DOI QR코드

DOI QR Code

The effects of a chronic disease/disability and stress from health on depressive symptoms among one-person households: A focus on the moderating effect of social support

1인 가구의 만성질환 및 장애여부, 건강 스트레스와 우울감과의 관계: 사회적 지지 조절효과를 중심으로

  • Chung, Hyeeun (Department of Child Development and Family Studies, Seoul National University)
  • 정혜은 (서울대학교 아동가족학과)
  • Received : 2018.09.27
  • Accepted : 2019.03.13
  • Published : 2019.05.30

Abstract

This study examines the effects of chronic disease/disability and stress from health on depressive symptoms among one-person households living in Seoul and Gyeonggi Province in Korea. This study also investigates the moderating effect of social support on the relationship between 1)having a chronic disease/disability and depressive symptoms as well as 2)stress from health and depressive symptoms. This study used data from an online survey targeting one-person households living in Seoul and Gyeonggi Province. The final sample included 499 one-person households. Using a multiple regression analysis with SPSS 20.0, results showed that having a chronic disease/disability was associated with a higher level of depressive symptoms. In addition, stress from health was associated with a higher level of depressive symptoms. In regard to the roles of social support, economic support and emotional support had a direct negative effect on depressive symptoms. Emotional support had a moderating effect on the relationship between having a chronic disease/disability and depressive symptoms. In addition, emotional support also had a moderating effect on the relationship between stress from health and depressive symptoms. Based on these findings, this study suggests that policy makers should reduce the economic burden from a chronic disease/disability and help one-person households to strengthen their social support network.

Keywords

References

  1. Baek J. T., Lee, H. Y., & Cho, Y. C. (2016). Relating factors on depressive symptoms among the elderlies in urban areas. Journal of the Korea Academia-Industrial Cooperation Society, 17 (5), 506-515. https://doi.org/10.5762/KAIS.2016.17.5.506
  2. Chae, M. S., & Lee, J. H. (2018). The effects of social exclusion on depression of the rural elderly: With a focus on comparing single and couple households. The Korean Journal of Community Living Science, 29 (4), 553-569. https://doi.org/10.7856/kjcls.2018.29.4.553
  3. Choi, H. M., & Yoon, M. S. (2013). The impact factors on depression among married immigrant women in rural areas. Social Science Research, 29 (3), 119-142.
  4. Choi, S. B. (2014). A study on the influential factors on the cultural participation of single household in comparison to the multiple household. Journal of Leisure Studies, 12 (2), 1-24.
  5. Chung, H. (2019). The effect of social relationship satisfaction on depressive symptoms among one-person households: A focus on the comparison between one-person and multi-person households. Korean Journal of Human Ecology, 28 (1), 1-10. https://doi.org/10.5934/kjhe.2019.28.1.1
  6. Cohen, S. (1988). Psychosocial models of social support in the etiology of physical disease. Health Psychology, 7 (3), 206-297. https://doi.org/10.1037/0278-6133.7.3.269
  7. Gellis, Z. D. (2010). Assessment of a brief CES-D measure for depression in homebound medically ill older adults. Journal of Gerontological Social Work, 53 (4), 289-303 https://doi.org/10.1080/01634371003741417
  8. Gyeonggi Welfare Foundation(2017). One-person households in Gyeonggi-do and policy implications. Retrieved May 2, 2018, from http://ggwf.gg.go.kr/archives/34040?srch_type=1&srch_word=brief
  9. Heim, C., & Binder, E. B. (2012). Current research trends in early life stress and depression: Review of human studies on sensitive periods, gene-environment interactions, and epigenetics. Experimental Neurology, 233 (1), 102-111. https://doi.org/10.1016/j.expneurol.2011.10.032
  10. Hwang, S. Y. (2017, July 20). Young people dying alone a grown concern. JoongAng Ilbo. Retrieved December 12, 2018, from https://news.joins.com/article/21773592
  11. Jeong, J. S., & Lee, H. G. (2017). A study on the factors affecting the entry of depression by life cycle: Focusing on the comparison of the three generations of adulthood, middle age and old age. Korean Journal of Social Welfare, 69 (2), 117-141. https://doi.org/10.20970/kasw.2017.69.2.004
  12. Jeong, S. B., & Bae, J. Y. (2017). Rural area one-person household elderly depression factors by gender and age group. Journal of Regional Studies, 25 (3), 153-174. https://doi.org/10.22921/JRS.2017.25.3.008
  13. Kahng, S. K., & Jeon, H. S. (2012). A study on the predictors of depression improvement using KLoSA 1st & 2nd wave data. Mental Health & Social Work, 40 (3), 145-174.
  14. Kang, E. N., & Lee, M. H. (2016). Single-person households in South Korean and their policy implications. Health and Social Welfare Forum, 234, 47-56.
  15. Kim, H. J., & Kim, K. S. (2015). A study on the variables influencing suicidal ideation in single person households: Targeting one gu in Gwangju. Journal of Korean Home Management Association, 33 (6), 115-128. https://doi.org/10.7466/JKHMA.2015.33.6.115
  16. Kim, A. R. (2018). Effect of health behaviors, dietary habits, and psychological health on metabolic syndrome in oneperson households among Korean young adults. Journal of Digital Convergence, 16 (7), 493-509. https://doi.org/10.14400/JDC.2018.16.7.493
  17. Kim, K. B., & Sok, S. H. (2009). Factors influencing depression of the elderly. Journal of Korean Academy of Community Health Nursing, 20 (2), 197-206.
  18. Kim, M. R. (2005). The effect of the adjustment stress and the social support on the depressive symptoms of the North Korean defectors. Korean Journal of Social Welfare, 57 (1), 193-217.
  19. Kim, J. E., Chung, H., & Nam, Y. (2018). A study on the current status of female single-person households for policy improvement: Focusing on Gyeonggi province with secondary data analyses. Korean Journal of Family Welfare, 23 (2), 463-488. https://doi.org/10.13049/kfwa.2018.23.3.4
  20. Kim, J. H. (2018, May). Neighborhood and social isolation among oneperson households. Poster session presented at the Spring 2018 Korean Home Management Conference, Seoul, Korea.
  21. Kim, J. I. (2016). A study on the daily hassles and health-related quality of life of middle-aged women: Focusing on the mediation and buffering effects of spiritual well-being and coping styles. Korean Journal of Family Welfare, 54, 41-75.
  22. Kim, J. Y., Ryu, S. Y., Han, M. A., & Choi, S. W. (2016). The association between family support, activities of daily living and depression among hospitalized older patients with chronic diseases. Journal of Agricultural Medicine and Community Health, 41 (1), 13-26. https://doi.org/10.5393/JAMCH.2016.41.1.013
  23. Kim, M. J. (2018, October). Time use of employed one-person households. Paper presented at the Fall 2018 Korean Home Management Conference, Seoul, Korea.
  24. Kim, S. Y., Kim, S., & Lee, J. S. (2013). The effect on housing on health. Health and Social Science, 34, 109-133.
  25. Kwon, H. C., & Kim, H. Y. (2017). The life of middle-aged men who live alone: A study of social relations and subjective happiness among 4050 one-person male households. The Journal of Social Science, 24 (3), 267-290. https://doi.org/10.46415/jss.2017.09.24.3.267
  26. Korean Statistical Information Service. (2018). Prevalence of diabetes by age group. Retrieved October 14, 2018, from http://kosis.kr/statHtml/statHtml.do?orgId=117&tblId=DT_11702_N102&conn_path=I2
  27. Krohne, H. W. (2002). Stress and coping theories. International Encyclopedia of the Social Behavioral Sciences, 22, 15163-15170.
  28. Lee, B. H. (2014). The social engagement of people living alone at midlife in Korea: A comparison with those of living together. Health and Social Welfare Review, 34 (3), 348-373. https://doi.org/10.15709/hswr.2014.34.3.348
  29. Lee, H. G., & Kim, J. S. (2017, May 1). 65% of single-person households have chronic disease. KBS News. Retrieved January 2, 2019, from http://news.kbs.co.kr/news/view.do?ncd=3473385
  30. Lee, J. H., & Oh, M. O. (2017). The relationship between self-rated health and depression in the elderly with chronic illness-Moderating effect of satisfaction with social relationship and leisure. Journal of the Korea Contents Association, 17 (2), 429-438. https://doi.org/10.5392/JKCA.2017.17.02.429
  31. Lee, M. S. (2003). Social stress and psychological well-being of middleaged employed men in Korea. Korean Journal of Sociology, 37 (3), 25-56.
  32. Lee, M. S. (2010). Chronic diseases, depressive symptoms and the effects of social networks in Korean elderly population. Health and Social Science, 27, 5-30.
  33. Lee, M. S., & Kim, N. Y. (2007). Study on the effect of social support on depression of the old. Korean Journal of Clinical Social Work, 4 (1), 161-176.
  34. Lee, M. S., Song, H., & Kim, B. (2018). Association between physical health status, health behaviors and subjective depression among single-person household. Korean Journal of Health Education and Promotion, 35 (2), 61-71. https://doi.org/10.14367/kjhep.2018.35.2.61
  35. Nam, S. Y., & Lee, S. K. (2018, May). A comparison of diet and nutrition between single-person households and multiple-person households . Paper presented at the Spring 2018 Korean Home Management Conference, Seoul, Korea.
  36. Ministry of Health and Welfare & Korea Centers for Disease Control and Prevention (2018). 2008-2017 Community Health Survey, Cheongju: Korea Centers for Disease Control and Prevention.
  37. Ministry of Health and Welfare & Korea Institute for Health and Social Affairs (2017). A survey on people with disabilities, Sejong: Korea Institute for Health and Social Affairs
  38. Monroe, S. M., Slavich, G. M., & Goergiades, K. (2009). The social environment and life stress in depression. In I. Gotlib & C. Hammen (Eds.). Handbook of depression (2nd ed.). New York, NY: Guilford Press.
  39. Oh, U. C. (2013). Wage differentials between people with and without disabilities: Analytical methods and policy implications. Disability & Employment, 23 (4), 5-28. https://doi.org/10.15707/disem.2013.23.4.001
  40. Pace, T. W., Mletzko, T. C., Alagbe, O., Musselman, D. L., Nemeroff, C. B., Miller, A. H., et al. (2006). Increased stress-induced inflammatory responses in male patients with major depression and increased early life stress. American Journal of Psychiatry, 163 (9), 1630-1633. https://doi.org/10.1176/appi.ajp.163.9.1630
  41. Park, B. Y., Kwon, H. J., Ha, M. N., Burm, E. A. (2016). A comparative study on mental health between elderly living along and elderly couples: Focus on gender and demographic characteristics. Korean Journal of Public Health Nursing, 30 (2), 195-205. http://dx.doi.org/10.5932/JKPHN.2016.30.2.195
  42. Park, S. M., Cho, S. I., & Moon, S. S. (2010). Factors associated with suicidal ideation: Role of emotional and instrumental support. Journal of Psychosomatic Research, 69 (4), 389-397. https://doi.org/10.1016/j.jpsychores.2010.03.002
  43. Park, S. Y., & Lee, C. K. (2016). The socioeconomic factors of older generations' depression. The Korean Journal of Public Finance, 18 (1), 3-27.
  44. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1 (3), 385-401. https://doi.org/10.1177/014662167700100306
  45. Schwarzer, R., & Leppin, A. (1991). Social support and health: A theoretical and empirical overview. Journal of Social and Personal Relationships, 8 (1), 99-127. https://doi.org/10.1177/0265407591081005
  46. Seo, H. G. (2018, January 23). Korea's increase in suicides. Yonhap News. Retrieved October 2, 2018, from http://www.yonhapnews.co.kr/bulletin/2018/01/22/0200000000AKR20180122153500017.HTML
  47. Seo, H. L., Jung, Y. K., & Kim, H. N. (2013). The effects of physical diseases on elderly depression and moderate effects of the self-care performance. Korean Journal of Gerontological Social Welfare, 61, 57-83.
  48. Song, E. M., & Lee, S.-Y. (2015). The relation between the middle class married middle-aged women's health stress and depression, anxiety: Moderation effect of ego-identify. Korean Journal of Woman Psychology, 20 (4), 531-549. https://doi.org/10.18205/kpa.2015.20.4.005
  49. Sung, J. M. (2013). Effects of family and household's economic factors on depression: Panel regression analysis using fixed-effect model. Journal of Social Science, 24 (2), 207-228.
  50. Thoits, P. A. (1995). Stress, coping, and social support processes: Where are we? What next? Journal of Health and Social Behavior, 28, 53-79. https://doi.org/10.2307/2626957
  51. Thoits, P. A. (2010). Stress and health: Major findings and policy implications. Journal of Health and Social Behavior, 51 (S1), S41-S53. https://doi.org/10.1177/0022146510383499
  52. Um, I. S. (2012). Study on the effect of the elderly's living stress and social support on depression. Journal of Public Welfare Administration, 22 (1), 73-90.
  53. Yen, J. Y., Ko, C. H., Yen, C. F., Yang, M. J., Wu, C. Y., Juan, C. H. et al. (2006). Quality of life, depression, and stress in breast cancer women outpatients receiving active therapy in Taiwan. Psychiatry and Clinical Neurosciences, 60 (2), 147-153. https://doi.org/10.1111/j.1440-1819.2006.01479.x
  54. Yoo, C. (2016). Health trajectories and their associated factors in the Korea welfare panel study: Inequalities between people with and without disabilities. Health and Social Welfare Review, 36 (1), 440-472. https://doi.org/10.15709/hswr.2016.36.1.440
  55. Yoo, C. (2017). 10-Year trajectories of depressive symptoms and their predictors - Inequity between people with and without disabilities-. Health and Social Welfare Review, 37 (2), 150-183. https://doi.org/10.15709/hswr.2017.37.2.150