Characteristic of depressive symptom in middle-aged family members with Dementia patient : 2017 Korea Community Health Survey
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OBJECTIVES: The characteristics of depressive symptoms in the family members of home-dwelling patients with dementia have not been clearly reported. This study aimed to investigate the characteristics of depressive symptoms in middle-aged family members living with a patient with dementia. METHODS: This study used the data from the nationwide 2017 Korea Community Health Survey. Among the 228,381 survey participants, 77,276 participants in their 40s and 50s were finally selected for this study. The participants consisted of 760 family members of home-dwelling dementia patients and 76,516 general family members comprising a control group. RESULTS: The positive rate of Patient Health Questionnaire-9 (PHQ-9)-measured depressive symptoms was significantly higher in the family members of home-dwelling dementia patients (4.4%; control group: 1.9%). After adjusting for potential confounders, the prevalence of PHQ-measured depressive symptoms was 1.72 times (95% confidence interval [CI], 1.03 to 2.85) higher in the family members of home-dwelling dementia patients compared to the control group. The positive rate of depressive symptoms was 2.26 times higher (95% CI, 1.26 to 4.05) in the female middle-aged family members of home-dwelling dementia patients compared to the control group. In addition, those who reported having symptoms almost every day in the PHQ-9 questions had significantly higher positive rates on questions about loss of interest, depression, sleep disturbance, fatigue, poor appetite, and suicidal ideation, and not on questions regarding feelings of worthlessness and psychomotor agitation, compared to the control group. CONCLUSIONS: Active interventions are needed to relieve depression in the family members of home-dwelling dementia patients.
Abstract
OBJECTIVES: The characteristics of depressive symptoms in the family members of home-dwelling patients with dementia have not been clearly reported. This study aimed to investigate the characteristics of depressive symptoms in middle-aged family members living with a patient with dementia. METHODS: This study used the data from the nationwide 2017 Korea Community Health Survey. Among the 228,381 survey participants, 77,276 participants in their 40s and 50s were finally selected for this study. The participants consisted of 760 family members of home-dwelling dementia patients and 76,516 general family members comprising a control group. RESULTS: The positive rate of Patient Health Questionnaire-9 (PHQ-9)-measured depressive symptoms was significantly higher in the family members of home-dwelling dementia patients (4.4%; control group: 1.9%). After adjusting for potential confounders, the prevalence of PHQ-measured depressive symptoms was 1.72 times (95% confidence interval [CI], 1.03 to 2.85) higher in the family members of home-dwelling dementia patients compared to the control group. The positive rate of depressive symptoms was 2.26 times higher (95% CI, 1.26 to 4.05) in the female middle-aged family members of home-dwelling dementia patients compared to the control group. In addition, those who reported having symptoms almost every day in the PHQ-9 questions had significantly higher positive rates on questions about loss of interest, depression, sleep disturbance, fatigue, poor appetite, and suicidal ideation, and not on questions regarding feelings of worthlessness and psychomotor agitation, compared to the control group. CONCLUSIONS: Active interventions are needed to relieve depression in the family members of home-dwelling dementia patients.
참고문헌 (25)
- 2018 Alzheimer’s disease facts and figures, "Alzheimer’s Association", Alzheimers Dement, 367~429 (2018)
- 2017 National institute of dementia annual report, "National Institute of Dementia", National Institute of Dementia, ~ (2017)
- 임경춘, "치매노인을 돌보는 가족부양자 부양부담의 영향 요인: 치매지원센터 이용자를 중심으로", 한국간호교육학회지, 25(1), pp.136~147 (2019), 한국간호교육학회[DOI]
- 윤보라, "치매 환자는 누가 돌보는가: 독거 치매 노인 현황과 주부양자 조사 연구", Dementia and Neurocognitive Disorders(대한치매학회지), 11(1), pp.13~17 (2012), 대한치매학회
- 박명화, "치매환자를 돌보는 가족부양자의 부양부담 위험도와 영향 요인", 한국가족복지학, 22(3), pp.431~448 (2017), 한국아동가족복지학회[DOI]
- Huang CY, "Stressors, social support, depressive symptoms and general health status of Taiwanese caregivers of persons with stroke or Alzheimer’s disease", J Clin Nurs, 18, pp.502~511 (2009)
- 이홍자, "장기요양서비스 전·후 가족의 수발 부담감에 영향을 미치는 요인", Journal of Korean Academy of Nursing, 42(2), pp.236~247 (2012), 한국간호과학회[DOI]
- 이선아, "치매가족교육 프로그램이 치매 환자 주부양자의 치매 인식도, 부양부담감 및 우울에 미치는 효과", 정신간호학회지, 26(1), pp.14~23 (2017), 한국정신간호학회
- Gehrman P, "Impact of Alzheimer disease patients’ sleep disturbances on their caregivers", Geriatr Nurs, 39, pp.60~65 (2018)
- O’Dwyer ST, "Suicidal ideation in family carers of people with dementia", Aging Ment Health, 20, pp.222~230 (2016)
- 이현주, "치매노인 가족부양자의 부양부담 연구: 사회적 지지의 조절효과", 사회과학연구, 26(1), pp.345~367 (2015), 사회과학연구소[DOI]
- Hong I, "The risk of stroke in spouses of people living with dementia in Korea", Int J Stroke, 12, pp.851~857 (2017)
- 김영택, "지역사회건강조사의 조사 기획과 수행", 대한의사협회지, 55(1), pp.74~83 (2012), 대한의사협회
- 박승진, "한글판 우울증 선별도구(Patient Health Questionnaire-9, PHQ-9)의 신뢰도와 타당도", 대한불안의학회지, 6(2), pp.119~124 (2010), 대한불안의학회
- Lee SY, "Depression and depression relating variables for caregivers of patients with dementia in home", J Korean Acad Psychiatr Ment Health Nurs, 14, pp.250~259 (2005)
- Soo-YoungKim, "Factors Affecting Life Satisfaction and Depression of Caregivers of the Elderly with Dementia: A Comparative Study of Korean and American Caregivers", 한국노년학, 23(3), pp.193~221 (2003), 한국노년학회
- 최호진, "2012년 일상예찬 캠페인 일상 수행능력 현황 및 인식 조사", Dementia and Neurocognitive Disorders(대한치매학회지), 12(2), pp.47~51 (2013), 대한치매학회[DOI]
- 김재엽, "치매노인 가족의 부양부담이 우울에 미치는 영향： 지각된 공식적지지의 조절효과를 중심으로", 노인복지연구, 73(2), pp.171~191 (2018), 한국노인복지학회[DOI]
- Korea health statistics 2016: Korea National Health and Nutrition Examination Survey (KNHANES VII-1), "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, 106~ (2016)
- Jang SI, "Depression in the family of patients with dementia in Korea", Am J Alzheimers Dis Other Demen, 31, pp.481~491 (2016)
- Goren A, "Impact of caring for persons with Alzheimer’s disease or dementia on caregivers’ health outcomes : findings from a community based survey in Japan", BMC Geriatr, 16, pp.122~ (2016)
- 이애숙, "치매노인 부양자의 부양부담 실태 및 부양부담에 영향을 미치는 요인", 보건과 사회과학, 13, pp.29~60 (2003), 한국보건사회학회
- "World Alzheimer report 2009: the global prevalence of dementia"[URL]
- Beaudreau SA, "The relationship between objectively measured sleep disturbance and dementia family caregiver distress and burden", J Geriatr Psychiatry Neurol, 21, pp.159~165 (2008)
- Buyukdura JS, "Psychomotor retardation in depression : biological underpinnings, measurement, and treatment", Prog Neuropsychopharmacol Biol Psychiatry, 35, pp.395~409 (2011)