Analysis of Factors Affecting Depression in Older Adults in South Korea

Kim, Ah-Ram; Park, Jin-Hyuck; Park, Hae Yean

doi:10.3390/ijerph18189887

Cited by 7 publications

(6 citation statements)

References 29 publications

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“…In the case of the United States, stressful events such as bereavement, medical illness and substance use disorders, or medication were identified as contributing factors to depression [30]. In Korea, the factors influencing depression were social network satisfaction, self-esteem, perceived health status, socioeconomic status and regular exercise, and cognitive level [31,32] and in the case of Korea, middle-aged adults in their 40s and 50s frequently experience depressive symptoms, based on the 2016 KNHANES data [29]. Therefore, it is necessary to pay attention to depression prevention and treatment intervention strategies for middle-aged and older people.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Depression among Individuals Receiving the Basic Livelihood Security Program Benefits in Korea: A Study Based on the Sixth and Seventh Korea National Health and Nutrition Examination Survey (2013–2018)

Shim

2022

IJERPH

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The purpose of this study is to verify the relationship between oral health behaviors and depression and influencing factors on depression to establish strategies that can contribute to improvement of mental health problems such as depression in vulnerable social class recipients. This study is a descriptive correlation study conducted on basic livelihood recipients over the age of 19 who responded to the 6th~7th (2013~2018) National Health and Nutrition Examination Survey. In this study, a total of 2749 people who met the criteria for subject selection were included in final analysis after requesting and downloading their raw data from the National Health and Nutrition Examination Survey through the consent process mandated by the Korea Centers for Disease Control and Prevention. Of the 2749 subjects, 279 were diagnosed with depression, accounting for 10.1% of the total. The collected data were analyzed using t-tests and chi-squared tests, and factors affecting depression were analyzed by logistic regression analysis. Our results showed that the factors affecting depression were 1.74 times for men (95% CI = 1.29–2.24), 1.37 times for older people (95% CI = 1.01–1.87), and 1.66 times for low education (95% CI = 1.21–2.27). Subjects with impairment in daily activities had 1.89 times (95% CI = 1.43–2.52) higher risk. Subjects with moderate physical activity and subjects with economic activity showed a lower risk (95% CI = 0.30–0.73) and 0.52 times (95% CI = 0.30–0.72), respectively, than subjects who did not. We confirmed that the probability of being diagnosed with depression decreased, and the perceived health status was 0.36 times lower (95% CI = 0.22–0.61) than those with good status. Therefore, it is necessary to prepare countermeasures that reflect various aspects in consideration of not only age and gender, but also daily life and emotional state when establishing policies for vulnerable classes such as recipients of basic livelihood.

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Section: Discussionmentioning

confidence: 99%

Predictors of Depression among Individuals Receiving the Basic Livelihood Security Program Benefits in Korea: A Study Based on the Sixth and Seventh Korea National Health and Nutrition Examination Survey (2013–2018)

Shim

2022

IJERPH

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“…In the case of women compared to men, the lower the equalized annual income, the lower the educational level, if the residential area is a large city compared to a small-or medium-sized city, and if living alone compared to individuals living with someone, the probability of belonging to the 'rapidly rising type' rather than the 'steadily increasing type' increased. Based on the findings in previous studies (Vink et al, 2008;Fiske et al, 2009;Kim et al, 2021;Silva et al, 2023), it can be concluded that mental health vulnerability factors affecting older adults had a significant negative impact on depression among older adults during COVID-19. It can be inferred that the older adults who reside in large cities where restrictions of COVID-19 are applied relatively intensively, the limitations of convenient urban infrastructures may have led the older adults to experience more severe restrictions than individuals in smaller and mediumsized cities, leading to an increased rate of depression among older adults.…”

Section: Discussionmentioning

confidence: 84%

Changes in depression trends during and after the COVID-19 pandemic among older adults in Korea

Jeong,

Ryu,

Lee

et al. 2024

Camb. prisms Glob. ment. health

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This study aimed to complement the previous studies conducted within a short period of time by examining the long-term trends in depression levels of older adults through a longitudinal study that includes the period following the onset of COVID-19. For analysis, this study used the data from the 12th (2017) through 16th (2021) Korea Welfare Panel Study, and 2,716 data of older adults 65 years and older were included. Variables included gender, age, equalized annual income (USD $), education background, residential area, living alone and disability status. As a result, two types of changes in depression were identified: the 'rapidly rising' type and the 'steadily increasing'. We found that the lower the equalized annual income, women, the lower the education, living in urban and living alone showed a higher likelihood of belonging to the 'rapidly rising' type. The result suggests that those at risk of depression are at much higher risk during and after the COVID-19 pandemic. It is also necessary to provide timely and effective guidelines to prevent depression in older adults when implementing policies in response to an outbreak of infectious diseases, such as COVID-19. Impact statementThis paper expands the reader's understanding of the lasting impact of COVID-19 on the mental health, particularly depression, of older adults in Korea. Using a longitudinal approach and growth mixture model, it uncovers longitudinal patterns of depression, categorizing them into 'steadily increasing' and 'rapidly rising' types. Examining demographic factors, including gender, income, education and living arrangements, few specific vulnerabilities of depression among older adults were found. Women, individuals with lower socioeconomic status, and individuals living alone or in urban areas were identified as high-risk groups for particular depressive patterns; the 'rapidly rising' type. This study is expected to significantly enhance the understanding of mental health attribution among older adults, providing insights for research and tailored health policies to support the mental health of older adults in the aftermath of the pandemic.www.cambridge.org/gmh

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“…A cross-sectional study of 200 older adults of both sexes found that physical activity increased physical vitality and quality of life, reducing depressive symptoms in older adults [ 56 ]. In an analysis of factors influencing depression in older adults in Korea, Kim and Park et al found that cognitive decline was strongly associated with the development of depression in older adults, and by participating in physical activity, they were able to maintain a healthy lifestyle and reduce the risk of cognitive decline, thereby preventing and reducing depression and improving health in older adults [ 57 ]. Zhang and Xiang et al discovered that physical activity may benefit older adults with depression through both physiological and psychological pathways in a study that reviewed the relationship between older adults and depression.…”

Section: Discussionmentioning

confidence: 99%

The Relationship between Physical Activity and Mental Depression in Older Adults during the Prevention and Control of COVID-19: A Mixed Model with Mediating and Moderating Effects

Xiong

Wang

2023

IJERPH

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Background: Several studies have found a strong relationship between physical activity and mental depression in older adults. Despite this, the social isolation, limited physical activity, and decreased social interactions caused by the 2020 COVID-19 pandemic control measures of “home isolation and reduction unnecessary travel” had a significant mental impact on older adults. Objective: the goal of this study was to look into the complex effects of physical activity participation on mental health in older adults during COVID-19 prevention and control and the relationship between physical activity and mental depression in older adults through the mediating effect of self-efficacy and the moderating effect of social support. Methods: The Physical Activity Rating Scale (PARS-3), the Center for Streaming Depression Scale (CES-D), the Self-Efficacy Scale (GSES), and the Social Support Rating Scale (SSRS) were used to assess 974 older adults in five urban areas of Chengdu, China. The SPSS was used to analyze the collected data using mathematical statistics, linear regression analysis, and the AMOS to construct the research model. Results: The study’s findings revealed that self-efficacy mediated the relationship between physical activity and mental depression in older adults (β = −0.101, 95%CI (−0.149, −0.058)), and social support moderated the relationship between physical activity and mental depression in older adults (t = −9.144, p < 0.01). Conclusions: Physical activity reduces psychological depressive symptoms in older adults and modulates psychological depression in older adults via the mediation efficacy of self-efficacy and the moderating effect of social support.

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Analysis of Factors Affecting Depression in Older Adults in South Korea

Cited by 7 publications

References 29 publications

Predictors of Depression among Individuals Receiving the Basic Livelihood Security Program Benefits in Korea: A Study Based on the Sixth and Seventh Korea National Health and Nutrition Examination Survey (2013–2018)

Predictors of Depression among Individuals Receiving the Basic Livelihood Security Program Benefits in Korea: A Study Based on the Sixth and Seventh Korea National Health and Nutrition Examination Survey (2013–2018)

Changes in depression trends during and after the COVID-19 pandemic among older adults in Korea

The Relationship between Physical Activity and Mental Depression in Older Adults during the Prevention and Control of COVID-19: A Mixed Model with Mediating and Moderating Effects

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