Korean Journal of Biological Psychiatry (생물정신의학)

The Korean Society of Biological Psychiatry (대한생물정신의학회)
권호 표지

Clinical Characteristics of Haenyeo with Depressive Disorders

해녀 우울장애 환자의 임상적 특징

  • Park, Joon Hyuk (Department of Psychiatry, Jeju National University Hospital, School of Medicine, Jeju National University) ;
  • Jun, Byoung Sun (Department of Psychiatry, Jeju National University Hospital, School of Medicine, Jeju National University) ;
  • Lee, Chang In (Department of Psychiatry, Jeju National University Hospital, School of Medicine, Jeju National University) ;
  • Kim, Moon-Doo (Department of Psychiatry, Jeju National University Hospital, School of Medicine, Jeju National University) ;
  • Jeong, Ji Woon (Jeju Dementia Center) ;
  • Jung, Young-Eun (Department of Psychiatry, Jeju National University Hospital, School of Medicine, Jeju National University)
  • 박준혁 (제주대학교 의학전문대학원 제주대학교병원 정신건강의학교실) ;
  • 전병선 (제주대학교 의학전문대학원 제주대학교병원 정신건강의학교실) ;
  • 이창인 (제주대학교 의학전문대학원 제주대학교병원 정신건강의학교실) ;
  • 김문두 (제주대학교 의학전문대학원 제주대학교병원 정신건강의학교실) ;
  • 정지운 (제주특별자치도 광역치매센터) ;
  • 정영은 (제주대학교 의학전문대학원 제주대학교병원 정신건강의학교실)
  • Received : 2016.04.19
  • Accepted : 2016.05.02
  • Published : 2016.05.31
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Abstract

Objectives Haenyeo are Korean professional women breath-hold divers in Jeju island. The aim of this study was to investigate the clinical characteristics of depressed Haenyeo group, compared to non-Haenyeo depressed group. Methods This study included 75 Haenyeo and 340 non-Haenyeo with depressive disorders recruited from the Dementia Early Detection Program in Jeju island. Structural diagnostic interviews were performed using the Korean version of Mini International Neuropsychiatric Interview. All patients completed the questionnaires, including the Subjective Memory Complaints Questionnaire (SMCQ), the Patient Health Questionnaire-15 (PHQ-15), and the Blessed dementia scale. Depression was evaluated by the Korean version of short form the Geriatric Depression Scale (K-SGDS) and cognition was assessed by the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease (CERAD) assessment packet. Results Although the mean scores of the K-SGDS were similar between Haenyeo and non-Haenyeo depressed groups, the Haenyeo group showed a higher mean score on the PSQ-15 (p < 0.001, ANCOVA adjusting for age, the K-SGDS and education). The Haenyeo group showed poorer performance on the Korean Version of Frontal Assessment Batter (p < 0.001), the Mini-Mental State Examination in the Korean version of the CERAD Assessment Packet (p < 0.018), the word fluency test (p < 0.001), and the word list memory test (p = 0.012) in ANCOVA adjusting for age and education. The mean SMCQ score was higher in the Haenyeo depressed group than in the non-Haenyeo depressed group. Conclusions The Haenyeo depressed group shows cognitive dysfunction, especially frontal lobe dysfunction, compared to the non-Haenyeo depressed group, indicating the Haenyeo depressed group may have more severe frontolimbic dysfunction due to chronic exposure to hypoxia. The Haenyeo depressed group suffers more somatic symptoms than the non-Haenyeo depressed group.

Keywords

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