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노인 우울증에 영향을 미치는 요인들에 대한 연구

An Investigation of Factors Affecting Elderly Depression in Korea

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Objective: The purpose of this study was to investigate the related factors of elderly depression among Korean adults aged 60 years and above. Methods: From the database of Korea National Health and Nutrition Examination Survey conducted in 2018, data of 2,288 adults over age 60 who responded to the questionnaires of health interview were included in this study. We analyzed the data using logistic regression analysis. Results: According to our results, the number of chronic diseases seemed to be associated with depression in elderly people, especially when they have more than 4 chronic diseases. Poorer self-rated health was identified as a significant factor and the odd ratio was the highest among all independent variables in our study. Walking over 10 minutes more than 4 times a week was considered as a protective factor for elderly depression. The association between education level and depression was inconsistent. Variables such as female gender, single status, smoking showed statistically insignificant results. Older age itself was not identified as a risk factor as odd ratios of all groups (over age 65) compared to reference group (age 60-64) were below 1. Conclusion: This study confirms several related factors for elderly depression. Having more than 4 chronic diseases, poorer self-rated health were identified as a significant risk factor for depression. Regular walking was considered as a protective factor for elderly depression. The knowledge of these factors might help to manage risks of elderly depression and devise early intervention approaches.

Abstract

Objective: The purpose of this study was to investigate the related factors of elderly depression among Korean adults aged 60 years and above. Methods: From the database of Korea National Health and Nutrition Examination Survey conducted in 2018, data of 2,288 adults over age 60 who responded to the questionnaires of health interview were included in this study. We analyzed the data using logistic regression analysis. Results: According to our results, the number of chronic diseases seemed to be associated with depression in elderly people, especially when they have more than 4 chronic diseases. Poorer self-rated health was identified as a significant factor and the odd ratio was the highest among all independent variables in our study. Walking over 10 minutes more than 4 times a week was considered as a protective factor for elderly depression. The association between education level and depression was inconsistent. Variables such as female gender, single status, smoking showed statistically insignificant results. Older age itself was not identified as a risk factor as odd ratios of all groups (over age 65) compared to reference group (age 60-64) were below 1. Conclusion: This study confirms several related factors for elderly depression. Having more than 4 chronic diseases, poorer self-rated health were identified as a significant risk factor for depression. Regular walking was considered as a protective factor for elderly depression. The knowledge of these factors might help to manage risks of elderly depression and devise early intervention approaches.

참고문헌 (46)

  1. Health status and integrated care for elderly people : focused on healthcare, "Kim NS", Korea Institute for Health and Social Affairs, ~ (2017)
  2. Ohayon MM, "Prevalence of major depressive disorder in the general population of South Korea", J Psychiatr Res, 40, pp.30~36 (2006)
  3. 박준혁, "한국의 우울증 역학에 대한 고찰", 대한의사협회지, 54(4), pp.362~369 (2011), 대한의사협회
  4. 조맹제, "Prevalence and Correlates of DSM-IV Mental Disorders in South Korean Adults: The Korean Epidemiologic Catchment Area Study 2011", PSYCHIATRY INVESTIGATION, 12(2), pp.164~170 (2015), 대한신경정신의학회[DOI]
  5. Chang SM, "Cross-national difference in the prevalence of depression caused by the diagnostic threshold", J Affect Disord, 106, pp.159~167 (2008)
  6. Rapp MA, "Neuropsychological differences between late-onset and recurrent geriatric major depression", Am J Psychiatry, 162, pp.691~698 (2005)
  7. Sözeri-Varma G, "Depression in the elderly : clinical features and risk factors", Aging Dis, 3, pp.465~471 (2012)
  8. Schoevers RA, "Risk factors for depression in later life; results of a prospective community based study(ASMTEL)", J Affect Disord, 59, pp.127~137 (2000)
  9. Roh HW, "Participation in physical, social, and religious activity and risk of depression in the elderly : a community-based three-year longitudinal study in Korea", PLoS One, 10, pp.e0132838~ (2015)
  10. Han KM, "Relationship of depression, chronic disease, self-rated health, and gender with health care utilization among community-living elderly", J Affect Disord, 241, pp.402~410 (2018)
  11. 김동배, "무배우자 노인의 사회참여가 우울에 미치는 영향: 사회적 지지와 자아효능감의 매개효과", 한국노년학, 32(1), pp.289~303 (2012), 한국노년학회
  12. Erikson EH, "The life cycle completed" (1998), W. W. Norton
  13. van den Akker M, "Comorbidity or multimorbidity : what’s in a name? A review of literature", Eur J Gen Pract, 2, pp.65~70 (1996)
  14. Spitzer RL, "Validation and utility of a selfreport version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient Health Questionnaire", JAMA, 282, pp.1737~1744 (1999)
  15. 안제용, "한국어판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 표준화 연구", 생물치료정신의학, 19(1), pp.47~56 (2013), 대한생물치료정신의학회
  16. 정희원, "다중이환의 개념과 노인의학적 의의", Annals of geriatric medicine and research, 18(2), pp.65~71 (2014), 대한노인병학회[DOI]
  17. Soysal P, "Relationship between depression and frailty in older adults : a systematic review and meta-analysis", Ageing Res Rev, 36, pp.78~87 (2017)
  18. Koenig H, "Epidemiology of geriatric affective disorder", Clin Geriatr Med, 8, pp.235~251 (1992)
  19. Teodorczuk A, "Relationship between baseline white-matter changes and development of late-life depressive symptoms : 3-year results from the LADIS study", Psychol Med, 40, pp.603~610 (2010)
  20. Alexopoulos GS, "The vascular depression hypothesis : 10 years later", Biol Psychiatry, 60, pp.1304~1305 (2006)
  21. Yang YT, "Functional limitations and somatic diseases are independent predictors for incident depressive disorders in seniors : findings from a nationwide longitudinal study", Arch Gerontol Geriatr, 61, pp.371~377 (2015)
  22. Gureje O, "The syndrome of hypochondriasis : a cross-national study in primary care", Psychol Med, 27, pp.1001~1010 (1997)
  23. Goodwin R, "Self-perception of poor health and suicidal ideation in medical patients", Psychol Med, 32, pp.1293~1299 (2002)
  24. Lee, Y, "The predictive value of self-assessed general, physical, and mental health on functional decline and mortality in older adults", J Epidemiol Community Health, 54, pp.123~129 (2000)
  25. Barberger-Gateau P, "Health measures correlates in a French elderly community population : the PAQUID study", J Gerontol, 47, pp.S88~S95 (1992)
  26. Idler EL, "Self-rated health and mortality in the NHANESI epidemiologic follow-up study", Am J Public Health, 80, pp.446~452 (1990)
  27. Mammen G, "Physical activity and the prevention of depression : a systematic review of prospective studies", Am J Prev Med, 45, pp.649~657 (2013)
  28. Loprinzi PD, "Objectively measured light and moderate-to-vigorous physical activity is associated with lower depression levels among older US adults", Aging Ment Health, 17, pp.801~805 (2013)
  29. Bartholomew JB, "Effects of acute exercise on mood and well-being in patients with major depressive disorder", Med Sci Sports Exerc, 37, pp.2032~2037 (2005)
  30. Frazer CJ, "Effectiveness of treatments for depression in older people", Med J Aust, 182, pp.627~632 (2005)
  31. Blair SN, "Physical fitness and activity as separate heart disease risk factors : a meta-analysis", Med Sci Sports Exerc, 33, pp.762~764 (2001)
  32. Lee IM, "Physical activity, physical fitness and longevity", Aging(Milano), 9, pp.2~11 (1997)
  33. Maier A, "Risk factors and protective factors of depression in older people 65+ : a systematic review", PLoS One, 16, pp.e0251326~ (2021)
  34. 조맹제, "한국 주요정신장애의 유병률 및 관련요인:2006 전국정신질환역학조사", 신경정신의학, 48(3), pp.143~152 (2009), 대한신경정신의학회
  35. Luppa M, "Natural course of depressive symptoms in late life. An 8-year population-based prospective study", J Affect Disord, 142, pp.166~171 (2012)
  36. Yokoyama E, "Association between depression and insomnia subtypes : a longitudinal study on the elderly in Japan", Sleep, 33, pp.1693~1702 (2010)
  37. Weyerer S, "Incidence and predictors of depression in nondemented primary care attenders aged 75 years and older : results from a 3-year follow-up study", Age Ageing, 42, pp.173~180 (2013)
  38. Makizako H, "Physical frailty predicts incident depressive symptoms in elderly people : prospective findings from the Obu Study of Health Promotion for the Elderly", J Am Med Dir Assoc, 16, pp.194~199 (2015)
  39. Forsell Y, "Predictors for depression, anxiety and psychotic predictors for depression, anxiety and psychotic symptoms in a very elderly population: data from a 3-year follow-up study", Soc Psychiatry Psychiatr Epidemiol, 35, pp.259~263 (2000)
  40. Conde-Sala JL, "Course of depressive symptoms and associated factors in people aged 65+ in Europe : a two-year follow-up", J Affect Disord, 245, pp.440~450 (2019)
  41. Misawa J, "Social factors relating to depression among older people in Japan : analysis of longitudinal panel date from the AGES project", Aging Ment Health, 23, pp.1423~1432 (2019)
  42. Chou KL, "Combined effect of vision and hearing impairment on depression in older adults : evidence from the English Longitudinal Study of the Ageing", J Affect Disord, 106, pp.191~196 (2007)
  43. Suh GH, "Prevalence and risk factors of dementia and depression in the elderly", J Korean Neuropsychiatr Assoc, 39, pp.809~824 (2000)
  44. Lue BH, "Health, financial stresses, and life satisfaction affecting late-life depression among older adults: a nationwide, longitudinal survey in Taiwan", Arch Gerontol Geriatr, 50(Suppl 1), pp.S34~S38 (2010)
  45. Fichter MM, "Cognitive impairment and depression in the oldest old in a German and in US communities", Eur Arch Psychiatry Clin Neurosci, 245, pp.319~325 (1995)
  46. Park B, "Cognitive impairment, depression, comorbidity of the two and associated factors among the early sixties in a rural Korean community", PLoS One, 13(8), pp.e79460~ (2013)

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