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Original Articles
Lifestyle and Psychological Factors Associated With Depression in College Students in Hokkaido, Japan During the COVID-19 Pandemic: A Cross-sectional Study
Atsushi Mizumoto, Reiya Tsuji, Kotomi Echizen, Yuichi Takata
J Prev Med Public Health. 2025;58(6):581-588.   Published online July 22, 2025
DOI: https://doi.org/10.3961/jpmph.25.186
  • 2,074 View
  • 179 Download
AbstractAbstract AbstractSummary PDF
Objectives
Although studies have demonstrated a decline in mental health during the early stages of the coronavirus disease 2019 (COVID-19) pandemic, the long-term psychological effects remain insufficiently understood. This study conducted a web-based questionnaire survey to identify factors associated with depression among college students in Hokkaido, Japan, during the COVID-19 pandemic.
Methods
A total of 187 participants who responded to a questionnaire administered in April 2022 were included in this study. The survey evaluated depressive symptoms using the Center for Epidemiologic Studies Depression Scale (CES-D) and included items on exercise habits, sleep duration, food frequency score (FFS), World Health Organization-Five Well-Being Index (WHO-5), Fear of COVID-19 Scale (FCV-19S), daily step count, part-time job participation, and involvement in club activities.
Results
The mean CES-D score was 18.2±9.9, with 95 participants (50.8%) exhibiting symptoms of depression. Compared to those in the depression group, participants in the non-depression group were significantly more likely to engage in regular exercise and part-time jobs, as well as higher FFS, WHO-5, and FCV-19S scores. Logistic regression analysis showed that, even after adjusting for confounding variables, the WHO-5 score, FCV-19S score, and participation in part-time jobs remained significantly associated with depression scores.
Conclusions
Almost half of the participants showed symptoms of depression. These symptoms were associated with poor exercise habits and lack of part-time employment, among other factors. Among college students who had experienced more than 2 years of the pandemic, engaging in part-time work may have reduced social isolation and helped lower the risk of depression.
Summary
Key Message
This study conducted a web-based survey to identify factors associated with depression among college students in Hokkaido during the COVID-19 pandemic. Compared with students in the depression group, those without depression were more likely to engage in regular exercise and part-time jobs and had higher FFS, WHO-5, and FCV-19S scores. Logistic regression showed that WHO-5, FCV-19S, and participation in part-time jobs remained significantly associated with depression after adjustment. Among students who had experienced more than two years of the pandemic, part-time employment may have reduced social isolation and lowered the risk of depression.
Psychometric Characteristics of the Fear of Cancer Recurrence Inventory-Severity Subscale Among Korean Cancer Survivors
So-Young Park
J Prev Med Public Health. 2024;57(4):319-326.   Published online May 16, 2024
DOI: https://doi.org/10.3961/jpmph.24.096
  • 20,198 View
  • 343 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDF
Objectives
Despite the importance of choosing and using a valid assessment tool for fear of cancer recurrence (FCR) for early detection and interventions, the validity of the FCR inventory has yet to be thoroughly investigated in Korea. This study explored the psychometric properties of the Fear of Cancer Recurrence Inventory-Severity (FCRI-S) subscale and assessed its applicability to cancer survivors in Korea.
Methods
The survey involved 93 Korean individuals who had survived cancer. The reliability of the FCRI-S subscale was assessed using Cronbach’s α and composite reliability (CR). Confirmatory factor analysis (CFA), along with tests for discriminant and convergent validity, was conducted to evaluate the construct validity of the FCRI-S subscale.
Results
The FCRI-S subscale showed excellent internal consistency (Cronbach’s α=0.88; CR=0.89). CFA showed a good factor structure for the FCRI-S subscale, and the correlations of the FCRI-S subscale with FCR-related measures (r=0.69 to 0.80) and other psychosocial measures (r=-0.23 to 0.37) confirmed both the convergent and discriminant validity of the FCRI-S subscale.
Conclusions
This study confirmed the robust psychometric characteristics of the FCRI-S subscale among cancer survivors in Korea. The use of the FCRI-S subscale would be helpful for health professionals to rapidly screen FCR levels in clinical settings.
Summary
Korean summary
암 재발 두려움은 암 생존자들이 흔히 호소하는 심리사회적 어려움 중의 하나이다. 한국 성인 암 생존자들을 대상으로 암 재발 두려움-심각성 하위척도의 심리계량적 속성을 평가한 결과, 해당 하위척도가 좋은 타당도와 신뢰도를 보인 것으로 나타났다. 본 연구 결과는 임상 현장에서 암 재발 두려움에 대한 조기 발견과 적극적인 개입의 중요성을 강조한다.
Key Message
Fear of cancer recurrence (FCR) has emerged as a significant and common concern among cancer survivors. This study evaluated the psychometric properties of FCRI-S subscale among Korean adult cancer survivors and confirmed its good validity and reliability. Findings of this research emphasize the importance of early detection and active interventions for FCR in clinical settings.

Citations

Citations to this article as recorded by  
  • Fear of cancer recurrence in oncohematological patients: assessment instruments and evidence-based psychological interventions — a systematic review
    Ana Sancho-Martínez, María Rueda-Extremera, Sergio Alejandre-Carmona, María Cantero-García
    Frontiers in Psychology.2025;[Epub]     CrossRef
Predictors of Successful Control for Selfishness, Dishonesty, Resentment, and Fear (SDRF) among Korean Alcoholics Anonymous Members.
Ein Soon Shin, Han Joong Kim, Yoon Chul Chung
Korean J Prev Med. 2001;34(1):73-79.
  • 2,981 View
  • 20 Download
AbstractAbstract PDF
OBJECTIVES
To examine predictors of successful control for selfishness, dishonesty, resentment, and fear(SDRF) among Korean Alcoholics Anonymous(AA) members. METHODS: This study was a cross-sectional study. The study group included members from 18 different AA groups which were enrolled in the Korean AA Association in 1998. 207 out of 300 self administered questionnaires were completed by AA members (response rate 69.0%). Alcoholics who attended AA meetings were divided into two groups according to their self reported level of success in SDRF control; one with very successful experience after AA participation and the other with little or no success. In this study, the general characteristics, AA activities, relapse experience, and degree of effort exerted for SDRF control were compared between two groups. In order to study predictors of successful SDRF control after joining AA, 4 logistic regression analyses were performed for each of the 4 SDRF indices. RESULTS: The proportion of those reporting a very successful experience was 19.9% for selfishness, 20.7% for dishonesty, 25.5% for resentment, and 24.7% for fear. After control for the effect of general characteristics, the practice of the 12th step(taking alcoholics to an AA meeting after conveying messages) was found to be a significant predictor for the successful control of both selfishness(OR=6.04) and the dishonesty(OR=7.77). And individuals making every effort for SDRF control showed more successful control of selfishness(OR=4.10), dishonesty(OR=4.01), and fear(OR=34.89). CONCLUSIONS: Bivariate and multivariate analyses demonstrated that especially practicing the 12th step and making every effort themselves, may help alcoholics to control SDRF successfully after joining AA.
Summary

JPMPH : Journal of Preventive Medicine and Public Health
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