MDD, and more attention is needed for those with moderate somatic symptoms, which may be relevant to a worse prognosis.

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Section: Discussionsupporting

confidence: 81%

Identifying the Subtypes of Major Depressive Disorder Based on Somatic Symptoms: A Longitudinal Study Using Latent Profile Analysis

Zhu

et al. 2022

Front. Psychiatry

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“…Aun así, la evidencia empírica acumulada a nivel mundial ha dado cuenta de que las principales estrategias eficaces para la prevención del suicidio en militares y policías están basadas en una perspectiva cognitivo conductual, lo cual se encuentra en la misma dirección hallada en investigaciones previas (Ghahramanlou-Holloway et al, 2020;Rugo et al, 2020;Vecchi et al, 2019). Entre ellas se destacan la psicoeducación, el entrenamiento en detección oportuna de riesgo suicida, el manejo del estrés, la ansiedad, la depresión y la prevención de problemáticas asociadas, como el consumo de sustancias psicoactivas, lo cual coincide con evidencia de estudios previos (Shim et al, 2020;Wetherall et al, 2019;Sánchez-Teruel et al, 2014;Hernández-Cervantes & Gómez-Maqueo, 2006).…”

Section: Discussionunclassified

“…Los resultados reportados sobre la alta incidencia del suicidio en militares y policías indican que este es un problema de salud pública que amerita identificar sus factores de riesgo asociados. Al respecto, se ha encontrado vinculado a la depresión, el enojo y el agotamiento, en respuesta a la tensión propia de su actividad policial, el fácil acceso a armas de fuego, la elevada tolerancia al dolor físico, problemas de sueño, el estigma en la utilización a los servicios de salud mental, el enfoque en ayudar a otros a expensas de las necesidades personales y la exposición a situaciones de combate (Shim et al, 2020;Stanley et al, 2016).…”

Section: Aportes Desde La Intervención Psicológicaunclassified

Acciones eficaces de prevención del riesgo suicida en militares y policías: sinopsis de revisiones sistemáticas

Pérez¹,

Méndez²,

Garzón³

et al. 2022

Investigación en Psicología: Aplicaciones E Intervenciones II

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casos de suicidio en el mundo han alcanzado proporciones epidémicas; actualmente representan el 1.4% de las muertes en el planeta (Instituto Nacional de Estadística y Geografía, 2015). Según la Organización Mundial de la Salud, más de 800.000 personas se suicidan en un solo año, cifra que constituye la segunda causa de defunción en el grupo de jóvenes entre 15 y 29 años en todo el mundo (Organización Mundial de la Salud [OMS], 2018). En el contexto colombiano, cifras recientes evidencian que a febrero de 2020 se registraron 386 casos, los cuales reflejan un incremento significativo en relación con los 358 reportado durante el mismo periodo del año 2019 (Instituto Nacional de Medicina Legal y Ciencias Forenses [INMLCF], 2020). En el ámbito militar, en los últimos 17 años se han presentado en promedio de 67.9 casos de suicidios por año, una tasa de 14.74 suicidios por 100.000 personas (Dirección General de Sanidad Militar [DIGSA], 2017). En la policía, en el 2011, la tasa general del suicidio fue de 18 por cada 100.000 uniformados, la cual se mantiene elevada y representa una problemática importante en esta población (Policía Nacional. Dirección de Sanidad, s. f.).

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“…Previous studies have clearly noted the significant relationship between depression and suicide [ 61 , 62 ]. In addition to depression, a significant relationship has also been demonstrated between poor sleep quality and suicide [ 63 , 64 , 65 ].…”

Section: Introductionmentioning

confidence: 99%

Link between Excessive Smartphone Use and Sleeping Disorders and Depression among South Korean University Students

Islam

2021

Healthcare

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The purpose of this study was to explore the link between smartphone use and sleeping disorders and depression among university students in South Korea. South Korea has the highest mobile phone penetration rate as well as the highest rate of suicide of any of the Organization for Economic Cooperation and Development (OECD) nations, thus making this study of great importance. The core aim was to see whether the excessive use of smartphones has an association with sleeping disorders and depression. A cross-sectional analysis was performed to establish if there was any link between smartphone use and sleeping disorders and depression. Samples from 188 participants were used for this study. Data were collected using two well-established questionnaires, the Center for Epidemiologic Studies-Depression (CES-D) and the Athene Insomnia Scale (AIS), as well as a few questions on smartphone use. A few demographic questions were added to the questionnaire. The results of this study concluded that a significant relationship exists between smartphone use and depression. However, the finding of this research could not uncover a significant relationship between smartphone use and sleeping disorders among university students in South Korea. The excessive use of smartphones shows a relationship to an unhealthy lifestyle. There is a clear indication that the overuse of smartphones could be linked to depression. Furthermore, the study found that students with depression also tend to have sleeping disorders.

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Somatic symptoms and sleep quality as indicators of depression and suicide risk among Korean military conscripts

Cited by 13 publications

References 34 publications

Identifying the Subtypes of Major Depressive Disorder Based on Somatic Symptoms: A Longitudinal Study Using Latent Profile Analysis

Identifying the Subtypes of Major Depressive Disorder Based on Somatic Symptoms: A Longitudinal Study Using Latent Profile Analysis

Acciones eficaces de prevención del riesgo suicida en militares y policías: sinopsis de revisiones sistemáticas

Link between Excessive Smartphone Use and Sleeping Disorders and Depression among South Korean University Students

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