Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2011 Oct;41(5):663-672. Korean.
    Published online Oct 31, 2011.
    https://doi.org/10.4040/jkan.2011.41.5.663
    © 2011 Korean Society of Nursing Science
    Original Article

    Depression Status of Academic High School Students in Seoul: Mediating Role of Entrapment

    Young-Joo Park,1 Nah-Mee Shin,2 Kuem Sun Han,1 Hyun Cheol Kang,3 Sook-Hee Cheon,4 and Hyunjeong Shin5
      • 1Professor, College of Nursing, Korea University, Seoul, Korea.
      • 2Assistant Professor, College of Nursing, Korea University, Seoul, Korea.
      • 3Associate Professor, Department of Informational Statistics, Hoseo University, Cheonan, Korea.
      • 4Full-time Instructor, Department of Nursing, Sangji University, Wonju, Korea.
      • 5Assistant Professor, College of Nursing, Kyunghee University, Seoul, Korea.
    • Address reprint requests to: Shin, Nah-Mee. Assistant Professor, College of Nursing, Korea University, 126-1 5-ga, Anam-dong, Seongbuk-gu, Seoul 136-701, Korea. Tel: +82-2-3290-4924, Fax: +82-2-927-4676, Email: nshin@korea.ac.kr
    Received August 03, 2010; Accepted October 24, 2011.

    Abstract

    Purpose

    Purpose of this study was to investigate the status of depression in academic high school students and path analysis model for exploring the mediating role of entrapment to depression in relation to academic stress and perceived social support.

    Methods

    Measurements were four reliable questionnaires measuring academic stress, social support, entrapment, and depression. Data were collected from students in 17 high schools in Seoul.

    Results

    Students (n=5,346) completing the questionnaires indicated depression & entrapment from academic stress. Depression was more prevalent in girls, those whose parents' household income was less than two million won, who did not live with father or mother or both due to divorce, separation, or death, and those who smoked or used alcohol. Entrapment was more prevalent in students similar to cases of depression and in seniors. According to the proposed path model, 48.6% of depression was explained by academic stress, social support, and entrapment. The indirect effect of entrapment as a mediator between academic stress and depression was verified and larger than the direct effect of academic stress on depression.

    Conclusion

    Considering levels of depression and entrapment demonstrated by these students, better mental health programs with diverse strategies should be developed for their psychological well-being.

    Keywords
    Adolescents; Entrapment; Depression; Academic stress; Social support

    Figures

    Figure 1
    Path diagram explaining mediating effect of entrapment. A=Total students; B=Boys; C=Girls.

    Tables

    Table 1
    Demographic Characteristics and Health-Risk Behaviors of the Students (N=5,346)

    Table 2
    Means of Research Variables for the Students

    Table 3
    Research Variables according to Demographic Characteristics and Health-Risk Behaviors of the Students (N=5,346)

    Table 4
    Mediating Effect of Entrapment: Standardized Direct, Indirect, and Total Effects and SMC in Depression Path Model

    Notes

    This study was funded by the Management Center for Health Promotion in Korea (R 0600181).

    References

      1. Brown GW, Harris TO, Hepworth C. Loss, humiliation and entrapment among women developing depression: A patient and non-patient comparison. Psychological Medicine 1995;25:7–21.
        doi: 10.1017/S003329170002804X.
      1. Cheon SH, Cha BK. Inferiority, depression and psychosomatic symptoms in female adolescents: The mediating effect of perceived entrapment. Journal of Korean Academy of Child Health Nursing 2008;14:343–351.
      1. Chun KK, Lee MK. Preliminary development of Korean version of CES-D. Korean Journal of Clinical Psychology 1992;11(1):65–76.
      1. Craig T, Van Natta P. Current medication use and symptoms of depression in a general population. American Journal of Psychiatry 1978;135:1036–1039.
      1. Dong-A Daily News. Korean adolescents with withered heart. Seoul: Author; 2008 May 09.
      1. Eom TW, Kang MJ, Choi JS. Gender differences of the stress, hopelessness, depression, suicidal ideation and social support in adolescents. Journal of Human Studies 2008;22:5–30.
      1. Gilbert P. Evolution and depression: Issues and implications. Psychological Medicine 2006;36:287–297.
        doi: 10.1017/S0033291705006112.
      1. Gilbert P, Allan S. The role of defeat and entrapment (arrested flight) in depression: An exploration of an evolutionary view. Psychological Medicine 1998;28:585–598.
        doi: 10.1017/S0033291798006710.
      1. Gilbert P, Gilbert J, Irons C. Life events, entrapments and arrested anger in depression. Journal of Affective Disorders 2004;79:149–160.
        doi: 10.1016/S0165-0327(02)00405-6.
      1. Han MH. In: A study on stress, perceived social supports, and behavior problems of children. Seoul: Seoul National University; 1996.
        Unpublished doctoral dissertation.
      1. Han TY. Adolescents' stress at school: Moderation effects of personality and emotional intelligence. Korean Journal of School Psychology 2005;2(2):177–197.
      1. Hong YS. The effects of life stress and self-esteem for adolescent suicidal behaviors. Studies on Korean Youth 2004;15(2):153–182.
      1. Hong SO, Eum KS, Bae OH. A study on social support and stress of adolescent. Journal of Family Relations 2003;8(1):139–155.
      1. Joreskog K, Sorbom D. In: LISREL 8: User's reference guide. Chicago: Scientific Software International; 2001.
      1. Kim BJ. In: Infuence of life stress and social support on school adjustment in junior highschool students. Daejeon: DaeJeon University; 2003.
        Unpublished master's thesis.
      1. Kim S. The heterogenous developmental trajectories of adolescent depression and their predictors focusing on gender differences. Studies on Korean Youth 2010;21(1):171–192.
      1. Kline RB. In: Principles and practice of structural equation modeling. New York: The Guilford Press; 1998.
      1. Lee KS, Kim JH. The effects of study stress coping training program on the reduction of study stress and the academic achievements of high school students. Korean Journal of Health Psychology 2000;5(1):43–59.
      1. National Youth Commission. White paper of Adolescents. Seoul: Author; 2007.
      1. Oh MH. In: Junior highschool students' work related stress factors and symptoms analysis and effects of meditation exercise on reduction of the work related stress. Daegu: KyungBuk University; 1993.
        Unpublished master's thesis.
      1. Park ES, Park YJ, Ryu HS, Han KS, Hwang RI, Im YJ, et al. A nationwide survey on current conditions of school health education. Journal of Korean Academy of Nursing 2006;36:381–388.
      1. Polit DF, Sherman RE. Statistical power in nursing research. Nursing Research 1990;39:365–369.
      1. Radloff LS. The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement 1977;1:385–401.
        doi: 10.1177/014662167700100306.
      1. Saban A, Flisher AJ. The association between psychopathology and substance use in young people: A review of the literature. Journal of Psychoactive Drugs 2010;42(1):37–47.
        doi: 10.1080/02791072.2010.10399784.
      1. Seoul Metropolitan Educational Office. Education statistics. Seoul: Author; 2005.
      1. Vaughan CA, Foshee VA, Ennett ST. Protective effects of maternal and peer support on depressive symptoms during adolescence. Journal of Abnormal Child Psychology 2010;38:261–272.
        doi: 10.1007/s10802-009-9362-9.
      1. Vaux A, Phillips J, Holly L, Thomson B, Killiams K, Stewart D. The social support appraisal (SS-A) scale: Studies of reliability and validity. American Journal of Community Psychology 1986;14:195–219.
        doi: 10.1007/BF00911821.
      1. Ministry of Health & Welfare. Support for depression screening and treatment for children & adolescents with ADHD. Seoul: Author; 2009 Apr 09.
      1. Wilner P, Goldstein RC. Mediation of depression by perceptions of defeat and entrapment in high-stress mothers. The British Journal of Medical Psychology 2001;74:473–485.
        doi: 10.1348/000711201161127.
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    MeSH Terms
    Adaptation, Psychological
    Adolescent
    Depression*
    Female
    Humans
    Male
    Questionnaires
    Republic of Korea
    Social Support
    Socioeconomic Factors
    Stress, Psychological
    Students/psychology*
    Young Adult
    Metrics
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