노인 암 경험자의 우울 변화 궤적과 예측요인: 고령화연구패널조사(KLoSA)를 이용하여
Trajectories and Prediction Factors of Depression in Elderly Cancer Survivors: Using the Korean Longitudinal Study of Ageing
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: The purpose of this study was to identify the trajectories of depressive symptoms and the predictive factors that determine the trajectories among elderly cancer survivors in South Korea. Methods: This study was a secondary data analysis using the Korean Longitudinal Study of Ageing (KLoSA). The inclusion criteria were adults who were aged 65 years or older, diagnosed with cancer, and participated in the panel survey at least three times. Data were analyzed using SPSS 25.0 and STATA 16.0 for Group-Based Trajectory Model. Results: This study comprised 197 participants. Depression trajectories were derived into the three groups of ‘nondepression,’ ‘mild depression,’ and ‘depression.’ As a result of multinomial logit analysis using ‘mild depression’ as a reference group, the significant predictors that differentiated the ‘non-depression’ and ‘mild depression’ groups was whether the subject was living alone or not (p=.001). Conclusion: To prevent and manage depression among the elderly cancer survivors living alone, it is necessary to first identify the social support resources from a cancer diagnosis. In addition, a social foundation should be established to enable elderly cancer survivors to utilize the supporting resources. Further studies should be conducted considering disease-specific variables such as types of cancers, stages of cancer, and treatment methods.
Abstract
Purpose: The purpose of this study was to identify the trajectories of depressive symptoms and the predictive factors that determine the trajectories among elderly cancer survivors in South Korea. Methods: This study was a secondary data analysis using the Korean Longitudinal Study of Ageing (KLoSA). The inclusion criteria were adults who were aged 65 years or older, diagnosed with cancer, and participated in the panel survey at least three times. Data were analyzed using SPSS 25.0 and STATA 16.0 for Group-Based Trajectory Model. Results: This study comprised 197 participants. Depression trajectories were derived into the three groups of ‘nondepression,’ ‘mild depression,’ and ‘depression.’ As a result of multinomial logit analysis using ‘mild depression’ as a reference group, the significant predictors that differentiated the ‘non-depression’ and ‘mild depression’ groups was whether the subject was living alone or not (p=.001). Conclusion: To prevent and manage depression among the elderly cancer survivors living alone, it is necessary to first identify the social support resources from a cancer diagnosis. In addition, a social foundation should be established to enable elderly cancer survivors to utilize the supporting resources. Further studies should be conducted considering disease-specific variables such as types of cancers, stages of cancer, and treatment methods.
참고문헌 (30)
- "2018 National cancer registration statistics"[URL]
- Carlson LE, "Screening for distress and unmet needs in patients with cancer : review and recommendations", J Clin Oncol, 30, pp.1160~1177 (2012)
- Cho J, "Association between cancer stigma and depression among cancer survivors : a nationwide survey in Korea", Psychooncology, 22, pp.2972~2978 (2013)
- 임연옥, "항암화학요법 치료 노인 암환자가 우울에 이르는 스트레스 과정: 영성, 낙관성, 가족 지지의 스트레스 중재요인을 중심으로", 한국노년학, 34(4), pp.821~842 (2014), 한국노년학회
- Kurtz M, "Predictors of depressive symptomatology of geriatric patients with colorectalcancer", Support Care Cancer, 10, pp.494~501 (2002)
- Weiss Wiesel TR, "The relationship between age, anxiety, and depression in older adults with cancer", Psychooncology, 24, pp.712~717 (2015)
- Ahn E, "Suicide rates and risk factors among Korean cancer patients, 1993-2005", Cancer Epidemiol Biomarkers Prev, 19, pp.2097~2105 (2010)
- "Mental health of older adults"[URL]
- Koenig HG, "Late-life depression: how to treat patients with comorbid chronic illness. Interview by Alice V. Luddington", Geriatrics, 54, pp.56~61 (1999)
- Zhang AY, "Recognition of depression and anxiety among elderly colorectal cancer patients", Nurs Res Pract, 2010, pp.693961~ (2010)
- 김향아, "남녀 노인의 우울 변화궤적과 예측요인에 관한 연구", 노인복지연구, 74(1), pp.91~114 (2019), 한국노인복지학회
- Wada S, "The association between depressive symptoms and age in cancer patients : a multicenter cross-sectional study", J Pain Symptom Manage, 50, pp.768~777 (2015)
- 김봉균, "노인의 우울에 영향을 미치는 요인들에 관한 종단적 연구: 신체적·심리적·사회적 요인을 중심으로", 한국노년학, 34(1), pp.115~132 (2014), 한국노년학회
- 김선애, "독거노인과 비독거노인의 우울 영향요인 비교", 노인간호학회지, 21(2), pp.51~60 (2019), 한국노인간호학회[DOI]
- Byers AL, "Twenty-year depressive trajectories among older women", Arch Gen Psychiatry, 69, pp.1073~1079 (2012)
- 박규희, "음주노인의 주관적 건강인식이 우울 변화 궤적에 미치는 영향", 한국산학기술학회논문지, 17(10), pp.509~519 (2016), 한국산학기술학회[DOI]
- Steenland K, "Late-life depression as a risk factor for mild cognitive impairment or Alzheimer’s disease in 30 US Alzheimer’s disease centers", J Alzheimers Dis, 31, pp.265~275 (2012)
- Ryu HS, "Effect of domain-specific life satisfaction on depressive symptoms in late adulthood and old age : results of a cross-sectional descriptive survey", Arch Psychiatr Nurs, 27, pp.101~107 (2013)
- Nagin DS, "Group-based trajectory modeling in clinical research", Annu Rev Clin Psychol, 6, pp.109~138 (2010)
- "Survey design of Korean longitudinal study of aging (KLoSA)"[URL]
- Deimling GT, "Cancer survivorship and identity among long-term survivors", Cancer Invest, 25, pp.758~765 (2007)
- Irwin M, "Screening for depression in the older adult : criterion validity of the 10-item Center for Epidemiological Studies Depression Scale(CES-D)", Arch Intern Med, 159, pp.1701~1704 (1999)
- 남일성, "노인 우울증 변화 궤적과 관련 위험 요인", Korean Journal of Health Promotion, 14(3), pp.112~120 (2014), 대한임상건강증진학회[DOI]
- Alwhaibi M, "Cancer type and risk of newly diagnosed depression among elderly medicare beneficiaries with incident breast, colorectal, and prostate cancers", J Natl Compr Canc Netw, 15, pp.46~55 (2017)
- Spencer-Smith M, "Benefits of a working memory training program for inattention in daily life : a systemic review and meta analysis", PLoS One, 11, pp.e0167373~ (2016)
- 강은나, "노년기 우울의 다중변화궤적에 관한 연구", 한국노년학, 34(2), pp.387~407 (2014), 한국노년학회
- Durá-Ferrandis E, "Personality, coping, and social support as predictors of long-term quality-of-life trajectories in older breast cancer survivors : CALGB protocol 369901(Alliance)", Psychooncology, 26, pp.1914~1921 (2017)
- Fukunaga R, "Living alone is associated with depression among the elderly in a rural community in Japan", Psychogeriatrics, 12, pp.179~185 (2012)
- Stahl ST, "Living alone and depression : the modifying role of the perceived neighborhood environment", Aging Ment Health, 21, pp.1065~1071 (2017)
- Jung KH, "Older Koreans and their families : current status and future prospects", Health Welf Policy Forum, 264, pp.6~18 (2018)