Influence of Depression, Anxiety and Social Support on Suicidal Ideation in Elderly Patients with Parkinson's Disease

우울, 불안, 사회적지지가 노인 파킨슨병 환자의 자살생각에 미치는 영향

  • 박현주 (부산여자대학교 간호학과) ;
  • 손혜경 (고신대학교 간호대학)
  • Received : 2018.09.26
  • Accepted : 2018.11.12
  • Published : 2018.11.28


Purpose: This study is to identify how depression, anxiety and social support influence on suicidal ideation of Parkinson disease patients related to general characteristics. Methods: This descriptive correlative study was conducted through an organized and structured questionnaire and 120 sampled Parkinson disease patients. Collected data was analyzed by t-tests, ANOVA, and Preason's correlation coefficient and multiple regression analysis using SPSS 19.0. Results : Finding revealed 1) The degrees of suicidal ideation were significantly different upon the martial status(F=3.37, p=.021) among groups, drinking(F=4.97, p=.008) and smoking history(F=4.77, p=.010): 2) Pearson's correlation coefficient indicated significant association among the depression, anxiety, social support and suicidal ideation 3) Multiple regression analysis showed depression(${\beta}=.58$ t=7.77, p<.001), social support(${\beta}=-.21$, t=-2.69, p=.008) and alcohol drinking(${\beta}=.17$ t=2.61, p=.010). Depression was the major influencing factor and it has 54% of explanation power. Conclusion: Based on the findings of this study, health professionals should provide parkinson disease patients with comprehensive and appropriate management method to prevent suicide ideation upon factors: depression, anxiety and social support to prevent suicide ideation. Especially, implement of self-help group program to parkinson disease patients is very needed.


Parkinson Disease;Depression;Anxiety;Social support;Suicidal ideation

표 1. 일반적 특성

CCTHCV_2018_v18n11_516_t0001.png 이미지

표 2. 우울, 불안, 사회적지지, 자살생각 정도

CCTHCV_2018_v18n11_516_t0002.png 이미지

표 3. 일반적 특성에 따른 자살생각의 차이

CCTHCV_2018_v18n11_516_t0003.png 이미지

표 4. 우울, 불안, 사회적지지, 자살생각 간의 상관관계

CCTHCV_2018_v18n11_516_t0004.png 이미지

표 5. 우울, 불안, 사회적지지, 자살생각 간의 상관관계

CCTHCV_2018_v18n11_516_t0005.png 이미지


Supported by : 부산여자대학교


  1. L. P. Henry and B. S. Matthew, "Clinical manifestations of Parkinson's disease," In L. W. Ray and C. K. William, Movement Disorders (2nd ed.), USA : Hill Co, 2004.
  2. A. Alberto and A. S. Michael, "The epidemiology of Parkinson's disease : risk factors and prevention," The Lancet Neurology, Vol. 15, pp. 1257-1272, 2016.
  3. 이지은, 최정규, 임현선, 김종헌, 조정희, 김규식, 이필휴, 손영호, 이준홍, "국민건강보험공단 표본코호트 자료를 이용한 한국인 파킨슨 환자의 유병률 및 발생률," 대한신경과학회지, 제35권, 제4호, pp. 191-198, 2017.
  4. 고성복, "파킨슨병의 진단과 치료," 가정의학회지, 제24권, 제12호, pp. 191-198, 2017.
  5. M. S. Son and S. C. Seong, 2015 National Health Insurance statistical yearbook, Wonju : Health Insurance Review & Assessment Service, National Health Insurance Service; 2016.
  6. A. Kummer, F. Cardoso, and A. L. Teixeira, “Suicidal Ideation in Parkinson's Disease,” Eur Psychiatry, Vol. 14, No. 8, pp. 431-436, 2009.
  7. L. P. Henry and B. S. Matthew, "Clinical manifestations of Parkinson's disease," In L. W. Ray and C. K. William, Movement Disorders (2nd ed.), USA : Hill Co, pp. 233-245, 2004.
  8. 송경애, 최동원, 박혜자, "파킨슨병 환자의 인구학적, 임상적 특성에 따른 우울, 일상생활 수행능력 및 인지기능," 기본간호학회지, 제13권, 제2호, pp. 249-256, 2006.
  9. 최문기, 이주희, 추상희, 손영호, "파킨슨병 환자의 우울과 통증, 신체기능," 노인간호학회지, 제15권, 제3호, pp. 236-245, 2013.
  10. T. Yamanishi, H. Tachibana, M. Oguru, K. Matsui, K. Toda, B. Okuda, and N. Oka, “Anxiety and depression in patients with Parkinson’s disease,” Internal Medicine, Vol. 52, No. 5, pp. 539-545, 2013.
  11. 김수현, 최연희, "노인의 자살사고에 대한 스트레스의 영향정도," 성인간호학회지, 제20권, 제2호, pp. 200-208, 2008.
  12. V. S. Kostic, T. Pekmezovic, A. Tomic, M. Jecmenica-Lukic, and T. Stojkovic, "Suicide and suicidal ideation in Parkinson's disease," Journal of the Neurological Sciences, Vol. 289, pp. 40-43, 2010.
  13. 김유리, 민혜숙, "파킨슨병 환자의 자가간호수행에 영향을 미치는 요인," 재활간호학회지, 제13권 제2호, pp. 140-150, 2010.
  14. 배정이, 박현주, 김송순, 방지수, "만선신부전 환자의 우울 관련요인," 정신간호학회지, 제20권, 제3호, pp. 261-270, 2011.
  15. M. H. Jang and Y. H. Kim, "The relationship of stress, depression and suicidal ideation in the elderly," Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 14, pp. 33-42, 2005.
  16. P. R. Duberstein, Y. Conwell, K. R. Conner, S. Eberly, and E. D. Caine, "Suicide at 50 years of age and older : Perceived physical illness, family discord and financial strain," Psychological Medicine, Vol. 34, pp. 137-146, 2004.
  17. I. Berardelli, D. Belvisi, V. Corigliano, M. Costanzo, M. Innamorati, G. Fabbrini, A. Berardelli, and M. Pompili, "Suicidal Ideation, Perceived Disability, Hopelessness and Affective Temperaments in patients affected by Parkinson's disease," International Journal of Clinical Practice, Vol. 34, pp. 137-146, 2018.
  18. A. T. Beck, C. H. Ward, M. Mendelson, J. Mock, and J. Erbaugh, “An inventory for measuring depression,” Archives of General Psychiatry, Vol. 127, No. 4, pp. 561-571, 1961.
  19. J. A. Yesavage, T. L. Brink, O. Lum, V. Huang, M, Adey, and V. O. Leirer, "Development and validation of a geriatric depression screening scale : a preliminary report," J Psychiat Res, Vol. 17, pp. 37-49, 1983.
  20. 정인과, 곽동일, 조숙행, 이현수, "한국형 노인우울검사 표준화 검사 연구," 노인정신의학, 제1권, 제1호, pp. 61-72, 1997.
  21. C. D. Sherbourne and A. L. Stewart, “The MOS social support survey,” Social Science & Medicine, Vol. 32, No. 6, pp. 705-714, 1991.
  22. 김연진, 혈액투석 환자가 지각하는 불확실성과 안녕감, 건국대학교, 석사학위논문, 2009.
  23. A. T. Beck, M. Kovacs, and A. Weissman, “Assessment of suicidal intention : The Scale for Suicide Ideation,” Journal of Consulting and Clinical Psychology, Vol. 47, No. 2, pp. 343-352, 1979.
  24. G. B. Park, C. S. Kim, G. J. Oh, and M. S. Shin, “The Structural Relation among Depression, Hopelessness, and Suicidal Ideation,” The Korean Journal of Clinical Psychology, Vol. 9, No. 1, pp. 1-19, 1990.
  25. G. C. Goetz, W. Poewe, O. Rascol, C. Sampaio, G. T. Stebbins, C. Counsell, N. Giladi, R. G. Holloway, C. G. Moore, G. K. Wenning, M. D. Yahr, and L. Seidl, “Movement Disorder Society Task Force Report on the Hoehn and Yahr Staging Scale : Status and Recommendations. The Movement Disorder Society Task Force on Rating Scales for Parkinson's Disease,” Journal of International Parkinson and Movement Disorders, Vol. 19, No. 9, pp. 1020-1028, 2004.
  26. 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.
  27. Amercan psychiatric Association, Diagnostic and Statistical manual of mental disorder, DSM-5TM(5th.), Washington, DC : Amercan psychiatric Association, 2013.
  28. 이정화, "유방암 환자의 건강관련 삶의 질이 우울증상에 미치는 영향," 한국심리학회지, Vol. 16, No. 4, pp. 499-515, 2011.
  29. 배은숙, 염동문, "파킨슨병 환자의 우울, 불안 및 만성질환에 기대되는 낙인중재를 위한 전화사용 인지행동치료 효과," 성인간호학회지, 제27권, 제2호, pp. 223-232, 2015.
  30. 정현선, 김옥수, "노인 만성질환자의 불안, 우울, 건강행위에 관한 연구," Health & Nursing, 제25권, 제2호, pp. 35-46, 2013.
  31. 이선영, "시설노인의 불안, 우울, 수면장애 및 피로에 대한 향요법 손마사지의 적용 효과," 기초간호자연과학회지, 제13권, 제1호, pp. 29-35, 2011.
  32. 김정희, 김욱, 김숙향, 이경준 "노인의 사회적 지지가 노화불안에 미치는 영향과 자아존중감의 매개효과," 노인복지연구, 제64권, pp. 323-343, 2014.
  33. J. Plafer and J. Hindle, Parkinson's disease in the older patient (2nd ed.), Abingdon, England : Radcliffe Publishing Ltd. Abingdon, 2008.
  34. O. Labisi, “Suicide risk assessment in the depressed elderly patient with cancer,” Journal of Gerontological Social Work, Vol. 47, No. 2, pp. 17-25, 2006.
  35. L. Sher, "Alcohol dependence : Neurobiological and clinical aspects," The Scientific World Journal, Vol. 6, pp. 700-706, 2006.
  36. S. Martini, F. A. Wagner, and J. C. Anthony, "The association of tobacco smoking and depression in adolescence : Evidence from the United States," Journal of Substance Use & Misuse, Vol. 37, pp. 1853-1867, 2002.
  37. M. H. Jang and Y. H. Kim, "The relationship of stress, depression and suicidal ideation in the elderly," Journal of Korean Academy of Psychiatric and Mental Health Nursing, Vol. 14, pp. 33-42, 2005.