노인에서 우울증과 위험요인 및 인지기능과의 관계 (Prevalence of Major Depressive Disorder : Association with Risk Factors and Mini-Mental State Examination)

서지정보

· 발행기관 : 대한생물치료정신의학회
· 수록지 정보 : 생물치료정신의학 / 21권 / 1호 / 27 ~ 35페이지
· 저자명 : 조충은, 정재훈, 장성만

초록

Objectives：As for the epidemiology of major depression in the Korean elderly, there have not yet been many researchesin Korea. The aims of this study are to investigate 1) correlation between demographic factors and depressionand 2) correlation between depression and cognitive function in the elderly.
Methods：Data were analyzed from a total of 263 participants aged over 65 by cross-sectional community-basedrandom sampling in a metropolitan area of South Korea. All participants took a Korean version of Composite InternationalDiagnostic Interview(K-CIDI) to identify whether they were depressed or not, and we gathered Demographic information. Mini Mental Status Examination in the Korean version of the CERAD assessment packet(MMSE-KC) andKorean dementia rating scale(K-DRS) were also employed to investigate their DSM-IV major depression.
Results：The estimated prevalence of Major depressive disorder was 9.5% with the K-CIDI interview. Female, illiteracy,living alone, and inoccupation were significantly associated with MDD in later life. The group diagnosed as MDDshowed significantly lower scores on K-DRS(initiation/perseveration). But there were no significant differences in MMSE-KC scores.
Conclusion：The prevalence rate of depressive disorder of the Korean elderly was similar to other developed countries. People without occupation and living alone are high risk group of elderly depression. Probability of depression isconsidered in the elderly with complaining somatic symptoms like fatigue and insomnia. Cognitive function like executivefunction was significantly low according to the K-DRS.

영어초록

Objectives：As for the epidemiology of major depression in the Korean elderly, there have not yet been many researchesin Korea. The aims of this study are to investigate 1) correlation between demographic factors and depressionand 2) correlation between depression and cognitive function in the elderly.
Methods：Data were analyzed from a total of 263 participants aged over 65 by cross-sectional community-basedrandom sampling in a metropolitan area of South Korea. All participants took a Korean version of Composite InternationalDiagnostic Interview(K-CIDI) to identify whether they were depressed or not, and we gathered Demographic information. Mini Mental Status Examination in the Korean version of the CERAD assessment packet(MMSE-KC) andKorean dementia rating scale(K-DRS) were also employed to investigate their DSM-IV major depression.
Results：The estimated prevalence of Major depressive disorder was 9.5% with the K-CIDI interview. Female, illiteracy,living alone, and inoccupation were significantly associated with MDD in later life. The group diagnosed as MDDshowed significantly lower scores on K-DRS(initiation/perseveration). But there were no significant differences in MMSE-KC scores.
Conclusion：The prevalence rate of depressive disorder of the Korean elderly was similar to other developed countries. People without occupation and living alone are high risk group of elderly depression. Probability of depression isconsidered in the elderly with complaining somatic symptoms like fatigue and insomnia. Cognitive function like executivefunction was significantly low according to the K-DRS.

참고자료

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