International Journal of Advanced Culture Technology

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
권호 표지
DOI QR코드

DOI QR Code

Risk Factors of Depressive Symptoms among Community-Dwelling Elderly

  • Received : 2018.06.15
  • Accepted : 2018.06.22
  • Published : 2018.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study was to assess risk indicators of depressive symptoms such as demographic, socio-economical domains (age, gender, marital status, education, child, religion, income, health, friendship) and personality domains (neurotic personality, self-esteem and life goal attitude) of community dwelling elderly persons. A total of 300 community-residing elderly participants aged 65+ in a metropolitan city in Korea, were recruited for this interview survey. The interview covered demographic and socio-economic characteristics, and administration of the 20-item Korean Version of CES-D, the 10-item Self-esteem, the 19-item Neuroticism and the 10-itm Goal Instability scale. The prevalence of significant depressive symptoms (CES-D scale >= 21) was 31%. Logistic regression analysis showed high risk for depression was associated with high neuroticism, less intimate friendship, high goa1 instability, and childlessness, respectively in the order of significance. Factors in the personality domains were more strongly associated with depressive symptoms than factors in the socio- economical domains. Both cultural and universal meaning of the findings was discussed with regard to intervention.

Keywords

References

  1. World Health Orgnization, "Global Burden of Mental Disorders and the Need for a Comprehensive, Coordinated Response from Health and Social Sectors at the Country Level", December 2011. http://apps.who.int/gb/ebwha/pdf_files/EB130/B130_9-en.pdf
  2. F. C. Papadopoulos, E. Petridou, S. Argyropoulou, V. Kontaxakis, N. Dessypris, A. Anastasiou, K. P. Katsiardani, D. Trichopoulos and C. Lyketsos, "Prevalence and Correlates of Depression in Late Life: A Population Based Study from a Rrural Greek Town," International Journal of Geriatric Psychiatry, Vol. 20, No. 4, pp. 350-357. . https://doi.org/10.1002/gps.1288
  3. The Korea Times, "Prevention of Suicide," 2013, 1, 13. http://www.koreatimes.co.kr/www/news/nation/2013/01/610_128730.html
  4. Korea Hrelad, "Korea's suicide rate remains top in OECD," 2014, 7, 2. http://www.koreatimes.co.kr/www/news/nation/2013/01/610_128730.html
  5. Yonhap News, "Elderly Suicides on Rise in S. Korea: Study," 2011. 3. 9. http://english.yonhapnews.co.kr/national/2011/03/09/99/0302000000AEN20110309002300315F.HTML
  6. S. Barnow, and M. Linden, "Epidemiology and Psychiatric Morbidity of Suicidal Ideation among the Elderly," Crisis, Vol. 21, No. 4 , pp. 171-180, 2000. https://doi.org/10.1027//0227-5910.21.4.171
  7. M. I. Kim, and H. R. Shin, "Influences of Depression of the Elderly on Suicidal Ideation: Focused on the Moderating Effect of Social Participants and Preparation for Aging.," Seoul Studies, Vol. 14, No. 4, pp. 185-201, 2013. .
  8. C. J. Park, K. P. Kwak, J. K. Sakong, and K. H. Lee, "Depression and Suicide Ideation in Community Dwelling Elderly," Journal of Society of Biological Therapies in Psychiatry, Vol. 19, No. 2, pp. 63-170, 2013.
  9. S. L. Kivela, P. Kongas-Saviaro, P. Kimmo, E. Kest, and E, Laippala, "Health, Health Behavior and Functional Ability Predicting Depression in Old Age: A Longitudinal Study," International Journal of Geriatric Psychiatry, Vol. 11, No. 10, pp. 871-877, 1996. https://doi.org/10.1002/(SICI)1099-1166(199610)11:10<871::AID-GPS396>3.0.CO;2-6
  10. N. H. Yee, K. H. Bang., and , H. S. Song, "Analysis of Change Factors for the Elderly Depression Using Longitudinal Data," Koran Public Health Research, Vol. 43, No. 3, pp. 13-25, 2017.
  11. J. T. Baek, H. Y., Lee, and Y. C. Cho, "Relating Factors on Depressive Symptoms among the Elderlies in Urban Areas," Journal of the Korea Academia-Industrial cooperation Society, Vol. 17, No. 5, pp. 506-515, 2016. https://doi.org/10.5762/KAIS.2016.17.5.506
  12. J. E. Kim, D. W. Shin, S. W. Yoon, J. H. Back, D. W. Jeon, J. J. Moon, B. J., Lee, and Y. H. Kim, "Risk Factors for Suicide and Depression in the Elderly Over Sixty Years of Age," Journal of Society of Biological Therapies in Psychiatry, Vol. 16, No. 1, pp. 46-53, 2010.
  13. K. L. Chou, I. Chi, "Childlessness and Psychological Well-being in Chinese Older Adults," International Journal of Geriatric Psychiatry, Vol. 19, No 5. pp. 449-457, 2004. https://doi.org/10.1002/gps.1111
  14. T. Strauman, G. Kolden, "The Self in Depression: Research Tends and Clinical Implications. In Session: Psychotherapy in Practice, Vol. 3, No. 3. pp. 5-21, 1997.
  15. K. K. Chon, S. C. Choi, B. C. Yang , "Integrated Adaptation of CES-D in Korea," Korean Journal of Health Psychology, Vol. 6, No 1. , pp. 59-76, 2001.
  16. B. J. Jon, "Self-esteem: A Test of Its Measurability," Yonsei Nonchong, Vol 11, pp. 107-130, 1974.
  17. S. Robbin, and M. Patton, "Self-Psychology and Career Development: Development of the Superiority and Goal Instability Scales," Journal of Counseling Psychology, Vol. 32, No 2, pp. 221-231, 1985. https://doi.org/10.1037/0022-0167.32.2.221
  18. E. H, Lee, "The Role of Goal Instability and Resolving Style of Problems Between Nurses' Job Stressors and Emotional Exhaustion," The Korean Journal of Woman Psychology, Vol. 13, No. 4, pp. 397-413, 2008. https://doi.org/10.18205/kpa.2008.13.4.001
  19. PSI Consulting, The Korean Version of the Big 5 test (NEO PI-R; Form L, PSI Consulting, 1998.
  20. P. Saz, M. E. Dewey, "Depression, Depressive Symptoms and Mortality in Persons Aged 65 and Over Living in the Community: A Systematic Review of Literature," International Journal of Geriatric Psychiatry, Vol 16, N0. 6. pp. 622-630, 2001. https://doi.org/10.1002/gps.396
  21. M. J. Cho, and K. H. Kim, "Diagnostic Validity of the CES-D (Korean Version) in the Assessment of DSM-III-R Major Depression," Journal of Korean Neuropsychiatric Association, Vol. 32, No. 3, pp. 381-399, 1993.
  22. M. H. A. Eisse, H. Kluiter, K. Jongenelis, A. M, A. T. F. Beekman, J. Ormel, "Risk Indicators of Depression in Residential Homes," International Journal of Geriatric Psychiatry, Vol. 19, No. 7, pp. 634-640, 2004. https://doi.org/10.1002/gps.1137
  23. A, F. Jorm, H. Christensen, A. S. Henderson, P. A. Jacomb, A. E. Korten, and B. Rodgers,". Predicting Anxiety and Depression from Personality: Is There a Synergistic Effect of Neuroticism and Extraversion?," Journal of Abnormal Psychology, Vol . 109, No.1, pp. 145-149, 2000.. https://doi.org/10.1037/0021-843X.109.1.145
  24. R. R. McCrae, and P. T. Costa, "Personality, Coping, and Effectiveness in an Adult Sample. Journal of Personality, Vol. 54, No. 2, pp. 385-405, 1986. https://doi.org/10.1111/j.1467-6494.1986.tb00401.x
  25. M. Patton, and S. Robbins, "Khout's Self-Psychology as a Model for College-Student Counseling," Professional Psychology, Vol. 13, No. 6, pp.: 876-882, 1982. https://doi.org/10.1037/0735-7028.13.6.876
  26. Korean National Statistical Office, "2017 Elderly People Statistics,". http://kostat.go.kr/portal/korea/kor_nw/2/1/index.board?bmode=read&bSeq=&aSeq=363362&pageNo=1&rowNum=10&navCount=10&currPg=&sTarget=title&sTxt Korean National Statistical Office, 2017
  27. Y. J. Lee, "Influence of Self-Rated Health Status, Self-Efficacy and Social Support on Health Behavior in Urban Elderly People Living Alone," The Journal of the Convergence on Culture Technology, Vol. 4, No. 2, pp. 81-87, 2018. https://doi.org/10.17703/JCCT.2018.4.2.81