DOI QR코드

DOI QR Code

Factors Influencing Depression in Stressed Adults by Age

스트레스 인지 성인의 나이에 따른 우울 영향 요인

  • Kwon, Myoungjin (Department of Nursing, Daejeon University) ;
  • Kim, Sun Ae (Department of Nursing, Korea National University of Transportation)
  • 권명진 (대전대학교 간호학과) ;
  • 김선애 (한국교통대학교 간호학과)
  • Received : 2022.02.04
  • Accepted : 2022.04.20
  • Published : 2022.04.28

Abstract

This study aimed to identify the factors that influence depression in stressed adults by age. Data were extracted from the 7th Korea National Health and Nutrition Examination Survey, covering 3,333 adults aged 20 to 59 years who were highly aware of stress. Linear regression analysis was performed using the IBM SPSS 25.0 program. The study found that in the case of people in their 20s, education level, health-related quality of life, obesity, weight change, smoking, and subjective body type were significant influencing factors, with an explanatory power of 60.3%. In the case of people in their 30s, gender, household income level, living with spouse, economic activity, health-related quality of life, food intake, obesity, alcohol consumption, smoking, and subjective health were significant influencing factors, with an explanatory power of 30.3%. For people in their 40s, household income level, living with spouse, economic activity, health-related quality of life, smoking, aerobic exercise, and subjective health were significant influencing factors, with an explanatory power of 34.4%. For people in their 50s, gender, education level, income, economic activity, health-related quality of life, protein intake, fat intake, high blood pressure, diabetes, weight control, aerobic exercise, subjective health, and subjective body type were significant influencing factors, with an explanatory power of 42.3%. Therefore, as it was found through this study that the factors affecting depression in stressed adults differ by age, it is necessary to establish an intervention strategy for each age when trying to lower depression in stressed adults.

본 연구는 국민건강영양조사 제 7기 자료를 활용하여 스트레스를 받는 20-50대 성인 3,333명을 대상으로 우울에 미치는 영향 요인을 알아보기 위해 실시되었다. 자료는 IBM SPSS 25.0 프로그램을 이용하여 회귀 분석을 실시하여 분석하였다. 20대의 경우 학력, 건강 관련 삶의 질, 비만, 체중변화, 흡연, 주관적 체형이 유의한 영향요인으로 나타났으며, 설명력은 60.3%였다. 30대의 경우 성별, 가구소득 수준, 배우자와 동거, 경제활동, 건강 관련 삶의 질, 음식섭취량, 비만, 음주, 흡연, 주관적 건강이 유의한 영향요인으로 나타났으며 설명력은 30.3%이었다. 40대는 가구소득 수준, 배우자 동거, 경제활동여부, 건강 관련 삶의 질, 흡연, 유산소 운동, 주관적 건강이 유의한 영향요인이었으며 설명력이 34.4%이었다. 50대에서는 성별, 학력, 소득, 경제활동, 건강 관련 삶의 질, 단백질 섭취, 지방 섭취, 고혈압, 당뇨병, 체중조절, 유산소운동, 주관적 건강, 주관적 체형이 유의한 것으로 나타났고 설명력은 42.3%이었다. 따라서, 본 연구를 통하여 스트레스를 받는 성인의 우울에 영향을 미치는 요인이 연령별로 차이가 있음이 밝혀졌으므로 스트레스를 받는 성인의 우울을 낮추고자 할때 연령별 중재전략 수립이 필요하다.

Keywords

References

  1. W. Y. A. Wahed & S. K. Hassan. (2017). Prevalence and associated factors of stress, anxiety and depression among medical Fayoum University students. Alexandria Journal of Medicine, 53(1), 77-84. https://doi.org/10.1016/j.ajme.2016.01.005
  2. World Health Organization. (2018). Mental health action plan 2013 - 2020. Geneva: WHO;2013.
  3. World Health Organization (2017). Depression and other common mental disorders: global health estimates. Geneva: WHO ;2017.
  4. World Health Organization. (2022). Depression. Online. April 07,2017[Visited on January 15th, 2022]; Available from: URL: https://www.who.int/mental_health/management/depression/en/
  5. M. Cakici, O. Gokce, A. Babayigit, E. Cakici, A. Es. (2017). Depression: point-prevalence and risk factors in a North Cyprus household adult cross-sectional study. BMC Psychiatry, 17(1), 1-11. DOI : 10.1186/s12888-017-1548-z
  6. E. A. Klonoff & H. Landrine. (2001). Depressive symptoms and smoking among US black adults: absence of a relationship. Journal of health psychology, 6(6), 645-649. DOI: 10.1177/135910530100600603
  7. X. Y. Yan, S. M. Huang, C. Q. Huang, W. H. Wu & Y. Qin.(2011). Marital status and risk for late life depression: a meta-analysis of the published literature. Journal of International Medical Research, 39(4), 1142-1154. https://doi.org/10.1177/147323001103900402
  8. J. S. lee, E. H. Choi & H. S. Jung. (2018). The Effect of Violence Experience on Depression in General Hospital Female Nurses. The Journal of the Korea Contents Association, 18(2), 103-112. DOI : 10.5392/JKCA.2018.18.02.103
  9. B. K. Kong, J. H. Shin & D. W. Lee. (2021). Factors Associated with Depression in Korean Young Adults: Analysis Based on the 2018 Korea National Health and Nutrition Examination Survey. Korean Journal of Family Practice, 11(4), 296-303. DOI : 10.21215/kjfp.2021.11.4.296
  10. M. J. Kwon, Y. S. Song & S. A. Kim. (2021). Influencing Factors of Depression in Adults according to the Cause of Stress. Journal of The Korea Convergence Society, 12(2), 453-465. DOI : 10.15207/JKCS.2021.12.12.453
  11. Z. Luo et al. (2019). Gender-specific prevalence and associated factors of major depressive disorder and generalized anxiety disorder in a Chinese rural population : the Henan rural cohort study. BMC Public Health, 19, 1744. DOI : 10.1186/s12889-019-8086-1
  12. J. I. Kim. (2018). Factors influencing depression in eco boomer. Journal of Digital Convergence, 16(11), 341-352. DOI : 10.14400/JDC.2018.16.11.341
  13. Y. R. Han, M. S. Song, J. Y. Lim. (2010). The effects of a cognitive enhancement group training program for community dwelling elders. Journal of Korean Academy of Nursing, 40(5),724-735. DOI : 10.4040/jkan.2010.40.5.724
  14. S. H. An. (2019). The effects of exercise programe on cognitive function, depression, and life satisfaction in elderly. Journal of Digital Convergence, 17(7), 401-408. DOI : 10.14400/JDC.2019.17.7.4.1
  15. S. H. Cheon. (2007). A study on eating behavior, depression, anger, anger expression and BAS/BIS in adolescent woman. Korean Journal of Women Health Nursing, 13(4), 310-319. https://doi.org/10.4069/kjwhn.2007.13.4.310
  16. S. M. Son, J. K. Park, H. S. Lee. (2003): Depression and dietary factors related to hyperlipidemia in urban living elderly female from low income group. Korean J Community Nutr 8(6): 938-950.
  17. J. E. Chu et al. (2014). Relatiojnships between depressed mood and life style patterns in Koreans aged 40 years. Journal of the Korean Society of Food Science and Nutrition, 43(5), 772-783. DOI : 10.3746/jkfn.2014.43.5.772
  18. A. R. Sohn. (2010). The effects of stress and depression on problem drinking. Health and social science, 27(1), 61-79.
  19. B. K. Kong, J. H. Shin, D. W. Lee. (2021). Factors Associated with Depression in Korean Young Adults: Analysis Based on the 2018 Korea National Health and Nutrition Examination Survey. Korean Journal of Family Practice, 11(4), 296-303. DOI : 10.21215/kjfp.2021.11.4.296
  20. D. Vink, M. J. Aartsen & R. A. Schoevers. (2008). Risk factors for anxiety and depression in the older: a review. Journal of affective disorders, 106(1-2), 29-44. DOI : 10.1016/j.jad.2007.06.005
  21. J. K. Djernes. (2006). Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatrica Scandinavica, 113(5), 372-387. DOI : 10.1111/j.1600-0447.2006.00770.x
  22. J. Y. Kim, Y. S. Choi. (2015). The Effects of Social Support on Depression of Older People in Local Small Cities. The Journal of the Korea Contents Association, 15(4), 208-219. DOI : 10.5392/JKCA.2015.15.04.208
  23. T. L. Kuther & K. Burnell. (2019). A Life Span Developmental Perspective on Psychosocial Development in Midlife. Adultspan Journal, 18(1), 27-39. DOI:10.1002/adsp.12067
  24. S. J. Gyeong, C. R. Park & H. Y. Shin. (2021). The Role of Relational Support and Strain on Depression and Resilience: Examining Different Relationship Sources and Age Groups. The Korean Journal of Developmental Psychology, 34(3), 87-114. DOI : 10.35574/KJDP.2021.9.34.3.87
  25. R. S. Stawski et al. (2019). Age differences in everyday stressor-related negative affect: A coordinated analysis. Psychology and Aging, 34(1), 91-105. DOI : 10.1037/pag0000309
  26. C. L. Rock. (2007). Multivitamin-multimineral supplements: who uses them? The American journal of clinical nutrition, 85(1), 277S-279S. DOI : 10.1093/ajcn/85.1.277S
  27. J. E. Lansford. (2018). A Lifespan perspective on subjective well-being. Handbook of well-being. Salt Lake City, UT: DEF Publishers.
  28. J. F. Helliwell & S. Wang. (2014). Life Satisfaction in Korea: Trends, Distributions, and Explanations. Measuring and Explaining Subjective Well-being in Korea, 51. Sejong-si: Korea Development Institute.
  29. S. K. Kahng, T. Y. Kwon. (2008). An Exploratory Study on the Effects of Socioeconomic Status on Depressive Symptoms Across Lifespan. Mental Health & Social Work, 30(12), 332-355.
  30. S. Koo & K. Park. (2013). Dietary Behaviors and Lifestyle Characteristics Related to Frequent Eating Out Among Korean Adults. Journal of the Korean Society of Food Science and Nutrition, 42(5), 705-712. DOI : 10.3746/jkfn.2013.42.5.705
  31. J. E. Chu, H. J. Lee, C. H. Yoon, H. I. Cho, J. Y. Hwang & Y. J. Par. (2014). Relationships between depressed mood and life style patterns in Koreans aged 40 years. Journal of the Korean Society of Food Science and Nutrition, 43(5), 772-783. DOI : 10.3746/jkfn.2014.43.5.772
  32. A. R. Sohn. (2010). The effects of stress and depression on problem drinking. Health and social science, 27(1), 61-79.
  33. H. Lim & Y. Wang. (2013). Body weight misperception patterns and their association with health-related factors among adolescents in South Korea. Obesity, 21(12), 2596-2603. DOI : 10.1002/oby.20361
  34. F. S. Luppino et al. (2010). Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Archives of general psychiatry, 67(3), 220-229. https://doi.org/10.1001/archgenpsychiatry.2010.2
  35. A. M. Pimenta, A. Sanchez-Villegas, M. Bes-Rastrollo, C. N. Lopez, M. A. Martinez-Gonzalez. (2009). Relationship between body image disturbance and incidence of depression: the SUN prospective cohort. BMC Public Health, 9(1), 1-9. DOI : 10.1186/1471-2458-9-1
  36. J. H. Seo, H. S. Ma, S. H. Kim, J. Y. Kim, M. S. Shin & Y. J. Yang. (2016). Effects of the difference between actual body condition and body image perception on nutrient intake, weight control and mental health in Korean adults - Based on the 5th Korea National Health and Nutrition Examination Survey. 2016. Journal of Nutrition and Health 49(3), 153-164. DOI : 10.4163/jnh.2016.49.3.153
  37. E. O. Yang. (2009). Relationship between Obesity and Body Image on Depression among women. Unpublished master's thesis. Ajou University.
  38. S. G. Lee, S. Y. Jeon & Y. J. Lee. (2008). Factors related with low body weight in older adults at a urban-rural composite area. J Korean Gerontol Soc, 28(1), 105-121.
  39. R. Chen, L. Wei, Z. Hu, X. Qin, J. R. Copeland, H. Hemingway. (2005). Depression in older people in rural China. Archives of internal medicine, 165(17), 2019-2025. https://doi.org/10.1001/archinte.165.17.2019