DOI QR코드

DOI QR Code

Relationship Between Low Back Pain and Depression Among Some Elderly

노인의 요통과 우울과의 관련성

  • Yun, Seong-Woo (Dept. of Emergency Medical Technology, Namseoul University) ;
  • Oh, Kyeong-Ae (Dept. of Physical Therapy, Kim Hospital)
  • 윤성우 (남서울대학교 응급구조학과) ;
  • 오경애 (김병원 물리치료실)
  • Received : 2013.08.08
  • Accepted : 2014.03.06
  • Published : 2014.03.31

Abstract

This study aimed to identify the relationship between depression of the elderly and low back pain. Data were obtained from cross-sectional surveys conducted as a part of the Community Health Survey 2008. The final analysis included data from 3,647 of the 3,649 elderly participants (aged over 65 years), as 2 responses were excluded since they were inaccurate. Data were analyzed with SPSS for Windows (ver. 19.0), using a Rao-Scott ${\chi}^2$-test and Logistic regression by applying a proper weighting. The significance threshold was set as p<0.05. Factors related to the depression of the elderly were low back pain, subjective health status, average sleep duration. Further, depression score was 1.38 times higher in elderly adults with low back pain than elderly adults without low back pain. In order to decrease depression of the elderly with low back pain the development of a program to decrease activities of daily living discomfort and management of low back pain will need to be determined. It is considered necessary to conduct further study to follow through the analysis of the various variables by applying them to the elderly with low back pain and depression.

본 연구는 지역노인을 대상으로 요통과 우울과의 관련성을 살펴보고자 시행되었다. 2008년 지역사회건강조사 자료에서 65세 이상 노인 3,649명 중 응답이 불충분한 2명을 제외한 3647명을 최종 대상으로 선정하여, 자료는 SPSS Win(ver.19.0)을 이용하여 가중치를 적용하여 복합표본 분석방법 중 Rao-Scott ${\chi}^2$-test, 로지스틱회귀분석을 실시하였다. 통계적으로 유의성은 p<0.05로 하여 분석하였다. 노인의 우울에 대한 관련요인으로 요통, 주관적 건강수준, 평균수면시간이 관련이 있는 것으로 나타났고, 요통이 없는 군에 비해 있는 군에서 우울이 1.38배 높게 나타났다. 요통이 있는 노인의 우울을 감소시키기 위해서는 일상생활의 불편함을 감소시키는 프로그램이 필요할 것으로 판단되며, 요통이 있는 노인의 우울과 관련하여 본 연구보다 더욱 다양한 변수를 적용한 연구가 필요할 것으로 사료된다.

Keywords

References

  1. Y. S. Park, J. Y. Song, "The moderating effect of social supports on the relationship between depression and satisfaction of life of the old man with a chronic disease", J Korean Soc. Welfare Educ, Vol. 21, No. 17, pp. 79-96, March, 2010.
  2. M. K. Jung, K. M. Lee, "A path analysis of stress, depression, optimism, and resilience in the elderly", J Korean Geront Soc, Vol. 30, No. 2, pp. 629-642, May, 2010.
  3. I. G. Oh, Y. S. Oh, M. I .Kim, "Effect of social networks on the depression of elderly females in korea: analysis of the intermediating effect of health promoting behavior", J Korean Family Welfare, Vol. 14, No. 1, pp. 111-136, March, 2009.
  4. I. Y. Yoo, M. K. Lim, W. S. Yoo, "A study on depression, self-reported health status and social support in elderly people", J Korean Gerontol Nurs, Vol. 4, No. 2, pp. 153-162, December, 2002.
  5. J. H. Yang, "A study of pain, depression and self-efficacy according to the classifications of pain among chronic pain patients", J Korean Acad adult Nurs, Vol. 16, No. 2 pp. 202-209, June, 2004.
  6. Statistics korea, http://kostat.go.kr. 2011 Statstical yearbook for cause of death, 2012.
  7. S. H. Lee, S. O. Yang, "The effects of chronic musculoskeletal pain and depression on health-related quality of life by gender in community-dwelling older adults", J Korean Acad Community Health Nurs, Vol. 21, No. 1, pp. 21-30, March, 2010. https://doi.org/10.12799/jkachn.2010.21.1.21
  8. S. W. Ha, Y. O. Suh, "Use of the Complementary and Alternative Therapies, Pain and Quality of Life in Patients with Chronic Back Pain", Korean J Rehabil Nurs, Vol. 11, No. 1, pp. 5-12, June, 2008.
  9. S. Y. Choi, "The effect of exercise program on chronic low back pain in female teachers of elementary school", Korean J Women Health Nurs, Vol. 7, No. 2, pp. 169-187, June, 2001.
  10. M. S. Lee, "Chronic diseases, depressive symptoms and the effects of social networks in korean elderly population", Health Soc. Sci, Vol. 27, No. 6, pp. 5-30, June, 2010.
  11. S. Y. Wong, J. Woo, H. S. Lynn, J. Leung, Y. N.. Tang, P. C. Leung, "Risk of depression in patients with chronic respiratory diseases: results from two large cohort studies in Chinese elderly from Hong Kong", Int J Geriatr Psychiatry, Vol. 21, No. 3, pp. 233-238, March, 2006. DOI: http://dx.doi.org/10.1002/gps.1447
  12. M. Niti, T. P. Ng, E. H. Kua, R. C. Ho, C. H. Tan, "Depression and chronic medical illnesses in Asian older adults: the role of subjective health and functional status", International Journal of Geriatric Psychiatry, Vol. 22, No. 11, pp. 1087-1094, April, 2007. DOI: http://dx.doi.org/10.1002/gps.1789
  13. F. R. Franca, T. N. Burke, R. R. Caffaro, L. A. Ramos, A. P. Marques, "Effects of muscular stretching and segmental stabilization on functional disability and pain in patients with chronic low back pain", J Manipulative Physiol, Vol. 35, No. 4, pp. 279-285, May, 2012. DOI: http://dx.doi.org/10.1016/j.jmpt.2012.04.012
  14. S. Netchanok, M. Wendy, C. Marie, O. Siobhan, "The effectiveness of swedish massage and traditional thai massage in treating chronic low back pain", Complement Ther Clin Pract, Vol. 18, No. 4, pp. 227-234, November, 2012. DOI: http://dx.doi.org/10.1016/j.ctcp.2012.07.001
  15. B. N. Seo, Y. L. Ham, Y. H. Ahn, "A study on the relationship between level of pain and depression in middle-aged women with chronic low back pain", J Muscle Joint Health Vol. 14, No. 2, pp. 118-126, November, 2007.
  16. J. H. Lee, J. I. Kim, "The Relationship between Low Back Pain, Depression and Adjustment to Military Life in Soldiers", Korean J militry Nurs, Vol. 29, No. 1, pp. 138-147, March, 2011.
  17. M. J. Cho, K. H, Kim, "Diagnostic Validity of the CEs-D in the Assessment of DSM-III-R Major Depression", J Korean Neuropsychiatr Assoc, Vol. 32, No. 3, pp. 381-397, May, 1993.
  18. S. H. Kim, S. H. Cho, "Anatomy of low back pain", J Med Yeungnam University, Vol. 24, No. 2, pp. 203-211, December, 2007.
  19. Y. H. Lee, M. H. Shin, S. S. Kweon, S. W. Choi, J. A. Rhee, J. S. Choi, "Prevalence and correlates of depression among the elderly in an urban community", J Agr Med Commun Health, Vol. 33, No. 3, pp. 303-315, December, 2008. DOI: http://dx.doi.org/10.5393/JAMCH.2008.33.3.303
  20. S. C. Lee, D. T. Lee, "Effects of exercise therapy on lower back pain patients", Health and Sports Medicine, Vol. 9, No. 2, pp. 69-78, Vol. 9, No, 2, pp. 69-78, October, 2007.
  21. J. D. Kwon, J. Y. Cho, "A study of factors influencing the life satisfaction of the aged", J Korean Gerontol Soc, Vol. 20, No. 3, pp.61-76, Setember, 2000.
  22. E. O. Park, "Depression and social support among adults in jeju province, south korea", J Agr Med Commun Health, Vol. 36, No. 1, pp. 25-35, March, 2011. DOI: http://dx.doi.org/10.5393/JAMCH.2011.36.1.025
  23. Y. H. Choi, "A study on depression, sleep and fatugue in younger and older elders", J Korean Acad Community Health Nurs, Vol. 18, No. 2, pp. 223-231, June, 2007.
  24. J.C. Lee, J. A, Park, N.K. Bae, Y. C. Cho, "Factors related to depressive symptoms among the elderly in urban and rural areas", J Agr Med Commun Health, 2Vol. 33, No. 2, pp. 204-220, September, 2008. https://doi.org/10.5393/JAMCH.2008.33.2.204