Korean J Adult Nurs.  2018 Dec;30(6):577-585. 10.7475/kjan.2018.30.6.577.

Factors Influencing Depressive Symptoms among Korean Older Adults with Chronic Illnesses: Using the 2014 National Survey on Older Adults

• Shin S
• Hwang E

• KMID: 2429765
• DOI: http://doi.org/10.7475/kjan.2018.30.6.577

Abstract

PURPOSE
Geriatric depression is often closely connected with physical symptoms among older adults. This study aimed to determine the factors related to depressive symptoms among older adults with multiple chronic diseases.
METHODS
We assessed 6,672 older adults using data extracted from the 2014 National Survey on the Elderly in Korea. The short form of the Geriatric Depression Scale and the Korean versions of the Mini-Mental State Examination for dementia screening and the DETERMINE Your Nutrition Health Checklist were used. Statistical analyses included independent t-test, χ2 test, and logistic regression analysis.
RESULTS
We found that 36.7% of the older adults exhibited depressive symptoms, and the average score on the short form of the Geriatric Depression Scale was 5.90±4.53. The factors significantly related to depressive symptoms were unemployment (Odds Ratio [OR]=1.85, 95% Confidence Interval [CI]=1.59~2.15), "high risk" nutritional management status (OR=1.19, 95% CI=1.16~1.22), slight visual dysfunction (OR=1.21, 95% CI=1.05~1.38), high visual dysfunction (OR=1.41, 95% CI=1.04~1.91), slight hearing dysfunction (OR=1.22, 95% CI=1.05~1.43), slight chewing dysfunction (OR=1.37, 95% CI=1.19~1.59), high chewing dysfunction (OR=1.59, 95% CI=1.30~1.95), low cellphone utilization (OR=1.60, 95% CI=1.04~2.46), older age (OR=0.99, 95% CI=0.98~1.00), and higher educational level (OR=0.96, 95% CI=0.95~0.98).
CONCLUSION
Preventive interventions for depressive symptoms should include nutritional education programs, functional assistive devices, and the use of information technology.

MeSH Terms

Adult*
Aged
Aging
Checklist
Chronic Disease*
Cognition
Dementia
Depression*
Education
Hearing
Humans
Korea
Logistic Models
Mass Screening
Mastication
Nutritional Status
Self-Help Devices
Unemployment

Figure

• 

  Figure 1 Study framework.

Reference

1. Kim JI, Choe MA, Chae YR. Prevalence and predictors of geriatric depression in community-dwelling elderly. Asian Nursing Research. 2009; 3(3):121–129. DOI: 10.1016/S1976-1317(09)60023-2.

2. Kwon KH. Prevalence and risk factors of depressive symptoms by gender difference among the elderly aged 60 and over. J Korean Gerontol Soc. 2015; 35(2):269–282.

3. Barry LC, Abou JJ, Simen AA, Gill TM. Under-treatment of depression in older persons. Journal of Affective Disorders. 2012; 136(3):789–796. DOI: 10.1016/j.jad.2011.09.038.

4. Smalbrugge M, Pot AM, Jongenelis L, Gundy CM, Beekman ATF, Eefsting JA. The impact of depression and anxiety on well being, disability and use of health care services in nursing home patients. International Journal of Geriatric Psychiatry. 2006; 21(4):325–332. DOI: 10.1002/gps.1466.

5. Cabrera MA, Mesas AE, Garcia ARL, de Andrade SM. Malnutrition and depression among community-dwelling elderly people. Journal of the American Medical Directors Association. 2007; 8(9):582–584. DOI: 10.1016/j.jamda.2007.07.008.

6. Seo SO, So AY. Depression and cognitive function of the community-dwelling elderly. Journal of Korean Academy of Community Health Nursing. 2016; 27(1):1–8. DOI: 10.12799/jkachn.2016.27.1.1.

7. Chou KL, Chi I. Combined effect of vision and hearing impairment on depression in elderly Chinese. International Journal of Geriatric Psychiatry. 2004; 19(9):825–832. DOI: 10.1002/gps.1174.

8. Kimura Y, Ogawa H, Yoshihara A, Yamaga T, Takiguchi T, Wada T, et al. Evaluation of chewing ability and its relationship with activities of daily living, depression, cognitive status and food intake in the community-dwelling elderly. Geriatr Gerontol Int. 2013; 13(3):718–725. DOI: 10.1111/ggi.12006.

9. Lee HJ, Kahng SK. The reciprocal relationship between cognitive functioning and depressive symptom: group comparison by gender. Korean Journal of Social Welfare Studies. 2011; 42(2):179–203.

10. Kim HJ, Park HJ, Ahn HJ. A multi-group path analysis among smartphone-internet addiction, depression, aggression, social relationships and school violence. Korean Journal of Educational Research. 2016; 54(1):77–104.

11. Paek KS. A convergence study the association between addictive smartphone use, dry eye syndrome, upper extremity pain and depression among college students. Journal of the Korea Convergence Society. 2017; 8(1):61–69. DOI: 10.15207/JKCS.2017.8.1.061.

12. Jun HJ, Kim MY. The longitudinal effects of internet use on depression in old age. Korean Journal of Social Welfare Research. 2014; 42:187–211.

13. Kim MY, Jun HJ. The influence of IT use and satisfaction with IT use on depression among older adults. Korean Journal of Gerontological Social Welfare. 2016; 71(1):85–110.

14. Jung YH. Analysis of multiple chronic diseases of the elderly: focusing on outpatient use. Health Welf Issue Focus. 2013; 196(2013-26):1–8.

15. Marengoni A, Angleman S, Melis R, Mangialasche F, Karp A, Garmen A, et al. Ageing with multimorbidity: a systematic review of the literature. Ageing Research Reviews. 2011; 10(4):430–439. DOI: 10.1016/j.arr.2011.03.003.

16. Lim JH. The relationship among depressive symptoms and chronic disease in the elderly. Journal of Digital Convergence. 2014; 12(6):481–490. DOI: 10.14400/JDC.2014.12.6.481.

17. Wang T, Fu H, Kaminga AC, Li Z, Guo G, Chen L, et al. Prevalence of depression or depressive symptoms among people living with HIV/AIDS in China: a systematic review and meta-analysis. BMC Psychiatry. 2018; 18:160. DOI: 10.1186/s12888-018-1741-8.

18. Ministry of Health Welfare. Korea Institute for Health and Social Affairs. Report on the Korean national older adults life survey 2014. Seoul: Ministry of Health Welfare;2015.

19. Sheikh JI, Yesavage JA. Geriatric Depression Scale (GDS): recent evidence and development of a shorter version. Clin Gerontol J Aging Ment Health. 1986; 5(1-2):165–173. DOI: 10.1300/J018v05n01_09.

20. Lee SC, Kim WH, Chang SM, Kim BS, Lee DW, Bae JN, et al. The use of the Korean version of Short Form Geriatric Depression Scale (SGDS-K) in the community dwelling elderly in Korea. Journal of Korean Geriatric Psychiatry. 2013; 17(1):37–43.

21. Kim TH, Jhoo JH, Park JH, Kim JL, Ryu SH, Moon SW, et al. Korean Version of mini mental status examination for dementia screening and its' short form. Psychiatry Investigation. 2010; 7(2):102–108. DOI: 10.4306/pi.2010.7.2.102.

22. Nutrition Screening Initiative. Report of nutrition screening 1: Toward a common view: a consensus conference. Washington, DC: Nutrition Screening Initiative;1991.

23. Tsai SY, Cheng CY, Hsu WM, Su TPT, Liu JH, Chou P. Association between visual impairment and depression in the elderly. Journal of the Formosan Medical Association. 2003; 102(2):86–90.

24. Chang-Quan H, Xue-Mei Z, Bi-Rong D, Zhen-Chan L, Ji-Rong Y, Qing-Xiu L. Health status and risk for depression among the elderly: a meta-analysis of published literature. Age Ageing. 2010; 39(1):23–30. DOI: 10.1093/ageing/afp187.

25. Lim YJ, Choi YS. Dietary behaviors and seasonal diversity of food intakes of elderly women living alone as compared to those living with family in Gyeongbuk rural area. Korean Journal of Community Nutrition. 2008; 13(5):620–629.

26. Wassink-Vossen S, Collard RM, Oude Voshaar RC, Comijs HC, de Vocht HM, Naarding P, et al. Physical(in)activity and depression in older people. Journal of Affective Disorders. 2014; 161:65–72. DOI: 10.1016/j.jad.2014.03.001.

27. Ahmed T, Haboubi N. Assessment and management of nutrition in older people and its importance to health. Clinical Interventions in Aging. 2010; 5:207–216.

28. Lee IH. Associations between dietary intake and health status in Korean elderly population. Korean J Nutr. 2002; 35(1):124–136.

29. Hwang S, Lee H, Ha E, Kim S, Jung G, Choi H. The effects of use of smartphone and cognitive function on depression, and loneliness of life in elders. J Soc Occup Ther Aged Dement. 2017; 11(1):9–19.

30. Yoon H, Lee O, Beum K, Gim Y. Effects of online social relationship on depression among older adults in South Korea. J Korea Contents Assoc. 2016; 16(5):623–637. DOI: 10.5392/JKCA.2016.16.05.623.