일 중소도시 노인의 불안 및 삶의 질에 대한 연구
A Study of Anxiety and Quality of Life among the Elderly in a Small and Medium-Sized City
0
조회
0
다운로드
4
인용
0
참고문헌
키워드
초록
Objectives:This study was designed to investigate the prevalence of anxiety and to identify demographic variables and clinical characteristics impacting on anxiety and quality of life in the elderly. Methods:We analyzed data of 300 patients. Generalized anxiety disorder-7 (GAD-7), World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF), Rosenberg Self-Esteem Scale, Scale of Social Support (SSS), Brief Encounter Psychosocial instrument (BEPSI-K) were used to evaluate. Patients were divided into anxiety and non-anxiety group according to the GAD-7 score. We compared stress and quality of life between two groups and analyzed multiple linear regression with anxiety and quality of life as criterion variables. Results:The prevalence of anxiety in elderly was 27% (n=81). Compared to the non-anxiety, anxiety people appeared signifi- cantly lower mean scores all of subscales in WHOQOL-BREF : General Health (t=-6.782, p<0.001), Physical Health (t=-6.935, p<0.001), Psychological Health (t=-8.816, p<0.001), Social Relationship (t=-5.409, p<0.001) and Environmental Health (t= -5.667, p<0.001). Stress, social support, education, sleep were significant explanation variables for anxiety and anxiety, stress, self-esteem were significant explanation variables for quality of life. Conclusion:These results show that the most important variable influencing on anxiety was stress and influencing on quality of life was anxiety.
Abstract
Objectives:This study was designed to investigate the prevalence of anxiety and to identify demographic variables and clinical characteristics impacting on anxiety and quality of life in the elderly. Methods:We analyzed data of 300 patients. Generalized anxiety disorder-7 (GAD-7), World Health Organization Quality of Life Assessment Instrument Brief Form (WHOQOL-BREF), Rosenberg Self-Esteem Scale, Scale of Social Support (SSS), Brief Encounter Psychosocial instrument (BEPSI-K) were used to evaluate. Patients were divided into anxiety and non-anxiety group according to the GAD-7 score. We compared stress and quality of life between two groups and analyzed multiple linear regression with anxiety and quality of life as criterion variables. Results:The prevalence of anxiety in elderly was 27% (n=81). Compared to the non-anxiety, anxiety people appeared signifi- cantly lower mean scores all of subscales in WHOQOL-BREF : General Health (t=-6.782, p<0.001), Physical Health (t=-6.935, p<0.001), Psychological Health (t=-8.816, p<0.001), Social Relationship (t=-5.409, p<0.001) and Environmental Health (t= -5.667, p<0.001). Stress, social support, education, sleep were significant explanation variables for anxiety and anxiety, stress, self-esteem were significant explanation variables for quality of life. Conclusion:These results show that the most important variable influencing on anxiety was stress and influencing on quality of life was anxiety.
참고문헌 (33)
- Baldwin RC, "Depression in later life. A comparison of symptoms and risk factors in early and late onset cases", Br J Psychiatry, 167, pp.649~652 (1995)
- Klemmack DL, "Fear of personal aging and subjective well-being in later life", J Gerontol, 39, pp.756~758 (1984)
- Harris LA, "Individual differences in personality traits and anxiety about aging", Personal Individ Differ, 34, pp.187~194 (2003)
- Diener E, "Assessing subjective well-being: progress and opportunities", Soc Indic Res, 31, pp.103~157 (1994)
- Population projections for Korea 2010-2060: based on the 2010 census, "Statics Korea", Statics Korea, ~ (2011)
- 김미령, "전기, 후기 여성노인의 삶의 질 및 영향요인 비교 연구", 한국사회복지학, 58(2), pp.197~222 (2006), 한국사회복지학회
- Abdel-Khalek AM, "Satisfaction with life and death distress", Psychol Rep, 97, pp.790~792 (2005)
- Harris LA, "Participation a course on aging: knowledge, attitudes, and anxiety about aging in one-self and others", Educ Gerontol, 27, pp.657~667 (2001)
- Krause N, "Life stress, social support, and self-esteem in an elderly population", Psychol Aging, 2, pp.349~356 (1987)
- Kala MM, "Prevalence and correlates of anxiety symptoms in well-functioning older adults: findings from the health aging and body composition study", AJS, 51, pp.499~504 (2003)
- Reich JW, "Life events and personal causation: some relationships with satisfaction and distress", J Pers Soc Psychol, 41, pp.1002~1012 (1981)
- Warr P, "On the independence of positive and negative affect", J Personal Soc Psychol, 44, pp.644~651 (1983)
- Spitzer RL, "A brief measure for assessing generalized anxiety disorder: the GAD-7", Arch Intern Med, 166, pp.1092~1097 (2006)
- Löwe B, "Validation and standardization of the Generalized Anxiety Disorder Screener (GAD-7) in the general population", Med Care, 46, pp.266~274 (2008)
- The WHOQOL Group, "Development of the World Health Organization WHOQOL-BREF quality of life assessment", Psychol Med, 28, pp.551~558 (1998)
- Min SK, "Development of Korean version of WHO quality of life scale abbreviated version (WHO-QOL-BREF)", J Korean Neuropsychiatr Assoc, 39, pp.571~579 (2000)
- Rosenberg HS, "Society and adolescent self-image" (1965), Princeton University Press
- Jeon BJ, "Self-esteem: A test of its measurability", Yonsei Nonchong, 11, pp.107~129 (1974)
- Abbey A, "Effects of different sources of social support and social conflict on emotional well-being", Basic Applied Social Psycho, 6, pp.111~129 (1985)
- Yu SE, "The effects of perfectionism, social support, strss, and coping style on depression in the middle-aged woman", J Korean Clin Psychol, 16, pp.67~84 (1997)
- Frank SH, "Stress in the clinical setting: the Brief Encounter Psychosocial Instrument", J Fam Pract, 26, pp.533~539 (1988)
- Yim JH, "The validity of modi ed Korean-translated BEPSI (Brief Encounter Psychosocial Instrument) as instrument of stress measurement in outpatient clinic", J Korean Acad Fam Med, 17, pp.42~53 (1996)
- Kaplan HI, "Comprehensive textbook of psychiatry", pp.2~12 (2009), Lippincott Williams and Wilkins
- Beekman AT, "Anxiety disorders in later life: a report from the Longitudinal Aging Study Amsterdam", Int J Geriatr Psychiatry, 13, pp.717~726 (1998)
- Lee JB, "A study of anxiety and depression in the elderly", J Korean Neuropsychiatr Assoc, 3, pp.431~444 (1985)
- Brown PJ, "Age and anxiety and depressive symptoms: the effect on domains of quality of life", Int J Geriatr Psychiatry, 26, pp.1260~1266 (2011)
- Rangaraj J, "Anxiety disorders in the elderly: Clinical and therapeutic aspects", Psychol Neuropsychiatr Vieil, 4, pp.179~187 (2006)
- Mazure CM, "Stressful life events interacting with cognitive", personality styles to predict late-onset major depression, 2002, pp.10, 297~304
- 문남숙, "노인의 죽음준비도와 성공적 노화의 관계 -우울 및 죽음불안의 매개효과를 중심으로-", 한국노년학, 28(4), pp.1227~1248 (2008), 한국노년학회
- Batterham PJ, "Sleep disturbance, personality and the onset of depression and anxiety: prospective cohort study", Aust N Z J Psychiatry, 46, pp.1089~1098 (2012)
- 김신미, "노인의 노화불안과 삶의 질", 정신간호학회지, 18(2), pp.207~218 (2009), 정신간호학회
- Capurso A, "Depression in old age: a diagnostic and therapeutic challenge", Recenti Prog Med, 98, pp.43~52 (2007)
- Chapman NJ, "Environmental predictors of well-being for at-risk older adults in a mid-sized city", J Gerontol, 38, pp.237~244 (1983)
