The Trajectory of Depressive Symptoms Across Years of Community Care Utilization Among Older Adults: A 14-Year Follow-up Study Using the ‘Korean Welfare Panel Survey’
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Objectives: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea.Methods: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU.Results: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization.Conclusions: This finding implies that CCU could be beneficial for improving mental health among older adults.
Abstract
Objectives: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea.Methods: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU.Results: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization.Conclusions: This finding implies that CCU could be beneficial for improving mental health among older adults.
참고문헌 (31)
- Prince MJ, "Impairment, disability and handicap as risk factors for depression in old age. The Gospel Oak Project V", Psychol Med, 27(2), pp.311~321 (1997)
- Fakoya OA, "Loneliness and social isolation interventions for older adults : a scoping review of reviews", BMC Public Health, 20(1), pp.129~ (2020)
- 김일호, "Mediating and Moderating Effects in Ageism and Depression among the Korean Elderly: The Roles of Emotional Reactions and Coping Reponses", Osong Public Health and Research Perspectives, 7(1), pp.3~11 (2016), 질병관리청
- 임정숙, "중고령자의 노인낙인이 우울에 미치는 영향: 노화불안의 매개효과", 보건사회연구, 39(4), pp.173~203 (2019), 한국보건사회연구원[DOI]
- Ell K, "Routine PHQ-9 depression screening in home health care: depression prevalence, clinical and treatment characteristics, and screening implementation", Home Health Care Serv Q, 24(4), pp.1~19 (2006)
- Xiang X, "Major depression and subthreshold depression among older adults receiving home care", Am J Geriatr Psychiatry, 26, pp.939~949 (2018)
- Komulainen K, "Association of depressive symptoms with health care utilization in older adults: longitudinal evidence from the Survey of Health, Aging, and Retirement in Europe", Int J Geriatr Psychiatry, 36(4), pp.521~529 (2021)
- 이인정, "재가복지서비스 이용노인의 우울 수준과 우울 영향요인에 관한 연구: 일반노인과의 비교를 중심으로", 보건사회연구, 32(4), pp.31~65 (2012), 한국보건사회연구원[DOI]
- Thiam Y, "A conceptual framework for integrated community care", Int J Integr Care, 21(1), pp.5~ (2021)
- Taylor SE, "Coping resources, coping processes, and mental health", Annu Rev Clin Psychol, 3, pp.377~401 (2007)
- Flanagan S, "The effectiveness of integrated care interventions in improving patient quality of life (QoL) for patients with chronic conditions. An overview of the systematic review evidence", Health Qual Life Outcomes, 15(1), pp.188~ (2017)
- Markle-Reid MF, "Reducing depression in older home care clients : design of a prospective study of a nurse-led interprofessional mental health promotion intervention", BMC Geriatr, 11, pp.50~ (2011)
- 주수산나, "노인의 일상생활수행능력이 우울감에 미치는 영향에 대한 지역사회 재가노인복지시설의 조절효과", 한국노년학, 38(1), pp.243~259 (2018), 한국노년학회
- Ouyang Z, "Leisure, functional disability and depression among older Chinese living in residential care homes", Aging Ment Health, 19(8), pp.723~730 (2015)
- Il-Ho Kim, "“Leisure Life Satisfaction:” Will It Have a Beneficial Impact on Depression Among Older Adults in Community Care Settings in Korea?", 예방의학회지, 55(4), pp.398~406 (2022), 대한예방의학회
- Bruce ML, "Clinical effectiveness of integrating depression care management into medicare home health : the Depression CAREPATH Randomized trial", JAMA Intern Med, 175(1), pp.55~64 (2015)
- Chung S, "Residential status and depression among Korean elderly people : a comparison between residents of nursing home and those based in the community", Health Soc Care Community, 16(4), pp.370~377 (2008)
- Thornicroft G, "Community mental health care worldwide : current status and further developments", World Psychiatry, 15(3), pp.276~286 (2016)
- Markle-Reid M, "Effectiveness of a nurse-led hospital-to-home transitional care intervention for older adults with multimorbidity and depressive symptoms : a pragmatic randomized controlled trial", PLoS One, 16(7), pp.e0254573~ (2021)
- Burns T, "Home treatment for mental health problems : a systematic review", Health Technol Assess, 5(15), pp.1~139 (2001)
- "Will the Korean elderly get healthier?: age, cohort, period effectiveness" (2022)[URL]
- Tampubolon G, "When did old age stop being depressing? Depression trajectories of older Americans and Britons 2002-2012", Am J Geriatr Psychiatry, 25(11), pp.1187~1195 (2017)
- Radloff LS, "The CES-D scale : a self-report depression scale for research in the general population", Appl Psychol Meas, 1(3), pp.385~401 (1977)
- Neuhaus JM, "Between-and within-cluster covariate effects in the analysis of clustered data", Biometrics, 54(2), pp.638~645 (1998)
- Hsiao C, "Panel data analysis—advantages and challenges", Test, 16(1), pp.1~22 (2007)
- Pepin R, "Depressive symptoms in recipients of home-and community-based services in the United States : are older adults receiving the care they need?", Am J Geriatr Psychiatry, 25(12), pp.1351~1360 (2017)
- Cornwell EY, "Social disconnectedness, perceived isolation, and health among older adults", J Health Soc Behav, 50(1), pp.31~48 (2009)
- Pearlin LI, "Handbook of the sociology of mental health", pp.325~340 (2013), Springer
- Klug G, "Effectiveness of multidisciplinary psychiatric home treatment for elderly patients with mental illness : a systematic review of empirical studies", BMC Psychiatry, 19(1), pp.382~ (2019)
- Killaspy H, "Community-based social interventions for people with severe mental illness : a systematic review and narrative synthesis of recent evidence", World Psychiatry, 21(1), pp.96~123 (2022)
- Coleman D, "Leisure and health : the role of social support and self-determination", J Leis Res, 25(2), pp.111~128 (1993)