Prevalence of Depressive Disorder among the Elderly Attending Community Health Center in a Small City

Chul-Woo Park; Jeong-Seok Seo; Hyeon Woo Yim; Sun-Jin Jo; Hyunsuk Jeong; Beom-Woo Nam

doi:10.4306/jknpa.2013.52.6.442

Journal List > J Korean Neuropsychiatr Assoc > v.52(6) > 1017660

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Park, Seo, Yim, Jo, Jeong, and Nam: Prevalence of Depressive Disorder among the Elderly Attending Community Health Center in a Small City

Original Article

Journal of Korean Neuropsychiatric Association 2013; 52(6): 442-446.

Published online: 30 November 2013

DOI: https://doi.org/10.4306/jknpa.2013.52.6.442

Prevalence of Depressive Disorder among the Elderly Attending Community Health Center in a Small City

Chul-Woo Park, MD¹, Jeong-Seok Seo, MD, PhD¹, Hyeon Woo Yim, MD, PhD^2,³, Sun-Jin Jo, PhD^2,³, Hyunsuk Jeong, PhD^2,³, Beom-Woo Nam, MD, PhD¹

¹Department of Psychiatry, School of Medicine, Konkuk University, Chungju Hospital, Chungju, Korea.

²Department of Preventive Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.

³Clinical Research Center for Depression, Seoul, Korea.

Address for correspondence: Beom-Woo Nam, MD, PhD. Department of Psychiatry, School of Medicine, Konkuk University, Chungju Hospital, 82 Gugwon-daero, Chungju 380-704, Korea. Tel +82-43-840-8470, Fax +82-43-843-6655, psychiatry@kku.ac.kr

Received 5 January 2013 Revised 12 July 2013 Accepted 25 September 2013

Abstract

Objectives

This study was conducted in order to collect data regarding depressive disorder of elderly people at a community health center.

Methods

A total of 109 elderly people participated in this study. Trained examiners evaluated the general characteristics and symptoms of the subjects. Then the doctors conducted interviews with the elderly subjects in person and diagnosed depressive disorder according to the standard of Diagnostic and Statistical Manual of Mental Disorders-IV-TR.

Results

The prevalence of depressive disorder was 19.3%, major depressive disorder 10.1%, dysthymic disorder 1.8%, and others 7.3%. According to results of logistic regression analysis, in terms of demographic variables, the odds ratio of elementary school dropout compared with elementary school graduates was 3.60, after adjusting for age and sex. Thus, we found that elementary school dropout was associated with an increased risk of prevalence of depression.

Conclusion

This is the first study of prevalence of depressive disorder in a primary health care center in Korea. Results of this study confirm that the prevalence of depressive disorder is two times higher among adults in the Chungju community. In addition, the level of education was also highly related. Examiners detected a possible relationship between sex and residence. The results will be helpful in conduct of future studies at the health care center.

Keywords: Prevalence, Depressive disorder, Community health center

Figures and Tables

Table 1

General characteristics of 109 subjects

Table 2

Prevalence of depressive disorder

Others : depressive disorder NOS, substance induced mood disorder with depressive features, mood disorder due to GMC with depressive features

Table 3

Comparisons of demographic and clinical characteristics

^* : Adjusted by age, sex

References

1. kostat.go.kr [homepage on the Internet]. Seoul: Statistics Korea;2011-2012. Available from: kostat.go.kr.

2. Kim JM, Shin IS, Jeong SJ, Gormley N, Yoon JS. Predictors of institutionalization in patients with dementia in Korea. Int J Geriatr Psychiatry. 2002; 17:101–106.

3. Harwood D, Hawton K, Hope T, Jacoby R. Psychiatric disorder and personality factors associated with suicide in older people: a descriptive and case-control study. Int J Geriatr Psychiatry. 2001; 16:155–165.

4. Butler R, Lewis M, Sunderland T. Aging and mental health: positive psychosocial and biomedical approaches. 5th ed. Boston: Allyn and Bacon;1998.

5. Yim HW, Jeong H, Jung YE, Wang HR, Kim SY. Management of depression and suicide. J Korean Med Assoc. 2011; 54:275–283.

6. Cho MJ, Hahm BJ, Jhoo JH, Bae JN, Kwon JS. Prevalence of cognitive impairment and depressive symptoms among the elderly in an urban community. J Korean Neuropsychiatr Assoc. 1998; 37:352–362.

7. Cho MJ, Hahm BJ, Rhi BY, Kim SY, Shin YM, Lee CI. Prevalence of cognitive impairment and depressive symptomatology of the elderly in a long-term institution. J Korean Neuropsychiatr Assoc. 1998; 37:913–920.

8. Suh GH, Kim JK, Yeon BK, Park SK, Yoo KY, Yang BK, et al. Prevalence and risk factors of dementia and depression in the elderly. J Korean Neuropsychiatr Assoc. 2000; 39:809–824.

9. Cho MJ, Hong JP. Hanguk noinui chongsin kongang siltaewa kongang chungjin. Seoul: Chimmundang;2000. p. 19.

10. Bae JN. Dementia, depressive disorders, and substance use disorders among the urban elderly in Korea [dissertation]. Seoul: Seoul National University;2001.

11. Kim JS. Policy measures for improving function and structure of health centers. Korean J Rural Med. 1994; 19:159–173.

12. Park KD. Primary care physician in Korea. J Korean Acad Fam Med. 2002; 23:677–687.

13. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, fourth edition, text revision. Washington, DC: American Psychiatric Association press;2000.

14. Cho MJ, Kim JK, Jeon HJ, Suh T, Chung IW, Hong JP, et al. Lifetime and 12-month prevalence of DSM-IV psychiatric disorders among Korean adults. J Nerv Ment Dis. 2007; 195:203–210.

15. Cho MJ, Lee JY. Epidemiology of depressive disorder. J Korean Med Assoc. 2003; 46:772–781.

16. Shin JH, Do YK, Maselko J, Brouwer RJ, Song SW, Østbye T. Predictors of and health services utilization related to depressive symptoms among elderly Koreans. Soc Sci Med. 2012; 75:179–185.

17. Park JH, Lee JJ, Lee SB, Huh Y, Choi EA, Youn JC, et al. Prevalence of major depressive disorder and minor depressive disorder in an elderly Korean population: results from the Korean Longitudinal Study on Health and Aging (KLoSHA). J Affect Disord. 2010; 125:234–240.

18. Cho SJ, Jeon HJ, Kim MJ, Kim JK, Kim US, Lyoo IK, et al. Prevalence and correlates of depressive symptoms among the adolescents in an urban area in Korea. J Korean Neuropsychiatr Assoc. 2001; 40:627–639.

19. Roh MS, Jeon HJ, Lee HW, Lee HJ, Han SK, Hahm BJ. Depressive disorders among the college students: prevalence, risk factors, suicidal behaviors and dysfunctions. J Korean Neuropsychiatr Assoc. 2006; 45:432–437.

20. Cho MJ, Nam JJ, Suh GH. Prevalence of symptoms of depression in a nationwide sample of Korean adults. Psychiatry Res. 1998; 81:341–352.

21. Kaplan GA, Roberts RE, Camacho TC, Coyne JC. Psychosocial predictors of depression. Prospective evidence from the human population laboratory studies. Am J Epidemiol. 1987; 125:206–220.

22. Eaton WW, Kessler LG. Rates of symptoms of depression in a national sample. Am J Epidemiol. 1981; 114:528–538.

23. Comstock GW, Helsing KJ. Symptoms of depression in two communities. Psychol Med. 1976; 6:551–563.

24. Kim DB, Lee HJ, Jeon HJ, Chae SJ, Cho MJ. Comparison of instrumental activities of daily living and cognitive functions among the elderly attending senior community centers according to the presence of depressive symptoms. J Korean Neuropsychiatr Assoc. 2008; 47:183–189.

25. Rhee JA, Jung HG. A study on the depression and cognitive impairment in the rural elderly. Korean J Prev Med. 1993; 26:412–429.

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