pISSN 1226-6329 / eISSN 2733-4600
대한노인정신의학회 (21권2호 47-54)
The Associations between Social Relations, Activities of Daily Living, Cognitive Functions and Depressive Symptoms among the Korean Elderly : 2014 Korean National Survey on Older Adults
한국 노인에서 사회적 관계, 일상생활 수행능력 및인지기능과 우울 증상과의 관련성 : 2014년 노인실태조사
신환호(Hwan-Ho Shin);한미아(Mi Ah Han);박 종(Jong Park);류소연(So Yeon Ryu);최성우(Seong Woo Choi);김해란(Hae-Ran Kim)
Objective:This study investigated the association between social relations, activities of daily living, cognitive functions and depressive symptoms among the Korean elderly. Methods:Study subjects were 10,260 elderly participated in 2014 Korean National Survey on Older Adults. General characteristics, social relations, activities of daily living, cognitive functions and depressive symptoms were collected by face-to-face interview. Descriptive analyses, chi-square tests and multiple logistic regression analysis were performed using SAS 9.4 statistical program. Results:Total 33.0% of elderly had depressive symptoms. The odds ratios (OR) for depressive symptoms were significantly higher in elderly without housemate [OR=1.30, 95% confidence interval (CI)=1.11-1.53], without contact of living children (OR=1.76, 95% CI=1.03-2.99), lower social activity (OR=2.00, 95% CI=1.71-2.35) and without contact of friends (OR=1.47, 95% CI=1.30-1.67). And impaired activity of daily living (ADL) (ADL : OR=1.61, 95% CI=1.18-2.20, instrumental activities of daily living : OR=1.68, 95% CI=1.36-2.06) and cognitive impairment (OR=1.21, 95% CI=1.07-1.38) were also associated the risk of depressive symptoms. Conclusion:Social support for elderly who lack social relationships and services to improve the daily life of elderly with impaired activities are helpful to decrease depressive symptoms. And it is necessary to investigate and manage the depressive symptoms of elderly with impaired cognitive function.
Activities of daily living,Cognition,Depression,Health survey,Interpersonal relations