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Impact of COVID-19 on Individual Depression and Quality of Life: Focusing on Differences by Age Group

COVID-19가 개인의 우울과 삶의 질에 미치는 영향: 연령대별 차이 중심으로

  • Ha, Seong Kyu (Department of Occupational Therapy, Jungwon University) ;
  • Lee, Hey Sig (Department of Occupational Therapy, Graduate School, Yonsei University) ;
  • Park, Hae Yean (Department of Occupational Therapy, College of Software Digital Healthcare Convergence, Yonsei University)
  • 하성규 (중원대학교 작업치료학과) ;
  • 이혜식 (연세대학교 일반대학원 작업치료학과) ;
  • 박혜연 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
  • Received : 2021.05.25
  • Accepted : 2021.07.06
  • Published : 2021.08.31

Abstract

Objective : The worldwide Coronavirus disease 2019 (COVID-19) pandemic has increased the level of depression and decreased the quality of life. This has caused an adverse effect of deteriorating the quality of life. As such, this study attempted to determine the effects of COVID-19 on depression and quality of life. Methods : The content was analyzed by conducting an online survey for two months, from November 2020 to December 2020, targeting 270 adults in their 20s to 60s nationwide. Results : Among the subjects', those in their 50s showed the greatest change in depression (p<.05). In terms of quality of life, there were significant changes in all age groups (p<.001). Among the subject characteristics unmarried individuals showed greater depression after COVID-19 than those who were married (p<.012). In terms of quality of life, married individuals had a higher quality of life than those who were unmarried (p<.001). Conclusion : The results confirmed that COVID-19 increased depression and lowered the quality of life in adults. The impact of the current COVID-19 pandemic, on society is constantly changing. This research needs to be updated.

목적 : 전 세계적으로 대유행중인 Coronavirus disease 19(COVID-19)로 인해 장기적이고 강도 높은 사회적 거리두기와 외출 자제가 개인의 정신적 건강 측면에 부정적인 영향을 미치게 되었고, 이는 개인의 우울 수준을 높이고 삶의 질을 저하하는 악영향을 초래하게 되었다. 이에 본 연구는 COVID-19가 우울과 삶의 질에 미치는 영향을 파악하고자 하였다. 연구방법 : 전국 20대부터 60대의 성인 270명을 대상으로 2020년 11월부터 12월까지 약 2개월에 걸쳐 온라인 설문조사를 실시하여 내용을 분석하였다. 결과 : 우울감의 증가와 삶의 질 저하에서 모두 유의한 차이가 있었다(p<.001). 대상자의 연령 중 50대가 가장 우울감의 변화가 크게 나타났고(p<.05), 한국판 역학 연구센터 우울 척도점수는 30대가 37점으로 가장 높았고 20대, 50대, 40대, 60대 순이었다. 삶의 질에서는 전 연령대에서 유의한 변화가 나타났다(p<.001). 연구에 참여한 대상자의 특성 중 결혼상태에서 COVID-19 이후 미혼인 사람이 기혼인 사람보다 더 큰 우울감을 보였다(p<.012). 삶의 질에서는 미혼보다 기혼인 사람과(p<.001) 가족구성원이 없는 사람보다 4명인 사람의 삶의 질이 더 큰 것으로 나타났다(p<.031). 결론 : 연구를 통해 COVID-19 이후 성인의 우울감이 증가되었고 삶의 질이 떨어진 것을 확인하였으며 아직 대유행중인 COVID-19가 사회에 미치는 영향은 지속적으로 변화하고 있으므로 추후 우울감과 삶의 질의 변화에 대한 연구는 업데이트 될 필요가 있다.

Keywords

Acknowledgement

이 논문은 2020년도 정부(과학기술정보통신부)의 재원으로 한국연구재단의 지원을 받아 수행된 연구임(NRF-2020R1C1C1011374)

References

  1. 질병관리청. (2021). 코로나19 국내 발생 및 예방접종 현황. Retrieved from http://kdca.go.kr/board/board.es?mid=a20501010000&bid=0015&act=view&list_no=712581
  2. Ahmed, M. Z., Ahmed, O., Aibao, Z., Hanbin, S., Siyu, L., & Ahmad, A. (2020). Epidemic of COVID-19 in China and associated psychological problems. Asian Journal of Psychiatry, 51, 1-7. doi:10.1016/j.ajp.2020.102092
  3. Banerjee, D. (2020). The COVID-19 outbreak: Crucial role the psychiatrists can play. Asian Journal of Psychiatry, 50, 1-2. doi:10.1016/j.ajp.2020.102014
  4. Brooks, S. K., Webster, R. K., Smith, L. E., Woodland, L., Wessely, S., Greenberg, N., & Rubin, G. J. (2020). The psychological impact of quarantine and how to reduce it: Rapid review of the evidence. The Lancet, 395(10227), 912-920. doi:10.1016/s0140-6736(20)30460-8
  5. Cheng, C., Jun, H., & Baoyong, L. (2014). Psychological health diathesis assessment system: A nationwide survey of resilient trait scale for Chinese adults. Studies of Psychology and Behavior, 12(6), 735-742.
  6. Choi, D. Y., Oh, H. I., & Kim, J. H. (2020). Exclusive lockdown of the elderly, is this a morally justifiable policy to overcome COVID-19? Biology, Ethics and Policy, 4(2), 91-117.
  7. Choi, E. P. H., Hui, B. P. H., & Wan, E. Y. F. (2020). Depression and anxiety in Hong Kong during COVID-19. International Journal of Environmental Research and Public Health, 17(10), 1-11. doi:10.3390/ijerph17103740
  8. Chon, K. K., & Rhee, M. K. (1992). Preliminary Development of Korean Version of CES-D. The Korean Psychological Association, 11(1), 65-76.
  9. Desclaux, A., Badji, D., Ndione, A. G., & Sow, K. (2017). Accepted monitoring or endured quarantine? Ebola contacts' perceptions in Senegal. Social Science & Medicine, 178(4), 38-45. doi:10.1016/j.socscimed.2017.02.009
  10. Heitzman, J. (2020). Impact of COVID-19 pandemic on mental health. Psychiatria Polska, 54(2), 187-198. doi:10.12740/PP/120373
  11. Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: A web-based cross-sectional survey. Psychiatry Research, 228, 1-6. doi:10.1016/j.psychres.2020.112954
  12. Jiloha, R. C. (2020). COVID-19 and mental health. Epidemiology International, 5(1), 7-9. doi:10.24321/2455.7048.202002
  13. Kazmi, S. S. H., Hasan, K., Talib, S., & Saxena, S. (2020). COVID-19 and lockdown: A study on the impact on mental health. Mukt Shabd Journal, 9(4), 1477-1489. doi:10.2139/ssrn.3577515
  14. Kwon, D. H., Hwang, J., Cho, Y. W., Song, M. L., & Kim, K. T. (2020). The mental health and sleep quality of the medical staff at a hub-hospital against COVID-19 in South Korea. Journal of Sleep Medicine, 17(1), 93-97. doi:10.13078/jsm.200016
  15. Lee, N. Y., & Kang, J. H. (2020). A phenomenological study on the emotional change of the elderly aged 65 and older who experienced COVID-19 social situation. Journal of the Korea Entertainment Industry Association, 14(6), 171-179. doi:10.21184/jkeia.2020.8.14.6.171
  16. Lee, S. W., & Cho, I. K. (2020). Understanding university students in COVID-19 pandemic era and psychological support measures - Focused on H university cases. Korean Journal of Collegian Counseling & Research, 26(1), 1-24.
  17. Lim, E. J., Oh, H. W., Park, B. R., & Cho, S. H. (2021). The effects of firefighters sleep on mental health and quality of life in COVID-19. Journal of the Korea Entertainment Industry Association, 15(1), 161-169. doi:10.21184/jkeia.2021.1.15.1.161
  18. Lim, G. Y., Tam, W. W., Lu, Y., Ho, C. S., Zhang, M. W., & Ho, R. C. (2018). Prevalence of depression in the community from 30 countries between 1994 and 2014. Scientific Reports, 8(1), 1-10. doi:10.1038/s41598-018-21243-x
  19. Liu, K., Chen, Y., Lin, R., & Han, K. (2020). Clinical features of COVID-19 in elderly patients: A comparison with young and middle-aged patients. Journal of Infection, 80(6), 14-18. doi:10.1016/j.jinf.2020.03.005
  20. Min, S. K., Lee, C. I., Kim, K. I., Suh, S. Y., & Kim, D. K. (2000). Development of Korean Version of WHO Quality of Life Scale Abbreviated Version (WHOQOL-BREF). Journal Korean Neuropsychiatric Association, 39(3), 571-579.
  21. Moghanibashi-Mansourieh, A. (2020). Assessing the anxiety level of Iranian general population during COVID-19 outbreak. Asian Journal of Psychiatry, 51, 1-5. doi:10.1016/j.ajp.2020.102076
  22. Odriozola-Gonzalez, P., Planchuelo-Gomez, A., Irurtia, M. J., & de Luis-Garcia, R. (2020). Psychological symptoms of the outbreak of the COVID-19 confinement in Spain. Journal of Health Psychology, 1-11. doi:10.1177/1359105320967086
  23. Othman, N. (2020). Depression, anxiety, and stress in the time of COVID-19 pandemic in Kurdistan region, Iraq. Kurdistan Journal of Applied Research, 5(3), 37-44. doi:10.24017/covid.5
  24. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385-401. doi:10.1177/014662167700100306
  25. Sareen, J., Erickson, J., Medved, M. I., Asmundson, G. J., Enns, M. W., Stein, M., ... Logsetty, S. (2013). Risk factors for post injury mental health problems. Depression and Anxiety, 30(4), 321-327. doi:10.1002/da.22077
  26. Shahriarirad, R., Erfani, A., Ranjbar, K., Bazrafshan, A., & Mirahmadizadeh, A. (2021). The mental health impact of COVID-19 outbreak: A nationwide survey in Iran. International Journal of Mental Health Systems, 15(1), 1-13. doi:10.21203/rs.3.rs-23425/v3
  27. Shah, S. M. A., Mohammad, D., Qureshi, M. F. H., Abbas, M. Z., & Aleem, S. (2021). Prevalence, psychological responses and associated correlates of depression, anxiety and stress in a global population, during the coronavirus disease (COVID-19) pandemic. Community Mental Health Journal, 57(1), 101-110. doi:10.1007/s10597-020-00728-y
  28. Silva, P. A. B., Soares, S. M., Santos, J. F. G., & Silva, L. B. (2014). Cut-off point for WHOQOL-bref as a measure of quality of life of older adults. Revista de Saude Publica, 48(3), 390-397. doi:10.1590/s0034-8910.2014048004912
  29. Venkatesh, A., & Edirappuli, S. (2020). Social distancing in covid-19: What are the mental health implications? The British Medical Journal, 2020, 1. doi:10.1136/bmj.m1379
  30. Vilagut, G., Forero, C. G., Barbaglia, G., & Alonso, J. (2016). Screening for depression in the general population with the Center for Epidemiologic Studies Depression (CES-D): A systematic review with meta-analysis. PloS One, 11(5), 1-17. doi:10.1371/journal.pone.0155431
  31. Wang, Y., Di, Y., Ye, J., & Wei, W. (2021). Study on the public psychological states and its related factors during the outbreak of coronavirus disease 2019 (COVID-19) in some regions of China. Psychology, Health & Medicine, 26(1), 13-22. doi:10.1080/13548506.2020.1746817
  32. World Health Organization. (1998). Programme on mental health: WHOQOL user manual (No. WHO/HIS/HSI Rev. 2012. 03). Retrieved from https://apps.who.int/iris/bitstream/handle/10665/77932/WHO_HIS_HSI_Rev.2?sequence=1
  33. World Health Organization. (2020). Mental health and psychosocial considerations during the COVID-19 outbreak, 18 March 2020 (No. WHO/2019-nCoV/MentalHealth/2020.1). Retrieved from https://apps.who.int/iris/handle/10665/331490
  34. World Health Organization. (2021). WHO Coronavirus Disease (COVID-19) Dashboard. Retrived from https://covid19.who.int/
  35. Zhang, Y., & Ma, Z. F. (2020). Impact of the COVID-19 pandemic on mental health and quality of life among local residents in Liaoning Province, China: A cross-sectional study. International Journal of Environmental Research and Public Health, 17(7), 1-12. doi:10.3390/ijerph17072381
  36. Zhou, S. J., Zhang, L. G., Wang, L. L., Guo, Z. C., Wang, J. Q., Chen, J. C., ... Chen, J. X. (2020). Prevalence and socio-demographic correlates of psychological health problems in Chinese adolescents during the outbreak of COVID-19. European Child & Adolescent Psychiatry, 29(6), 749-758. doi:10.1007/s00787-020-01541-4
  37. Zhu, Z. B., Zhong, C. K., Zhang, K. X., Dong, C., Peng, H., Xu, T., ... Zhang, Y. H. (2020). Epidemic trend of corona virus disease 2019 (COVID -19) in mainland China. Zhonqhua Yu Fang Yi Xue Za Zhi, 54(6), 620-624. doi:10.3760/cma.j.cn112150-20200222-00163