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논문KCI 등재

노인에서 우울증과 위험요인 및 인지기능과의 관계

Prevalence of Major Depressive Disorder : Association with Risk Factors and Mini-Mental State Examination

정재훈|장성만|조충은
대한생물치료정신의학회 (Korean Society Of Biological Therapies In Psychiatry)|2015.02|생물치료정신의학 (Journal of the Korean Society of Biological Therapies in Psychiatry)|제21권 제1호|pp. 27-35

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참고문헌

키워드

노인인지CognitionDepression우울증Elderly.
주제분류정신과학

초록

Objectives：As for the epidemiology of major depression in the Korean elderly, there have not yet been many researchesin Korea. The aims of this study are to investigate 1) correlation between demographic factors and depressionand 2) correlation between depression and cognitive function in the elderly. Methods：Data were analyzed from a total of 263 participants aged over 65 by cross-sectional community-basedrandom sampling in a metropolitan area of South Korea. All participants took a Korean version of Composite InternationalDiagnostic Interview(K-CIDI) to identify whether they were depressed or not, and we gathered Demographic information. Mini Mental Status Examination in the Korean version of the CERAD assessment packet(MMSE-KC) andKorean dementia rating scale(K-DRS) were also employed to investigate their DSM-IV major depression. Results：The estimated prevalence of Major depressive disorder was 9.5% with the K-CIDI interview. Female, illiteracy,living alone, and inoccupation were significantly associated with MDD in later life. The group diagnosed as MDDshowed significantly lower scores on K-DRS(initiation/perseveration). But there were no significant differences in MMSE-KC scores. Conclusion：The prevalence rate of depressive disorder of the Korean elderly was similar to other developed countries. People without occupation and living alone are high risk group of elderly depression. Probability of depression isconsidered in the elderly with complaining somatic symptoms like fatigue and insomnia. Cognitive function like executivefunction was significantly low according to the K-DRS.

Abstract

Objectives：As for the epidemiology of major depression in the Korean elderly, there have not yet been many researchesin Korea. The aims of this study are to investigate 1) correlation between demographic factors and depressionand 2) correlation between depression and cognitive function in the elderly. Methods：Data were analyzed from a total of 263 participants aged over 65 by cross-sectional community-basedrandom sampling in a metropolitan area of South Korea. All participants took a Korean version of Composite InternationalDiagnostic Interview(K-CIDI) to identify whether they were depressed or not, and we gathered Demographic information. Mini Mental Status Examination in the Korean version of the CERAD assessment packet(MMSE-KC) andKorean dementia rating scale(K-DRS) were also employed to investigate their DSM-IV major depression. Results：The estimated prevalence of Major depressive disorder was 9.5% with the K-CIDI interview. Female, illiteracy,living alone, and inoccupation were significantly associated with MDD in later life. The group diagnosed as MDDshowed significantly lower scores on K-DRS(initiation/perseveration). But there were no significant differences in MMSE-KC scores. Conclusion：The prevalence rate of depressive disorder of the Korean elderly was similar to other developed countries. People without occupation and living alone are high risk group of elderly depression. Probability of depression isconsidered in the elderly with complaining somatic symptoms like fatigue and insomnia. Cognitive function like executivefunction was significantly low according to the K-DRS.

참고문헌 (33)

  1. Lutz W, "The coming acceleration of global population ageing", Nature, 451, pp.716~719 (2008)
  2. Blazer DG, "Depression in late life: review and commentary", The Journals of Gerontology Series A, Biological Sciences and Medical Sciences, 58, pp.249~265 (2003)
  3. Blazer D, "The association of age and depression among the elderly: an epidemiologic exploration", Journal of Gerontology, 46, pp.M210~M215 (1991)
  4. Roberts RE, "Does growing old increase the risk for depression?", The American Journal of Psychiatry, 154, pp.1384~1390 (1997)
  5. Prince MJ, "Depression symptoms in late life assessed using the EURO-D scale. Effect of age, gender and marital status in 14 European centres", The British Journal of Psychiatry : The Journal of Mental Science, 174, pp.339~345 (1999)
  6. Beekman AT, "Review of community prevalence of depression in later life", The British Journal of Psychiatry : The Journal of Mental Science, 174, pp.307~311 (1999)
  7. Harlow SD, "A longitudinal study of risk factors for depressive symptomatology in elderly widowed and married women", American Journal of Epidemiology, 134, pp.526~538 (1991)
  8. Murphy E, "Social origins of depression in old age", The British Journal of Psychiatry : The Journal of Mental Science, 141, pp.135~142 (1982)
  9. Wilson KC, "Socio-economic deprivation and the prevalence and prediction of depression in older community residents. The MRC-ALPHA Study", The British Journal of Psychiatry:The journal of Mental Science, 175, pp.549~553 (1999)
  10. Woo J, "The prevalence of depressive symptoms and predisposing factors in an elderly Chinese population", Acta Psychiatrica Scandinavica, 89, pp.8~13 (1994)
  11. Chong MY, "Community study of depression in old age in Taiwan: prevalence, life events and socio-demographic correlates", The British Journal of Psychiatry: The Journal of Mental Science, 178, pp.29~35 (2001)
  12. Hahm BJ, "Prevalence, Incidence, and Risk Factors of Dementia and Depressive Disorders of the Elderly Residing in the Community: A Two Stage Oneyear Follow-up Study", J Korean Geriatr Psychiatry, 3, pp.140~148 (1999)
  13. Cho MJ, "Prevalence of Cognitive Impairment and Depressive Symptoms among the Elderly in an Urban Community", J Korean Neuropsychiatr Assoc, 37, pp.352~362 (1998)
  14. Weissman MM, "Cross-national epidemiology of major depression and bipolar disorder", Jama, 276, pp.293~299 (1996)
  15. Andrews G, "The psychometric properties of the Composite International Diagnostic Interview", Social Psychiatry and Psychiatric Epidemiology, 33, pp.80~88 (1998)
  16. 조맹제, "한국어판 Composite International Diagnostic Interview(K-CIDI)의 개발", 신경정신의학, 41(1) (2002), 대한신경정신의학회
  17. 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", The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 57, pp.P47~P53 (2002)
  18. Mattis S, "Geriatric psychiatry", pp.77~121 (1976), Grune & Stratton
  19. 최진영, "한국판 치매평가검사(K-DRS)" (1998), 도서출판학지사
  20. Mojtabai R, "Major depression in community-dwelling middle-aged and older adults: prevalence and 2- and 4-year follow-up symptoms", Psychological Medicine, 34, pp.623~634 (2004)
  21. Pahkala K, "Prevalence of depression in an aged population in Finland", Social Psychiatry and Psychiatric Epidemiology, 30, pp.99~106 (1995)
  22. Suh GH, "Prevalence and Risk Factors of Dementia and Depression in the Elderly", J Korean Neuropsychiatr Assoc, 39, pp.809~824 (2000)
  23. Park JH, "Prevalence of major depressive disorder and minor depressive disorder in an elderly Korean population: results from the Korean Longitudinal Study on Health and Aging(KLoSHA).", Journal of Affective Disorders, 125, pp.234~240 (2010)
  24. 조성진, "도시화 수준에 따른 주요 정신질환 유병률의 지역 비교 : Korean Version of the Mini-International Neuropsychiatric Interview를 이용한 경기도 구리시·양평군 지역 비교", 신경정신의학, 50(4), pp.288~296 (2011), 대한신경정신의학회
  25. Verheij RA, "Explaining urban-rural variations in health : a review of interactions between individual and environment", Social Science & Medicine, 42, pp.923~935 (1996)
  26. Peen J, "The current status of urban-rural differences in psychiatric disorders", Acta Psychiatrica Scandinavica, 121, pp.84~93 (2010)
  27. 조맹제, "한국 주요정신장애의 유병률 및 관련요인：2006 전국정신질환역학조사", 신경정신의학, 48(3), pp.143~152 (2009), 대한신경정신의학회
  28. Park JH, "A nationwide survey on the prevalence and risk factors of late life depression in South Korea", Journal of Affective Disorders, 138, pp.34~40 (2012)
  29. Lee JJ, "Cross-cultural considerations in administering the center for epidemiologic studies depression scale", Gerontology, 57, pp.455~461 (2011)
  30. Austin MP, "Cognitive function in depression: a distinct pattern of frontal impairment in melancholia?", Psychological Medicine, 29, pp.73~85 (1999)
  31. McDermott LM, "A meta-analysis of depression severity and cognitive function", Journal of Affective Disorders, 119, pp.1~8 (2009)
  32. Grant MM, "Cognitive disturbance in outpatient depressed younger adults: evidence of modest impairment", Biological Psychiatry, 50, pp.35~43 (2001)
  33. Brodaty H, "Age and gender in the phenomenology of depression", The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, 13, pp.589~596 (2005)

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