Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.21(1) > 1057932

Lim and Kim: Prevalence and Correlates of Depression in Older Koreans: Comparison of Young-old and Old-old

Abstract

Purpose

This study was conducted to investigate the prevalence and correlates of depression among community-dwelling older adults (young-old vs old-old) in Korea.

Methods

Data on 11,250 older adults aged 65 or above, from the 2008 National Elderly Survey, were analyzed.

Results

Prevalence rate for depression was greater in old-old people (47.2%) than young-old people (24.7%). The logistic regression analysis revealed that gender, education, socioeconomic status (SES), living place, spouse, regular exercise, perceived health status, number of chronic disease, activity of daily living (ADL), instrumental activity of daily living (IADL), and cognitive function were significantly associated with depression in the young-old. However, in old-old people, education, SES, living status, religion, regular exercise, perceived health status, number of chronic disease, pain, ADL, IADL, and cognitive function were associated with depression.

Conclusion

The findings indicate that there are age differences in prevalence and correlates of depression in older Koreans. Therefore, age differences should be considered in studying and developing interventions for depression in older adults.

Figures and Tables

Table 1
Characteristics of Subjects by Age Group
jkapmhn-21-1-i001

MW=midweight; UW=underweight; OW=overweight; MMSE-KC=mini-mental state examination in the Korean version of CERAD assessment packet.

Table 2
Factors related to the Depression by Age Group
jkapmhn-21-1-i002

MW=midweight; UW=underweight; Ow=overweight; MMSE-KC=mini-mental state examination in the Korean version of CERAD assessment packet.

Table 3
Logistic Analysis for Factors Affecting on the Depression by Age Group
jkapmhn-21-1-i003

OR=odds ratio; CI=confidence interval; MW=midweight; UW=underweight; Ow=overweight; MMSE-KC=mini-mental state examination in the Korean version of CERAD assessment packet.

Notes

This work was supported by the Sunmoon University research grant of 2011.

References

1. An JY, Tak YR. Depressive symptoms and related factors in old and oldest-old elderly people witharthritis. J Korean Acad Nurs. 2009. 39:72–83.
crossref
2. Choi NG, Kim JS. Age group differences in depressive symptoms among older adults with functional impairments. Health Soc Work. 2007. 32:177–188.
crossref
3. Choi YH. A comparative study on health promoting behavior, life satisfaction and self-esteem of the young and old old. J Korean Community Nurs. 2001. 12:428–436.
4. Choi YH. A study on depression, sleep and fatigue in younger and older elders. J Korean Acad Community Health Nurs. 2007. 18:223–231.
5. Jang MH, Won JS. Association of anger and anger expression, social support, self-esteem, and depression in elderly. J Korean Acad Psychiatr Ment Health Nurs. 2009. 18:259–268.
6. Jung YM, Kim JH. Comparison of cognitive levels, nutritional status, depression in the elderly according to living situations. J Korean Acad Nurs. 2004. 34:495–503.
crossref
7. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korean version. J Korean Neuropsychiatr Assoc. 1996. 35:298–307.
8. Kim MH. The effect of social networks on the health of the Korean elderly: Analysis of Korean longitudinal study of ageing, 2006-2008. 2010. Seoul: Seoul University;Unpublished master's thesis.
9. Lee DY, Lee KU, Lee JH, Kim KW, Ju JH, Yoon JC, et al. A normative study of the mini-mental state examination in the Korean elderly. J Korean Neuropsychiatr Assoc. 2002. 41:508–525.
10. Lee HS, Kim HS, Jung YM. Depression and quality of life in Korean elderly. J Korean Acad Community Health Nurs. 2009. 20:12–22.
11. Lee IJ. A study on the differences between the younger old and the older old: Comparison of the effects of stressful life events and social support on their health. J Korean Gerontol Soc. 1999. 19(3):35–50.
12. Lee PS, Lee YM, Lim JY, Hwang RI, Park EY. The relationship of stress, social support and depression in the elderly. J Korean Acad Nurs. 2004. 34:477–484.
crossref
13. Lee SH, Yang SO. The effects of chronic musculoskeletal pain and depression on health-related quality of life by gender in community-dwelling older adults. J Korean Acad Community Health Nurs. 2010. 21:21–30.
crossref
14. Lee YH, Shin MH, Kweon SS, Choi SW, Ryu SY, Rhee JA, et al. Prevalence and correlates of depression among the elderly in an urban community. J Agric Med Community Health. 2008. 33:303–315.
crossref
15. Luppa M, Sikorski C, Luck T, Weyerer S, Villringer A, Konig HH, et al. Prevalence and risk factors of depressive symptoms in latest life-results of the Leipzig longditudinal Study of aged (LEILA 75+). Int J Geriatr Psychiatry. 2012. 27:286–295.
crossref
16. McDougall FA, Matthews FE, Kvaal K, Dewey ME, Brayne C. Prevalence and symptomatology of depression in older people living in institutions in England and Wales. Age Ageing. 2007. 36:562–568.
crossref
17. Margrett J, Martin P, Woodard JL, Miller LS, MacDonald M, Baenziger J, et al. Depression among centenarians and the oldest old: Contribution of cognition and personality. Gerontology. 2010. 56:93–99.
crossref
18. Mills TL. Comorbid depressive symptomatology: Isolating the effects of chronic medical conditions on self-reported depressive symptoms among community-dwelling older adults. Soc Sci Med. 2001. 53:569–578.
crossref
19. Ministry for Health, Welfare and Family Affaires. Establish of new health plan 2010. 2006. Seoul: Author.
20. Negarten B, Moorn J, Low L. Age Norms, Age Constraints, and Adult Socialization. AJS. 1965. 70:710–717.
crossref
21. Park EA, Lee IS. Factors affecting the depression of the elderly women in poverty. J Agric Med Community Health. 2009. 34:256–266.
crossref
22. Statistics Korea. Population projections for Korea: 2010-2060 (based on the 2010 census). 2011. Daejeon: Author.
23. Stek ML, Gussekloo J, Beekman AT, Van Tilburg W, Westendrop RG. Prevalence, correlates and recognitionof depression in the oldest old: The Leidon 85-plus study. J Affect Disord. 2004. 78:193–200.
crossref
24. Stek ML, Vinkers DJ, Gussekloo J, Van Der Mast RC, Beekman AT, Westendorp RG. Natural history of depression in the oldest old: Population-based prospective study. Br J Psychiatry. 2006. 188:65–69.
25. United Nations. World population aging 2009. 2010. Retrieved May 11, 2011. from: http://www.un.org/esa/population/publication/WPA2009/WPA2009-report.pdf.
26. Won CW, Yang KY, Rho YG, Kim SY, Lee EJ, Yoon JL, et al. The development of Korean activities of daily living(K-ADL) and Korean instrumental activities of daily living(K-ADL) Scale. J Korean Geriatr Soc. 2002. 6:107–120.
27. Won JS, Kim JH. Influencing factors on cognitive function and depression in elderly. J Korean Acad Psychiatr Ment Health Nurs. 2003. 12:148–154.
28. Weyerer S, Eifflaender-Gorfer S, Köhler L, Jeesen F, Maier W, Fuchs A, et al. Prevalence and risk factors for depression in non-demented primary care attenders aged 75 years and older. J Affect Disord. 2008. 111:153–163.
crossref
29. Yu J, Li J, Cuijpers P, Wu S, Wu Z. Prevalence and correlate of depressive symptoms in chinese older adults: A population-based study. Int J Geriatr Psychiatry. 2012. 27:305–312.
crossref
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