Korean Journal of Adult Nursing (성인간호학회지)

Korean Society of Adult Nursing (한국성인간호학회)
권호 표지
DOI QR코드

DOI QR Code

Prediction of Depression among Elderly with Mild Cognitive Impairment Living in the Community

경도인지장애 노인의 우울 예측 요인

  • Shin, Kyung-Rim (Division of Nursing Science, College of Health Sciences, Ewha Womans University) ;
  • Kang, Youn-Hee (Division of Nursing Science, College of Health Sciences, Ewha Womans University) ;
  • Kim, Mi-Young (Division of Nursing Science, College of Health Sciences, Ewha Womans University) ;
  • Jung, Duk-Yoo (Division of Nursing Science, College of Health Sciences, Ewha Womans University) ;
  • Lee, Eliza (The School of Continuing Education, Ewha Womans University)
  • 신경림 (이화여자대학교 건강과학대학 간호과학부) ;
  • 강윤희 (이화여자대학교 건강과학대학 간호과학부) ;
  • 김미영 (이화여자대학교 건강과학대학 간호과학부) ;
  • 정덕유 (이화여자대학교 건강과학대학 간호과학부) ;
  • 이에리쟈 (이화여자대학교 평생교육원)
  • Received : 2011.11.25
  • Accepted : 2012.04.21
  • Published : 2012.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study aimed to identify depression and its predictors among Korean community-dwelling elderly with mild cognitive impairment. Methods: Secondary data analyses of the data collected by the "Study on tailored integration program for reinforcing cognitive and physical function of the frail elderly. The study used data from one-to-one interviews using structured questionnaires. The subjects were 346 community-dwelling elderly who visited a healthcare center in Seoul, Korea. A descriptive correlational study design was utilized to explore depression and its predictors including physical factors and psychosocial factors among the elderly with mild cognitive impairment. Data were analyzed using t-test, Pearson's correlation, and hierarchical regression. Results: Mean score of depression was within normal limit $11.61{\pm}6.69$. Somatic symptoms, negative life events (severity), social support were shown as significant predictors of depression. The most influential predictor for depression was somatic symptoms (${\beta}$=.340, $p$ <.001). Conclusion: To prevent and relieve depression in the elderly with mild cognitive impairment, nursing intervention strategies which consider well-balanced physical and psychosocial aspects are needed. In particular, a specific nursing intervention strategy is required to improve physical health of the elderly with mild cognitive impairment.

Keywords

References

  1. Alexopoulos, G. S. (2005). Depression in the elderly. Lancet, 365 (9485), 1961-1970. https://doi.org/10.1016/S0140-6736(05)66665-2
  2. Charlson, M. E., Prompei, P., Ales, K. L., & Mackenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Disease, 40 (5), 373-383. https://doi.org/10.1016/0021-9681(87)90171-8
  3. Chertkow, H. (2002). Mild cognitive impairment. Current Opinion in Neurology, 15 (4), 401-407. https://doi.org/10.1097/00019052-200208000-00001
  4. Djernes, J. K. (2006). Prevalence and predictors of depression in populations of elderly: A review. Acta Psychiatrica Scandinavica, 113 (5), 372-387. https://doi.org/10.1111/j.1600-0447.2006.00770.x
  5. Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-Mental-State: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12 (3), 189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  6. Jung, I. K., Kwak, D. I., Joe, S. H., & Lee, H. S. (1998). A preliminary study on standardization of Korean Form of Geriatric Depression Scale (KGDS). Journal of the Korean Neuropsychiatry Association, 37 (2), 340-351.
  7. Kaneko, Y., Motohashi, Y., Sasakki, H., & Yamaji, M. (2007). Prevalence of depressive symptoms and related risk factors for depressive symptoms among elderly persons living in rural Japanese community: A cross-sectional study. Community Mental Health Journal, 43 (6), 583-590. https://doi.org/10.1007/s10597-007-9096-5
  8. Kim, B. R., Kim, Y. K., Lee, B. O., & Park, S. J. (2011). The relationship between late-onset depression and Alzheimer's disease. Journal of Korean Geriatric Psychiatry, 15 , 25-30.
  9. Kim, J. H., Park, M. H., Kim, E. K., Han, C. S., Jo, S. A., & Jo, I. (2007). Plasma Homocysteine is associated with the risk of mild cognitive impairment in an elderly Korean population. The Journal of Nutrition, 137 , 2093-2097. https://doi.org/10.1093/jn/137.9.2093
  10. Kroenke, K., Spitzer, R. L., & Williams, J. B. (2002). The PHQ-15: Validity of a new measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine, 64 (2), 258-266. https://doi.org/10.1097/00006842-200203000-00008
  11. Ku, H. M., Kim, J. H., Kwon, E. J., Kim, S. H., Lee, H. S., Ko, H. J., et al. (2004). A study on the reliability and validity of Seoul-Instrumental Activities of Daily Living (S-IADL). Journal of Korean Neuropsychiatry Association, 43 (2), 189- 199.
  12. Lee, J. Y., Lee, D. W., Cho, S. J., Na, D. L., Jeon, H. J., Kim, S. K., et al. (2008). Brief screening for mild cognitive impairment in elderly outpatient clinic: Validation of the Korean version of the Montreal cognitive assessment. Journal of Geriatric Psychiatry and Neurology, 21 (2), 104-110. https://doi.org/10.1177/0891988708316855
  13. Lee, K. J., & Lee, S. Y. (2004). A study on the factors influencing depression among elderly people with, and without, dementia. Journal of Korean Academy of Fundamentals of Nursing, 11 (2), 166-176.
  14. Lyketsos, C. G., Lopez, O., Jones, B., Fitzpatrick, A. L., Breitner, J., & Dekosky, S. (2002). Prevalence of neuropsychiatric symptoms in dementia and mild cognitive impairment. The Journal of the American Medical Association, 288 (12), 1475-1483. https://doi.org/10.1001/jama.288.12.1475
  15. Modrego, P. J., & Ferrandez, J. (2004). Depression in patients with mild cognitive impairment increases the risk of developing dementia of Alzheimer type. Archives of Neurology, 61 (8), 1290-1293. https://doi.org/10.1001/archneur.61.8.1290
  16. Moon, M. J. (2010). Factors influencing depression in elderly people living at home. Journal of Korean Academy of Nursing, 40 (4), 542-550. https://doi.org/10.4040/jkan.2010.40.4.542
  17. Murrell, S. A., & Norris, F. H. (1984). Resources, life events, and changes in positive affect and depression in older adults. American Journal of Community Psychology, 12 (4), 445- 464. https://doi.org/10.1007/BF00896505
  18. Nasreddine, Z. S., Phillips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., et al. (2005). The Montreal cognitive assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatric Society, 53 (4), 695-699. https://doi.org/10.1111/j.1532-5415.2005.53221.x
  19. Panza, F., Frisardi, V., Capurso, C., D'Introno, A., Colacicco, A. M., Imbimbo, B. P., et al. (2010). Late-life depression, mild cognitive impairment, and dementia: Possible continuum. The American Journal of geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 18 (2), 98-116. https://doi.org/10.1097/JGP.0b013e3181b0fa13
  20. Perneczky, R., Pohl, C., Sorg, C., Hartmann, J., Tosic, N., Grimmer, T., et al. (2006). Impairment of activities of daily living requiring memory or complex reasoning as part of the MCI syndrome. International Journal of Geriatric Psychiatry, 21 (2), 158-162. https://doi.org/10.1002/gps.1444
  21. Petersen, R. C., Smith, G. E., Waring, S. C., Ivnik, R. J., Tangalos, E. G., & Kokmen, E. (1999). Mild cognitive impairment: Clinical characterization and outcome. Archives of Neurology, 56 (6), 303-308. https://doi.org/10.1001/archneur.56.3.303
  22. Rosnick, C. B., Small, B. J., McEvoy, C. L., Borenstein, A. R., & Mortimer, J. A. (2007). Negative life events and cognitive performance in a population of older adults. Journal of Aging and Health, 19 (4), 612-629. https://doi.org/10.1177/0898264307300975
  23. Sachs-Ericsson, N., Joiner, T., Plant, E. A., & Blazer, D. G. (2005). The influence of depression on cognitive decline in community-dwelling elderly person. The American Journal of Geriatric Psychiatry: Official Journal of the American Association for Geriatric Psychiatry, 13 (5), 402-408. https://doi.org/10.1097/00019442-200505000-00009
  24. Shin, K. R., Kang, Y., Jung, D., & Choi, K. A. (2007). A study on the depression, somatic symptoms, activities of daily living for the elderly women in an urban area. Journal of Korean Academy of Nursing, 37 (7), 1131-1138. https://doi.org/10.4040/jkan.2007.37.7.1131
  25. Shin, K. R., Kang, Y., Jung, D., Kim, M., Kim, J., Kim, M., et al. (2011). Prevalence and characteristics of mild cognitive impairment in the community-dwelling elderly compared to elderly with normal cognitive function. Korean Journal of Adult Nursing, 23 (1), 40-49.
  26. Spitzer, R. L., Kroenke, K., Williams, J. B. W., & the Patient Health Questionnaire Primary Care Study Group(1999). Validation and utility of a self-report version of PRIMEMD: The PHQ primary care study. The Journal of the American Medical Association, 282 (18), 1737-1744. https://doi.org/10.1001/jama.282.18.1737
  27. Statistics Korea. (2009). Nationwide study on the prevalence of dementia in Korean Elders. Retrieved January 18, 2011, from Web site: http://kostat.go.kr
  28. Wada, T., Ishine, M., Sakagami, T., Okumiya, K., Fujisawa, M., Murakami, S., et al. (2004). Depression in Japanese community- dwelling elderly-prevalence and association with ADL and QOL. Archives of Gerontology and geriatrics, 39 , 15-23. https://doi.org/10.1016/j.archger.2003.12.003
  29. Wu, M. S., Lan, T. H., Chen, C. M., Chiu, H. C., & Lan, T. Y. (2011). Socio-demographic and health-related factors associated with cognitive impairment in the elderly in Taiwan. BMC Public Health, 11 (1), 22. https://doi.org/10.1186/1471-2458-11-22
  30. Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17 (1), 37-49.
  31. Zimet, G. D., Powell, S. S., Farley, G. K., Werkman, S., & Berkoff, K. A. (1990). Psychometric characteristics of the Multidimensional scale of perceived social support. Journal of Personality Assessment, 55 (3-4), 610-617. https://doi.org/10.1207/s15327752jpa5503&4_17

Cited by

  1. Factors Influencing Depressive Symptoms in Community Dwelling Older People vol.22, pp.2, 2013, https://doi.org/10.12934/jkpmhn.2013.22.2.107
  2. Cognitive Functions, Instrumental Activities of Daily Living, Depression and Quality of Life in the Elderly with Mild Cognitive Impairment vol.29, pp.2, 2015, https://doi.org/10.5932/JKPHN.2015.29.2.219
  3. Effects of a Cognitive Improvement Program on Cognition, Activities of Daily Living (ADL), Depression, Life Satisfaction, and Grasping Power in Small Groups vol.23, pp.3, 2016, https://doi.org/10.5953/JMJH.2016.23.3.169
  4. Quality of Life and Its Factors in Korean Elderly With Mild Cognitive Impairment pp.1552-3799, 2017, https://doi.org/10.1177/1054773817714561
  5. The Effects of an Individual Cognitive Improvement Program on the Elderly with Mild Cognitive Impairments vol.26, pp.1, 2015, https://doi.org/10.12799/jkachn.2015.26.1.1
  6. Neuropsychological characteristics of elderly patients: a comparison of mild cognitive impairment with depressed mood, mild cognitive impairment without depressed mood and depression vol.33, pp.1, 2012, https://doi.org/10.15842/kjcp.2014.33.1.007
  7. Factors Influencing Depression in Middle Aged Women: Focused on Quality of life on Menopause vol.43, pp.2, 2012, https://doi.org/10.21032/jhis.2018.43.2.148