DOI QR코드

DOI QR Code

Factors Influencing Depression in Middle Aged Women: Focused on Quality of life on Menopause

중년여성의 우울에 영향을 미치는 요인: 갱년기 삶의 질을 중심으로

  • Received : 2018.04.27
  • Accepted : 2018.05.28
  • Published : 2018.05.31

Abstract

Objectives: The purpose of this study was to identify its influencing factors of depression in middle aged women. Methods: We analyzed cross-sectional data collected from 142 middle aged women by using self-reported questionnaire Korean version of Center for Epidemiologic Studies Depression Scale (CES-D), Menopause-specific Quality of life (MENQOL), Korean Perceived Stress Scale-10 (KPSS-10), Multiple dimensional Scale of Perceived Social Support (MSPSS), and Perceived health status. Data were analyzed stepwise multiple regression with SPSS 19.0. Results: The mean score for depression was 17.45. There were difference of depression scores in marital satisfaction (F = 6.15, p= 0.001) and quality of sleep (F = 8.12, $p{\leq}0.001$). There were difference of menopausal specific quality of life that were statistically significant in marital satisfaction (F = 5.40, p= 0.002) and quality of sleep (F = 4.20, p= 0.003). Depression was correlated with stress (r = 0.69, p< 0.001), social support (r = 0.52, p< 0.001), menopausal specific quality of life (r = 0.52, p< 0.001) and perceived health status (r = -0.44, p< 0.001). The factors related to depression were stress (${\beta}=0.48$, p< 0.001), social support (${\beta}=-0.25$, p< 0.001), quality of life on menopause (${\beta}=0.18$, p< 0.001) which explained 56% of the variance reported in depression. Conclusions: The results indicate that these factors influencing depression should be considered when developing integrated intervention program to cope with depression in middle aged women.

Keywords

Acknowledgement

Supported by : Hanseo University

References

  1. Boswoth HB, Bastian LA, Kuchibhatla MN, Steffens DC, Mcbride CM, Skinner CS, et al. Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife. Psychosom Med 2001; 63(4):603-608. https://doi.org/10.1097/00006842-200107000-00013
  2. Nelson HD. Menopause. Lancet 2008;371(9614):760-770. https://doi.org/10.1016/S0140-6736(08)60346-3
  3. Kim SM, Kim SY. A study on aging anxiety and self-efficacy of middle aged adults. J Korean Acad Psychiatr Nurs 2008;17(3):281-291 (Korean).
  4. Nisar N, Sohoo NA. Frequency of menopausal symptoms and their impact on the quality of life of women: a hospital based survey. J Pak Med Assoc 2009;59(11):752-756.
  5. Kim YH, Ha EH, Shin SJ. A study on the menopausal symptoms and quality of life in middle aged women. J Korean Acad Nurs 2003;33(5): 601-608 (Korean). Doi: 10.4040/jkan.2003.33.5.601
  6. Chang HK, Cha BK. Influencing factors of climacteric women's depression. J Korean Acad Nurs 2003;33(7):972-980 (Korean). Doi:10.4040/jkan.2003.33.7.972
  7. Han MJ, Lee JH. Factors influencing self-identity and menopausal symptoms on level of depression in middle aged women. Korean Women Health Nurs 2013;19(4):275-284 (Korean). Doi: 10.4069/kjwhn.2013.19.4.275
  8. Kim SJ, Kim SY. A study on the relationship of marital intimacy, depression, and menopausal symptoms in middle-aged women. Korean J Women Health Nurs 2013;19(3):176-187 (Korean). Doi: 10.4069/kjwhn.2013.19.3.176
  9. Han EK. An analysis of convergence factors on depressive symptoms women in the postmenopausal: based on the theory of unpleasant symptoms. J Convergence Info Technol 2018;8(1):59-67 (Korean). https://doi.org/10.22156/CS4SMB.2018.8.1.059
  10. Uebelacker LA, Eaton CB, Weisberg R, Sands M, Williams C, Calhoun C. Social support and physical activity as moderators of life stress in predicting baseline depression and change in depression over time in the women's health initiative. Soc Psychiatry Psychiatr Epidemiol 2013;48(12):1971-1982. https://doi.org/10.1007/s00127-013-0693-z
  11. Lee HJ, Kim C, Lee D. Factors influencing middle-aged women's depression. Korean J Health Promot 2016;16(1):1-10 (Korean). Doi:10.15384/kjhp.2016.16.1.1
  12. Lee HJ, Kim CM. Menopausal symptoms and depression among midlife women. J Korean Acad Community Health Nurs 2010;21(4): 429-438 (Korean). Doi: 10.12799/jkachn.2010.21.4.429
  13. Mishra GD, Kuh D. Health symptoms during midlife in relation to menopausal transition: British prospective cohort study. BMJ 2012; 344:e402. Doi: 10.1136/bmj.e402
  14. Avis NE, Colvin A, Bromberger JT, Hess R, Matthews K, Ory M, et al. Change in health-related quality of life over the menopausal transition in a multiethnic cohort of middle aged women: study of Women's Health Across the Nation. Menopause 2009;16(5):860-869. Doi:10.1097/gme.0b013e3181a3cdaf
  15. Mazure CM. Life stressors as risk factors in depression. Clin Psychol 1998;5(3):291-313. Doi: 10.1111/j.1468-2850.1998.tb00151.x
  16. Lee YR, Kwon JH, Lee MS. Stress and relapse depressive middle-aged women: focused on stress evaluation by contextual approach. Cogn Behav Ther 2009;9(2):35-47 (Korean).
  17. Shin HS. Subjectivity on stressful life events of middle-aged women. J Korean Acad Nurs 2002;32(3):406-415 (Korean). Doi: 10.4040/jkan.2002.32.3.406
  18. Lee KH, Lee YS, Ko MS, Kim HJ, Park NJ, Park YJ, et al. Maternity and women's health nursing. Seoul: Hyunmoomsa; 2010, p. 285 (Korean).
  19. Park YS, Cho DS, Lee EH, Kim JI, Shin HS, Chung JW, et al. Women's health nursing. Seoul: Soomoonsa; 2012, p. 396-397 (Korean).
  20. Radloff L. The CES-D scale: a self report depression scale for research in the general population. Appl Psychol Meas 1997;1(3):385-401. Doi:10.1177/014662167700100306
  21. Chon KK, Choi SC, Yang BC. Integrated adaptation of CES-D in Korea. Korea J Psychol: Health 2001;6(1):59-76 (Korean).
  22. Hilditch J, Lewis J, Peter A, Maris B, Ross A, Franssen E, et al. A menopause-specific quality of life questionnnaire: development and psychometric properties. Maturitas 1996;24(3):161-175. Doi: 10.1016/0378-5122(96)01038-9
  23. Park YJ, Koo BS, Kang HC, Chun SH, Yoon JW. The menopausal age and climacteric symptoms, and the related factors of Korean women. Korean J Women Health Nurs 2001;7(4):473-485 (Korean).
  24. Caplan G. Mastery of stress: psychosocial aspects. Am J Psychiatry 1998;138(4):413-420. Doi: 10.1176/ajp.138.4.413
  25. Cohen S, Kamarck T, Mermelstein R. A global measur of perceived stress. J Health Soc Behav 1983;24(4):385-396. Doi: 10.2307/2136404
  26. Lee EH, Chung BY, Suh CH, Jung JY. Korean versions of the perceived stress scale (PSS-14, 10, and 4): psychometric evaluation in patients with chronic disease. Scand J Caring Sci 2015;29(1):183-192. Doi:10.1111/scs.12131
  27. Kaplan B, Cassel J, Gore S. Social support and health. Med Care 1977; 15(5):47-58. https://doi.org/10.1097/00005650-197705001-00006
  28. Zimet G, Dahlem N, Zimet S, Farley G. The multidimensional scale of perceived social support. J Pers Assess 1988;52(1):30-41. Doi:10.1207/s15327752jpa5201_2
  29. Shin JS, Lee YB. The effects of social supports on psychosocial wellbeing of unemployed. Korean J Soc Welf 1999;37:241-269 (Korean).
  30. Lawston M, Moss M, Pulcmer M, Kleben M. A research and service oriented multilevel assessment instrument. J Gerontol 1982;37(1):91-99. Doi: 10.1093/geronj/37.1.91
  31. Mossey JM, Shapiro E. Self-rated health: a predictor of mortality among the elderly. Am J Public Health 1982;72(8):800-808. https://doi.org/10.2105/AJPH.72.8.800
  32. Chang HK, Oh Wo. Factors influencing ego-integrity in community dwelling olders. J Korean Acad Fundam Nurs 2011;18(4):529-537 (Korean).
  33. Lee PS, Lee YM, Lim JY, Hwang RI, Park EY. The relationship of stress, social support and depression in the elderly. J Korean Acad Nurs 2004; 34(3):477-483 (Korean). Doi: 10.4040/jkan.2004.34.3.477
  34. Koo BJ. A study of climacteric symptoms, hwabyung and quality of life in middle-aged women. GSWR 2013;3(2):5-24 (Korean).
  35. Rhee YM, Cho HN, Choi EJ, Choi KS, Lim JY, Park CY, et al. Korean study of women's health related isuues (K-stori) 2016. Available at http://www.cdc.go.kr/CDC/info/CdcKrInfo0301.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU0037-MNU1380&cid=76729 [accessed on March 13, 2018].
  36. Usten TB, Ayuso-Mateos JL, Chatterji S, Maters C, Murray C. Global burden of depressive disorders in the year 2000. Br J Psychiatry 2004;184(5):386-392. Doi.:10.1192/bjp.184.5.386
  37. Freeman E, Sammel L, Nelson D. Associations of hormones and menopausal status with depressed mood in women with no history of depression. Arch Gen Psychi 2006;63(4):375-382. Doi:10.1001/archpsyc.63.4.375
  38. Korea Centers for Disease Control and Prevention. Assessment of women's health during menopausal periods. Available at http://www.cdc.go.kr/CDC/info/CdcKrInfo0201.jsp?menuIds=HOME001-MNU1154-MNU0005-MNU1889&cid=21521 [accessed on March 13, 2018].
  39. Park HS, Kim SK, Cho GY. A study on climacteric symptoms, depression and quality of life in middle-aged women. Korean J Women Health Nurs 2003;9(4):479-488 (Korean).
  40. Nobel R. Depression in women. Metab 2005;54(5):49-52. Doi: 10.1016/j.metabol.2005.01.014
  41. Korea Health Insurance Review and Assessment Service. Depression in women. Available at http://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020041000100&brdScnBltNo=4&brdBltNo=7886 [accessed on April 25, 2018].
  42. Shin KR, Kang YH, Kim MY, Jung DK, Lee E. Prediction of depression among elderly with mild cognitive impairment living in the community. Korean J Adult Nurs 2012;24(2):171-182 (Korean). Doi:10.7475/kjan.2012.24.2.171
  43. Kulasingam S, Moineddin R, Lewis J, Tierney M. The validity of the menopause specific quality of life questionnaire. Maturitas 2008;60(3-4):239-243. Doi: 10.1016/j.maturitas.2008.07.002
  44. Park MH, Choi SR, Shin AM, Koo CH. Analysis of the characteristics of the older adults with depression using data mining decision tree analysis. J Korean Acad Nursing 2013;43(1):1-10 (Korean). https://doi.org/10.4040/jkan.2013.43.1.1
  45. Moss B, Schwebel A. Defining intimacy in romantic relationship. Fam Relat 1993;42:31-37. Doi: 10.2307/584918
  46. Sung MH. Self-reported climacteric symptoms, self concept and depression in middle-aged women. J Korean Acad Adult Nurs 2002; 14(1):102-113 (Korean).
  47. Jun SJ, Kim HK, Lee SM, Kim SA. Factors influencing middle-aged women's depression. J Korean Community Nurs 2004;15(2):266-276 (Korean).
  48. Lee SS, Choi WH. The relationship between depression and stress in Korean middle-aged women. J Korean Soc Matern Child Health 2007;11(2):185-196 (Korean). https://doi.org/10.21896/jksmch.2007.11.2.185
  49. Cole M, Dendukuri N. Risk factors for depression among elderly community subjects: a systematic review and meta-analysis. Am J Psychiatry 2003;160(6):1147-1156. Doi: 10.1176/appi.ajp.160.6.1147
  50. Huang K, Xu L, Jaisamran U. The Asian menopause survey: knowledge, perceptions. Maturitas 2010;65:276-289. Doi: 10.1176/appi.ajp.160.6.1147
  51. Williams R, Levine K, Kalilani L, Lewis J, Clark R. Menopause-specific questionnaire assessment in us population=based study show negative impact on health-related quality of life. Maturitas 2009;62:153-159. Doi: 10.1016/j.maturitas.2008.12.006
  52. Kwon SH, Kim YJ, Moon GN, Kim IS, Park GJ, Park CH, et al. An analysis of the relationship between menopausal symptoms and depression. J Korean Soc Maternal Child Health 1996;2(2):235-245 (Korean).
  53. McEwan B. Mood disorders and allostatic load. Biological Psychiatry 2003;54(3):200-207. Doi: 10.1016/S0006-3223(03)00177-X
  54. Lee PS. Correlation study among anger, perceived stress and mental health status in middle aged women. J Korean Acad Nurs 2003;33(6): 856-864 (Korean). Doi: 10.4040/jkan.2003.33.6.856
  55. Kwon EJ, Kim HK, Cho SH, Ko SD, Cho H. Association of menopausal status, psychological factors, health behaviors and depressive symptoms of middle aged Korean women. Health Soc Sci 2014;35:25-54 (Korean).
  56. Lee JS. Rural area people's mental health relating factor. J Korean Acad Psychiatr Mental Health Nurs 2001;10(2):220-228 (Korean).
  57. Lee JW, Kim Y, Yi SM, Eun HJ, Kim DI. Life events, coping styles, social support and family relationships of middle-aged depressed women. J Korean Neuropsychiatr Assoc 1997;36(4):620-629. (Korean).
  58. Kim CG, Park SM. Gender difference in risk factors for depression in community-dwelling elders. J Korean Acad Nurs 2012;42(1):136-147 (Korean). https://doi.org/10.4040/jkan.2012.42.1.136

Cited by

  1. A Longitudinal Study on Ecological Determinants Associated with Middle-Aged and Elderly Women’s Life Satisfaction and Depressive Symptoms vol.38, pp.4, 2018, https://doi.org/10.15709/hswr.2018.38.4.129
  2. 중년여성의 스트레스에 미치는 영향요인 vol.7, pp.4, 2018, https://doi.org/10.15268/ksim.2019.7.4.241
  3. 갱년기 우울증에 대한 중약 중재 임상연구 고찰 -CNKI에서 검색된 무작위배정 비교임상시험을 중심으로 vol.31, pp.1, 2018, https://doi.org/10.7231/jon.2020.31.1.049
  4. 중년 여성의 수면시간과 우울 및 자살생각의 관계 vol.18, pp.4, 2020, https://doi.org/10.14400/jdc.2020.18.4.263
  5. 한국어판 폐경 특이형 삶의 질 측정도구의 신뢰도와 타당도 검증 vol.50, pp.3, 2020, https://doi.org/10.4040/jkan.20049
  6. 우울 경험이 의료서비스 이용에 미치는 영향: 중·노년기 여성 만성신체질환자를 대상으로 vol.31, pp.1, 2021, https://doi.org/10.4332/kjhpa.2021.31.1.46
  7. Age and Gender Differences in Trends and Impact of Depression on Quality of Life in the United States, 2008 to 2016 vol.31, pp.4, 2021, https://doi.org/10.1016/j.whi.2021.02.005