본문 바로가기
KERD
논문KCI 등재

중년여성의 우울에 영향을 미치는 요인: 갱년기 삶의 질을 중심으로

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

손정남
한국보건정보통계학회 (The Korean Society of Health informatics statistics)|2018.05|보건정보통계학회지 (Journal of Health Informatics and Statistics)|제43권 제2호|pp. 148-157|DOI https://doi.org/10.21032/jhis.2018.43.2.148

2

조회

0

다운로드

47

인용

0

참고문헌

키워드

DepressionStressSocial supportMiddle aged womenQuality of life on menopause

초록

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 Sup￾port (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≤ 0.001). There were differ￾ence 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 (β = 0.48, p< 0.001), social support (β = -0.25, p< 0.001), quality of life on menopause (β = 0.18, p< 0.001) which explained 56% of the variance reported in depression. Conclusions: The results indi￾cate that these factors influencing depression should be considered when developing integrated intervention program to cope with depression in mid￾dle aged women.

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 Sup￾port (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≤ 0.001). There were differ￾ence 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 (β = 0.48, p< 0.001), social support (β = -0.25, p< 0.001), quality of life on menopause (β = 0.18, p< 0.001) which explained 56% of the variance reported in depression. Conclusions: The results indi￾cate that these factors influencing depression should be considered when developing integrated intervention program to cope with depression in mid￾dle aged women.

참고문헌 (58)

  1. Boswoth HB, "Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife", Psychosom Med, 63(4), pp.603~608 (2001)[DOI]
  2. Nelson HD, "Menopause", Lancet, 371(9614), pp.760~770 (2008)[DOI]
  3. 김신미, "중년기 성인의 노화불안과 자기효능감에 관한 연구", 정신간호학회지, 17(3), pp.281~291 (2008), 한국정신간호학회
  4. Nisar N, "Frequency of menopausal symptoms and their impact on the quality of life of women: a hospital based survey", J Pak Med Assoc, 59(11), pp.752~756 (2009)
  5. 김영혜, "중년여성의 폐경증상과 삶의 질", Journal of Korean Academy of Nursing, 33(5), pp.601~608 (2003), 한국간호과학회
  6. 장혜경, "갱년기 여성의 우울에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 33(8), pp.972~980 (2003), 한국간호과학회
  7. 한미정, "중년여성의 자아정체감, 갱년기 증상이 우울에 미치는 영향", 여성건강간호학회지, 19(4), pp.275~284 (2013), 한국여성건강간호학회
  8. 김수진, "중년여성의 부부친밀감, 우울과 갱년기 증상의 관계", 여성건강간호학회지, 19(3), pp.176~187 (2013), 한국여성건강간호학회
  9. 한은경, "폐경기 이후 여성의 우울증상에 영향을 미치는 융합적분석: 불쾌증상이론에 근거하여", 융합정보논문지, 8(1), pp.59~67 (2018), 중소기업융합학회[DOI]
  10. Uebelacker LA, "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, 48(12), pp.1971~1982 (2013)[DOI]
  11. 이홍자, "중년 여성의 우울에 영향을 미치는 요인", Korean Journal of Health Promotion, 16(1), pp.1~10 (2016), 대한임상건강증진학회[DOI]
  12. 이홍자, "중년여성의 폐경 증상과 우울", 지역사회간호학회지, 21(4), pp.429~438 (2010), 한국지역사회간호학회
  13. Mishra GD, "Health symptoms during midlife in relation to menopausal transition: British prospective cohort study", BMJ, 344, pp.e402~ (2012)[DOI]
  14. Avis NE, "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, 16(5), pp.860~869 (2009)[DOI]
  15. Mazure CM, "Life stressors as risk factors in depression", Clin Psychol, 5(3), pp.291~313 (1998)
  16. 이유리, "중년여성 우울증 환자가 경험하는 스트레스 특성과 재발: 맥락적 평정법에 의한 스트레스 평가를 중심으로", 인지행동치료, 9(2), pp.35~47 (2009), 한국인지행동치료학회
  17. 신혜숙, "중년여성의 스트레스 생활사건에 관한 주관성 연구", Journal of Korean Academy of Nursing, 32(3), pp.406~415 (2002), 한국간호과학회
  18. Lee KH, "Maternity and women's health nursing", pp.285~ (2010), Hyunmoomsa
  19. Park YS, "Women's health nursing", pp.396~397 (2012), Soomoonsa
  20. Radloff L, "The CES-D scale: a self report depression scale for research in the general population", Appl Psychol Meas, 1(3), pp.385~401 (1997)
  21. Chon KK, "Integrated adaptation of CES-D in Korea", Korea J Psychol: Health, 6(1), pp.59~76 (2001)
  22. Hilditch J, "A menopause-specific quality of life questionnnaire: development and psychometric properties", Maturitas, 24(3), pp.161~175 (1996)[DOI]
  23. Park YJ, "The menopausal age and climacteric symptoms, and the related factors of Korean women", Korean J Women Health Nurs, 7(4), pp.473~485 (2001)
  24. Caplan G, "Mastery of stress: psychosocial aspects", Am J Psychiatry, 138(4), pp.413~420 (1998)
  25. Cohen S, "A global measur of perceived stress", J Health Soc Behav, 24(4), pp.385~396 (1983)[DOI]
  26. Lee EH, "Korean versions of the perceived stress scale (PSS-14, 10, and 4): psychometric evaluation in patients with chronic disease", Scand J Caring Sci, 29(1), pp.183~192 (2015)[DOI]
  27. Kaplan B, "Social support and health", Med Care, 15(5), pp.47~58 (1977)[DOI]
  28. Zimet G, "The multidimensional scale of perceived social support", J Pers Assess, 52(1), pp.30~41 (1988)[DOI]
  29. Shin JS, "The effects of social supports on psychosocial wellbeing of unemployed", Korean J Soc Welf, 37, pp.241~269 (1999)
  30. Lawston M, "A research and service oriented multilevel assessment instrument", J Gerontol, 37(1), pp.91~99 (1982)[DOI]
  31. Mossey JM, "Self-rated health: a predictor of mortality among the elderly", Am J Public Health, 72(8), pp.800~808 (1982)[DOI]
  32. 장혜경, "재가 노인의 자아통합감에 영향을 미치는 요인", 기본간호학회지, 18(4), pp.529~537 (2011), 기본간호학회
  33. 이평숙, "노인의 스트레스, 사회적 지지와 우울간의 관계", Journal of Korean Academy of Nursing, 34(3), pp.477~484 (2004), 한국간호과학회
  34. Koo BJ, "A study of climacteric symptoms, hwabyung and quality of life in middle-aged women", GSWR, 3(2), pp.5~24 (2013)
  35. "Korean study of women's health related isuues (K-stori) 2016"[URL]
  36. Usten TB, "Global burden of depressive disorders in the year 2000", Br J Psychiatry, 184(5), pp.386~392 (2004)[DOI]
  37. Freeman E, "Associations of hormones and menopausal status with depressed mood in women with no history of depression", Arch Gen Psychi, 63(4), pp.375~382 (2006)[DOI]
  38. "Assessment of women's health during menopausal periods"[URL]
  39. Park HS, "A study on climacteric symptoms, depression and quality of life in middle-aged women", Korean J Women Health Nurs, 9(4), pp.479~488 (2003)
  40. Nobel R, "Depression in women", Metab, 54(5), pp.49~52 (2005)
  41. "Depression in women"[URL]
  42. 신경림, "경도인지장애 노인의 우울 예측 요인", 성인간호학회지, 24(2), pp.171~182 (2012), 한국성인간호학회[DOI]
  43. Kulasingam S, "The validity of the menopause specific quality of life questionnaire", Maturitas, 60(3-4), pp.239~243 (2008)[DOI]
  44. 박명화, "의사결정나무 분석법을 활용한 우울 노인의 특성 분석", Journal of Korean Academy of Nursing, 43(1), pp.1~10 (2013), 한국간호과학회
  45. Moss B, "Defining intimacy in romantic relationship", Fam Relat, 42, pp.31~37 (1993)[DOI]
  46. 성미혜, "중년여성의 갱년기 증상, 자아개념 및 우울간의 관계", 성인간호학회지, 14(1), pp.102~113 (2002), 한국성인간호학회
  47. Jun SJ, "Factors influencing middle-aged women's depression", J Korean Community Nurs, 15(2), pp.266~276 (2004)
  48. 이삼순, "일 지역 중년여성의 우울감과 스트레스와의 관계", 한국모자보건학회지, 11(2), pp.185~196 (2007), 한국모자보건학회[DOI]
  49. Cole M, "Risk factors for depression among elderly community subjects: a systematic review and meta-analysis", Am J Psychiatry, 160(6), pp.1147~1156 (2003)[DOI]
  50. Huang K, "The Asian menopause survey: knowledge, perceptions", Maturitas, 65, pp.276~289 (2010)[DOI]
  51. Williams R, "Menopause-specific questionnaire assessment in us population=based study show negative impact on health-related quality of life", Maturitas, 62, pp.153~159 (2009)[DOI]
  52. Kwon SH, "An analysis of the relationship between menopausal symptoms and depression", J Korean Soc Maternal Child Health, 2(2), pp.235~245 (1996)
  53. McEwan B, "Mood disorders and allostatic load", Biological Psychiatry, 54(3), pp.200~207 (2003)[DOI]
  54. 이평숙, "중년여성의 분노, 지각된 스트레스 및 정신건강 상태와의 관계", Journal of Korean Academy of Nursing, 33(6), pp.856~863 (2003), 한국간호과학회
  55. 권은주, "중년여성의 폐경단계, 심리 및 건강행동 요인과 우울 간의 관계", 보건과 사회과학, (35), pp.25~54 (2014), 한국보건사회학회
  56. Lee JS, "Rural area people's mental health relating factor", J Korean Acad Psychiatr Mental Health Nurs, 10(2), pp.220~228 (2001)
  57. Lee JW, "Life events, coping styles, social support and family relationships of middle-aged depressed women", J Korean Neuropsychiatr Assoc, 36(4), pp.620~629 (1997)
  58. 김철규, "지역사회에 거주하는 여성과 남성노인의 우울 위험요인 비교", Journal of Korean Academy of Nursing, 42(1), pp.136~147 (2012), 한국간호과학회

관련 논문AI추천

중년여성의 완경기 적응에 영향을 미치는 요인이은주한국여성건강간호학회 · Women's Health Nursing2018 · 제24권 제4호중년여성의 자아정체감, 갱년기 증상이 우울에 미치는 영향이지현, 한미정한국여성건강간호학회 · Women's Health Nursing2013 · 제19권 제4호중년 여성의 우울에 영향을 미치는 요인김춘미, 이도현, 이홍자대한임상건강증진학회 · Korean Journal of Health Promotion2016 · 제16권 제1호한국 폐경기 여성의 우울증 경험에 관한 관련요인 분석김현순, 유왕근, 한삼성보건의료산업학회 · 보건의료산업학회지2015 · 제9권 제1호중년여성의 갱년기 증상, 우울과 대처와의 관계심정신, 오현이, 최광심한국농촌의학.지역보건학회 · 농촌의학.지역보건2008 · 제33권 제3호폐경 후 중년여성의 우울 증상 영향요인의 융합연구김영란, 원미화중소기업융합학회 · 융합정보논문지2020 · 제10권 제4호

이 간행물의 다른 논문 (4건)

Cancer Incidence of Korean Veterans박소희, 박운제pp. 119-125간호대학생의 건강정보 이해능력과 자가간호역량이 건강증진 행위에미치는 영향서순림, 이순영pp. 126-133기저치를 가진 생물학적 동등성 평가의 통계적 고찰: 내인성 제제사례연구김상영, 박상규pp. 134-139딥러닝 기반 앙상블을 이용한 유방암 분류정광모, 최도연, 임동훈pp. 140-147
원문 보기