• Title/Summary/Keyword: Depression of the elderly

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An empirical approach to analyzing effects of disease and activity limit on depression prevalence rate in the elderly depending on stress experience: KNHANES Data Analysis (스트레스 경험 유무에 따른 질병 및 활동제약이 고연령층 우울증에 미치는 영향에 관한연구: 국민건강영양조사 자료분석)

  • Jeon, Hyeon Gyu;Sim, Jae Mun;Lee, Kun Chang
    • Korean Journal of Health Education and Promotion
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    • v.33 no.1
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    • pp.13-22
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    • 2016
  • Objectives: By using six years of KNHANES dataset (2008~2013) about 60 ages older people, we analyzed how the depression prevalence rate in the elderly is influenced by disease and activity limit. Especially, to add a sense of more reality, we adopted stress experience as a control variable to see how the depression prevalence rate in the elderly is influenced by disease and activity limit depending on the stress experience. Methods : We adopted six years of KNHANES dataset, indicating that our results were based on long period of time capable of considering temporal patterns in the depression prevalence rate in the elderly. Total 1,160 elderly people in KNHANES were selected for our empirical analyses. Dependent variable is either 0 or 1 depending on whether the elderly people feel depression. Main explanatory variables for our study include disease and activity limit. Logistic regression analysis was applied for two group such as stress experience and non-experience. Results : According to the empirical results, stress factor is found to be significant in explaining the depression in the elderly. Depression prevalence rate increased when the elderly has stress experience: chronical disease(OR=1.650), chronical disease with activity limit(OR=3.388), non-chronical disease with stress(OR=11.841) chronical disease with stress (OR=13.561) and chronical disease with activity limit and stress(OR=28.691). Conclusions: The finding suggest that the Countermeasures of elderly's depression alleviation should include stress management.

Stress, immune cells, physical health status and depression of elderly (노인의 스트레스, 면역세포 변화, 신체적 건강상태 및 우울)

  • Suh, Soon-Rim;Hong, Hae-Sook
    • Journal of Korean Biological Nursing Science
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    • v.3 no.1
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    • pp.11-28
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    • 2001
  • This study was to identify the levels of perceived stress, immunity cells, physical health and depression, and their relationships among those variables in the elderly who institutionalized comparing home residents. The result of this study can be used as basic data when applying nursing interventions to increase quality of life in the elderly. The questionnaires to estimate stress, health status and depression were collected through direct interview from July to August in 1999 and immunity cells were measured by venous blood specimen collected from 9 to 10 A.M. during the same period. The collected data were analysed using SAS program. The results were as follows. The score of perceived stress of all subjects was 38.49 and perceived stress score of institutionalized elderly(42.62) was significantly higher than that in home resident elderly(34.52). All immune cells tested in this study such as total T cell, helper T cell, suppressor T cell, T4/T8 ration, total B cell, and NK cell, were all under the standard criteria of cells distributions. Most elderly who institutionalized and reside home replied that their health status was not good. However their physical health activity was mostly good even though institutionalized elderly had more disability than home residents. The highest rate was 67.3% as disability due to arthritis. The score of depression in all subjects was 8.2 that indicated having depressive symptom. There was no difference in the depression level between institutionalized elderly and home resided elderly. There was a significant correlationship between physical health and depression, however, the rest of varibles did not show any significant relationships. In summary, the immune cells in the elderly who replied perceiving low level stress, was under normal range. Their health status was perceived as 'not good' but physical health activity was perceived as 'good'. The relationships of stress, immunity, physical health and depression were partially significant but not had evidence as enough as theoretically the suggested relationship. We suggest that further studies using large sample size and more diverse variables should be performed.

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A Study on Self-Esteem, Death Anxiety and Depression of the Elderly in Home and Facilities (재가노인과 시설노인의 자아존중감, 죽음불안 및 우울에 관한 연구)

  • Oh Mi Na;Choi Wai Sun
    • Journal of the Korean Home Economics Association
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    • v.43 no.3 s.205
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    • pp.105-118
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    • 2005
  • The purposes or this study were to compare and analyze the differences between the elderly in their own home and those in facilities in terms of their self-esteem, death anxiety, depression level and psychological characteristics. The subjects were the 386 elderly over 55 living in home and in facilities, free or paid. They had no physical or cognitive disabilities and were living in Daegu city, Kyungbuk and Kyungnam province. There were significant differences in self-esteem, death anxiety, depression level and the path to depression between the two elderly groups with the elderly in facilities showing negative aspects of psychological characteristics. The problems of caregiving for the elderly should be covered by social welfare.

An Effect of Group Art Therapy by Way of Reminiscence on the Depression of the Elderly Inpatients with Geriatric Illness (회상을 활용한 집단미술치료가 노인성질환 입원환자의 우울에 미치는 효과)

  • Kim, Hyo-Jeong;Choi, Sun-Nam
    • Journal of Families and Better Life
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    • v.28 no.1
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    • pp.99-118
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    • 2010
  • This thesis is to inquire into the effect of group art therapy by way of reminiscence on the depression of the elderly inpatients with geriatric illness. The subjects are 20 inpatients whose age is over sixty in the Elderly Nursing Hospital located in K county. Among them, 10 inpatients are arranged as the experimental group, and the rest 10 inpatients, as control group. The research period is from February 28, 2009 to August 21, 2009. For the experimental group, the group art therapy by way of reminiscence is carried out during 21 sessions once a week for 60 minutes per session. For both the experimental group and the control group, pre and post test is carried out, and then after four weeks, the further test is carried out. The measurement tools are KGDS(Korean Form of Geriatric Depression Scale) and KHTP. The data are analyzed by SPSS(for Windows) and SAS(ver. 9.1.2), by which one-way ANOVA, two-way ANOVA, and Scheffe test are carried out. The results are as follows. First, the average of the whole elderly depression levels is shown significantly in the post test and the further test between the two groups. The art therapy group is more effective on the reduction of depression of the elderly inpatients with geriatric illness than control group. Second, it is shown that there is significant difference between the two groups in the the elderly depression by KHTP. The art therapy group is more effective in the improvement of the reduction of the elderly depression in view of KHTP. In conclusion, the group art therapy is an efficient intervention which enables to reduce the depression of the elderly inpatients with geriatric illness.

A Study of Cognitive Function and Depression of the Elderly in a Institution (수용시설 노인들의 인지기능과 우울에 관한 연구)

  • Ha, Mi-Sook;Park, Rae-Joon
    • Journal of the Korean Society of Physical Medicine
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    • v.3 no.4
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    • pp.285-292
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    • 2008
  • Purpose : To estimate the prevalence of and identity the associates of cognitive function and depression among people over 70 years of age, and to examine the relationship between cognitive impairment and depression, Methods : The elderly in Pusan area were studied on the Korea version Mini Mental Scale Examination instrument(MMSE-K), Short form of Geriatic Depression Scale(SGDS). Results : The prevalence of cognitive impairment($MMSE{\leq}24$) was 64.4% and that of depression($GDS{\geq}8$) was 40.7% Lower education, no religion and no work experience were associated with cognitive impairment. Depression in demented group was 68.2%, in suspect dementia group was 43.7% and in non-demented group was 9.5%. Conclusion : The prevalence of cognitive impairment and depression in elderly was high and depression was in association with cognitive impairment.

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Depression and Dietary Factors Related to Hyperlipidemia in Urban Living Elderly Female from Low Income Group (도시 저소득층 여자노인의 고지혈증과 관련된 우울정도와 식생활 요인에 관한 연구)

  • 손숙미;박진경;이홍섭
    • Korean Journal of Community Nutrition
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    • v.8 no.6
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    • pp.938-950
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    • 2003
  • We conducted a case-control study to examine the relationship of depression and dietary related factors with the hyperlipidemia for urban living elderly women from low income group. The case group consisted of 45 elderly females with hyperlipidemia (serum cholesterol $\geq$ 240mg/dl or serum TG $\geq$ 250mg/dl and the control group of 95 age matched elderly women with serum cholesterol levels less than 240mg/dl and serum TG less than 250mg/dl. In a univariate analysis, vitamin C intake, the number of family members living with the subject, and their depression scores were significantly higher in the hyperlipidemic group than in the control group. In the logistic regression analysis, the vitamin C intake ($\geq$75% Korean RDA), the number of family members living with the subject ($\geq$ 1), depression scores ($\geq$7), BMI ($\geq$27), and subscapular skinfold thickness ($\geq$18mm) were associated with significantly higher (p<0.05) risks of hyperlipidemia in the elderly women. However after adjustment for other covariables, the depression scores (Odds Ratio 2.48 for depression score$\geq$7;95%CI:1.10-5.60) and subscapular skinfold thicknesses (Odds Ratio 5.69 for SBT$\geq$18mm, 95%CI:1.87-17.32) were the significant risk factors associated with hyperlipidemia in the elderly women.

Factors Affecting Depression in the Elderly during the COVID-19 Pandemic (COVID-19 펜데믹 상황에서 노인 우울에 영향을 미치는 요인)

  • Ju-youn Hong;Young-bok Cho
    • Journal of Practical Engineering Education
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    • v.15 no.3
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    • pp.761-770
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    • 2023
  • This study was conducted to identify factors affecting depression in the elderly using three-year Community Health Survey data from 2020, when COVID-19 was declared an epidemic. Differences in depression according to general characteristics, health behavior, subjective health level, and medical use among 220,921 elderly were analyzed using complex samples t-test and ANOVA, and multiple regression analysis was performed to identify factors affecting depression it was carried out. As a result of the study, the level of depression among elderly women was found to be high, with an average of 1.21±0.01 for elderly men and 1.74±0.02 for elderly women, and there was a difference in generation type, with depression being higher in the first generation for elderly men and the third generation for elderly women. Variables that had a great influence on depression were the experience of depression and perceived stress.

Degree of Cognitive function, Self-esteem and Depression of the Elderly by Aging (노인의 인지기능, 자아존중감과 우울정도)

  • 성기월
    • Journal of Korean Academy of Nursing
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    • v.27 no.1
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    • pp.36-48
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    • 1997
  • This survey was performed to evaluate and compare cognitive function, self-esteem and depression in the elderly related to aging. The data were collected from 200 elders in eight homes for the elderly in Taegu. Data collection was done from June 1 to 31, 1996. The scale used to measure cognitive function was the MMSE-K(Mini-Mental State Examination-Korea), Self-esteem was measmed using Rosenberg's self-esteem scale and depression using SDS(Self-rating Depression Scale). A comparison of cognitive function, self-esteem and depression by aging were summarised as follows : 1. There were significant differences on the cognitive function score in the elderly according to age group(F=24.81, P<.01). 2. There were significant differences on the self-esteem score in the elderly according to age group(F=3.84, P<.5). 3. There were significant differences on the depression score in the elderly according to age group (F=5.90, P<.1). 4. The general characteristics which affected the cognitive function scores of the elders were sex (F=8.45, P<.5), educational level(F=8.86, P<.5), spousing(F=34.59. P<.01), and the perception of health(F=4.63, P<.5). 5. The general characteristic which affected the self-esteem scores of the elders was the perception of health(F=3.81. P<.5). 6. The general characteristic which affected the depression scores was the educational level(F=3.96, P<.5).

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Self-efficacy and Family Support as Predictors of Depression in Elderly Patients admitted to Hospital (급성기 노인 입원 환자의 자기효능감과 가족지지가 우울에 미치는 영향)

  • Park, Byung Nam;Park, Jin-Hee
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.21 no.1
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    • pp.52-59
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    • 2014
  • Purpose: The purpose of this study was to identify the prevalence and the predictors of depression in elderly patients admitted to hospital. Methods: A sample of 157 subjects aged 65 and over was selected from a university hospital in Korea. Data were collected through self-reported questionnaires during the period from April to August 2012. The data were analyzed using t-tests, ANOVAs, Pearson's correlation coefficients, and multiple regressions with the SPSS/Win program. Results: The prevalence of depression was 54.8%; the mean score for depression was 17.30. Depression in elderly patients had a significant correlation with age, educational level, marital status, and perceived economy level from the demographic characteristics, self-efficacy, and family support. A hierarchical multiple regression analysis revealed that a combination of self-efficacy and family support accounted for 27% of the depression in elderly patients. Conclusion: The findings of this study suggest that programs designed to effectively prevent and manage depression among elderly patients should consider variables such as self-efficacy and family support.

Relationship between depression and number of present teeth in Korean elderly: Data from the Sixth Korea National Health and Nutrition Examination Survey (한국 노인의 우울과 현존 치아수의 관련성 : 제 6기 국민건강영양조사 자료 이용)

  • Choi, Hye-Sook
    • Journal of Korean society of Dental Hygiene
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    • v.19 no.5
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    • pp.689-698
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    • 2019
  • Objectives: The study aimed to investigate the relationship between depression and number of present teeth in Korean elderly individuals. Methods: Data for this cross-sectional survey was obtained from the records of the sixth Korea National Health and Nutrition Examination Survey (KNHANES). The subjects were 1,199 Korean elderly individuals above 65 years of age. The survey and examination data were used for the independent variables. The KNHANES included health status, nutrition survey, and oral examination. $x^2-test$ was performed to identify the characteristics of depression and number of teeth present according to the characteristics of the study subjects. Logistic regression analysis was also performed to identify the relationship between depression and number of teeth present. The statistical significance level wa sset at 0.05. Results: The prevalence of depression in the subjects was 14.8%. There were statistically significant differences in the prevalence of depression, depending on gender (p<0.001), education level (p=0.001), income (p=0.001), spouse status (p<0.001), and alcohol consumption (p=0.020). The association between depression and the number of teeth present showed statistically significant difference after adjustment (p=0.040). Conclusions: Depression in elderly individuals was closely related to the number of teeth present. Therefore, public health policies for improving oral health should be established to prevent depression.