DOI QR코드

DOI QR Code

Effects of Cognitive Function and Depression on Anxiety in Elderly People-Convergent approach

노인의 인지기능과 우울이 불안에 미치는 영향-융복합적 접근

  • Received : 2015.06.10
  • Accepted : 2015.08.20
  • Published : 2015.08.28

Abstract

This study was done to examine the relation of cognitive function, depression and anxiety in elderly people above 65 years of age, and to identify factors influencing anxiety. The data were collected from June 1 to August 30 2014. Data were collected by questionnaire from 363 elderly people. The instruments for this study were MMSE-DS, depression, anxiety. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients, and multiple linear regression with the SPSS/WIN 18.0 program. According to results, the significant factors influencing anxiety were sleeping time(${\beta}=-.249$, p<.001), depression(${\beta}=.218$, p<.001), cognitive function(${\beta}=-.209$, p<.001), occupation(${\beta}=-.133$, p=.006). The study reveals that it is necessary to develop a convergent program that maintain adequate sleep, prevents of cognitive impairment and decreases depression.

본 연구의 목적은 인지기능, 우울, 불안의 관계를 파악하고, 노인의 인지기능과 우울이 불안에 미치는 영향을 파악하고자 함이다. 자료수집은 2014년 6월 1일 부터 8월 30일까지였고, 연구대상은 65세 이상 노인 363명이었으며 연구도구는 MMSE-DS, 우울, 불안이었다. 자료분석은 SPSS/WIN 18.0 프로그램을 이용하여 기술통계, t-test, ANOVA, Pearson's correlation 상관분석, 다중회귀분석을 실시하였다. 연구결과로 불안에 영향을 미치는 요인은 수면시간(${\beta}=-.249$, p<.001), 우울(${\beta}=.218$, p<.001), 인지기능(${\beta}=-.209$, p<.001), 직업(${\beta}=-.133$, p=.006) 순이었다. 결론적으로, 적절한 수면유지와 인지기능 저하를 예방하고, 우울수준을 낮출 수 있는 융복합적인 프로그램을 개발하는 것이 필요할 것이다.

Keywords

References

  1. Statistics Korea, Current status and prospects of the world's population and the Korea, http://kostat.go.kr, July 8, 2015.
  2. Y. H. Choi, G. R. Sin, O. S. Kim, S. H. Go, E. S. Gong, G. H. Kim, S. I. Kim, J. H. Sin, Y. H. Lee, G. W. Lee, D. Y. Jung, M. O. Cho, E. H. Whang, The elderly and health. Hyunmoonsa, pp. 4-358. 2014.
  3. C. H. Kim, Factors of influencing residents' depression and anxiety in elderly care facilities. Master's thesis, Daegu University, pp. 28-41, 2011.
  4. F. Alwahhabi, Anxiety symptoms and generalized anxiety disorder in the elderly: A review. Harvard Review of Psychiatry, Vol. 11, No. 4, pp. 180-193. 2003. https://doi.org/10.1080/10673220303944
  5. J. Y. Lim, G. Y. Jeon, Elderly's stress and anxiety: The mediating effects of cognition of threatening situation and meaning in life. Journal of the Korean Gerontological Society, Vol. 32, No. 1, pp. 257-272. 2012.
  6. Y. Kirmizioglu, O. Dogan, N. Kugu, G. Akyuz, Prevalence of anxiety disorders among elderly people. International Journal of Geriatric Psychiatry, Vol. 24, No. 9, pp. 1026-1033. 2009. https://doi.org/10.1002/gps.2215
  7. S. H. Yoo, I. K. Jung, Pharmacotherapy of anxiety disorders in older people. Journal of Korean Geriatric Psychiatry, Vol. 10, No. 2, pp. 70-75. 2006.
  8. I. Skoog, Psychiatric disorders in the elderly. The Canadian Journal of Psychiatry, Vol. 56, No. 7, pp. 387-397. 2011. https://doi.org/10.1177/070674371105600702
  9. Seoul National University Bundang Hospital, Dementia Survey. pp. 105-230. 2011.
  10. E. J. M. Bierman, H. C. Comijs, F. Rijmen, C. Jonker, A. T. F. Beekman, Anxiety symptoms and cognitive performance in later life: Results from the longitudinal aging study Amsterdam. Aging & Mental Health, Vol. 12, No. 4, pp. 517-523. 2008. https://doi.org/10.1080/13607860802224276
  11. G. Sinoff, P. Werne. Anxiety disorder and accompanying subjective memory loss in the elderly as a predictor of future cognitive decline. International Journal of Geriatric Psychiatry, Vol. 18, No. 10, pp. 951-959. 2003. https://doi.org/10.1002/gps.1004
  12. L. Ferretti, S. M. McCurry, R. Logsdon, L. Gibbons, L. Teri, Anxiety and Alzheimer's Disease. Journal of Geriatric Psychiatry and Neurology, Vol. 14, No. 1, pp. 52-58. 2001. https://doi.org/10.1177/089198870101400111
  13. V. R. Porter, W. G. Buxton, L. A. Fairbanks, T. Strickland, S. M. O'Connor, S. Rosenberg-Thompson, J. L. Cummings, Frequency and characteristics of anxiety among patients with Alzheimer's disease and related dementias. The Journal of Neuropsychiatry & Clinical Neurosciences, Vol. 15, No. 2, pp. 180-186. 2003. https://doi.org/10.1176/jnp.15.2.180
  14. A. T. F. Beekman, E. Beurs, A. J . L. M. Balkom, D. J. H. Deeg, R. Dyck, W. Tilburg, Anxiety and depression in later life: co-occurrence and communality of risk factors. The American Journal of Psychiatry, Vol. 157, No. 1, pp. 89-95. 2000. https://doi.org/10.1176/ajp.157.1.89
  15. E. Biringer, A. Mykletun, A. A. Dahl, A. D. Smith, K. Engedal, H. A. Nygaard, A. Lund, The association between depression, anxiety, and cognitive function in the elderly general population-the Hordaland Health Study. International Journal of Geriatric Psychiatry, Vol. 20, No. 10, pp. 989-997. 2005. https://doi.org/10.1002/gps.1390
  16. J. Gallacher, A. Bayer, M. Fish, J. Pickering, F. Dunstan, S. Ebrahim, Y. Ben-Shlomo, Does anxiety affect risk of dementia? Findings from the Caerphilly prospective study. Psychosomatic Medicine, Vol. 71, No. 6, pp. 659-666. 2009. https://doi.org/10.1097/PSY.0b013e3181a6177c
  17. J. H. Hyun, H. K. Kim, The effect of leisure activities on anxiety and depression of the elderly. The Korean Journal of Sports Science, Vol. 20, No. 2, pp. 351-359. 2011.
  18. S. B. Kim, O. S. Shim, A study on impacting factors on the mental health of the elderly people in urban area. Korean Journal of Care Management, Vol. 9, pp. 95-114. 2013.
  19. T. H. Kim, J. H. Jhoo, J. H. Park, J. L. Kim, S. H. Ryu, S. W. Moon, I. H. Choo, D. W. Lee, J. C. Yoon, Y. J. Do, S. B. Lee, M. D. Kim, K. W. Kim, Korean version of mini mental status examination for dementia screening and its' short form, Psychiatry Investig, Vol. 7, No. 2, pp. 102-108. 2010. https://doi.org/10.4306/pi.2010.7.2.102
  20. V. I. Sheikh, V. A. Yesavage, Geriatric depression scale (GDS): Recent evidence and development of shorter version. In: Brink TL, editor. Clinical Gerontology; A guide to Assessment and Intervention. New York: Haworth Press, pp.165-174. 1986.
  21. S. Y. Lee, The effects of health behavior-related characteristics, self-esteem, activities of daily Living, and family support on depression in the community-dwelling elderly. J Korean Acad Community Health Nurs, Vol. 21, No. 4, pp. 489-501. 2010. https://doi.org/10.12799/jkachn.2010.21.4.489
  22. L. R. Derogatis, K. Rickels, A. F. Rock, The SCL-90-R and the MMPI: A step in the validation of a new self-report scale. British Journal of Psychiatry, Vol. 128, No. 3, pp. 280-289. 1976. https://doi.org/10.1192/bjp.128.3.280
  23. K. I. Kim, H. T. Won, J. H. Lee, K. Y. Kim, Standardization study of symptom check list-90 in Korea I: characteristics of normal responses. Journal of Korean Neuropsychiatric Association, Vol. 17, No. 4, pp. 449-458. 1978.
  24. H. K. Han, Y. R. Lee, A study on factors impacting on the mental health level of the elderly people living alone. Journal of the Korean Gerontological Society, Vol. 29, No. 3, pp. 805-822. 2009.
  25. Y. R. Cho, A survey on generalized anxiety disorder and its risk factors in community-dwelling older adults. Korean Journal of Psychology: General, Vol. 27, No. 3, pp. 711-736. 2008.
  26. G. M. Yi, H. J. Kim, Depression and anxiety in community-dwelling older persons of Korea. Journal of the Korea Gerontological Society, Vol. 20, No. 2, pp. 109-121. 2000.
  27. C. M. Teixeira, J. Vasconcelos-Raposo, H. M. Fernandes, R. J. Brustad, Physical activity, depression and anxiety among the elderly. Social Indicators Research, Vol. 113, No. 1, pp. 307-318. 2013. https://doi.org/10.1007/s11205-012-0094-9
  28. D. Sutoo, K. Akiyama, Regulation of brain function by exercise. Neurobiology of disease, Vol. 13, No. 1, pp. 1-14. 2003. https://doi.org/10.1016/S0969-9961(03)00030-5
  29. L. Mallon, J. E Broman, J. Hetta, Sleeping difficulties in relation to depression and anxiety in elderly adults. Nordic Journal of Psychiatry, Vol. 54, No. 5, pp. 355-360. 2000. https://doi.org/10.1080/080394800457192
  30. S. H. Jang, A. S. Na, S. Y. Lee, A study of anxiety and quality of life among the elderly in a small and medium-sized city. Journal of Korean Geriatric Psychiatry, Vol. 17, No. 2, pp. 74-78. 2013.
  31. P. J. Batterham, N. Glozier, H. Christensen, Sleep disturbance, personality and the onset of depression and anxiety: prospective cohort study. Aust N Z J Psychiatry, Vol. 46, No. 11, pp. 1089-1098. 2012. https://doi.org/10.1177/0004867412457997
  32. Korea Institute for Health and Social Affairs, 2011 Senior Survey. pp. 303-338. 2012.
  33. M. A. Rapp, M. Schnaider-Beeri, M. Wysocki, E. Guerrero-Berroa, H. T. Grossman, A. Heinz, V. Haroutunian, Cognitive decline in patients with dementia as a function of depression. Am J Geriatr Psychiatry, Vol. 19, No. 4, pp. 357-363. 2011. https://doi.org/10.1097/JGP.0b013e3181e898d0
  34. J. S. Saczynski, A. Beiser, S. Seshadri, S. Auerbach, P. A. Wolf, R. Au, Depressive symptoms and risk of dementia: The Framingham Heart Study, Neurology, Vol. 75, No. 1, pp. 35-41. 2010. https://doi.org/10.1212/WNL.0b013e3181e62138
  35. Y. S. Kwon, K. Shin. Paek, Factors associated with cognitive decline in the elderly in community. Journal of Digital Convergence, Vol. 12, No. 2, pp. 587-594. 2014. https://doi.org/10.14400/JDC.2014.12.2.587
  36. M. J. Cho, The de facto mental illness in Korea elderly. Journal of the Korean Neuropsychiatric Association, Vol. 41, No. 5, pp. 758-766. 2002.
  37. M. A. Lee, The effects of social quality on suicide ideation of Korean elderly. Journal of Digital Convergence, Vol. 13, No. 3, pp. 271-281. 2015. https://doi.org/10.14400/JDC.2015.13.3.271