|
KMID : 0605720080140010058
|
|
Journal of the Korean Society of Biological Therapies in Psychiatry
2008 Volume.14 No. 1 p.58 ~ p.64
|
|
|
Comparison of Depressive Symptoms of Major Depressive Disorder between Elderly and Non-Elderly Group in Busan City in South Korea
|
|
Hong Sung-Wook
Lee Dae-Su
Jae Young-Myo
Jang Sae-Heon
Choi Jin-Hyuk
Jang Yu-Kyung
Yoon Chang-Young
|
|
|
Abstract
|
|
|
Objectives: Depressive disorders are very common diseases in the world. However, it shows various aspects in clinical manifestations. Clinically, depressive patients commonly show somatic symptoms only without any signs of depressed mood. It has been known that this kind of features occur more often in Asian societies than in Western, and moreover, in elderly than non-elderly. So far as the expression of depressive symptoms is much affected by sociocultural factors, using the 17 items Hamilton Rating Scale for Depression(HAM-D-17), this research compared the expressive characteristics of depressive symptoms between elderly(n=39) and non-elderly(n=54) in Busan city in South Korea.
Material and Methods : To compare the clinical manifestation of depressive disorders between elderly and nonelderly, we evaluated 93 patients using 17 items of Hamilton Rating Scale for Depression(HAM-D-17). The differences between two groups were analyzed using independent t-test. Also, we correlated HAM-D-17 items with sociodemographic factors using Pearson’s correlation coefficient. All patients were diagnosed major depressive disorder according to Diagnostic and Statistical Manual of Mental Disorders 4th edition(DSM-Ⅳ) and they had been treated at Bongseng hospital in Busan city from September 2006 to February 2007.
Results: There were some differences in HAM-D-17 scores between elderly and non-elderly. Elderly patients scored significantly higher in item 7(work and activities) (t=3.639, p=0.000), item 8(retardation)(t=2.063, p=0.042), item 9(agitation) (t=2.419, p=0.01), item 11 [nxiety(somatic)]t=2.403, p=0.018), item 12[omatic symptoms(gasrointestinal)]t=3.260, p=0.002), but lower in item 14(genital symptoms)(t=-9.519, p=0.000) than non-elderly.
Conclusions: We concluded that elderly patients reported significantly higher levels of work and activities, retardation, agitation, anxiety(somatic), somatic symptoms(gastrointestinal), but lower level of genital symptoms than non-elderly patients. There were no significant differences in complaining of depressed mood between two groups.
|
|
|
KEYWORD
|
|
|
Depression, Elderly, HAM-D(Hamilton Rating Scale for Depression)
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|