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KMID : 0605720180240030184
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Journal of the Korean Society of Biological Therapies in Psychiatry
2018 Volume.24 No. 3 p.184 ~ p.193
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Effects of Social Support and Chronic Medical Conditions on Depressive Symptoms in Elderly People Living Alone in a Rural Community
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Chae Chol-Ho
Lee Sang-Soo
Park Chul-Soo
Kim Bong-Jo
Lee Cheol-Soon
Lee So-Jin
Lee Dong-Yun
Seo Ji-Yeong
Ahn In-Young
Choi Jae-Won
Cha Bo-Seok
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Abstract
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Objectives：This study investigated the effects of social support and chronic medical conditions on depressive symptoms in elderly people living alone in a rural community.
Methods：Sociodemographic information on 173 subjects aged 65 years or older who lived alone in a rural community and were recipients of National Basic Livelihood Security was collected and analyzed. All participants completed the Korean Form of the Geriatric Depression Scale and the Lubben Social Network Scale. Additionally, the current prevalence of chronic medical conditions that interfere with the activities of daily living was examined. Multiple logistic regression analysis was conducted to analyze the associations of social support and chronic medical conditions with depressive symptoms.
Results：Social support(odds ratio: OR, 0.96; 95% confidence interval: 95% CI, 0.92-0.99) and chronic medical conditions(OR, 1.59; 95% CI, 1.23-2.05) were significantly associated with depressive symptoms in all subjects. When analyzed by gender, social support served as a protective factor against depressive symptoms in elderly men only(OR, 0.91; 95% CI, 0.83-0.99), and chronic medical conditions increased the risk of depressive symptoms in elderly women only(OR, 1.74; 95% CI, 1.26-2.40). Furthermore, osteoarthritis and lumbar pain were risk factors for depressive symptoms in all subjects(OR, 2.24; 95% CI, 1.10-4.56 and OR, 2.10; 95% CI, 1.08-4.12) and in elderly women(OR, 4.07; 95% CI, 1.68-9.84 and OR, 3.34; 95% CI, 1.47-7.57), respectively.
Conclusion：This study indicates that improving the social support and managing the chronic medical conditions of elderly people living alone are important for the prevention of depression in this population. Additionally, the present results suggest that it is necessary to establish different depression-prevention strategies for elderly men and women living alone.
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KEYWORD
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Living alone, Elderly, Depression, Social support, Chronic medical condition
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