60세 이상 노인 인구에서 우울증과 자살의 위험인자 (Risk Factors for Suicide and Depression in the Elderly Over Sixty Years of Age)

서지정보

· 발행기관 : 대한생물치료정신의학회
· 수록지 정보 : 생물치료정신의학 / 16권 / 1호 / 46 ~ 53페이지
· 저자명 : 김정은, 신동환, 윤성욱, 백준형, 전동욱, 문정준, 이봉주, 김영훈

초록

본 연구에서는 기존의 연구에서와 마찬가지로 낮은 교육수준과 인지기능의 저하를 나타내는 낮은 MMSEKC 점수, 혈관성 우울증을 시사하는 높은 하친스키 허혈 점수가 60세 이상 노인 우울증의 위험인자로 평가되었다. 또한 우울증이 있는 노인에서 그렇지 않은 노인에 비해 SSI 점수가 높았고, 이는 기존의 연구들과 일치하는 결과를 보였다. 우울증의 유병률은 기존 연구들－ 5 2 －에 비해 월등히 높은 것으로 나타났다. 그러나 혈청지질농도와 우울증 및 자살사고 사이에 유의한 연관성을 보이지 않았으며, 또한 혈청지질농도와 인지기능과의 연관성도 보이지 않았다.

영어초록

Objectives：In this study authors evaluated depressed mood and suicidal ideation among the elderly over 60 years old. We also investigated sociodemographic and clinical risk factors of depression and suicide.
Methods：Six hundred fifty elderlies participated in this study. One hundred seventy nine subjects agreed to laboratory test and more evaluation. Geriatric Depression Scale(GDS) and Scale for Suicidal Ideation(SSI) were used to evaluate depression and suicidal ideation. Participants whose GDS score was 17 or more were concluded to have depressed mood, whose SSI score was 9 or more were concluded to have suicidal ideation.
Results：The prevalence of depression and suicidal ideation in Korean elderly over 60 years old were 65.4%,13.9% respectively. Female sex, low education state, low MMSE-KC score, high Hachinski ischemic score and high SSI score were significantly related with depression. Suicidal ideation was related with hypertension history.
But MMSE-KC, GDS, SSI and serum lipid levels showed no significance in this study.
Conclusion：Compared with other studies, the prevalence of depression in Korean elderly over 60 years old was higher. The risk factors of depression were female sex, low education state, cognitive impairment and risk of brain vascular disease. And the risk factor of suicidal ideation was hypertension history. But cognitive impairment,depression and suicidal ideation were not significantly correlated with serum lipid levels. To confirm this result,well-designed and wide range studys will be needed.

참고자료

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