Yonsei Med J.  2018 Jul;59(5):693-697. 10.3349/ymj.2018.59.5.693.

Relationship between Emotional Abuse and Depression among Community-Dwelling Older Adults in Korea

Affiliations
  • 1Department of Psychiatry, Chonbuk National University Medical School, Jeonju, Korea. gofandf@naver.com
  • 2Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.

Abstract

Despite recent advances, there is little research on factors associated with emotional abuse among Korean older adults. The present study investigated the relationships between depression and emotional abuse among community-dwelling Korean older adults. We analyzed the dataset from the Survey of Living Conditions and Welfare Needs of Korean Older Persons conducted by the Korea Institute for Health and Social Affairs in 2011. Older adults (aged >65 years, n=10674) were randomly selected. Multivariate logistic regression was used to investigate factors associated with emotional abuse in terms of sociodemographic, health-related, and psychological variables, including depression using the short version of the Geriatric Depression Scale. In our study, 9.4% of the older adults reported experiencing emotional abuse in the previous year. In addition, 44.0% of those experiencing emotional abuse suffered from depression. Multiple logistic regression modeling showed that depression in older adults was independently associated with emotional abuse [odds ratio (OR)=1.788, p < 0.001]. Along with depression, poor social support (OR for no social support=1.712, p < 0.001) and having chronic illnesses (OR for more than 3=1.481, p < 0.005) were associated an increased risk of emotional abuse. Our results showed that emotional abuse among older adults in Korea is prevalent. Our findings suggest that depression, poor social support, and having chronic illnesses are significant factors associated with emotional abuse among the Korean older adult population. Addressing these factors with preventive interventions could have significant public health implications. Further studies are warranted to gain a better understanding of emotional abuse in older Korean adults.

Keyword

Elderly abuse; emotional abuse; elderly depression

MeSH Terms

Adult*
Chronic Disease
Dataset
Depression*
Humans
Korea*
Logistic Models
Public Health
Social Conditions

Reference

1. World Health Organization. Global status report on violence prevention 2014. Geneva: WHO Press;2014.
2. United Nations Office of the High Commissioner for Human Rights (OHCHR). Human rights of older persons: summary of the report of the Secretary-General to the General Assembly (Report A/66/173). New York: United Nations;2010.
3. Dong X. Medical implications of elder abuse and neglect. Clin Geriatr Med. 2005; 21:293–313. PMID: 15804552.
Article
4. Dong X, Simon M, Mendes de Leon C, Fulmer T, Beck T, Hebert L, et al. Elder self-neglect and abuse and mortality risk in a community-dwelling population. JAMA. 2009; 302:517–526. PMID: 19654386.
Article
5. Dong X, Simon MA. Elder abuse as a risk factor for hospitalization in older persons. JAMA Intern Med. 2013; 173:911–917. PMID: 23567991.
Article
6. Yon Y, Mikton CR, Gassoumis ZD, Wilber KH. Elder abuse prevalence in community settings: a systematic review and meta-analysis. Lancet Glob Health. 2017; 5:e147–e156. PMID: 28104184.
Article
7. Park JH, Kim KW, Kim MH, Kim MD, Kim BJ, Kim SK, et al. A nationwide survey on the prevalence and risk factors of late life depression in South Korea. J Affect Disord. 2012; 138:34–40. PMID: 22284016.
Article
8. Jung KH, Lee YK, Park BM, Lee SJ, Lee YH. Analysis of the survey of living conditions and welfare needs of Korean older persons. Sejong: Korea Institute for Health and Social Affairs;2012.
9. Won CW, Rho YG, Sunwoo D, Lee YS. The validity and reliability of Korean Instrumental Activities of Daily Living (K-IADL) Scale. J Korean Geriatr Soc. 2002; 6:273–280.
10. Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. In : Brink TL, editor. Clinical gerontology: a guide to assessment and intervention. New York (NY): Hallworth Press;1986. p. 165–174.
11. Bae JN, Cho MJ. Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients. J Psychosom Res. 2004; 57:297–305. PMID: 15507257.
Article
12. Statistics Korea. The aged statistics. Daejeon: Statistics Korea;2010.
13. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington: American Psychiatric Association;1994.
14. Dyer CB, Pavlik VN, Murphy KP, Hyman DJ. The high prevalence of depression and dementia in elder abuse or neglect. J Am Geriatr Soc. 2000; 48:205–208. PMID: 10682951.
Article
15. Kohout FJ, Berkman LF, Evans DA, Cornoni-Huntley J. Two shorter forms of the CES-D (Center for Epidemiological Studies Depression) depression symptoms index. J Aging Health. 1993; 5:179–193. PMID: 10125443.
16. Dong XQ, Simon MA, Beck TT, Farran C, McCann JJ, Mendes de Leon CF, et al. Elder abuse and mortality: the role of psychological and social wellbeing. Gerontology. 2011; 57:549–558. PMID: 21124009.
Article
17. Burrows AB, Morris JN, Simon SE, Hirdes JP, Phillips C. Development of a minimum data set-based depression rating scale for use in nursing homes. Age Ageing. 2000; 29:165–172. PMID: 10791452.
Article
18. Cooper C, Katona C, Finne-Soveri H, Topinková E, Carpenter GI, Livingston G. Indicators of elder abuse: a crossnational comparison of psychiatric morbidity and other determinants in the Ad-HOC study. Am J Geriatr Psychiatry. 2006; 14:489–497. PMID: 16731717.
Article
19. Dong X, Beck T, Simon MA. The associations of gender, depression and elder mistreatment in a community-dwelling Chinese population: the modifying effect of social support. Arch Gerontol Geriatr. 2010; 50:202–208. PMID: 19398133.
Article
20. Kim OS, Yang KM, Kim KH. Dependency, abuse, and depression by gender in widowed elderly. J Korean Acad Nurs. 2005; 35:336–343.
Article
21. Kim O, Jeon HO, Kim BH. The relating factors of elder abuse among community-dwelling elderly with stroke. Korean J Adult Nurs. 2012; 24:466–476.
Article
22. Elderkin-Thompson V, Mintz J, Haroon E, Lavretsky H, Kumar A. Executive dysfunction and memory in older patients with major and minor depression. Arch Clin Neuropsychol. 2007; 22:261–270. PMID: 17443924.
23. Wu L, Chen H, Hu Y, Xiang H, Yu X, Zhang T, et al. Prevalence and associated factors of elder mistreatment in a rural community in People's Republic of China: a cross-sectional study. PLoS One. 2012; 7:e33857. PMID: 22448276.
Article
Full Text Links
  • YMJ
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr