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재가 독거 여성노인의 우울, 인지기능 및 도구적 일상생활 수행능력 간의 관계

The Relationship between Depression, Cognitive Function and the Instrumental Activities of Daily Living of Elderly Women Living Alone

  • 임은주 (중앙대학교 적십자간호대학)
  • Lim, Eun Ju (Red Cross College of Nursing, Chung-Ang University)
  • 투고 : 2013.01.30
  • 심사 : 2013.04.11
  • 발행 : 2013.04.30

초록

본 연구의 목적은 우리나라 재가 독거 여성노인의 우울 여부에 따른 인지기능, 도구적 일상생활 수행능력의 차이를 파악하고, 제 변수들 간의 상관관계를 확인하기 위함이다. 자료 수집은 2011년 4월부터 2012년 4월까지 구조화된 설문지로 면접 조사하였으며, 총 1,426명의 자료를 분석하였다. 제 변수들 간의 상관관계를 살펴본 결과, 우울과 인지기능(r=-.208, p<.001), 인지기능과 도구적 일상생활 수행능력(r=-.256, p<.001)은 약한 역상관관계를 보였고, 우울과 도구적 일상생활 수행능력(r=.222, p<.001)은 약한 순상관관계가 있는 것으로 나타났다. 이상의 연구 결과를 토대로 재가 독거 여성노인의 인지기능과 사회적 활동 수준의 향상을 통해 우울 수준이 저하될 수 있도록 앞으로 정신건강 유지 및 증진을 위한 방안 마련에 더욱 관심을 가져야 할 것이다.

The purpose of this study is to understand differences in cognitive function and the instrumental activities of daily living depending on whether elderly women living alone in Korea have depression and to determine the correlation between variables. The data were collected from April 2011 to April 2012 with a total of 1,426 women interviewed using a structured questionnaire. Based on examining the correlation between variables, a weak inverse correlation was shown between depression and cognitive function(r=-.208, p<.001), between cognitive function and the instrumental activities of daily living(r=-.256, p<.001), and a weak positive correlation was shown between depression and instrumental activities of daily living(r=.222, p<.001). According to these results, We should pay attention to come up with ways to promote and maintain the mental health of elderly women so that depression level can be reduced through the improvement of cognitive function and social activity level.

키워드

참고문헌

  1. H. K. Han, and Y. R. Lee, "A Study on Factors Impacting on the Mental Health Level of the Elderly People Living Alone", The Korean Gerontological Society, Vol.29, No.3, pp.805-822, 2009.
  2. Statistics Korea, "2010 Statistics of the elderly", Statistics Korea, 2010, [cited 2012 Aug 19], Available from: http://www.kostat.go.kr/portal/korea/kor_nw/2/6/5/index.board. (assessed Dec., 10, 2012)
  3. Q. L. Lin, H. K. Kim, and J. S. Ann, "Relationship between depression and quality of life in elderly women living alone: The moderating and mediating effects of social support and social activity", The Korean Gerontological Society, Vol.31, No.1, pp.33-47, 2011.
  4. N. O. Nahcivan, and E. Demirezen, "Depressive symptomatology among Turkish older adults with low incomes in a rural community sample", Journal of Clinical Nursing, Vol.14, No.10, pp.1232-1240, 2005. https://doi.org/10.1111/j.1365-2702.2005.01188.x
  5. K. L. Chou, I. Chi, and K. W. Boey, "Determinants of depressive symptoms among elderly Chinese living alone", Clinical Gerontologist, Vol.20, No.4, pp.15-27, 1999. DOI: http://dx.doi.org/10.1300/J018v20n04_03
  6. S. D. Mechakra-Tahiri, M. V. Zunzunegui, M. Preville, and M. Dube, "Gender, social relationships and depressive disorders in adults aged 65 and over in Quebec", Chronic Diseases in Canada, Vol.30, pp.56-65, 2010.
  7. L. D. Ried, and L. G. Planas, "Aging, health, and depressive symptoms: Are women and men different?", Journal of Women's Health, Vol.11, pp.813-824, 2002. DOI: http://dx.doi.org/10.1089/15409990260430963
  8. E. M. Zelinski, and M. J. Gilewski, "Effects of demographic and health variables on RASCH scaled cognitive scores", Journal of Aging and Health, Vol.15, No.3, pp.435-464, 2003. DOI: http://dx.doi.org/10.1177/0898264303253499
  9. H. J. Lee, and S. K. Kang, "Age and gender differences in cognitive functioning among elderly", The Korean Academy of Mental Health Social Work, Vol.37, No.4, pp.255-278, 2011.
  10. J. H. Shon, and H. S. Yoo, "Effects of chronic combined exercise on cognitive function and depression in elderly women", Korean Journal of Sport Psychology, Vol.21, No.4, pp. 183-195, 2010.
  11. J. H. Bae, "The effect of ADL and IADL on the depression of the elderly- Focusing on the mediating effect of social activity participation and elder abuse", The Korean Gerontological Society, Vol.29, No.1, pp.353-368, 2009.
  12. S. E. Cha, K. H. Han, and J. H. Lee, "Differences among three aged group- Relationship between self-rated health and Physical.Mental.Social health", The Korean Gerontological Society, Vol.22, No.1, pp. 173-190, 2002.
  13. G. S. Alexopoulos, "Depression in the elderly", The Lancet, Vol.365, No.9475, pp.1961-1970, 2005. DOI: http://dx.doi.org/10.1016/S0140-6736(05)66665-2
  14. M. C. Blehar, and G. P. Keita, "Women and depression: A millennial perspective", Journal of Affective Disorders, Vol.74, No.1, pp.1-4, 2003. DOI: http://dx.doi.org/10.1016/S0165-0327(02)00425-1
  15. N. Kondo, M. Kazama, K. Suzuki, and Z. Yamagata, "Impact of mental health on daily living activities of Japanese elderly", Preventive Medicine, Vol.46, No.5, pp.457-462, 2008. DOI: http://dx.doi.org/10.1016/j.ypmed.2007.12.007
  16. J. I. Sheikh, and J. A. Yesavage, "Geriatric depression scale(GDS): Recent evidence and development of a shorter version", NY: The Haworth Press, 1986.
  17. M. S. Song, "Functional Assessment of the Elderly; Validation of the Scale by Factor Analysis", The Seoul Journal of Nursing, Vol.2, No.1, pp.3-14, 1987.
  18. M. F. Folstein, S. E. Folstein, and P. R. McHugh, "Mini-mental state: A practical method for grading the cognitive state of patients for the clinician", Journal of Psychiatric Research, Vol.12, pp.189-198, 1975. DOI: http://dx.doi.org/10.1016/0022-3956(75)90026-6
  19. Y. C. Kwon, and J. H. Park, "Standardization of Korean version of the Mini-mental state examination for use in the elderly- Part II. diagnostic validity", Journal of Korean Neuropsychiatric Association, Vol.28, No.1, pp.125-135, 1989.
  20. M. P. Lawton, and E. M. Brody, "Assessment of older people: Self-maintaining and instrumental activities of daily living", The Gerontologist, Vol.9, No.3, pp.179-186, 1969. DOI: http://dx.doi.org/10.1093/geront/9.3_Part_1.179
  21. H. A. Choi, D. S. Lee, and Y. J. Kim, "Analysis on Depression and Suicidal Ideation of Korean Female Adults- by using Korea National Health and Nutrition Examination Survey", Journal of the Korean Data Analysis Society, Vol.13, No.2, pp.709-720, 2011.
  22. Korea Institute for Health and Social Affairs, 2011, [cited 2012 Aug 22], Investigation the actual conditions of the elderly, Ministry of Health and Welfare, Available from: http://www..stat.mw.go.kr/front/include/download.jsp?bbsSeq=7&nttSeq, August, 2012. (assessed Dec., 21, 2012)
  23. H. M. Kim, and Y. H. Choi, "Factors affecting depression in elderly vulnerable people living alone", Journal of Korean Academy of Community Health Nursing, Vol.22, No.4, pp. 355-364, 2011. https://doi.org/10.12799/jkachn.2011.22.4.355
  24. E. O, Park, M. D. Kim, Y. J. Son, H. J. Song, and S. C. Hong, "The prevalence of depression and related factors among adults", Journal of Korean Academy of Community Health Nursing, Vol.20, No.3, pp.277-284, 2009.
  25. F. R. Lang, and Y. Schutze, "Adult children's supportive behaviors and older parents' subjective well-being: A developmental perspective on intergenerational relationship", Journal of Social Issue, Vol.58, pp.661-680, 2002. DOI: http://dx.doi.org/10.1111/1540-4560.00283
  26. K. J. Lee, and H. S. Park, "A study on the perceived health status, dpression, and activities of daily living for the elderly in urban areas", Korean Journal of Women Health Nursing, Vol.12, No.3, pp.221-230, 2006.
  27. J. S. Won, and J. H. Kim, "Influencing factors on cognitive function and depression in elderly", Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol.12, No.2, pp.148-154, 2003.
  28. E. H. Kim, and J. W. Lee, "A study on activity of daily living, perceived health status, depression of elderly to types of residency", Journal of the Korean Data Analysis Society, Vol.11, No.1, pp.183-197, 2009.
  29. R. Lau, C. A. Morse, and S. Macfarlane, "Psychological factors among elderly women with suicidal intentions or attempts to suicide: A controlled comparision", Journal of Women and Aging, Vol.22, pp.3-14, 2010. DOI: http://dx.doi.org/10.1080/08952840903488831

피인용 문헌

  1. The Correlation between Problematic Behaviors and Activities of Daily Living of Elderly People with Dementia in Patients in a Geriatric Hospital vol.4, pp.2, 2013, https://doi.org/10.5854/JIAPTR.2013.10.25.545