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KMID : 0358120020280010010
Journal of the Korean Public Health Association
2002 Volume.28 No. 1 p.10 ~ p.20
Evaluation of Depression among Urban Elderlies using Self-Rating Depression Scale
Kim Hyeon-Jeong

Song In-Soon
Jeong Youg-Jun
Song Ki-Chul
Park Byoung-Kang
Cho Young-Chae
Abstract
This study was performed to assess the degree of depression, find out the affecting factors of depression among older persons and manifest their psychological status. The subjects included the old people aged more than 65 years old who reside in urban areas. The interviews were delivered to 635 individuals in Taejon metropolitan city for the two-month period from June to July, 2000 and Zung Self-Rating Depression Scale was used for surveying the degree of depression. The collected data were statistically processed by SPSSWIN(ver 10.0) and led to the following results: The degree of depression among 635 subjects showed that 26.6% had mild depression, 8.2% moderate and 0.6% severe, while 64.6% were normal. Based on general characteristics, the degrees of depression were significantly higher in the female group, the older, the lower educated, the ones without cohabitants or spouse, and the ones without making expenses of living for themselves. Based on daily activities and psychological characteristics, the degrees of depression were higher in the group who don¢¥t go out, who don¢¥t have recreational or friendly gatherings, who aren¢¥t satisfied with the lives of the past or present, who have a sense of isolation, and who don¢¥t have the will to live. Based on the daily life styles, the degrees of depression were significantly higher in the group who don¢¥t have breakfast, and don¢¥t exercise or sports, but the variables of eating sneak, alcohol drinking, smoking and sleeping time were not significants. According to the seven items of health practice indices(HPI) and subjective health indices(SHI), the lower the scores come out, the higher the degrees of depression show up. The correlation coefficients between depression scores and related variables were significantly negative correlations in educational level, recreational activity, satisfaction of present lives, the will to live and subjective health status, while there is a positive correlation in a sense of isolation. Multiple logistic regression analysis revealed that the variable having effects on depression symptoms showed up the positive relations in the age and the sense of isolation, while showed up the negative relations in the educational level, the presence of spouse or not, recreational activity, the will in life, the eat breakfast or not, the drinking or not. the exercise or not, and subjective health status.
KEYWORD
Zung Self-Rating Depression Scale, Older persons, Life styles, Health Practice Index(HIPI)
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