DOI QR코드

DOI QR Code

Impact of Depression, Comorbid Chronic Diseases, and ADL on Health-Related Quality of Life Among Community-Dwelling Elderly People in Korea

한국의 지역사회 거주노인들에게 있어서 우울증, 만성질환, 일상생활활동이 삶의 질에 미치는 영향

  • 김명화 (우송대학교 스포츠건강관리학과)
  • Received : 2014.04.14
  • Accepted : 2014.05.02
  • Published : 2014.05.28

Abstract

The purpose of study was evaluated associations among risk factors to have influence on HRQOL of community dwelling Elderly People. Total 314 community dwelling elderly persons(age:$75.80{\pm}5.64$[$mean{\pm}SD$]) who had no disease(n=81) and more than two chronic diseases (n=233) were interviewed based on the QOL questionnaires. During two months. The activities of daily living were evaluated using BI and FAI. Neuropsychological status was evaluated using GDS. Health related QOL was evaluated using the SF-36. The results emphasize the importance of preventing and controlling depression, chronic diseases, and low basic activities of daily living in order to reduce their impact on HRQOL among community dwelling elderly people.

Keywords

Depression;Comorbid Chronic Diseases;ADL;HRQOL;SF-36

References

  1. G. Guyatt, D. Feeny, and D. Patrick, "Issues in quality of life measurement in clinical trials," Control Clin Trials, 12(Suppl), pp.81S-90S, 1991. https://doi.org/10.1016/S0197-2456(05)80014-5
  2. J. Pyne, T. Patterson, R. Kaplan, J. Gillin, W. Koch, and I. Grant, "Assessment of the quality of life of patients with major depression," Psychiatric Services, Vol.48, pp.224-230, 1997. https://doi.org/10.1176/ps.48.2.224
  3. J. L. Sheikh and J. A. Yesavage, "Geriatric Depression Scale(GDS). Recent evidence and development of a shorter version," Clin Gerontol, Vol.5, pp.165-172, 1986. https://doi.org/10.1300/J018v05n01_09
  4. E. M. Paradela, R. A Lourenco, and Veras., "Validation of geriatric depression scale in a general outpatient clinic, "Rev Saude Publica, Vol.39, pp.918-923, 2005. https://doi.org/10.1590/S0034-89102005000600008
  5. C. W. Han, E. J. Lee, and M. Kohzuki, "Validity and Reliability of the Frenchay Activities Index for Community-Dwelling Elderly in South Korea," Tohoku J Exp Med. Vol.217, No.3, pp.163-168, 2009. https://doi.org/10.1620/tjem.217.163
  6. M. J. Calvert and N. Freemantle, "Use of health related quality of life in prescribing research, Part1: why evaluate health related quality of life?, " J Clin Pharm Ther, Vol.28, No.6, pp.513-521, 2003. https://doi.org/10.1046/j.0269-4727.2003.00521.x
  7. J. E. Brazier, R. Harper, N. M. Jones, Cathain AO, K. J. Thomas, T. U. Sherwood, and L. Westlake, "Validating the SF-36 health survey questionnaire: New outcome measure for primary care," BMJ, Vol.305, No.6846, pp.160-164,1992. https://doi.org/10.1136/bmj.305.6846.160
  8. K. Wells, J. M. Golding, and M. A. Burnam, "Psychiatric disorder and limitations in physical functioning in a sample of Los Angeles general population, "American J. of Psychiatry, Vol.145, pp.712-717, 1988. https://doi.org/10.1176/ajp.145.6.712
  9. The Ministry of Public Health and Welfare. "The 2nd comprehensive countermeasure report on suicide prevention," 2009-2013. National Suicide Prevention Committee, 2008.
  10. D. Blazer,"Depression in the elderly,"The New England J. of Medicine, Vol.320, pp.164-166, 1989. https://doi.org/10.1056/NEJM198901193200306
  11. J. M. Murphy, R. R. Monson, and D. C. Oliver, "Affective disorders and mortality,"Archives of General Psychiatry, Vol.44, pp. 473-480, 1987. https://doi.org/10.1001/archpsyc.1987.01800170095012
  12. K. Wells, J. M. Golding, and M. A. Burnam, "Psychiatric disorder and limitations in physical functioning in a sample of Los Angeles general population, "American J. of Psychiatry, Vol.145, pp.712-717, 1988. https://doi.org/10.1176/ajp.145.6.712
  13. A. T. Beekman, D. M. Kriegsman, D. J. Deeg, and W. Van Tilburg, "The association of physical health and depressive symptoms in the older population: age and sex differences, " Social Psychiatry and Psychiatric Epidemiology, Vol.30, pp.32-38, 1955.
  14. S. W. Geerlings, A. T. Beekman, D. J. Deeg, and W. Van Tilburg, "Physical health and the onset and persistence of depression in older adults: an eight wave prospective community-based research, " Psychological Medicine, Vol.30, pp.369-380, 2000. https://doi.org/10.1017/S0033291799001890
  15. J. Ormel, G. I. Kempen, B. W. Penninx, E. I. Brilman, A. T. Beekman, and E. Van Sonderen, "Chronic medical conditions and mental health in older people: disability and psychological resources mediate specific mental health effects," Psychological Medicine, Vol.27, pp.1065-1077, 1997. https://doi.org/10.1017/S0033291797005321
  16. W. J. Katon, "Clinical and health services relationships between major depression, depressive symptoms, and general medical illness," Biological Psychiatry, Vol.54, pp.216-226, 2003. https://doi.org/10.1016/S0006-3223(03)00273-7
  17. N. A. Singh, K. M. Clements, and M. A. Fiatarone, "A randomized controlled trial of progressive resistance training in depressed elders, "J Gerontol. A Biol Sci Med Sci, Vol.52, No.1, pp.27-35, 1997.
  18. J. W. Rowe and R. L. Kahn, "Human aging: usual and successful," Science, Vol.237, pp.143-149, 1987. https://doi.org/10.1126/science.3299702