DOI QR코드

DOI QR Code

The relationship among depressive symptoms and chronic diseases in the elderly

노인의 우울증세와 만성질환과의 관련성

  • Lim, Ji-Hye (Dept. of healthcare management, Youngsan University)
  • 임지혜 (영산대학교 의료경영학과)
  • Received : 2014.04.01
  • Accepted : 2014.06.20
  • Published : 2014.06.28

Abstract

This study aims to identify depressive symptoms status and factors to affect depressive symptoms in the elderly. The research selected 1,429 adults aged over 65, who appeared with depressive symptoms, from the fifth Korea National Health and Nutrition Examination Survey 2012. We analyzed states of depressive symptoms using descriptive statistics. Logistic regression analysis was used to examine the main factors associated with depressive symptoms in the elderly. The result shows that depressive symptoms in the elderly is significantly associated with gender, age, income level, subjective health status, smoking and the number of chronic diseases. Females, higher age, lower income, lower subjective health status, smoking and the higher the number of chronic diseases were the significant factors of higher depressive symptoms. Therefore, it is necessary to develop effective social programs and individualized approach to improve the quality of life in the elderly. In the future, these findings can be used as important data for health care policy and assessment.

본 연구는 노인의 우울증세 현황과 노인의 우울증세에 영향을 미치는 요인을 살펴보는 데 목적이 있다. 2012년 국민건강영양조사 자료를 이용하였으며, 우울증세가 있는 65세 이상 노인 1,429명을 대상으로 하였다. 분석대상자의 우울증세 현황을 파악하기 위하여 기술통계를 실시하였으며, 노인의 우울증세에 영향을 미치는 요인을 파악하기 위해 로지스틱 회귀분석을 실시하였다. 연구결과, 노인의 우울증세는 성, 연령, 개인소득수준, 건강상태, 현재 흡연유무, 만성질환개수와 유의하게 관련이 있었다. 여성, 연령이 높을수록, 소득수준이 낮을수록, 주관적 건강상태가 나쁘다고 느끼는 경우, 흡연을 하는 경우, 보유하고 있는 만성질환의 개수가 많을수록 우울증세를 경험할 확률이 유의하게 높게 나타났다. 따라서 노인의 우울에 대한 사회적 관심과 공감대 형성이 필요하며, 노인들의 삶의 질 향상을 위한 보다 구체적인 접근방안을 모색하는 노력이 필요할 것이다. 이러한 결과들은 향후 보건의료정책 수립에 기초 자료로 의미 있게 활용되어질 수 있으리라 여겨진다.

Keywords

References

  1. Korea National Statistical Office, 2008 Elderly statistics, pp. 1-25, 2008.
  2. Korea Institute for Health and Social Affairs, National Elderly Survey, Ministry of Health & Welfare, 2011.
  3. Korea Institute for Health and Social Affairs, National Elderly Survey, Ministry of Health & Welfare, 2008.
  4. Jung-Eun Go, Sun-Hae Lee, A multilevel modeling of factors affecting depression among older korean adults, The Korean Academy of Mental Health Social Work, Vol. 40, No. 1, pp. 322-351, 2011.
  5. Jun-Soo Hur, Soo-Hyun Yoo, Determinants of Depression among Elderly Persons, The Korean Academy of Mental Health Social Work, Vol. 13, pp. 7-35, 2002.
  6. Yeon-Og Yeo, Eun-Kwang Yoo, The relationship among depression, self-esteem and ADL in the case of the hospitalized elderly patients with chronic disease, Journal Korean Academy Adult Nurse, Vol. 22, No. 6, pp. 676-686, 2010.
  7. Mee-Sook Lee, Chronic Diseases, Depressive Symptoms and the Effects of Social Networks in Korean Elderly Population, Korean Association of Health And Medical Sociology, Vol. 27, pp. 5-30, 2010.
  8. In-Jeong Lee, Sex Differences in the Effects of Psychosocial Factors on Depression and Life satisfaction of Older Persons, International Journal of Welfare for the Aged, Vol. 36, pp. 159-180, 2007.
  9. Karton, W. and Giechanowski, P, Impact of major depression on chronic medical illness, Journal of Psychomatic Research, Vol. 53, pp. 859-863, 2002. https://doi.org/10.1016/S0022-3999(02)00313-6
  10. Karton, W. and Sullivan, M, Depression and chronic medical illness, Journal of Clinical Psychology, Vol. 51, No. 6, pp. 3-11, 1990.
  11. http://kosis.kr
  12. Ji-Mee Kim, Jung-Ae Lee, Depression and Health status in the elderly, Journal of the Korean Gerontological Society, Vol. 30, No. 4, pp. 1311-1327, 2010.
  13. V. Lorant, D. Delige, W. Eaton, A. Robert, P. Philippot, and M. Ansseau, Socioeconomic inequalities in depression, American Journal of Epidemiology, Vol. 157, pp. 98-112, 2003. https://doi.org/10.1093/aje/kwf182
  14. Su-Ae Lee, Gyung-Mee Lee, A study on the major factors influencing the depression among the elderly in rural area, Journal of the Korean Gerontological Society, Vol. 22, No. 1, pp. 209-226, 2002.
  15. G. J. Kennedy, H. R. Kelman, and C. Thomas, The emergence of depressive symptoms in late Life: The importance of declining health and increasing disability, Journal of Community Health, Vol. 15, No. 2, pp. 93-104, 1990. https://doi.org/10.1007/BF01321314
  16. R. E. Roberts, S. J. Shema, G. A. Kaplan, and W. J. Strawbridge, Sleep complaints and depression in an aging cohort: A prospective perspective, American Journal of Psychiatry, Vol. 157, No. 1, pp. 81-88, 2000. https://doi.org/10.1176/ajp.157.1.81
  17. L. Stallones, M. B. Marx, and T. F. Garrity, Prevalence and correlates of depressive symptoms among older U. S. adults, American Journal of Preventive Medicine, Vol. 6, No. 5, pp. 295-303, 1990. https://doi.org/10.1016/S0749-3797(18)30998-X
  18. H. S. Jeon, R. Dunkle, and B. L. Roberts, Worries of oldest-old, Health & Social Work, Vol. 31, No. 4, pp. 256-265, 2006. https://doi.org/10.1093/hsw/31.4.256
  19. Seung-Duk Ko, Ae-Rees Son, Yun-Shin Choi, A Study on the relationship og the geriatric depression to the elderly's general characteristics, Korean Journal of Family Welfare, Vol. 6, No. 1, pp. 3-15, 2001.
  20. Hong-lan Seo, Yun-Kyung Jung, Hee-nyon Kim, The effects of physical diseases on elderly depression and moderate effects of the self-care performance, Journal of Welfare of the Aged, Vol. 61, pp. 57-84, 2013.
  21. P. Cuijpers, Mortality and depressive symptoms in inhabitants of residential homes, International Journal of Geriatric Psychiatry, Vol. 16, Issue 2, pp. 131-138, 2001. https://doi.org/10.1002/1099-1166(200102)16:2<131::AID-GPS283>3.0.CO;2-W
  22. G. M. Williamson, and R. Schulz, Physical illness and symptoms of depression among elderly outpatients, Psychology and Aging, Vol. 7, No. 3, pp. 343-351, 1992. https://doi.org/10.1037/0882-7974.7.3.343

Cited by

  1. Powerlessness, Self-Esteem and Depression on Korean-American Immigrant Elderly vol.15, pp.11, 2014, https://doi.org/10.5762/KAIS.2014.15.11.6685