• 한국지역사회생활과학회지
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• 제22권4호
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• pp.623-635
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• 2011

Over the past few decades, the proportion of elderly people with depression in Korea has been rapidly increasing. The purpose of this study is to explore relative effects of health and family factors on geriatric depression. The data sources are from Korean Longitudinal Study of Aging(2008). The Analysis sample consists of 4,040 cases. Analysis results show that there is a significant variability in geriatric depression according to sociodemographic characteristics, health characteristics, and family characteristics. Hierarchical logistic regression analyses are employed to assess the causal relationship between health characteristics and geriatric depression. Model II showed that ADL(exp(B)=1.732), having difficulties due to sight deterioration(exp(B)=1.398), having difficulties due to masticatory force deterioration(exp(B)=1.414), having difficulties due to pain(exp(B)=2.435), and subjective health status(exp(B)=2.010) are reported as predictors of geriatric depression. Namely, the probability of having geriatric depression of the above predictors has been 1.7 times, 1.4 times, 1.4 times, 2.4 times. 2.0 times higher than normal figures. Among health characteristics, pain is the most prevalent factor. Model III showed that as for family characteristics, coresiding with children(exp(B)=1.312) and frequency of contacting with children by phones, letters, or emails(exp(B)=1.477) are reported as predictors of geriatric depression. Key findings are that health factors have larger effects than family factors on geriatric depression.

• 동의신경정신과학회지
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• 제25권4호
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• pp.311-318
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• 2014

Objectives: As the elderly population grows and the prevalence of depression increases, the incidence of geriatric depression disorder will continue to increase. The effect of an intensive Korean medicine treatment program on geriatric depression disorder was studied. Methods: Geriatric depression disorder patients who received treatment over a period of three years were reviewed, with the geriatric depression score (GDS) used as the primary outcome. The intensive Korean medical treatment program applied to the geriatric depression disorder patients consisted of herbal medicine, acupuncture, pharmacopuncture, moxibustion, meditation, qigong exercises, and reminiscence therapy. Results: The GDS scores of patients who received the intensive Korean medical treatment program decreased from an average of 19.57 (${\pm}5.52$) to 15.76 (${\pm}6.99$) and there was a significant difference. Conclusions: When the intensive Korean medical treatment program was applied to geriatric depression disorder patients, the symptoms of depression improved. This treatment program will be helpful for improving symptoms in patients and can be applied by trained clinicians.

• 한국노년학
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• 제28권4호
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• pp.1129-1145
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• 2008

본 연구는 노인우울증에 대한 사회경제적 지위의 영향력 뿐 아니라 근접요인으로써 건강행태의 영향력을 파악하여 보다 실천적인 함의를 제시하고자 하였다. 이를 위해 일 도시지역의 65세 이상 노인 964명의 자료를 분석에 사용하였고, 노인우울증 진단에는 단축형 노인우울척도(Short Form of Geriatric Depression Scale: SGDS)의 절단점 10점을 사용하였다. 본 연구에서 노인우울증의 유병율($SGDS{\geq}10$)은 22.2%(남성 18.4%, 여성 23.3%)로 나타났다. 로지스틱 회귀분석을 사용하여 노인우울증에 대한 위험요인을 살펴본 결과, 동거가족 수가 적을수록, 의료보호일수록, 교육수준이 낮을수록, 흡연을 지속하고 있을수록, 신체활동이 불충분할수록 노인우울증의 유병율이 유의미하게 높아지는 것으로 나타났다. 본 연구의 결과를 바탕으로 볼 때 사회경제적 차이를 고려하여 노인우울증 개입을 위한 표적집단을 정해야 하고 더불어 우울증 예방을 위해서는 건강행태 특히 흡연이나 운동에 대한 지역사회 중심의 통합적 개입이 필요하다.

• 대한예방한의학회지
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• 제16권3호
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• pp.27-35
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• 2012

Objective : The study was designed to identify the factors related to depression of the elderly patients in geriatric hospital. Method : The subjects consisted of 198 old people who admitted in three geriatric hospital located in Daegu City. The Data was collected through interview with questionnaire from July 16 to August 16, 2012. Results : The general characteristics which significantly affected depression was perceived health status(F=18.158, p=.000). There was a slightly negative correlation between activity daily living & depression(r=-.378,p=.000) and strongly negative correlation between life satisfaction & depression(r=-.573, p=.000). Among the factors related to depression of the subjects, life satisfaction had highest expanatory power of 32.8%. Conclusion : The finding of this study provide useful information for constructing an intervention program and care for the elderly patients in geriatric hospital with depression.

• 한국실내디자인학회논문집
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• 제25권2호
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• pp.13-20
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• 2016

Recently, the concern of aging society is 'Healthy life' for the elderly and pre-elderly. Especially, realizing the 'Healthy life', it is very important for the elderly to establish living environment for holding and maintaining mental depression. Mental depression is related to dysfunction of sensory organ included physical functions. Therefore, the dysfunction of elderly's sensory organ is required to the guideline of environmental planning. In this study, among five senses, I focused visual sense due to the large proportion of environmental perception. The purpose of this study is to analyze the degree of geriatric depression and preference of simulated images applying preferable color for the elderly. This study conducted literature review and questionnaire survey. Firstly, the previous studies related with the melancholy, sense of isolation, self-regard for the elderly analyzed. Secondly, the questionnaire tool measuring the degree of geriatric depression developed. Thirdly, the tool investigating the preference for the simulated images applied main, sub, and accent colors produced. Applied preferable colors were used from the results previous study. Lastly, based on the result, the basic data of color planning were suggested. It was judged that this study is an useful as the basic guideline of color planning for the elderly's residential spaces and the potential value of considering geriatric depression and the color planning in terms of the elderly's visual sense.

• 대한임상검사과학회지
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• 제51권1호
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• pp.105-113
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• 2019

본 연구의 목적은 노인성 우울, 노인성 스트레스와 인지기능과의 연관성을 확인하는 것이다. 구체적으로 치매를 유발 원인에 따라 알츠하이머성 치매와 혈관성 치매의 두 그룹으로 분류하고 각 그룹의 인지장애 및 노인성 우울, 노인성 스트레스의 정도와 특성의 차이를 확인하고 상호간의 연관성을 비교하고자 한다. 인지기능의 변수는 한국형 간이정신상태검사, 치매임상평가척도, 이마엽 기능검사, 한국형 도구적 일상생활능력 평가를 사용하였고, 노인성 우울변수는 노인우울척도(GDS), 노인성 스트레스변수는 노인스트레스척도(GSS)를 사용하였다. 통계적 방법은 알츠하이머성 치매환자 80명, 혈관성 치매환자 80명, 통제를 위한 정상군 80명을 설정하여 기술 통계량, Kruskall-Wallis, 상관분석, 다중회귀분석으로 통계적으로 유의한 차이 및 연관성을 확인하였다. 알츠하이머성 치매군에서는 GDS, GSS와 대체적으로 인지기능 변수들과의 상관관계는 확인하였다. 특히 GDS는 남성에서만 인지기능 변수들과 상관관계가 있고, 인지기능 변수들과의 인과관계도 확인되었다. 또한 GSS와 GDS와의 인과관계를 확인하여 GSS가 GDS의 원인이 된다는 유의성을 확인하였다. 결론적으로 GDS는 알츠하이머성 치매군에서 인지기능 변수와의 상관관계와 직접적인 인과관계를 확인하였고, GSS는 직접적인 상관관계보다 GDS를 유발하여 인지기능 장애와의 간접적인 인과관계를 확인할 수 있었다.

• Journal of Korean Biological Nursing Science
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• 제12권3호
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• pp.140-147
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• 2010

Purpose: The purpose of this study was to identify the effects of the cognitive training program on cognitive function, stress and depression in geriatric hospitals. Methods: The subjects of the experimental group were 17 elderly patients who attended the cognitive training program in Geriatric Hospitals and the subjects of the control group were 15 elderly patients who attended in geriatric hospitals. The persons in training group must take cognitive training program for 4 weeks by 3 times a week. The Mini-mental State Examination Korea version (MMSE-K), Geriatric depression Scaleshort form-Korea version (GDS-K) and Korean Computerized Neurobehavioral Test (KCNT) were utilized to determine cognitive function, stress and depression. The collected data were analyzed by descriptive statistics, t-test and ANOVA using SPSS/PC 12.0 program. Results: Cognitive function (t=-7.625, p=.000) in the elderly after receiving the cognitive training program was significantly more improved than before intervention. Also, Stress and depression (t=2.73, p=.004) was significantly more reduced than before the intervention. Conclusion: This cognitive training program was partially effective in improving cognitive function, neurobehavioral performance and reduce stress and depression. Therefore, it is recommended that this program be used in clinical practice as an effective nursing intervention in geriatric hospitals.

• 한국지역사회생활과학회지
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• 제25권4호
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• pp.461-471
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• 2014

This study explores the moderating effects of income on the relationship between geriatric depression and health satisfaction among elderly individuals in Korea. The data were obtained from public data files in the 2011 Elderly Living Condition Survey database. The sample included 9,461 cases. The results show that the factors influencing health satisfaction were geriatric depression (${\beta}$=-.510, p<.001), gender (${\beta}$=.123, p<.001), activities of daily living (${\beta}$=-.116, p<.001), income (${\beta}$=.050, p<.001), living alone (${\beta}$=.044, p<.001), and the area of residence (${\beta}$=.017, p<.05). Income moderated the effect of geriatric depression on health satisfaction. Noteworthy is that an increase in income slightly weakened the negative relationship between geriatric depression and health satisfaction.

• 가정간호학회지
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• 제17권1호
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• pp.5-11
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• 2010

Purpose: The study examined the psychometric properties of the Korean Geriatric Depression Scale Informant-15 (KGDSI-15), an instrument measuring geriatric depression through their primary caregivers. Methods: The participants were 370 Korean older adults $\geqq$65-years-of-age registered in a visiting health center in S city. The Korean version of Geriatric Depression Scale-Short Form (GDSSF-K) was used for comparison. Internal consistency measured tool reliability and Pearson correlation coefficient measured validity. One-way ANOVA was used to determine the clinical usability of the instrument: depression levels were classified as normal, mild depression, and severe using GDSSF-K, and the depression scores of these three groups were comparatively measured by KGDSI-15. Results: The Cronbach's alpha coefficient was .831. The correlation coefficient with GDSSF-K was r=.616 (p<.001). KGDSI-15 results showed the depression level of older adults with severe depression was highest followed by those with mild depression and normal. The group differences were also statistically significant, which indicated the clinical usability of the instrument. Conclusion: KGDSI-15 is suggested to be reliable and valid to measure the geriatric depression through the primary caregivers of older adult.

• 가정과삶의질연구
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• 제28권1호
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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.