코로나19 발생에 따른 우울증 위험요인의 변화: 65세 이상 노인을 대상으로
Change in Risk Factors for Depression among The Elderly Due to the COVID-19 Outbreak
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Objectives: This study aimed to investigate changes in risk factors for depression among the elderly due to the Coronavirus disease-2019 (COVID-19) outbreak. Methods: We analyzed data from individuals aged ≥ 65 years who participated in both the 7th (2018) and 8th (2020) waves of the Korean Longitudinal Study of Aging (KLoSA). Depression is defined as a Center for Epidemiologic Studies Depression Scale (CES-D10) score ≥ 4. We conducted multivariable logistic regression analyses to assess risk factors for depression across periods before and after the outbreak of COVID-19. For the multivari- able analysis, we included variables that showed a p-value < 0.2 in the univariable analysis and applied a stepwise selection method. Results: A total of 3,857 elderly individuals were included in the analysis. Regardless of the COVID-19 outbreak, factors such as economically inactive status, a lower fre- quency of social interactions, worsening subjective health status, and difficulties in performing instrumental activities of daily living were identified as risk factors for depression. Before the COVID-19 outbreak, residing in urban areas was not a significant risk factor for depression, but it emerged as a sig- nificant risk factor after the outbreak (p = 0.009). In contrast, living alone was a significant risk factor for depression before the COVID-19 outbreak (p < 0.001), but this association was not significant after the outbreak. Conclusions: After the COVID-19 outbreak, residing in urban areas emerged as a new risk factor for depression, while living alone, previously a significant risk factor, was no longer associated with depression in the elderly.
Abstract
Objectives: This study aimed to investigate changes in risk factors for depression among the elderly due to the Coronavirus disease-2019 (COVID-19) outbreak. Methods: We analyzed data from individuals aged ≥ 65 years who participated in both the 7th (2018) and 8th (2020) waves of the Korean Longitudinal Study of Aging (KLoSA). Depression is defined as a Center for Epidemiologic Studies Depression Scale (CES-D10) score ≥ 4. We conducted multivariable logistic regression analyses to assess risk factors for depression across periods before and after the outbreak of COVID-19. For the multivari- able analysis, we included variables that showed a p-value < 0.2 in the univariable analysis and applied a stepwise selection method. Results: A total of 3,857 elderly individuals were included in the analysis. Regardless of the COVID-19 outbreak, factors such as economically inactive status, a lower fre- quency of social interactions, worsening subjective health status, and difficulties in performing instrumental activities of daily living were identified as risk factors for depression. Before the COVID-19 outbreak, residing in urban areas was not a significant risk factor for depression, but it emerged as a sig- nificant risk factor after the outbreak (p = 0.009). In contrast, living alone was a significant risk factor for depression before the COVID-19 outbreak (p < 0.001), but this association was not significant after the outbreak. Conclusions: After the COVID-19 outbreak, residing in urban areas emerged as a new risk factor for depression, while living alone, previously a significant risk factor, was no longer associated with depression in the elderly.
참고문헌 (49)
- "Depression" (2023)[URL]
- Chisholm D, "Scaling-up treatment of depression and anxiety : A global return on investment analysis", Lancet Psychiatry, 3(5), pp.415~424 (2016)[DOI]
- Malik A, "Mental health at work : WHO guidelines", World Psychiatry, 22(2), pp.331~332 (2023)[DOI]
- Tackling the mental health impact of the COVID-19 crisis: An integrated, whole-of-society response, "Hewlett E", Organisation for Economic Co-Operation Development (OECD), ~ (2021)
- Mental health and COVID-19 : Early evidence of the pandemic’s impact, "World Health Organization", World Health Organization, ~ (2022)
- Blasco-Belled A, "Mental health among the general population and healthcare workers during the COVID-19 pandemic : A meta-analysis of well-being and psychological distress prevalence", Curr Psychol, 43, pp.8435~8446 (2024)[DOI]
- Devaraj S, "Change in psychological distress in response to changes in reduced mobility during the early 2020 COVID-19 pandemic:Evidence of modest effects from the U.S", Soc Sci Med, 270, pp.113615~ (2021)[DOI]
- Lima CKT, "The emotional impact of Coronavirus 2019-nCoV(new Coronavirus disease)", Psychiatry Res, 287, pp.112915~ (2020)[DOI]
- An J, "The effect of exercise constraints on life satisfaction due to COVID-19 among elderly who participate in continuous sport-for-all : The mediating effects of COVID-19 depression", Korean J Sport, 19(2), pp.411~421 (2021)[DOI]
- Joo JY, "A study on leisure activity types and depressive symptoms among YOUTH(Comparison before", after COVID-19), 2021, pp.45(2), 87~99
- Kim CJ, "Analysis of depression due to change in the physical activities of older adults : Focusing on the impact of COVID-19", Korean J Adapt Phys Act, 30(2), pp.89~101 (2022)[DOI]
- Kim Y, "The effect of Covid-19 pandemic on individual mental health : Focusing on comparison of different life cycles in adulthood", J Crit Soc Policy, 74, pp.7~37 (2022)[DOI]
- Kim YB, "COVID-19 pandemic & Depressive symptom of Elderly : Comparison before & after COVID-19 pandemic", J Korea Gerontol Soc, 41(6), pp.981~996 (2021)[DOI]
- Mirowsky J, "Age and depression", J Health Soc Behav, 33(3), pp.187~205 (1992)[DOI]
- Snowdon J, "Is depression more prevalent in old age?", Aust N Z J Psychiatry, 35(6), pp.782~787 (2001)[DOI]
- Snowdon J, "A study of suicides of older people in Sydney", Int J Geriatr Psychiatry, 17(3), pp.261~269 (2002)[DOI]
- Lee I, "Moderating effects of life problems, social support on the relationship between depression and suicidal ideation of older people", Health Soc Welf Rev, 31(4), pp.34~62 (2011)[DOI]
- Kim J, "The effect of life changes during the COVID-19 on depression of elderly living in Jeju : A comparison of living arrangements", Health Welf, 24(3), pp.145~172 (2022)[DOI]
- Lee G, "Association between daily life changes due to COVID-19 and depression in the elderly : Using the 2020 Korea Community Health Survey", Korean Public Health Res, 49(1), pp.165~181 (2023)[DOI]
- Suh BD, "Impacts of the depression among the elderly in the South Korea community in COVID-19 pandemic", J Health Info Stat, 46(1), pp.54~63 (2021)[DOI]
- Jun HJ, "Factors contributing to depression in communitydwelling older adult during COVID-19 : Using data from the 2020Community Health Survey", J Korean Gerontol Nurs, 24(1), pp.55~64 (2022)[DOI]
- Kim D, "Effect of changes in daily life and psychological factors due to COVID-19 on depression in the elderly", J Korea Entertainment Ind Assoc, 16(3), pp.187~196 (2022)[DOI]
- Cho MJ, "Use of the Center for Epidemiologic Studies Depression(CES-D)Scale in Korea", J Nerv Ment Dis, 186(5), pp.304~310 (1998)[DOI]
- Irwin M, "Screening for depression in the older adult : Criterion validity of the 10-item Center for Epidemiological Studies Depression Scale(CES-D)", Arch Intern Med, 159(15), pp.1701~1704 (1999)[DOI]
- Yoon HS, "The mediating effects of family solidarity on depression and suicidal ideation of older adults in Korea", Korean J Soc Welf, 68(1), pp.53~71 (2016)[DOI]
- Kim YB, "The factor affecting depressive symptom of elderly in Chuncheon Area-Focusing on the effect of intergenerational support exchange", Korean Regional Sociology, 15(1), pp.223~244 (2013)
- Bae JY, "Depression, suicidal thoughts and the buffering effect of social support among the elderly", J Korea Gerontol Soc, 25(3), pp.59~73 (2005)
- Arling G, "The elderly widow and her family, neighbors and friends", J Marriage Fam, 38(4), pp.757~768 (1976)[DOI]
- Glass TA, "Social engagement and depressive symptoms in late life : Longitudinal findings", J Aging Health, 18(4), pp.604~628 (2006)[DOI]
- Antonucci TC, "Social relations and depressive symptomatology in a sample of community-dwelling French older adults", Psychol Aging, 12(1), pp.189~195 (1997)[DOI]
- Kim SY, "Evaluating effectiveness of social participation program for community-dwelling older adults", J Community Welf, 53, pp.451~479 (2015)[DOI]
- Kim S, "Benefits of volunteering to physical health, depression, social support, and meaning in life among older adults", J Korea Gerontol Soc, 33(1), pp.53~66 (2013)
- Yang JH, "Association between alcohol drinking status and depressive symptoms in Korean adults", Chonnam Med J, 57(1), pp.68~75 (2021)[DOI]
- Li J, "Effect of alcohol use disorders and alcohol intake on the risk of subsequent depressive symptoms : A systematic review and meta-analysis of cohort studies", Addiction, 115(7), pp.1224~1243 (2020)[DOI]
- Kok RM, "Management of depression in older adults : A review", JAMA, 317(20), pp.2114~2122 (2017)[DOI]
- Bae JJ, "The effect of exercise on senior’ depression in local area", Korean J Phys Educ, 53(3), pp.549~567 (2014)
- Bridle C, "Effect of exercise on depression severity in older people : Systematic review and meta-analysis of randomised controlled trials", Br J Psychiatry, 201(3), pp.180~185 (2012)[DOI]
- Bigarella LG, "Exercise for depression and depressive symptoms in older adults : An umbrella review of systematic reviews and meta-analyses", Aging Ment Health, 26(8), pp.1503~1513 (2022)[DOI]
- Sung KW, "The effects of regular walking exercise on metabolic syndrome, cardiovascular risk factors, and depressive symptoms in the elderly with diabetic mellitus", Res Community Public Health Nurs, 21(4), pp.409~418 (2010)[DOI]
- Strawbridge WJ, "Physical activity reduces the risk of subsequent depression for older adults", Am J Epidemiol, 156(4), pp.328~334 (2002)[DOI]
- Miller KJ, "Comparative effectiveness of three exercise types to treat clinical depression in older adults : A systematic review and network metaanalysis of randomised controlled trials", Ageing Res Rev, 58, pp.100999~ (2020)[DOI]
- Marques A, "Different levels of physical activity and depression symptoms among older adults from 18 countries : A population-based study from the Survey of Health, Ageing and Retirement in Europe(SHARE)", Eur J Sport Sci, 21(6), pp.887~894 (2021)[DOI]
- Ha JH, "COVID-19 waves and their characteristics in the Seoul Metropolitan Area(Jan 20, 2020–Aug 31, 2022)", Public Health Weekly Rep, 16(5), pp.111~136 (2023)[DOI]
- Kim Y, "COVID-191-year outbreak report as of January 19, 2021 in the Republic of Korea", Public Health Weekly Rep, 14(9), pp.472~481 (2021)
- Lee DH, "The influence of public fear, and psycho-social experiences during the Coronavirus disease 2019(COVID-19)pandemic on depression and anxiety in South Korea", Korean J Couns Psychother, 32(4), pp.2119~2156 (2020)[DOI]
- Oh IG, "The effect of hopeless depression on stress in elderly women who live alone : With a focus on the interaction effects of health promotion behavior", Korean J Fam Welf, 17(4), pp.237~255 (2012)
- Choi HJ, "The effect of depression and self-efficacy on health promotion behavior among the elderly living alone in rural area", J East West Nurs Res, 17(2), pp.149~155 (2011)
- Kim KB, "A study on health perception, health knowledge, and health promoting behavior in the elderly", J East West Nurs Res, 14(1), pp.56~67 (2008)
- Kim YS, "The study of the impact of the family type on the health promoting behavior and physical and mental health of elderly people", Health Soc Welf Rev, 34(3), pp.400~429 (2014)[DOI]