거주형태에 따른 노인 우울증과 자살경향성 비교 연구 = Geriatric Depression and Suicidality According to Residence Type among the Elderly in a Rural City Area

다국어 초록 (Multilingual Abstract)

Objective : This study aimed to investigate and compare the prevalence of depression and suicidality among the elderly in a rural city according to their residence type. Methods : Participants were 311 elderly people (109 male and 202 female) in Icheon City, whom trained researchers interviewed and examined Geriatric Depression Scale, Social Support Scale, Instrumental Activities of Daily Living, Activities of Daily Living, Quality of Life Scale, and Mini International Neuropsychiatric Interview (MINI), module C. Using these data, we analyzed participants' risk factors associated with depression and suicidality. Results : The prevalence of depression was 28.0%. The prevalence in the elderly living alone and those admitted to residential facilities was significantly higher than that among the elderly living with family. Suicidality frequency was 19.6%. The suicidality frequency among the elderly living alone and those admitted to facilities was significantly higher than that among the elderly living with family. The risk factors for depression were age, admission to a facility, and low economic status. The suicidality risk factors were living alone, admission to a facility, poor social support, and a history of headache. Conclusion : These results showed the prevalence of depression and frequency of suicidality among the elderly in such a city was quite high. The results of this study remind psychiatrists of the importance of early detection and therapeutic intervention for the elderly with a high risk of depression and suicidality.

참고문헌 (Reference)

1 tistics Korea,

2 김형수, "한국노인의 자살생각과 관련요인 연구" 한국노년학회 22 (22): 159-172, 2002

3 서국희, "노인정신의학의 역학: 경기도 연천군" 15-21, 1999

4 Suh GH, "Wish to die and associated factors in the rural elderly" 3 : 70-77, 1999

5 Zimet SG, "The Multidimensional Scale of Perceived Social Support" 52 : 30-41, 1988

6 Ware JE, "The MOS 36 item short-form health survey: I. Conceptual framework and item selection" 30 : 473-483, 1992

7 Barrow S, "Suicidality and tiredness of life among very old persons: result from the Berlin Aging Stud (BASE)" 3 : 171-182, 1997

8 Scocco P, "Suicidal ideation and its correlate: survey of an over-65-year-old population" J Nervous Mental D In press

9 Katz S, "Studies of illness in the aged, the index of ADL" 185 : 914-919, 1963

10 Beekman AT, "Review of community prevalence of depression in later life" 174 : 307-311, 1999

11 Cheon JS, "Psychosocial factors associated with suicidal idea among Korean elderly" 9 : 132-139, 2005

12 Cho MJ, "Prevalence of cognitive impairment and depressive symptoms among the elderly in an urban community" 37 : 352-362, 1998

13 Cho MJ, "Prevalence of cognitive impairment and depressive symptomatology of the elderly in a longterm institution" 37 : 913-920, 1998

14 Duberstein PR, "Poor social integration and suicide: fact or artifact?" 34 : 1331-1337, 2004

15 Juurlink DN, "Medical illness and the risk of suicide in the elderly" 164 : 1179-1184, 2004

16 Awata ST, "Factors associated with suicidal ideation in an elderly urban Japanese population: a community-based, cross-sectional study" 59 : 327-336, 2005

17 Koenig HG, "Epidemiology of geriatric affective disorders" 8 : 235-251, 1992

18 Evans KC, "Epidemiology of depressive symptoms in elderly primary care attenders" 4 : 327-333, 1993

19 Mulsant BH, "Epidemiology and diagnosis of depression in late life" 60 (60): 9-15, 1990

20 Lee MS, "Epidemiological study of geriatric depression in a Korea urban area" 4 : 154-163, 2000

21 Oh BH, "Epidemiologic study of cognitive impairment and depressive symptoms of the elderly in a Korean Rural Community" 2 : 176-186, 1998

22 Katz I, "Drug treatment of depression in the frail elderly: Discussion of the NIH Consensus Development Conference on the diagnosis and treatment of depression in the late life" 29 : 101-108, 1993

23 Park IO, "Depressive factors in the Korean elderly" 2 : 47-63, 1998

24 Gomez GE, "Depression in the elderly" 31 : 28-33, 1993

25 Parmelee PA, "Depression and mortality among institutionalized aged" 47 : 3-10, 1992

26 Lee SH, "Comparing various short-form Geriatric Depression Scales in elderly psychiatric patients in Korea" 13 : 32-37, 2009

27 Fukuda Y, "Cause-specific mortality differences across socioeconomic position of municipalities in Japan, 1973-1977 and 1993- 1998: increased importance of injury and suicide in inequality for ages under 75" 34 : 100-109, 2005

28 Hawley CJ, "Associated diagnoses and characteristics in a casualty population" 159 : 232-238, 1991

29 Lawson MP, "Assessment of older people: Self-maintaining and instrumental activities of daily living" 9 : 179-186, 1969

30 National Center for Health Statistics, "Advance Report of Final Mortality Statistics" NCHS Monthly Vital Statistics Report 34-36, 1985