도시 거주 독거노인과 배우자 동거노인에서 우울증의 관련 인자
Factors Associated With Depression Among Elderly Living Alone and Those Living With a Spouse in an Urban Area
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Objectives: This study aimed to investigate factors associated with depression among elderly living alone and those living with a spouse in an urban area. Methods: This study was a community-based, cross-sectional study that included 384 elderly aged 60 years or older. The subjects completed a questionnaire that covered sociodemographic characteristics and chronic medical illnesses. The Korean version of the Short Form of the Geriatric Depression Scale, the Korean version of the Quality of Life-Alzheimer’s Disease (KQOL-AD), and the Korean Mini Mental State Examination in the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease assessment packet were also performed. Results: The participants were divided into two groups: 137 elderly individuals living alone and 247 elderly individuals living with a spouse. Heart disease (odds ratio [OR]=13.099, 95% confidence interval [CI]=1.892-90.697, p=0.009) was identified as a risk factor for depression, while the religion (OR=0.137, 95% CI=0.028-0.668, p=0.014) was found to be a protective factor against depression among elderly individuals living alone. Higher scores on the KQOL-AD scale were found to be protective factors against depression for both elderly individuals living alone (OR=0.742, 95% CI=0.636-0.867, p<0.001) and those living with a spouse (OR=0.664, 95% CI=0.573-0.771, p<0.001). Conclusions: Among elderly living alone in an urban area, heart disease, religion, and the quality of life appear to have an impact on depression. To reduce the risk of depression in the elderly, it is necessary to properly manage heart disease, encourage religious participation, and enhance the quality of life.
Abstract
Objectives: This study aimed to investigate factors associated with depression among elderly living alone and those living with a spouse in an urban area. Methods: This study was a community-based, cross-sectional study that included 384 elderly aged 60 years or older. The subjects completed a questionnaire that covered sociodemographic characteristics and chronic medical illnesses. The Korean version of the Short Form of the Geriatric Depression Scale, the Korean version of the Quality of Life-Alzheimer’s Disease (KQOL-AD), and the Korean Mini Mental State Examination in the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease assessment packet were also performed. Results: The participants were divided into two groups: 137 elderly individuals living alone and 247 elderly individuals living with a spouse. Heart disease (odds ratio [OR]=13.099, 95% confidence interval [CI]=1.892-90.697, p=0.009) was identified as a risk factor for depression, while the religion (OR=0.137, 95% CI=0.028-0.668, p=0.014) was found to be a protective factor against depression among elderly individuals living alone. Higher scores on the KQOL-AD scale were found to be protective factors against depression for both elderly individuals living alone (OR=0.742, 95% CI=0.636-0.867, p<0.001) and those living with a spouse (OR=0.664, 95% CI=0.573-0.771, p<0.001). Conclusions: Among elderly living alone in an urban area, heart disease, religion, and the quality of life appear to have an impact on depression. To reduce the risk of depression in the elderly, it is necessary to properly manage heart disease, encourage religious participation, and enhance the quality of life.
참고문헌 (26)
- "2022 statistics on the aged"[URL]
- Quality of life indicators in Korea 2022 (Korean version), "Shim SJ", Statistics Research Institute, 21~ (2023)
- Kim DB, "A meta-analysis of the variables related to depression in elderly", J Korean Gerontol Soc, 25, pp.167~187 (2005)
- Chen Y, "Risk factors for depression among older adults living alone in Shanghai, China", Psychogeriatrics, 22, pp.780~785 (2022)
- Fukunaga R, "Living alone is associated with depression among the elderly in a rural community in Japan", Psychogeriatrics, 12, pp.179~185 (2012)
- Kang HW, "The factors influencing cognitive impairment in older adults living alone and those living with others : the Korean longitudinal study of ageing(KLoSA)2012", J Korean Data Anal Soc, 18, pp.995~1009 (2016)
- Yun KS, "Factors influencing depression in older adults according to family structure(older adults living with adult children, a spouse, or alone) : data from the 2020 national older Koreans data", J Korean Gerontol Nurs, 24, pp.1~12 (2022)
- Chan A, "Living arrangements, social networks and depressive symptoms among older men and women in Singapore", Int J Geriatr Psychiatry, 26, pp.630~639 (2011)
- Kim SJ, "Comparison of depression between the elderly living alone and those living with a spouse", J Korean Soc Biol Ther Psychiatry, 21, pp.192~198 (2015)
- Oh DH, "Association between living arrangements and depressive symptoms among older women and men in South Korea", Soc Psychiatry Psychiatr Epidemiol, 50, pp.133~141 (2015)
- Kim EK, "Factors related to depression of old-old living alone by region", AJMAHS, 8, pp.609~623 (2018)
- Kim JW, "Association between religion, belief in afterlife and depression in elderly living alone", J Korean Assoc Soc Psychiatry, 22, pp.31~37 (2017)
- Kim SA, "Factors influencing depression : comparison between elders living alone and elders not living alone", J Korean Gerontol Nurs, 21, pp.51~60 (2019)
- Kim HR, "Prevalence of depression and its risk factors between elderly living alone and elderly living with others in Korea", J Korean Data Anal Soc, 16, pp.463~477 (2014)
- Chae CH, "Effects of social support and chronic medical conditions on depressive symptoms in elderly people living alone in a rural community", J Korean Soc Biol Ther Psychiatry, 24, pp.184~193 (2018)
- Park HS, "Risk factors of socio-demographic variables to depressive symptoms and suicidality in elderly who live alone at one urban region", Korean J Psychosom Med, 23, pp.36~46 (2015)
- Sheikh JI, "Clinical gerontology", pp.165~173 (1986), Routledge
- Cho MJ, "Validation of geriatric depression scale, Korean version(GDS)in the assessment of DSM-III-R major depression", J Korean Neuropsychiatr Assoc, 38, pp.48~63 (1999)
- 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", J Gerontol B Psychol Sci Soc Sci, 57, pp.P47~P53 (2002)
- 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)
- Shin HY, "A preliminary study on the Korean version of quality of life-Alzheimer’s disease(QOL-AD)scale in community-dwelling elderly with dementia", J Prev Med Public Health, 39, pp.243~248 (2006)
- Logsdon RG, "Quality of life in Alzheimer’s disease : patient and caregiver reports", J Ment Health Aging, 5, pp.21~32 (1999)
- Huh Y, "The impact of religiosity, spirituality on depression & quality of life in solitary Korean elderly", J Korean Geriatr Psychiatry, 12, pp.87~94 (2008)
- Seomun J, "A study on the relation between religion and depression", quality of life for the elderly people, 2010, pp.12, 67~95
- Sivertsen H, "Depression and quality of life in older persons : a review", Dement Geriatr Cogn Disord, 40, pp.311~339 (2015)
- Bilotta C, "Quality of life in older outpatients living alone in the community in Italy", Health Soc Care Community, 20, pp.32~41 (2012)
