대한간호학회지 (Journal of Korean Academy of Nursing)

한국간호과학회 (Korean Society of Nursing Science)
권호 표지
DOI QR코드

DOI QR Code

치매노인의 우울과 자살의도

Depression and Suicidal Ideation in Elders with Dementia

  • Kim, Jong Pil (College of Nursing, Graduate School of Inje University) ;
  • Hyun, Mi-Yeul (College of Nursing, Jeju National University, Jeju Special Self-Governing Province)
  • 투고 : 2012.10.05
  • 심사 : 2013.02.15
  • 발행 : 2013.04.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The purpose of this study was to investigate the prevalence of depression and suicidal ideation in elders with dementia and to identify factors influencing their suicidal ideation. Methods: A descriptive and cross-sectional study was conducted from February to March, 2011. The participants were 298 older adults whose MMSE-KC score was 15 to 23. Collected Data were analyzed using t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Results: According to the Geriatric Depression Scale (GDS) classification criteria, 86.2% of the elders in this study exhibited depression (GDS=5), and 31.5% manifested severe depression. The mean score of suicidal ideation was 5.70 (range 0-20). The risk factors for suicidal ideation were depression, suicidal attempt experience, present location for care, and activities of daily living. Conclusion: The results of this study can be utilized in the development of suicide prevention programs for older adults with dementia. In particular, depression should be screened and managed to reduce suicidal ideation of older adults with dementia.

키워드

참고문헌

  1. Awata, S., Seki, T., Koizumi, Y., Sato, S., Hozawa, A., Omori, K., et al. (2005). Factors associated with suicidal ideation in an elderly urban Japanese population: A community-based, cross-sectional study. Psychiatry and Clinical Neurosciences, 59(3), 327-336. http://dx.doi.org/10.1111/ j.1440-1819.2005.01378.x
  2. Chiu, H. F., Lam, L. C., Pang, A. H., Leung, C. M., & Wong, C. K. (1996). Attempted suicide by Chinese elderly in Hong Kong. General Hospital Psychiatry, 18(6), 444-447. https://doi.org/10.1016/S0163-8343(96)00063-1
  3. Choi, I. (2008). Factors affecting the suicide intention of the elderly. Unpublished master's thesis, Sahmyook University, Seoul.
  4. Choi, S. H., Choi, Y. H., & Kim, H. S. (2008). Suicidal ideation and associated factors of the elderly in urban areas. Journal of Korean Academy of Community Health Nursing, 19(1), 5-12.
  5. Erlangsen, A., Zarit, S. H., & Conwell, Y. (2008). Hospital-diagnosed dementia and suicide: A longitudinal study using prospective, nationwide register data. American Journal of Geriatric Psychiatry, 16(3), 220- 228. http://dx.doi.org/10.1097/JGP.0b013e3181602a12
  6. Faul, F., Erdfelder, E., Buchner, A., & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160. http://dx.doi.org/10. 3758/brm.41.4.1149 https://doi.org/10.3758/BRM.41.4.1149
  7. Ha, J. (2006). The early stage of dementia patients' shrinking experiences. Journal of Korean Gerontological Nursing, 8(1), 58-63.
  8. Harlow, L. L., Newcomb, M. D., & Bentler, P. M. (1986). Depression, selfderogation, substance use, and suicide ideation: Lack of purpose in life as a mediational factor. Journal of Clinical Psychology, 42(1), 5-21. https://doi.org/10.1002/1097-4679(198601)42:1<5::AID-JCLP2270420102>3.0.CO;2-9
  9. Haw, C., Harwood, D., & Hawton, K. (2009). Dementia and suicidal behavior: A review of the literature. International Psychogeriatrics, 21(3), 440- 453. http://dx.doi.org/10.1017/s1041610209009065
  10. Hong, S. H. (1999). A comparative study of social support network among the elderly groups with and without dementia or depression. Journal of the Korea Gerontological Society, 19(2), 113-128.
  11. Jae, Y. M. (2004). Suicide and psychiatric disorder. Journal of the Korean Society of Biological Therapies in Psychiatry, 10(1), 3-10.
  12. Jang, M. H., & Kim, Y. H. (2005). The relationship of stress, depression and suicidal ideation in the elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 14(1), 33-42.
  13. Ji, H. R., Choi, S. H., & Cho, M. S. (2003). The effects of a dementia nursing intervention program on cognitive function, depression, and social behavior in elderly with mild dementia. Journal of Korean Gerontological Nursing, 5(2), 205-217.
  14. Jung, Y. M., & Kim, J. H. (2004). Comparison of cognitive levels, nutritional status, depression in the elderly according to living situations. Journal of Korean Academy of Nursing, 34(3), 495-503.
  15. Kee, B. S. (1996). A preliminary study for the standardization of geriatric depression scale short form-Korea version. Journal of Korean Neuropsychiatric Association, 35(2), 298-307.
  16. Kim, C. Y. (2006). The cognitive function and activities of daily living of the aged with dementia in the medical and welfare facilities for aged. Unpublished master's thesis, Chung-Ang University, Seoul.
  17. Kim, H. S. (2002). A study on epistemology of Korean elder's suicidal thought. Journal of the Korean Gerontological Society, 22(1), 159-172.
  18. Lee, D. Y., Lee, K. U., Lee, J. H., Kim, K. W., Jhoo, J. H., Youn, J. C., et al. (2002). A normative study of the mini-mental state examination in the Korean elderly. Journal of Korean Neuropsychiatric Association, 41(3), 508-525.
  19. Lee, G. J., Lee, K. L., Yang, S., & Jun, W. H. (2008). Quality of life and the associated factors in dementia. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 17(3), 273-280.
  20. Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The barthel index. Maryland State Medical Journal, 14, 61-65.
  21. Oh, Y. H. (2008). The elderly dementia survey and countermeasure. Seoul: Korea Institute for Health and Social Affairs.
  22. Park, J. H., Lee, S. B., Lee, T. J., Lee, D. Y., Jhoo, J. H., Youn, J. C., et al. (2007). Depression in vascular dementia is quantitatively and qualitatively different from depression in Alzheimer's disease. Dementia and Geriatric Cognitive Disorders, 23(2), 67-73. http://dx.doi.org/10.1159/000097039
  23. Rubio, A., Vestner, A. L., Stewart, J. M., Forbes, N. T., Conwell, Y., & Cox, C. (2001). Suicide and Alzheimer's pathology in the elderly: A case-control study. Biological Psychiatry, 49(2), 137-145. https://doi.org/10.1016/S0006-3223(00)00952-5
  24. Ryu, K. H., Kang, Y. W., Na, D. L., Lee, K. H., & Chung, C. S. (2000). The characteristics of depression in dementia patients. The Korean Journal of Clinical Psychology, 19(1), 117-129.
  25. Seignourel, P. J., Kunik, M. E., Snow, L., Wilson, N., & Stanley, M. (2008). Anxiety in dementia: A critical review. Clinical Psychology Review, 28(7), 1071-1082. http://dx.doi.org/10.1016/j.cpr.2008.02.008
  26. Seoul National University Bundang Hospital. (2011). Survey on dementia care of Korea. Ministry of Health and Welfare. Retrieved November 20, 2012, from http://library.mw.go.kr/Users/bogun/K/Go/PdfViewer. aspx?mastid=72241&pdf_url=MS036156.pdf
  27. Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric depression scale (GDS): Recent evidence and development of a shorter violence. Clinical Gerontologist: The Journal of Aging and Mental Health, 5(1-2), 165-173. http:// dx.doi.org/10.1300/J018v05n01_09
  28. Song, S. R. (2010). Association of depression, cognitive function and daily living activity of the poor elderly. Unpublished master's thesis, Chonnam National University, Gwangju.
  29. Starkstein, S. E., Jorge, R., Mizrahi, R., & Robinson, R. G. (2005). The construct of minor and major depression in Alzheimer's disease. American Journal of Psychiatry, 162(11), 2086-2093. http://dx.doi.org/10.1176/ appi.ajp.162.11.2086
  30. Tsai, C. F., Tsai, S. J., Yang, C. H., & Hwang, J. P. (2007). Chinese demented inpatients admitted following a suicide attempt: A case series. International Journal of Geriatric Psychiatry, 22(11), 1106-1109. http://dx.doi. org/10.1002/gps.1795

피인용 문헌

  1. The Correlation between Problematic Behaviors and Activities of Daily Living of Elderly People with Dementia in Patients in a Geriatric Hospital vol.4, pp.2, 2013, https://doi.org/10.5854/jiaptr.2013.10.25.545
  2. Depression and suicidal ideation in community-dwelling older adults in Korea vol.25, pp.3, 2014, https://doi.org/10.7465/jkdi.2014.25.3.655
  3. Suicide and assisted dying in dementia: what we know and what we need to know. A narrative literature review vol.29, pp.8, 2017, https://doi.org/10.1017/s1041610217000679
  4. 치매지원센터 간호사의 치매지식, 태도, 간호부담감 간의 상관관계 vol.8, pp.9, 2013, https://doi.org/10.15207/jkcs.2017.8.9.067
  5. Epidemiology of Suicide and the Psychiatric Perspective vol.15, pp.7, 2018, https://doi.org/10.3390/ijerph15071425
  6. Effects of Fumanet exercise on Korean older adults with mild dementia vol.17, pp.1, 2013, https://doi.org/10.1111/jjns.12286