DOI QR코드

DOI QR Code

Prevalence and Correlates of Depression among the Elderly in an Urban Community

일부 도시 지역사회 노인의 우울증 유병률 및 관련 요인

  • Lee, Young-Hoon (Department of Preventive Medicine, College of Medicine, Seonam University) ;
  • Shin, Min-Ho (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Kweon, Sun-Seok (Jeonnam Regional Cancer Center, Chonnam National University Hwasun Hospital) ;
  • Choi, Sung-Woo (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Rhee, Jung-Ae (Department of Preventive Medicine, Chonnam National University Medical School) ;
  • Choi, Jun-Su (Department of Preventive Medicine, Chonnam National University Medical School)
  • 이영훈 (서남대학교 의과대학 예방의학교실) ;
  • 신민호 (전남대학교 의과대학 예방의학교실) ;
  • 권순석 (화순전남대학교병원 전남지역암센터) ;
  • 최성우 (전남대학교 의과대학 예방의학교실) ;
  • 이정애 (전남대학교 의과대학 예방의학교실) ;
  • 최진수 (전남대학교 의과대학 예방의학교실)
  • Published : 2008.12.20

Abstract

- Abstract - Objectives: The purpose of this study was to estimate the prevalence of depression and identify its related factors among an urban elderly. Methods: The data for this study were obtained from 333 men and 514 women, aged 65-79 years who participated in '2007 community health survey' in Donggu, Gwangju metropolitan city. Their depressive symptoms were measured by Korean version of the Center for Epidemiological Studies-Depression Scale (CES-D). Results: The mean CES-D score (mean±S.D) for all subjects was 7.68±0.31. The mean CES-D score was significantly greater in the women (9.09±0.43) than in the men (5.51±0.39) (p<0.001). The prevalence rates of possible depression (CES-D score ≥16), probable depression (CES-D score≥21), and definite depression (CES-D score≥25) were 8.1%, 5.4%, and 3.9% in men, respectively. The prevalence rates of possible depression, probable depression, and definite depression were 19.5%, 11.1%, and 7.2% in women, respectively. Existence of spouse (no/yes), education level (no/high school or higher), health security system (medical aid/national health insurance), self-reported health status (poor/good), vascular risk factors (present/absent) proved to be statistically significant related factors of depression. Conclusions: This study suggests that a systematic effort and attention to support for elderly people living alone, low educational level, medical aid, poor self-reported health status and vascular risk factors should be promoted to reduce the incidence of depression.

Keywords

References

  1. 통계청. 장래인구 특별추계 결과. 2006
  2. Bae JN. Current clinical practice: Depression in late life. Korean J Med 2002;63(5):602-609(Korean)
  3. Suh GH, Cho DY, Rhoo IK, Yeon BK, Choi IG, Cho MJ. Prevalence and risk factors of depressive symptomatology among the Korean elderly. J Korean Geriatr Soc 1998;2(1):49-60(Korean)
  4. Johnson J, Weissman MM, Klerman GL. Service utilization and social morbidity associated with depressive symptoms in the community. JAMA 1992;267:1478-1483 https://doi.org/10.1001/jama.267.11.1478
  5. Broadhead WE, Blazer DG, George LK, Tee C. Depression, disability days, and days lost from work in a prospective epidemiologic survey. JAMA 1990;264:2524-2528 https://doi.org/10.1001/jama.264.19.2524
  6. Unutzer J, Patrick DL, Simon G, Grembowski D, Walker E, Rutter C, Katon W. Depressive symptoms and the cost of health services in HMO patients aged 65 years and older. JAMA 1997;277:1618-1623 https://doi.org/10.1001/jama.277.20.1618
  7. Health at a Glance 2007: OECD Indicators. OECD. 2007
  8. 질병관리본부, 응급실 손상환자 표본심층조사. 2006.08-2007.12
  9. Alexopoulos GS, the PROSPECT Group. Interventions for depressed elderly primary care patients. Int J Geriatr Psychiatry 2001;16(6):553-559 https://doi.org/10.1002/gps.464
  10. Radloff LS. The CES-D Scale: A self-report depression scale for research in the general population. Appl Psychol Meas 1997;1:385-401 https://doi.org/10.1177/014662167700100306
  11. Cho MJ, Kim KH. Diagnostic validity of the CES-D (Korean version) in the assessment of DSM-III-R major depression. J Korean Neuropsychiatr Assoc 1993;32(3):381-97(Korean)
  12. Shin SC, Kim MK, Yun KS, Kim JH, Lee MS, Moon SJ, Lee MJ, Lee HY, Yoo KJ. The center for epidemiologic studies-depression scale (CES-D): Its use in Korea. J Korean Neuropsychiatr Assoc 1991;30(4):752-767(Korean)
  13. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961 Jun;4:561-71 https://doi.org/10.1001/archpsyc.1961.01710120031004
  14. Suh GH, Ryu SG, Yeon Bk. A community study of depression in old age. J Korean Geriatr Soc 2005;9(4):291-300(Korean)
  15. Atchley R. Social forces and Aging. California: Wadsworth Publishing Co; 1994
  16. World Health Organization. World health report 2001: mental health: new understanding, new hope. Geneva: WHO; 2001
  17. Ihara K. Depressive states and their correlates in elderly people living in a rural community. Jpn J Public Health 1993;40:85-94
  18. Blazer D, Vurchett B, Service C, George LK. The association of age and depression among the elderly: an epidemiologic exploration. J Gerontology 1991;46(6):M210-215 https://doi.org/10.1093/geronj/46.6.M210
  19. O'Hara MW, Kohout FJ, Wallace RB. Depression among the rural elderly: A study of prevalence and correlates. J Nerv Ment Dis 1985;173:582-589 https://doi.org/10.1097/00005053-198510000-00002
  20. Lewinsohn PM, Seeley JR, Roberts RE, Allen NB. Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychol Aging 1997;12(2):277-287 https://doi.org/10.1037/0882-7974.12.2.277
  21. Weissman MM, Klerman GL. Sex differences and the epidemiology of depression. Arch Gen Psychiatry 1977;34:98-111 https://doi.org/10.1001/archpsyc.1977.01770130100011
  22. Bothwell W, Weisman MM. Social impairments 4 after years. an acute depressive eisod. Am J Orthopsychiatry 1977;47:231-237 https://doi.org/10.1111/j.1939-0025.1977.tb00978.x
  23. Kim SY, Ko SG, Kwon JH. The moderating effect of social support and coping on widowed elderly. Kor J Clin psychol 2007;26(3): 573-596(Korean) https://doi.org/10.15842/kjcp.2007.26.3.002
  24. Kim MD, Hwang SW, Hong SC. Prevalence of depression and correlates of depressive symptoms among residents in rural areas of Jeju island. J Korean Acad Fam Med 2003;24:833-844(Korean)
  25. Eaton WW, Kessler LG. Rates of symptoms of depression in a national sample. Am J Epidemiol 1981;114(4):528-538 https://doi.org/10.1093/oxfordjournals.aje.a113218
  26. Shon SJ, Shin JH, Shin HY, Chung EK, Bum MS, Kweon SS. Assessment of depression and relates in rural elderly. Korean J Rural Med 2000;25(1):85-98(Korean)
  27. Do BW, Cho SJ, Choi SY, Oh SW, Kim CH, Yoo TW. Correlates of depression in primary care : Symptoms, disease. J Korean Acad Fam Med 1996;17(9):775-783(Korean)
  28. Carney RM, Rich MW, teVelde A, Saini J, Clark K. Jaffe AS. Major depressive disorder in coronary artery disease. Am J Cardiol 1987;60:1273-1275 https://doi.org/10.1016/0002-9149(87)90607-2
  29. Rabkin JG, Charles E, Kass F. Hypertension and DSM-III depression in psychiatric outpatients. Am J Psychiatry 1983;140:1072-1074 https://doi.org/10.1176/ajp.140.8.1072
  30. Suh GH, Kim JK, Yeon BK, Park SK, Yoo KY, Yang BK, Kim YS, Cho MJ. Prevalence and Risk Factors of Dementia and Depression in the Elderly. J Korean Neuropsychiatr Assoc 2000;39(5):809-824(Korean)

Cited by

  1. Prevalence and Correlates of Depression in Older Koreans: Comparison of Young-old and Old-old vol.21, pp.1, 2012, https://doi.org/10.12934/jkpmhn.2012.21.1.1
  2. Factors Influencing Depression in Married Immigrant Women in Korea vol.19, pp.4, 2013, https://doi.org/10.4069/kjwhn.2013.19.4.254
  3. Relationship Between Low Back Pain and Depression Among Some Elderly vol.15, pp.3, 2014, https://doi.org/10.5762/KAIS.2014.15.3.1599
  4. Survey of Depression in the Elderly Patients with Chronic Obstructive Pulmonary Disease vol.52, pp.3, 2013, https://doi.org/10.4306/jknpa.2013.52.3.163
  5. The Factors Associated with Depression in the Elderly Male: Based on the 5th Korea National Health and Nutrition Examination Survey vol.27, pp.5, 2015, https://doi.org/10.7475/kjan.2015.27.5.583
  6. The Influence of Individual-Level Social Capital on Depression vol.36, pp.2, 2011, https://doi.org/10.5393/JAMCH.2011.36.2.073
  7. Factors Influencing Depression of Married Immigrant Women in Rural Areas vol.24, pp.4, 2012, https://doi.org/10.7475/kjan.2012.24.4.370
  8. Factors Influencing Depressive Symptoms in Community Dwelling Older People vol.22, pp.2, 2013, https://doi.org/10.12934/jkpmhn.2013.22.2.107
  9. Impact of Body Mass Index and Perceived Health Status on Depression in Elderly Women Living Alone in the Community vol.20, pp.4, 2011, https://doi.org/10.12934/jkpmhn.2011.20.4.376