본문 바로가기
KERD
논문KCI 등재

지역사회에 거주하고 있는 노인의 우울증과 삶의 질을 평가하는 도구로 한국판 WHO-5의 유용성

The Utility of Korean Version of the WHO Five Well-Being Index in Evaluating Depressive Symptoms and Quality of Life in the Aged Dwelling in Community

1

조회

0

다운로드

11

인용

0

참고문헌

초록

Background and Objectives:Recently the number of geriatric depressed people has been increasing tremendously. Among many factors affecting depression, quality of life seems to be closely related to depression. Thus, a screening tool for assessing both geriatric depression and quality of life is needed. The purpose of this study is to estimate the utility of the Korean version of the WHO-Five Well-Being Index (WHO-5) in evaluating geriatric depression as compared with SGDS-K (Short Geriatric Depression Scale of Korean version) that is being used widely and quality of life. Methods:A sample of 244 subjects over 65-year old living in Yanggu and Inje area in Gangwon Province, Korea were interviewed and responded to scales, including WHO-5, SGDS-K, MMSE-KC (Mini Mental Status Examination in the Korean version of the CERAD assessment packet) and GQOL-D (Geriatric Quality of Life-Dementia). The total score of WHO-5 below 13 indicates low well-being. Results:The WHO-5 inversely correlated with SGDS-K and positively with GQOL-D, but showed no significant correlation with MMSE-KC. The SGDS-K negatively correlated with WHO-5, MMSE-KC, and GQOL-D. Low well-being group (WHO-5 score<13) had lower GQOL-D score (t=1.9698, p<0.05) and higher SGDS-K score (t=1.9798, p<0.05) than high well-being group. In multiple regression analysis, WHO-5 was significantly associated with GQOL-D and SGDS-K (r2=0.29422, p=0.0000). Conclusion:The Korean version of WHO-5 was very useful to evaluate both depressive symptoms and quality of life in the aged dwelling in community.

Abstract

Background and Objectives:Recently the number of geriatric depressed people has been increasing tremendously. Among many factors affecting depression, quality of life seems to be closely related to depression. Thus, a screening tool for assessing both geriatric depression and quality of life is needed. The purpose of this study is to estimate the utility of the Korean version of the WHO-Five Well-Being Index (WHO-5) in evaluating geriatric depression as compared with SGDS-K (Short Geriatric Depression Scale of Korean version) that is being used widely and quality of life. Methods:A sample of 244 subjects over 65-year old living in Yanggu and Inje area in Gangwon Province, Korea were interviewed and responded to scales, including WHO-5, SGDS-K, MMSE-KC (Mini Mental Status Examination in the Korean version of the CERAD assessment packet) and GQOL-D (Geriatric Quality of Life-Dementia). The total score of WHO-5 below 13 indicates low well-being. Results:The WHO-5 inversely correlated with SGDS-K and positively with GQOL-D, but showed no significant correlation with MMSE-KC. The SGDS-K negatively correlated with WHO-5, MMSE-KC, and GQOL-D. Low well-being group (WHO-5 score<13) had lower GQOL-D score (t=1.9698, p<0.05) and higher SGDS-K score (t=1.9798, p<0.05) than high well-being group. In multiple regression analysis, WHO-5 was significantly associated with GQOL-D and SGDS-K (r2=0.29422, p=0.0000). Conclusion:The Korean version of WHO-5 was very useful to evaluate both depressive symptoms and quality of life in the aged dwelling in community.

참고문헌 (37)

  1. Lee MS, "Factors affecting the severity of depressive symptoms in the elderly", J Korean Neuropsychiatr Assoc, 38, pp.1063~1070 (1999)
  2. 기백석, "노인 우울증의 임상적 치료 지침", 생물치료정신의학, 9(1), pp.112~117 (2003), 대한생물치료정신의학회
  3. Alexopoulos GS, "Interventions for depressed elderly primary care patients", Int J Geriatr Psychiatry, 16, pp.553~559 (2001)
  4. Pyne JM, "Preliminary longitudinal assessment of quality of life in patients with major depression", Psychopharmacol Bull, 33, pp.23~29 (1997)
  5. Olfson M, "Mental disorders and disability among patients in a primary care group practice", Am J Psychiatry, 154, pp.1734~1740 (1997)
  6. Huber D, "Measuring the quality of life: A comparison between physically and mentally chronically ill patients and healthy persons", Pharmacopsychiatry, 21, pp.453~455 (1988)
  7. Heun R, "Internal and external validity of the WHO well-being scale in the elderly general population", Acta Psychiatr Scand, 99, pp.171~178 (1999)
  8. Angst J, "Major depression in 1998: Are we providing optimal therapy?", J Clin Psychiatry, 60(Suppl 6), pp.5~9 (1999)
  9. Bonsignore M, "Validity of the five-item WHO well-being index (WHO-5) in an elderly population", Eur Arch Psychiatry Clin Neurosci, 251(Suppl 2), pp.II27~1131 (2001)
  10. Bradley C, "Handbook of psychology and diabetes: A guide to psychological measurement in diabetes research and practice" (1994), Harwood
  11. Bech P, "The WHO (ten) well-being index:Validation in diabetes", Psychother Psychosom, 65, pp.183~190 (1996)
  12. Bech P, "Hamilton and Zung scales for mood disorders: Screening and listening. 2nd Edition", pp.395~424 (1996), Springer
  13. Henkel V, "Identifying depression in primary care: A comparison of different methods in a prospective cohort study", BMJ, 326, pp.200~201 (2003)
  14. Primack BA, "The WHO-5 wellbeing index performed the best in screening for depression in primary care", ACP J Club, 139, pp.48~ (2003)
  15. Henkel V, "Use of brief depression screening tools in primary care: Consideration of heterogeneity in performance in different patient groups", Gen Hosp Psychiatry, 26, pp.190~198 (2004)
  16. Awata S, "Reliability and validity of the japanese version of the world health organization-five well-being index in the context of detecting depression in diabetic patients", Psychiatry Clin Neurosci, 61, pp.112~119 (2007)
  17. Henkel V, "Screening for depression in adult acne vulgaris patients: Tools for the dermatologist", J Cosmet Dermatol, 1, pp.202~207 (2002)
  18. Sisask M, "Subjective psychological well-being (WHO-5) in assessment of the severity of suicide attempt", Nord J Psychiatry, 62, pp.431~435 (2008)
  19. Hegerl U, "From patient screening to management list in suicide risk. practical guideline for dealing with depression", MMW Fortschr Med, 145, pp.24~27 (2003)
  20. Lee Y, "Correlates of cognitive impairment and depressive symptoms among older adults in Korea and Japan", Int J Geriatr Psychiatry, 20, pp.576~586 (2005)
  21. Devanand DP, "Depressed mood and the incidence of Alzheimer’s disease in the elderly living in the community", Arch Gen Psychiatry, 53, pp.175~182 (1996)
  22. Wilson RS, "Depressive symptoms, cognitive decline, and risk of AD in older persons", Neurology, 59, pp.364~370 (2002)
  23. Yaffe K, "Depressive symptoms and cognitive decline in nondemented elderly women:A prospective study", Arch Gen Psychiatry, 56, pp.425~430 (1999)
  24. Awata S, "Validity and utility of the Japanese version of the WHO-five well-being index in the context of detecting suicidal ideation in elderly community residents", Int Psychogeriatr, 19, pp.77~88 (2007)
  25. Folstein MF, "Mini-mental state. A practical method for grading the cognitive state of patients for the clinician", J Psychiatr Res, 12, pp.189~198 (1975)
  26. Lee JH, "Development of the Korean version of the consortium to establish a registry for Alzheimer’s disease assessment packet (CERAD-K)", Clinical and neuropsychological assessment batteries, 57, pp.47~53 (2002)
  27. Korean association for Geriatric Psychiatry, "Korean assessment scales for demented patients", pp.158~163 (2003), Hakjisa
  28. 이형석, "「노인삶의질척도(Geriatric Quality of Life scale)」의 표준화", 한국심리학회지 임상, 22(4) (2003), 한국임상심리학회
  29. Huh Y, "The impact of religiosity, spirituality on depression & quality of life in solitary Korean elderly", J Korean Geriatr Psychiatr, 12, pp.87~94 (2008)
  30. Salzman C, "Depression in the elderly. I. Relationship between depression, psychologic defense mechanisms and physical illness", J Am Geriatr Soc, 26, pp.253~260 (1978)
  31. Cho MJ, "Validation of geriatric depression scale", Korean version (GDS) in the assessment of DSM-III-R major depression, 38, pp.48~62 (1999)
  32. Sheikh Yesage, "Geriatric depression scale (GDS): Recent evidence and development of shorter version. In Clinical Gerontology:A guide to assessment and intervention", pp.165~174 (1986), Haworth press
  33. Bae JN, "Development of the Korean version of the geriatric depression scale and its short form among elderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
  34. Henkel V, "Screening for depression in primary care: Will one or two items suffice?", Eur Arch Psychiatry Clin Neurosci, 254, pp.215~223 (2004)
  35. Bech P, "Measuring well-being rather than the absence of distress symptoms: A comparison of the SF-36 mental health subscale and the WHO-five well-being scale", Int J Methods Psychiatr Res, 12, pp.85~91 (2003)
  36. Saipanish R, "Reliability and validity of the Thai version of the WHO-five well-being index in primary care patients", Psychiatry Clin Neurosci, 63, pp.141~146 (2009)
  37. Paykel ES, "The defeat depression campaign: Psychiatry in the public arena", Am J Psychiatry, 154(6 Suppl), pp.59~65 (1997)

관련 논문AI추천

이 간행물의 다른 논문 (5건)