Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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A Study on the Depression, Somatic Symptom, Activities of Daily Living for, the Elderly Women in an Urban Area

도시지역 여성노인의 우울, 주관적 신체증상 일상생활 수행능력에 관한 연구

  • 신경림 (이화여자대학교 간호과학대학) ;
  • 강윤희 (이화여자대학교 간호과학대학) ;
  • 정덕유 (이화여자대학교 간호과학대학) ;
  • 최경애 (이화여자대학교 간호과학대학)
  • Published : 2007.12.31
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Abstract

Purpose: The purpose of this study was to investigate the relationships among depression, somatic symptoms, and activities of daily living of elderly women in urban areas. Method: After obtaining participant's consent forms, a one-time, face-to-face, and private interview was conducted with each participant from Sep, 2006 to Jan, 2007 by trained graduate-level students. The questionnaire consisted of K-GDS, PHQ-15, Barthel Index, and Instrumental Activity of Daily Living. The collected data was analyzed with the SPSS/PC 12.0 program, which was used for frequency, percentage, mean, standard deviation, Pearson correlation coefficients, and multiple regression. Results: The major findings of this study were as follows 1) 34.1% of participants belonged to the depression group. 2) There were significant relationships between depression and monthly income, somatic symptoms, ADL, IADL, and number of chronic disease. 3) Significant factors influencing depression were somatic symptoms, ADL, and monthly income. Conclusion: The results of this study give useful information for designing interventions and program development for appropriate depression management and care for elderly women.

Keywords

References

  1. Alexopoulos, G. H. (2005). Depression in the elderly. Lancet. 365, 1961-1970 https://doi.org/10.1016/S0140-6736(05)66665-2
  2. Bae, J. Y., Kim, W. H., & Yoon, K. A. (2005). Depression, suicidal thoughts and the buffering effect of social support among the elderly. J Korean Gerontol Soc, 25(3), 59-73
  3. Birrer, R. B., & Vernuri, S. P. (2004). Depression in later life: A diagnostic and therapeutic challenge. Am Fam Physician, 69(10), 2375-2382
  4. Cho, E. H., Chun, J. H., & Lee, S. W. (2000). A model for the factors affecting depression in the elderly with chronic disease. J Korean Geriatr Soc, 4(3), 148-163
  5. Cho, M. J. (2004). New treatment of geriatric depression. In G. B. Hur(Ed.), 2004 spring academic symposium (pp. 45-48). Seoul: The Korean Academy of Clinical Geriatrics
  6. Cole, M. G., & Dendukuri, N. (2003). Risk factors for depression among elderly community subjects: A systematic review and meta-analysis. Am J Psychiatry, 160(6), 1147-1156 https://doi.org/10.1176/appi.ajp.160.6.1147
  7. Cullum, S., Tucker, S. Todd, C., & Bravne, C. (2006). Screening for depression in older medical inpatients. Int J Geriatr Psychiatry. 21(5), 469-476 https://doi.org/10.1002/gps.1497
  8. Donini, L. M., Savina, C., & Cannella C. (2003). Eating habits and appetite control in the elderly: The anorexia of aging. Int Psychogeriatriatr, 15(1), 73-87 https://doi.org/10.1017/S1041610203008779
  9. Fu, C. C., Lee, Y. M., & Chen, J. D. (2003). Association between depressive symptoms and twelve-year mortality among elderly in a rural community in Taiwan. J Formos Med Assoc, 102(4), 234-239
  10. Hur, J. S., & Yoo, S. H. (2002). Determinants of depression among elderly persons. Mental Health & Social Work, 13(6), 7-35
  11. Jung, I. K., Kwak, D. I., Joe, S. H., & Lee, H. S. (1997). A study of standardization of Korean from of geriatric depression Scale(KGDS). J Korean Geriatr Psychiatry, 1(1), 61-72
  12. Jung, I. K., Kwak, D. I., Joe, S. H., & Lee, H. S. (1998). A Preliminary study on standardiazation of Korean Form of Geriatric Depression Scale(KGDS). J Korean Neuropsychiatr Assoc, 37(2), 340-351
  13. Jung, Y. M. (2007). Health status and associated factors of depression according to depression in elderly women. J Korean Gerontological Soc, 27(1), 71-86
  14. Kang, H. K., & Kim, K. J. (2000). The correlation between depression and physical health among the aged. J Public Health Association, 26(4), 451-459
  15. Kim, J. H. (2003). Gender difference in the depressive symptom of the elderly. Unpublished master's thesis, Seoul National University, Seoul
  16. Kim, N. C., & Yang, S. (2001). Physical health status and depression of a community-dwelling elderly group. J Korean Acad Nurs, 31(6), 1012-1020 https://doi.org/10.4040/jkan.2001.31.6.1012
  17. Korea National Statistical Office (2005). The elderly persons statistics. Retrieved 12/27/06 from http://www.nso.go.kr
  18. Korea National Statistical Office (2006). 2005 Population and housing census. Retrieved 12/27/06 from http://www.nso.go.kr
  19. Kornstein, S. G., Schatzberg, A. F., Thase, M. E., Yonkers, K. A., McCullough, J. P., Keitner, G. I., et al. (2000). Gender differences in chronic major and double depression. J Affect Disord, 60, 1-11 https://doi.org/10.1016/S0165-0327(99)00158-5
  20. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2002). The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med, 64, 258-266 https://doi.org/10.1097/00006842-200203000-00008
  21. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9, 179-186 https://doi.org/10.1093/geront/9.3_Part_1.179
  22. Lee, K. J., & Park, H. S. (2006). A study on the perceived health status, depression, and activities of daily living for the elderly in urban areas. Korean J Women Health Nurs, 12(3), 221-230
  23. Lee, K. J., Kim, N. C., Kim, Y. S., Kim, E. J., Kim, J. H., No, Y. J., et al. (2002). Toward healthy aging(5th). Seoul: Yeongmun translation copyright
  24. Lee, S. A., & Lee, K. M. (2002). A study on the major factors influencing depression among the elderly in rural area. J Korean Gerontol Soc, 22(1), 209-226
  25. Mahoney, F. J., & Barthel, D. W. (1965). Functional evaluation: The Barthel index. Md State Med J, 14(1), 1-3
  26. Ministry of Health Welfare (2000). A national health nutrition survey. Retrieved 12/30/06 from http://www.mohw.go.kr/
  27. Ministry of Health Welfare (2004). The survey of Korean women health. Retrieved 12/30/06 from http://www.mohw.go.kr/
  28. Mitchell, A. J., & Subramaniam, H. (2005). Prognosis of depression in old age compared to middle age: A systematic review of comparative studies. Am J Psychiatry. 162(9), 1588-1601 https://doi.org/10.1176/appi.ajp.162.9.1588
  29. Oh, Y. H., Bae, H. O., & Kim, Y. S. (2006). A study on physical and mental function affecting self-perceived health of older persons in Korea. J Korean Gerontol Soc, 26(3), 461-476
  30. Pfeiffer, E., & Davies, C. I. C. (1972). Determinants of sexual behavior in middle and old age. J Am Geriatr Soc, 20(4), 151-158 https://doi.org/10.1111/j.1532-5415.1972.tb00789.x
  31. Shah, S., Vanelay, F., & Cooper, B. (1989), Improving the sensitivity of the Barthel index for stroke rehabilitation. J Clin Epidemiol, 42(8), 703-709 https://doi.org/10.1016/0895-4356(89)90065-6
  32. Spitzer, R. L., Kroenke, K., & Williams, J. B. (1999). Validation and utility of a self-report version of PRIMEMD: The PHQ primary care study: Primary care evaluation of mental disorders. patient health questionnaire. JAMA, 282(10), 1737-1744 https://doi.org/10.1001/jama.282.18.1737
  33. Tiemeier, H. (2003). Biological risk factors for late life depression. Eur J Epidemiol, 18. 745-750
  34. Yesavage, J. A., Brink, T. L., Rose, T. L, Lum, O., Huang, V., Adey, M. B., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A priliminary report. J Psychiatr Res, 17, 37-49 https://doi.org/10.1016/0022-3956(82)90033-4
  35. Yoon, S. J., Lee, Y. H., Son, T. Y., Oh, H. J., Han, S. G., & Kim, K. H. (2002). Factors associated with dementia and depressive symptoms in older persons living in the community, J Korean Gerontol Soc, 21(3), 59-73