본문 바로가기
KERD
논문KCI 등재

지역사회 노인의 정신건강 기초조사를 위한 예비연구

Mental Health Evaluation for Elderly in Community, Pilot Study

김성진|김현정|박재홍|서영수|김유나|정도운|문정준|전동욱|주현빈
대한노인정신의학회 (Korean Association For Geriatric Psychiatry)|2017.10|노인정신의학 (Journal of Korean Geriatric Psychiatry)|제21권 제2호|pp. 59-66

2

조회

0

다운로드

2

인용

0

참고문헌

초록

Objective：With the burgeoning elderly population, mental health among the elderly has surfaced as an important medical, social, and economic issue. This study was a pilot study testing the assessment module that was developed to survey mental health among the elderly living in the city of Busan. Methods：Basic demographic data and mental health problems were investigated using the General Health Questionnaire-12 (GHQ-12), suicide risk screening tool, subjective memory deterioration scale, sleep disorder and sleep pattern scale, health-related quality of life scale (EuroQoL-5 dimension), and alcohol abuse screening tool (Cut down, Annoyed, Guilty, Eye-opener Questionnaire). Results：Four-hundred adults aged 65 years or older living in either of two districts in the Busan metropolitan city participated in the study, of whom 219 (54.8%) were female. About 26.8% of the participants were obese, while 2.3% were underweight. One hundred and twenty-five (31.3%) participants were in need of attention to or improvement of nutrition management, and 19.1% perceived themselves to be in poor health. In the GHQ-12, 68.8% were in psychological distress (≥2). About 49.8% of the participants had insomnia, 61.8% had subjective memory disturbance, and 6% were at risk of suicide. The GHQ-12 score, proportion of participants with sleep disturbance, and subjective memory deterioration was significantly higher among women than in men, while health-related quality of life was higher in men. Conclusion：A considerable number of older adults living in the Busan region were suffering from psychological stress, were in need of nutrition management, had low quality of life, and had poor mental health, and women were particularly more vulnerable.

Abstract

Objective：With the burgeoning elderly population, mental health among the elderly has surfaced as an important medical, social, and economic issue. This study was a pilot study testing the assessment module that was developed to survey mental health among the elderly living in the city of Busan. Methods：Basic demographic data and mental health problems were investigated using the General Health Questionnaire-12 (GHQ-12), suicide risk screening tool, subjective memory deterioration scale, sleep disorder and sleep pattern scale, health-related quality of life scale (EuroQoL-5 dimension), and alcohol abuse screening tool (Cut down, Annoyed, Guilty, Eye-opener Questionnaire). Results：Four-hundred adults aged 65 years or older living in either of two districts in the Busan metropolitan city participated in the study, of whom 219 (54.8%) were female. About 26.8% of the participants were obese, while 2.3% were underweight. One hundred and twenty-five (31.3%) participants were in need of attention to or improvement of nutrition management, and 19.1% perceived themselves to be in poor health. In the GHQ-12, 68.8% were in psychological distress (≥2). About 49.8% of the participants had insomnia, 61.8% had subjective memory disturbance, and 6% were at risk of suicide. The GHQ-12 score, proportion of participants with sleep disturbance, and subjective memory deterioration was significantly higher among women than in men, while health-related quality of life was higher in men. Conclusion：A considerable number of older adults living in the Busan region were suffering from psychological stress, were in need of nutrition management, had low quality of life, and had poor mental health, and women were particularly more vulnerable.

참고문헌 (38)

  1. 2016 Statistics on the Aged, "Statistics Korea Social Statistics Bureau", Statistics Korea, ~ (2016)
  2. Palsson S, "The epidemiology of affective disorders in the elderly: a review", Int Clin Psychopharmacol, 12(Suppl 7), pp.S3~S13 (1997)
  3. Skoog I, "Psychiatric disorders in the elderly", Can J Psychiatry, 56, pp.387~397 (2011)
  4. Byers AL, "High occurrence of mood and anxiety disorders among older adults: the National Comorbidity Survey Replication", Arch Gen Psychiatry, 67, pp.489~496 (2010)
  5. "The state of mental health and aging in America"[URL]
  6. Steffens DC, "Prevalence of depression and its treatment in an elderly population: the Cache County study", Arch Gen Psychiatry, 57, pp.601~607 (2000)
  7. Ritchie K, "Prevalence of DSM-IV psychiatric disorder in the French elderly population", Br J Psychiatry, 184, pp.147~152 (2004)
  8. Annual report 2016, "Korea Suicide Prevention Center", Korea Suicide Prevention Center, ~ (2017)
  9. Prince M, "The global prevalence of dementia: a systematic review and metaanalysis", Alzheimers Dement, 9, pp.63~75 (2013)
  10. Korean Dementia Observatory 2016, "Kim KW", National Institute of Dementia, ~ (2016)
  11. Herndon AS, "Using the Nutrition Screening Initiative to survey the nutritional status of clients participating in a home delivered meals program", J Nutr Elder, 14, pp.15~29 (1995)
  12. Goldberg DP, "A scaled version of the General Health Questionnaire", Psychol Med, 9, pp.139~145 (1979)
  13. 박종익, "한국판 일반 건강 설문지의 요인 구조", 신경정신의학, 51(4), pp.178~184 (2012), 대한신경정신의학회
  14. Niven JA, "Screening for depression and thoughts of suicide: a tool for use in Alaska’s village clinics", Am Indian Alsk Native Ment Health Res, 14, pp.16~28 (2007)
  15. 김지은, "한국형 자살위험 스크리닝 도구와 타당성", 한국콘텐츠학회 논문지, 13(3), pp.240~250 (2013), 한국콘텐츠학회[DOI]
  16. Lee JS, "Subjective memory complaints and objective cognitive functions of the elderly living in the institution", Korean J Psychopathol, 15, pp.27~36 (2006)
  17. Liu X, "Sleep loss and daytime sleepiness in the general adult population of Japan", Psychiatry Res, 93, pp.1~11 (2000)
  18. Barbar SI, "Sleep disturbances and their correlates in elderly Japanese American men residing in Hawaii", J Gerontol A Biol Sci Med Sci, 55, pp.M406~M411 (2000)
  19. EuroQol Group, "EuroQol--a new facility for the measurement of health-related quality of life", Health Policy, 16, pp.199~208 (1990)
  20. 성상석, "한국인에서 EQ-5D를 이용한 건강 관련 삶의 질 측정", 대한류마티스학회지, 11(3), pp.254~262 (2004), 대한류마티스학회
  21. Mayfield D, "The CAGE questionnaire: validation of a new alcoholism screening instrument", Am J Psychiatry, 131, pp.1121~1123 (1974)
  22. Park BK, "Comparison of Screening Tests for Alcoholism in Terms of Reliability, Sensitivity and Specificity", Chungnam Med J, 27, pp.37~47 (2000)
  23. Nam JH, "Validity of CAGE for older adults with alcohol use disorder in community", J Korean Geriatr Psychiatry, 8, pp.49~55 (2004)
  24. Kessler RC, "The epidemiology of major depressive disorder: results from the National Comorbidity Survey Replication (NCS-R)", JAMA, 289, pp.3095~3105 (2003)
  25. Kessler RC, "Lifetime prevalence and age-of-onset distributions of DSM-IV disorders in the National Comorbidity Survey Replication", Arch Gen Psychiatry, 62, pp.593~602 (2005)
  26. Goodwin J, "Common psychiatric disorders in elderly persons", West J Med, 139, pp.502~506 (1983)
  27. Trollor JN, "Prevalence of mental disorders in the elderly: the Australian National Mental Health and Well-Being Survey", Am J Geriatr Psychiatry, 15, pp.455~466 (2007)
  28. Gum AM, "Prevalence of mood, anxiety, and substance-abuse disorders for older Americans in the national comorbidity survey-replication", Am J Geriatr Psychiatry, 17, pp.769~781 (2009)
  29. Dhondt AF, "Iatrogenic origins of depression in the elderly. Is medication a significant aetiologic factor in geriatric depression? Considerations and a preliminary approach", Int J Geriatr Psychiatry, 10, pp.1~8 (1995)
  30. Dwyer JT, "Screening older Americans’ nutritional health: current practices and future possibilities" (1991), Nutrition Screening Initiative
  31. Gariballa SE, "Nutritional support in elderly patients", J Nutr Health Aging, 4, pp.25~27 (2000)
  32. Evans C, "Malnutrition in the elderly: a multifactorial failure to thrive", Perm J, 9, pp.38~41 (2005)
  33. Young SN, "Folate and depression--a neglected problem", J Psychiatry Neurosci, 32, pp.80~82 (2007)
  34. Rao TS, "Understanding nutrition, depression and mental illnesses", Indian J Psychiatry, 50, pp.77~82 (2008)
  35. Lakhan SE, "Nutritional therapies for mental disorders", Nutr J, 7, pp.2~ (2008)
  36. 김영주, "The 12-Item General Health Questionnaire as an Effective Mental Health Screening Tool for General Korean Adult Population", PSYCHIATRY INVESTIGATION, 10(4), pp.352~358 (2013), 대한신경정신의학회
  37. Sadanand S, "Identifying elders with neuropsychiatric problems in a clinical setting", J Neurosci Rural Pract, 4(Suppl 1), pp.S24~S30 (2013)
  38. 2014Survey on the elderly conditions, "Jung KH", Korea Institute for Health and Social Affairs, ~ (2014)

관련 논문AI추천

Associations between Nutritional Risk and Mental Health in an Elderly Korean Population박재홍, 정도운, Dong-Wook Jeon, Im-Gyu Kim, Jung-Joon Moon, Sung-Jin Kim, Young-soo Seo대한노인정신의학회 · 노인정신의학2020 · 제24권 제1호일 도시 지역사회 노인들의 불면증 유병률 및 위험인자김정란, 김현진, 안소현, 최해경대한노인정신의학회 · 노인정신의학2015 · 제19권 제1호일 도시 지역 사회 노인의 삶의 질과 관련 요인에 관한 연구김호찬, 이경환대한생물치료정신의학회 · 생물치료정신의학2020 · 제26권 제3호일 도시 지역 저소득층 노인의 성별 우울 유병률과 위험요인김혜령한국노인간호학회 · 노인간호학회지2012 · 제14권 제3호경상북도 거주 노인의 정신건강과 자살 위험인자에 관한 연구곽경필, 김상규, 김정령, 이광헌, 사공정규대한생물치료정신의학회 · 생물치료정신의학2021 · 제27권 제3호일 지역주민의 정신건강 실태조사: 부산광역시 동구보건소 이용자 중심으로배정이, 양미경(사)위기관리이론과실천 · Crisisonomy2012 · 제8권 제3호

이 간행물의 다른 논문 (9건)

한국 노인에서 사회적 관계, 일상생활 수행능력 및 인지기능과 우울 증상과의 관련성 : 2014년 노인실태조사최성우, 한미아, 류소연, 김해란, 신환호, 박종pp. 47-54알츠하이머병에서 우울 증상과 고혈압의 관계이경욱, 이정태, 이해국, 김규동, 권용실, 이승엽pp. 55-58알츠하이머병 환자에서 정신증적 증상과 연관된 좌측 판개부 및 좌측 외측 후두회의 피질 두께 변화김영훈, 문치웅, 김태형, 정태영, 이봉주, 이두형, 박선철, 이정구, 최승은, 김경미pp. 67-74한국의 일 도시 노인들의 대사증후군 발생에 사회적 지지가 미치는 영향이철순, 유혜영, 안인영, 차보석, 최재원, 이소진, 김봉조, 박철수, 이동윤, 서지영pp. 75-80치매환자 보호자 부양 부담의 요인구조 : 보호자 부담 조사의 탐색적 요인분석과 확인적 요인분석김지혜, 권정혜, 이수지, 강효신, 김도관pp. 81-86
원문 보기