한국자연치유학회지 (Journal of Naturopathy)

  • 제11권2호
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  • Pages.93-99
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  • 2022
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  • 2287-5417(pISSN)
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  • 2799-6182(eISSN)
한국자연치유학회 (Koean Soceity for Naturopathy)
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노인의 스트레스와 우울 간의 관계에서 식습관의 매개 효과 분석

Analysis of Mediating Effects of Eating Habits on the Relationship between Stress and Depression in the Elderly

  • 탁상숙 (파이토치료음식연구소) ;
  • 이거룡 (선문대학교 대학원 통합의학과)
  • Tak, Sang Sook (phyto Healing Food Research Institute) ;
  • Lee, Geo Lyong (Dept. of Naturopathy, Graduate School of Integrative Medicine, Sunmoon Univ.)
  • 투고 : 2022.05.26
  • 심사 : 2022.07.01
  • 발행 : 2022.09.30
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초록

배경: 노인의 식습관에 따른 스트레스와 우울 간의 상호관계를 이해하는 것은 필요하다. 목적: 노인을 대상으로 스트레스와 우울과의 관계에서 식습관의 매개 효과를 실증적으로 검증하는 것이다. 방법: 국내의 대도시 및 중소도시에 거주하는 만 60세 이상 남녀를 대상으로 Google On-line 설문지를 배포하였으며, 총 365명의 설문지를 회수하여 분석에 활용하였다. 결과: 첫째, 노인의 스트레스는 우울에 정(+)적인 영향을 미치는 것으로 나타났다. 즉 노인의 스트레스가 상승하면 우울감 또한 상승하는 것으로 나타났다. 둘째, 노인의 식습관은 스트레스와 우울 간의 관계를 부분 매개하였다. 결론: 본 연구는 노인의 스트레스와 우울 간의 관계에서 식습관의 매개 효과를 실증적으로 검증하였으며, 우울을 감소시키는 방안으로 건강한 식습관의 필요성을 확인했다는 점에 의의가 있다. 따라서 상담 기관에서는 노인의 우울 정도를 상담할 때 매일 섭취하는 식습관을 점검할 필요가 있다. 또한, 식습관은 스트레스에 의해 영향을 받기 때문에 잘못된 식습관을 지닌 노인의 경우 개인의 스트레스 지수를 파악할 필요가 있다. 더 나아가 평소 올바른 식습관을 가질 수 있도록 기관과 지역사회에서 지속적인 영양교육을 할 필요가 있다.

Background: It is necessary to understand the correlation between stress and depression according to eating habits in the elderly. Purposes: To empirically verify the mediating effect of eating habits in the relationship between stress and depression in the elderly. Methods: we distributed an 'online questionnaire' to men and women aged 60 or more living in large cities, medium, and small-sized cities in Korea using Google questionnaires, and 365 replies were collected and used for analysis. Results: First, we found that stress in the elderly directly affected depression. In summary, an increment in the stress level of the elderly induces an increment in the depression level. Second, the eating habits of the elderly indirectly mediated the relationship between stress and depression. Conclusions: This study is meaningful in that it has verified eating habits have a mediating effect on the relationship between stress and depression in the elderly, and healthy eating habits of individuals can reduce depression. Therefore, counseling institution must check their daily eating habits when counseling the degree of depression of the elderly. In addition, eating habits are affected by stress, and it is necessary to grasp the individual stress index for the elderly who has terrible eating habits. Furthermore, it is needed to provide continuous nutrition education in institutions and communities to have proper eating habits.

키워드

참고문헌

  1. Baron, R.M. and D.A. Kenny. 1986. The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. J. Person. Soc. Psych. 51(6): 173-182.
  2. Byeon, S.J., Y.J. Shin, J.W. Yoon, S.A. Kim, and Y.H. Kim. 2019. Stress is associated with nutritional intake and metabolic syndrome in urban middle-aged women. J. Kor. Soc. Food Sci. Nutr. 48(8): 802-810. doi: 10.3476/jkfn.2019.48.8.802
  3. Cho, E.A. and S.H. Park. 2021. Correlation between depression, body awareness, physical activity, eating habits and oral health in older women. J. Occup. Ther. Aged Dementia 15(1): 15-22. https://doi.org/10.34263/jsotad.2021.15.1.15
  4. Choi, Y.A. 2003. A Survey on the depression, self-esteem and health behavior of the aged. J. Welf. Aged Inst. 21(0): 27-47.
  5. Fiske, A., J.L. Wetherell, and M. Gatz. 2009. Depression in older adults. Ann. Rev. Clin. Psych. 5: 363-389. doi: 10.1146/annurev.clinpsy.032408.153621
  6. Furman, E.F. 2006. Undernutrition in older adults across the continuum of care: nutritional assessment, barriers, and intervention. J. Gerontol. Nurs. 32(1): 22-27. doi: 10.3928/0098-9134-20060101-11
  7. Hayes, A.F. 2009. Beyond Baron and Kenny: Statistical mediation analysis in the new millennium. Commun. Monog. 76(4): 408-420. doi: 10.1080/03637750903310360
  8. Hayes, A.F. 2013. An introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York. N.Y., Guilford Press.
  9. Jeon, Y.J. 2015. The effect of the elderly's stress on depression - focused on mediating effect of resilience and moderating effect of social activity. Kor. J. Human Ecol. 24(2): 219-236. doi: 10.5934/kjhe.2015.24.2.219
  10. Jeong. Y.J., A.L. Han, S.R. Shin, S.Y. Lee, and J.H. Kim. 2016. Relationship between diet and prevalence of depression among korean adults: Korea national health and nutrition examination survey. J. Agric. Med. Commun. Health. 41(2): 75-84. doi: 10.5393/JAMCH.2016.41.2.075
  11. Jung, Y.M. and J.H. Kim. 2004. Comparison of cognitive levels, nutritional status, depression in the elderly according to live situations. J. Kor. Acad. Nurs.. 34(3): 495-503. doi: 10.4040/jkan.2004.34.3.495.
  12. Kang, M.S., M.R. Jung, and Y.S. Lee. 2021. A meta-analysis on the correlation between role absences and depression of the elderly. Kor. J. Psychol. Gen. Proc. 2021(8): 221-221.
  13. Kim, B.G. 2019. The effect of stress on depression of the elderly: focusing on the moderating effect of social support and mediating effect of sense of self-respect. J. Kor. Contents Ass. 19(4): 690-695. doi: 10.5392/JKCA.2019.19.06.281
  14. Kim, B.H., B.G. Sim, and E. Jung. 2014. Relationships of dietary behavioral factors and stress perception levels in college students in Gwang-ju city. Kor. J. Food Nutr. 27(5): 771-784. doi: 10.9799/ksfan.2014.27.5.771
  15. Kim, B.J. 2020. Factors Influencing depressive symptoms in the elderly: using the 7th Korea national health and nutrition examination survey (KNHANES VII-1). J. Health Info. Stat. 45(2): 165-172. doi: 10.21032/jhis.2020.45.2.165
  16. Kim, H.K. and J.H. Kim. 2009. Relationship between stress and eating habit of adults in Ulsan. Kor. J. Nutr. 42(6): 536-546. doi: 10.4163/kjn.2009.42.6.536
  17. Kim, J.H. 2010. (A) Study on the stress and food habit of adults in ulsan. Ulsan University Doctoral dissertation.
  18. Kim, T.K. and I. Kang. 2018. The effects of elderly people's stress and social support on depression. Asia-pacific J. Multimed. Serv. Converg. Art, Human. Sociol. 8(2): 763-771. doi: 10.21742/AJMAHS.2018.02.24
  19. Kwon, M.J. and Y.J. Kim. 2016. Analysis of convergent factor on subjective health status of patients with depression. J. Digi. Converg. 14(6): 309-316. doi: 10.14400/JDC.2016.14.6.309
  20. Lee, J.H. and S.J. Yang. 2019. On the moderating and mediating effects of ego-integrity and resilience in the relationship between daily stress and depression in the elderly. Kor. J. Psychol. Gen. 32(4): 151-169. doi: 10.35574/KJDP.2019.12.32.4.151
  21. Lee, J.S. 2015. Eating habits of the university students affected by stress levels in the areas of seoul and gangwon province. Kor. J. Food Nutr. 28(5): 782-793. doi: 10.9799/ksfan.2015.28.5.782
  22. Lee, Y.H., M.H. Shin, S.S. Kweon, S.W. Choi, J.A. Rhee, and J.S Choi. 2008. Prevalence and correlates of depression among the elderly in an urban community. J. Agri. Med. Comm. Health. 33(3): 303-315. https://doi.org/10.5393/JAMCH.2008.33.3.303
  23. Lee, S.J., Y.R. Kim, S.H. Seo, and M.S. Cho. 2014. A study on dietary habits and food intakes in adults aged 50 or older according to depression status. J. Nutr. Health. 47(1): 67-76. doi: 10.4163/jnh.2014.47.1.67
  24. Ministry of Public Administration and Security. 2021. Demographics by age of resident registration. http://www.korea.kr
  25. Moon, M.J. 2010. Factors Influencing depression in elderly people living at home. J Kor. Acad Nurs 40(4): 542-550. doi: 10.4040/jkan.2010.40.4.542
  26. Ownby, R.L., E. Crocco, A. Acevedo, V. John, and D. Loewenstein. 2006. Systematic review: meta-analysis, and meta regression analysis. Arch. Gen. Psych. 63(5): 530-538. doi: 10.1001/archpsyc.63.5.530.
  27. Park, H,R., H.J. Youn, and J.H. Lee. 2018. Study on the relationship between the nutrition Intake and level of depressive symptoms-using the data from the korea national health and nutrition examination survey. J. Kor. Diet Assoc. 24(4): 283-297. doi: 10.14373/JKDA.2018.24.4.283
  28. Park, H.E., and Y.H. Bae. 2016. Eating habits in accordance with the Mental Health status : The 5th Korea National Health and Nutrition Examination Survey, 2010-2012. J. Kor. Acad.-Indust. Coop. Soc. 17(10): 168-181. doi: 10.5762/KAIS.2016.17.10.168
  29. Park, J.K. and S.M. Son. 2003. The Dietary behaviors, depression rates and nutrient intakes of the elderly females living alone. Kor. J. Comm. Nutr. 8(5): 716-725.
  30. Park, M.S., M.H. S.R. Shin, and A.M. Koo. 2013. Analysis of the characteristics of the older adults with depression using data mining decision tree analysis. J. Kor. Acad. Nurs. 43(1): 1-10. doi: 10.4040/jkan.2013.43.1.1
  31. Park, O.I., J.S. Kim, K.J. Lee, and I.K. Jung. 1998. Depressive factors in the Korean elderly. J. Kor. Geriatr. Psyth. 2(1): 47-63.
  32. Park, Y.H. and E.E. Suh. 2007. The risk of malnutrition, depression, and the perceived health status of older adult. J. Kor. Acad. Nurs. 37(6): 941-948. doi: 10.4040/jkan.2007.37.6.941
  33. Preacher, K.J. and A.F. Hayes. 2004. SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav. Res. Meth. Instr. Comput. 36(4): 717-731. https://doi.org/10.3758/BF03206553
  34. Seo, J.M., M.H. KIM, and J.S. Kim. 2006. Discriminating power of depression of elderly women by arthralgia, physical function and physical self-efficacy. J. Kor. Acad. Psych. Mental Health Nutr. 15(3): 237-245.
  35. Seo, Y.J., M.H. Kim, and M.K. Choi. 2012. Status and relationship among lifestyle, food habits, and stress scores of adults in Chungnam. Kor. J. Commun. Nutr. 17(5): 579-588. doi: 10.5720/kjcn.2012.17.5.579
  36. Shrout, P.E. and N. Bolger. 2002. Mediation in experimental and nonexperimental studies. Psych. Meth. 7(4): 422-425. https://doi.org/10.1037/1082-989X.7.4.422
  37. Sobel, M.E. 1982. Asymptonic confidence intervals for indirect effects in structural equation models. Sociol. Methodol. 13(1982): 290-312. doi: 10.2307/270723
  38. Song, D.B., D.H. Seo, H.B. Park, S.G. Ann, S.M. Seon, E.C. Park, and H.Y. Lee. 2006. The relationship between stress and eating habits of university students. J. Kor. Acad. Fam. Med. 27(1):7-11.
  39. Statistical Office. 2020. Senior citizen statistics. http://kostat.go.kr
  40. Sung, T.J. and K.j. Si. 2014. Research methodology. Hakjisa Pub., Seoul.
  41. Um, I.S. 2012. Study on the effect of the elderly's living stress and social support on depression. J. Pubic Welf. Adm. 22(1): 73-90.
  42. Won, J.S. and K.H. Kim. 2008. Evaluation of cognitive depression, life satisfaction among the elderly receiving visiting nursing services. J. Kor. Acad. Nurs. 38(1): 1-10. doi: 10.4040/jkan.2008.38.1.1
  43. Yoon, J.S. 2014. Effects of the elderly's life stress on depression : focusing on the moderation effect of social support and stress-coping strategy. Daegu Oriental Medical University Doctoral dissertation.
  44. Yun, H.S. and S.R. Yeom. 2017. The mediating effects of resilience on depression and suicidal Ideation of older adults in Korea. Kor. J. Gerontol. Soc. Welf. 72(1): 233-255. doi: 10.21194/kjgsw.72.1.201703.233