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Factors Influencing Depressive Symptoms in Community Dwelling Older People

지역사회 거주 노인의 우울증상에 영향하는 요인

  • Published : 2013.06.30

Abstract

Purpose: This study was done to investigate the factors which influence depressive symptoms in older people. Methods: This was a cross-sectional study. Data were collected through questionnaires from 393 older people. Data analysis was done with SPSS/WIN 17.0. Results: The prevalence of depression for elders was 14.8%. Living with family and level of education were significant factors related to depressive symptoms identified through multiple logistic regression analysis. After adjusting for several confounding factors, the factors related to depressive symptoms were number of chronic diseases, social support, frequency of social contact, sleep disturbance, and stress. Conclusion: Results of this study indicate that there is a need to construct and implement an integrated preventive program for depression which deals with care for chronic disease, reduction of stress, increased connection with a community network for social support and management of sleep disturbances.

Keywords

References

  1. Alexopoulos, G. S. (2005). Depression in the elderly. Lancet, 365, 1961-1970. https://doi.org/10.1016/S0140-6736(05)66665-2
  2. Cho, M. J., & Kim K. H. (1993). Diagnosis validity of the CES-D (Korean Version) in the assessment of DSM-III-R Major Depression. Journal of Korean Neuropsychiatric Association, 32, 381-398.
  3. Cohen, S., & Hoberman, H. (1983). Positive events and social supports of buffer of life change stress. Journal of Applied Social Psychology, 13, 99-125. https://doi.org/10.1111/j.1559-1816.1983.tb02325.x
  4. Chon, B. J. (1974). Self-esteem: A test of its measurability. Yonsei Study, 10, 109-129.
  5. Cole M. G., & Dendukuri, N. (2003). Risk factors for depression among elderly community subjects: A systematic review and meta-analysis. American Journal of Psychiatry, 160, 1147-1156. https://doi.org/10.1176/appi.ajp.160.6.1147
  6. Frank, S. H., & Zyznaski, S. J. (1988). Stress in clinical setting: The brief encounter psychosocial instrument. Journal of Family Practice, 26, 533-539.
  7. Gatz, J. L., Tyas, S. L., St. John, P., & Montgomery, P. (2005). Do depressive symptoms predict Alzheimer's disease and dementia? Journal of Gerontology Series A: Biological Science and Medical Science, 60, 744-747. https://doi.org/10.1093/gerona/60.6.744
  8. Health Insurance Policy Research Institute National Health Insurance Corporation [NHIC] (2013). The Press release. Retrieved April 16, 2013, from http://www.nhic.or.kr/cms/board/board/Board.jsp?act=VIEW&communityKey=B0039&boardId=22642
  9. Jang, M. H., & Won, J. S. (2009). Association of anger and anger expression, social support, self-esteem, and depression in elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 18, 259-268.
  10. Kim, C. G., & Park, S. M. (2012). Gender difference in risk factors for depression in community-dwelling elders. Journal of Korean Academy of Nursing, 42, 136-147. https://doi.org/10.4040/jkan.2012.42.1.136
  11. Lee, D. Y., Lee, K. U., Lee, J. H., Kim, K. W., Jhoo, J. H., Youn, J. H., et al. (2002). A normative study of the mini-mental state examination in the Korean elderly. Journal of Korean Neuropsychiatric Association, 41, 508-525.
  12. Lee, K. S., Cheong, H. K., Oh, B. H., & Hong, C. H. (2009). Comparison of the validity of screening tests for dementia and mild cognitive impairment of the elderly in a community: K-MMSE, MMSE-K, MMSE-KC, and K-HDS. Journal of Korean Neuropsychiatric Association, 48, 61-69.
  13. Lee, P. S., Lee, Y. M., Lim, J. Y., Hwang, R. I., & Park, E. Y. (2004). The relationship of stress, social support and depression in the elderly. Journal of Korean Academy of Nursing, 34, 477-483. https://doi.org/10.4040/jkan.2004.34.3.477
  14. Lee, Y. H., Shin, M. H., Kweon, S. S., Choi, S. W., Ryu, S. Y., Rhee, J. A., et al. (2008). Prevalence and correlates of depression among the elderly in an urban community. Journal of Agricultural Medicine & Community Health, 33, 303-315. https://doi.org/10.5393/JAMCH.2008.33.3.303
  15. McEwan, B. S. (2003). Mood disorders and allostatic load. Biological Psychiatry, 54, 200-207. https://doi.org/10.1016/S0006-3223(03)00177-X
  16. Moon, M. J. (2010). Factors influencing depression in elderly people living at home. Journal of Korean Academy of Nursing, 40, 542-550. https://doi.org/10.4040/jkan.2010.40.4.542
  17. Oh, D. H., Shin, A. K., Lee, H. Y., Seo, J. Y., Choi, B. Y., & Nam, J. H. (2013). Prevalence and correlates of depressive symptoms in Korean adults: Results of community health survey. Korean Academy of Medical Science, 28, 126-135.
  18. Ohayou, M. M., & Hong, S. C. (2006). Prevalence of major depressive disorder in the general population of South Korea. Journal of Psychiatric Research, 40, 30-36. https://doi.org/10.1016/j.jpsychires.2005.02.003
  19. Park, J. H., & Kim, K. W. (2011). A review of the epidemiology of depression in Korea. Journal of Korean Medical Association, 54, 362-369. https://doi.org/10.5124/jkma.2011.54.4.362
  20. Park, J. H., Lee, J. J., Lee, S. B., Huh, Y., Choi, E. A., Youn, J. C., et al. (2010). Prevalence of major depressive disorder and minor depressive disorder in an elderly Korean population: Results from the Korean longitudinal study on health and aging (KLoSHA). Journal of Affective Disorder, 125, 234-240. https://doi.org/10.1016/j.jad.2010.02.109
  21. Park, M. H., Choi, S. R., Shin, A. M., & Koo, C. H. (2013). Analysis of the characteristics of the older adults with depression using data mining decision tree analysis. Journal of Korean Academy of Nursing, 43, 1-10. https://doi.org/10.4040/jkan.2013.43.1.1
  22. Radloff, L. S. (1977). The CES-D scale: A self report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  23. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton, NJ: Princeton University Press.
  24. Seo, J. M., Kim, M. H., & Kim, J. S. (2006). Discriminating power of depression of elderly women by arthralgia, physical function and physical self-efficacy. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 15 , 237-245.
  25. Shin, K. R., Kang, Y. H., Kim, M. Y., Jung, D. K., & Lee, E. (2012). Prediction of depression among elderly with mild cognitive impairment living in the community. Korean Journal of Adult Nursing, 24, 171-182. https://doi.org/10.7475/kjan.2012.24.2.171
  26. Statistics Korea. (2010, Sep 29). 2010 aging statistics. Retrieved January 9, 2012, from http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&aSeq=250718&pageNo=7&rowNum=10&amSeq=&sTarget=&sTxt=
  27. Usten, T. B., Ayuso-Mateos, J. L., Chatterji, S., Maters, C., & Murray, C. J. (2004). Global burden of depressive disorders in the year 2000. British Journal of Psychiatry, 184, 386-392. https://doi.org/10.1192/bjp.184.5.386
  28. Won, J. S., & Kim, K. H. (2008). Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academy of Nursing, 38, 1-10. https://doi.org/10.4040/jkan.2008.38.1.1
  29. Yao, K. W., Yu, S., Cheng, S. P., & Chen, I. J. (2008). Relationships between personal depression and social network factors and sleep quality in community-dwelling older adults. Journal of Nursing Research, 16, 131-138. https://doi.org/10.1097/01.JNR.0000387298.37419.ff
  30. Yim, J. H., Bae, J. M., Choi, S. S., Kim, S. W., Hwang, H. S., & Huh, B. Y. (1996). The validity of modified Korean-translated BEPSI (Brief Encounter Psychosocial Instrument) as instrument of stress measurement in outpatient clinic. Journal of Korean Academy of Family Medicine, 17, 42-53.