Earticle

초록

영어

Objectives: This study investigated health perception’s influence on depressive mood among adults with comorbid diabetes mellitus and hypertension, focusing on the mediating roles of physical activity and generalized anxiety disorder (GAD). Methods: Data 456 adults aged 19 years or older from the 2022 Korea National Health and Nutrition Examination Survey (KNHANES) were analyzed. Structural equation modeling (SEM) was conducted with four latent variables—health perception, physical activity, GAD, and depressive mood—measured using 34 items. Results: Health perception did not directly affect depressive mood but demonstrated a significant indirect effect through physical activity. Individuals with more positive health perceptions engaged in more physical activity, which subsequently decreased their depressive mood. GAD’s mediating role and the sequential pathway involving GAD were not statistically significant. Subgroup analyses revealed that depressive mood was higher among unmarried, low-income, Medicaid-covered, and unemployed participants. Conclusions: Integrated interventions combining cognitive approaches to enhance health perception with behavioral strategies that promote physical activity are needed for mental health management in populations with chronic diseases. Longitudinal studies incorporating objective activity measures and social support variables can help elucidate the causal pathways and strengthen future models.

목차

Ⅰ. 서론
Ⅱ. 연구방법
1. 연구대상
2. 연구도구
3. 가설설정
4. 분석방법
Ⅲ. 연구결과
1. 일반적 특성
2. 확인적 요인분석
3. 연속다중매개효과 분석
Ⅳ. 고찰
Ⅴ. 결론
REFERENCES

키워드

저자

• 이나영 [ Na-Young Lee | 대전우리병원 진단검사의학과 ] Corresponding Author

참고문헌

발행기관

간행물

표지보기 관심저널 등록

• 간행물명

  보건의료산업학회지 [The Korean Journal of Health Service Management]

• 간기

  계간

• pISSN

  2093-5986

• 수록기간

  2007~2026

• 등재여부

  KCI 등재

• 십진분류

  KDC 517 DDC 613