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지역사회 거주노인에서 주관적인 성공적 노화의 예측인자 : 독거노인과 비독거노인을 중심으로

Predictors of Subjective Successful Aging in Community-Dwelling Elderly : Comparing Elders Living alone and those Living with others

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주제분류정신과학

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Objectives:This study was aimed to investigate factors affecting successful aging in community-dwelling elderly Korean population. Also, the purpose of this study is to compare factors in living alone elderly and living with others. Methods:This study is a community-based, cross-sectional study that included 434 elderly subjects aged 60 years and more. Subjects completed the questionnaire including sociodemographic characteristics, health behavior, and chronic medical illness. Korean MMSE in the Korean version of the CERAD assessment packet(MMSE-KC), and Short Form of Geriatric Depression Scale(SGDS) were also evaluated. Participants were asked to rate their own degree of successful aging on a scale from 1 to 10(1=least successful, 10=most successful). Results:The mean score for self-rated successful aging was 5.91 in overall sample. In living alone group, mean score was 5.61, whereas 6.04 in living with others group. Subjective ratings of successful aging were significantly correlated with sex, marital status, education, rheumatism/arthritis, MMSE-KC score, and SGDS score in all participants. Education, SGDS score were found to predict subjective successful aging in overall participant(β=0.137, p=0.003 ; β= -0.422, p<0.001). While MMSE-KC score and SGDS score were significant predictors(β=0.212, p=0.020 ; β=-0.302, p=0.001) in living alone group, SGDS score was a significant predictor of subjective successful aging in living with others group(β=-0.503, p<0.001). Conclusion:Depression and education were important predictors of successful aging in all participants, and depression was a common predictor in living alone group and living with others group. Appropriate psychiatric management of depression in elderly is needed to enhance successful aging.

Abstract

Objectives:This study was aimed to investigate factors affecting successful aging in community-dwelling elderly Korean population. Also, the purpose of this study is to compare factors in living alone elderly and living with others. Methods:This study is a community-based, cross-sectional study that included 434 elderly subjects aged 60 years and more. Subjects completed the questionnaire including sociodemographic characteristics, health behavior, and chronic medical illness. Korean MMSE in the Korean version of the CERAD assessment packet(MMSE-KC), and Short Form of Geriatric Depression Scale(SGDS) were also evaluated. Participants were asked to rate their own degree of successful aging on a scale from 1 to 10(1=least successful, 10=most successful). Results:The mean score for self-rated successful aging was 5.91 in overall sample. In living alone group, mean score was 5.61, whereas 6.04 in living with others group. Subjective ratings of successful aging were significantly correlated with sex, marital status, education, rheumatism/arthritis, MMSE-KC score, and SGDS score in all participants. Education, SGDS score were found to predict subjective successful aging in overall participant(β=0.137, p=0.003 ; β= -0.422, p<0.001). While MMSE-KC score and SGDS score were significant predictors(β=0.212, p=0.020 ; β=-0.302, p=0.001) in living alone group, SGDS score was a significant predictor of subjective successful aging in living with others group(β=-0.503, p<0.001). Conclusion:Depression and education were important predictors of successful aging in all participants, and depression was a common predictor in living alone group and living with others group. Appropriate psychiatric management of depression in elderly is needed to enhance successful aging.

참고문헌 (42)

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