Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Geriatric Depression and Suicidality According to Residence Type among the Elderly in a Rural City Area

거주형태에 따른 노인 우울증과 자살경향성 비교 연구

  • Wang, Hee-Ryung (Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Choi, Yong-Sung (Department of Psychiatry, St. Andrew's Neuropsychiatric Hospital) ;
  • Cho, Myeong-Je (Icheon Community Mental Health Center) ;
  • Choi, Yun-Mi (Icheon Community Mental Health Center) ;
  • Shin, Hee-Sook (Icheon Community Mental Health Center) ;
  • Je, Su-Kyung (Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Choi, Jae-Won (Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center) ;
  • Hong, Jin-Pyo (Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center)
  • 왕희령 (울산대학교 의과대학 서울아산병원 정신과학교실) ;
  • 최용성 (성안드레아 신경정신병원) ;
  • 조명제 (이천시 정신보건센터) ;
  • 최윤미 (이천시 정신보건센터) ;
  • 신희숙 (이천시 정신보건센터) ;
  • 제수경 (울산대학교 의과대학 서울아산병원 정신과학교실) ;
  • 최재원 (울산대학교 의과대학 서울아산병원 정신과학교실) ;
  • 홍진표 (울산대학교 의과대학 서울아산병원 정신과학교실)
  • Received : 2010.03.20
  • Accepted : 2010.04.05
  • Published : 2010.04.30
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Abstract

Objective : This study aimed to investigate and compare the prevalence of depression and suicidality among the elderly in a rural city according to their residence type. Methods : Participants were 311 elderly people (109 male and 202 female) in Icheon City, whom trained researchers interviewed and examined Geriatric Depression Scale, Social Support Scale, Instrumental Activities of Daily Living, Activities of Daily Living, Quality of Life Scale, and Mini International Neuropsychiatric Interview (MINI), module C. Using these data, we analyzed participants' risk factors associated with depression and suicidality. Results : The prevalence of depression was 28.0%. The prevalence in the elderly living alone and those admitted to residential facilities was significantly higher than that among the elderly living with family. Suicidality frequency was 19.6%. The suicidality frequency among the elderly living alone and those admitted to facilities was significantly higher than that among the elderly living with family. The risk factors for depression were age, admission to a facility, and low economic status. The suicidality risk factors were living alone, admission to a facility, poor social support, and a history of headache. Conclusion : These results showed the prevalence of depression and frequency of suicidality among the elderly in such a city was quite high. The results of this study remind psychiatrists of the importance of early detection and therapeutic intervention for the elderly with a high risk of depression and suicidality.

본 연구는 이천시에 거주하는 65세 이상의 인구를 대상으로, 우울증의 유병률과 자살경향성, 우울증과 자살경향성에 영향을 미치는 위험요인을 살펴본 연구이다. 전체적으로 우울증의 유병률은 28% 정도로 파악되어 실제로 65세 이상의 연령대에서 상당수의 노인들이 임상적으로 의미 있는 우울증을 경험하고 있는 것으로 관찰되었다. 또한 자살경향성은 전체 조사대상자의 약 20%에서 자살생각, 자살의도, 자살계획, 자해의도, 자살시도 중 한 가지 이상을 지난 한 달 동안 경험했던 것으로 나타났다. 거주 형태별로 구분하여 비교 분석한 결과, 혼자 생활하거나 시설에서 생활하는 노인들에서 동거가족이 있는 노인들보다 우울증의 유병률이 높고, 증상도 심한 것으로 나타났으며, 이들에게서 자살경향성 역시 높은 것으로 파악되어 이들 고위험군에 대한 보다 집중적인 우울증의 조기 발견 및 자살예방사업이 필요할 것으로 판단되었다. 위험요인 분석에서는 고령, 시설거주, 낮은 사회적 지지 수준은 우울증의 위험요인으로, 독거생활, 시설거주, 낮은 사회적 지지 수준, 두통의 기왕력은 자살경향성의 위험요인인 것으로 파악되었다.

Keywords

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