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자료유형
학술저널
저자정보
김승전 (전남대학교) 신일선 (전남대학교) 신희영 (전남대학교) 김재민 (전남대학교) 김성완 (전남대학교) 윤진상 (전남대학교)
저널정보
대한생물치료정신의학회 생물치료정신의학 생물치료정신의학 제21권 제3호
발행연도
2015.10
수록면
192 - 198 (7page)

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Objectives:This study aimed to investigate the spouse effects on depression in community-dwelling elderly Korean population. We examined the gender difference in the influence of living arrangement on depression. We also sought to clarify the role of cognitive function in the influence of living arrangement on depression.
Methods:This study was a community-based, cross-sectional study that included 395 elderly subjects aged 60 years or more. Subjects completed the questionnaire including sociodemographic characteristics and chronic medical illness. Korean version of Short Form of the Geriatric Depression Scale(SGDS-K) and Korean MMSE in the Korean version of the CERAD(Consortium to Establish a Registry for Alzheimer’s Disease) assessment packet(MMSE-KC) were also evaluated. Depression was identified as SGDS-K score of 8 and above.
Results:The mean score on SGDS-K was 5.9(SD=4.52), and the mean score on MMSE-KC was 23.3(SD=4.67) in all samples. The prevalence of depression was 35.4%. In univariate analyses, the elderly living alone had a higher risk of depression than those living with a spouse(Odds ratio, OR=2.32, 95% Confidence Interval, CI=1.51-3.58, p<0.001). After adjusting for sociodemographic characteristics and chronic illness state, this association was attenuated(OR= 1.80, 95% CI=1.01-3.21, p=0.048). But, after further adjusting for MMSE-KC scores, the association was further attenuated and it remained statistically insignificant. In the full adjusted model, more number of elderly females living alone had depression than those living with a spouse with marginal statistical significance(OR=2.03, 95% CI=1.00-4.13, p=0.051).
Conclusion:These findings suggest that cognitive function is a possible confounding factor in the influence of living arrangement on depression. Living alone is likely to be a significant risk factor for depression among community-dwelling elderly females.

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UCI(KEPA) : I410-ECN-0101-2016-513-002070792