• Journal of Dental Rehabilitation and Applied Science
• /
• v.36 no.1
• /
• pp.12-20
• /
• 2020

Purpose: This study was designed to analyze the relationship between the presence and severity of depression and chewing problems (CPs) in a representative sample of the general population. Materials and Methods: Health surveys and examinations were conducted on a nationally representative sample (n = 8150) of Korean was conducted. CPs was determined by a simple survey response concerning "Do you feel uncomfortable about chewing your food because of problems with your mouth such as teeth, dentures and gums?" Depression was defined as individuals with a total score ≥ 10 on the Patient Health Questionnaire (PHQ)-9 survey. Data regarding demographics, socioeconomic history and comorbid health conditions were used to analyze adjusted logistic regression models. Results: In the Korean population, the prevalence of depression was significantly greater in individuals with CP (17.2%) than in those without CP (10.2%). On multivariate logistic regression analysis, the presence of depression was significantly associated with CPs (adjusted odd ratio [aOR]: 1.90, P < 0.001). The risk of CPs increased with increasing severity of depression as follows: severe depression (OR: 2.62, P < 0.001), moderately severe depression (OR: 2.19, P < 0.001). Conclusion: The presence of depression was significantly associated with CPs, especially in severely depressed individuals. Depression screening should be considered in treating CP patients.

• Journal of the Korea Convergence Society
• /
• v.12 no.10
• /
• pp.121-128
• /
• 2021

To investigate the relationship between mental health and oral health problems in the elderly, this study was conducted using raw data from the 7th 3rd(2018) National Health and Nutrition Examination Survey, targeting 753 elderly people aged 65 and over. For data analysis, complex sample analysis was performed using IBM SPSS 22.0 program. In the case of chewing problem, the odds ratio increased in the group with high stress perception and depression(p<0.05). In the case of speaking problem, the odds ratio increased in the group that received mental health counseling(p<0.05). As a result of this study, it was found that there is a relationship between mental health and oral health problems in the elderly. Therefore, it is thought that it is necessary to improve the quality of life through the development of programs to improve the mental health of the elderly and oral health problems.

• 한국노년학
• /
• v.37 no.4
• /
• pp.909-924
• /
• 2017

The purpose of this study was to identify the impact of chewing ability on cognitive function of older people in Korea and the mediation effect of physical function and depression using the nationwide data from "Survey of the Living Conditions and Welfare Needs of Korean Older Persons in 2014", in Korea. This study was conducted on a total of 10,451 respondents in the "Survey of the Living Conditions and Welfare Needs of Korean Older Persons in 2014" and the data collection period was from June 11, to September 4, 2014. Chewing ability was used in the scale on level of daily life inconvenience in chewing ability (meat or hardness). Cognitive function was measured using MMSE-DS, physical function using K-IADL, and depression using SGDS-K. The data were analyzed using the SPSS 24.0 program and Process Macro. Total effects of chewing ability on cognitive function were not significant(p>.05). Direct effects of chewing ability on cognitive function were not significant(p>.05). There were the dual mediation effect(p<.05) of physical function and depression, a complete mediating effect by physical function(p<.05) or depression(p<.05) in the impact of chewing ability on cognitive function of older people in Korea. These results indicate that physical function and depression effect directly and indirectly in the impact of chewing ability on cognitive function of older people. In conclusion, it is suggested that to prevent the decline of cognitive function in older people, it is necessary to consider not only nursing strategies for strengthening chewing ability and physical function, but also nursing interventions for relieving or preventing depression in older people.