Effects of Health-Related Quality of Life on Suicidal Ideation and Depression among Older Korean Adults: A Cross-Sectional Study

Jang, Jin‐Young; Jung, Hyun-Sung; Wang, Jumee; Kim, Sukil

doi:10.30773/pi.2020.0159

Cited by 11 publications

(3 citation statements)

References 38 publications

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“…Nonetheless, it should be noted that our findings based on cross-sectional study cannot confirm causal relationship between depressive symptoms, anxiety symptoms and HRQoL. Certainly, a study suggested that low HRQoL was associated with depression [ 38 ].…”

Section: Discussionmentioning

confidence: 63%

Associations between depressive symptoms, anxiety symptoms, their comorbidity and health-related quality of life: a large-scale cross-sectional study

et al. 2021

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Background There were few studies exploring the associations between depressive symptoms, anxiety symptoms and health-related quality of life (HRQoL) in the general population, especially in resource limited area. The aims of this study were to assess the associations between depressive symptoms, anxiety symptoms, their comorbidity and HRQoL in rural area. Methods A total of 23,496 eligible participants from Henan rural cohort were included. The Patient Health Questionnaire-2 (PHQ-2) and Generalized Anxiety Disorder-2 (GAD-2) were employed to assess depressive and anxiety symptoms, respectively. HRQoL was measured via European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Tobit regression and generalized linear model were utilized to explore the associations between depressive symptoms, anxiety symptoms, their comorbidity and HRQoL. Results A total of 1320 individuals were identified as depressive symptoms with a prevalence rate of 5.62%, while 1198 participants were classified as anxiety symptoms with a prevalence rate of 5.10%. After multiple adjustment, the regression coefficients (β) and 95% confidence interval (CI) of utility index for depressive and anxiety symptoms were − 0.166 (− 0.182, − 0.149) and − 0.132 (− 0.149, − 0.114), respectively. The β and 95% CI of VAS score for depressive and anxiety symptoms were − 7.65 (− 8.60, − 6.70) and − 5.79 (− 6.78, − 4.80), respectively. Additionally, the comorbidity was strongly associated with low utility index and VAS score. These findings were observed robustly in men and women. Conclusion Depressive symptoms, anxiety symptoms and their comorbidity were associated with low HRQoL in rural population, which needed further efforts on preventive and treatment interventions. Clinical trial registration The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 06 July, 2015.

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Section: Discussionmentioning

confidence: 63%

Associations between depressive symptoms, anxiety symptoms, their comorbidity and health-related quality of life: a large-scale cross-sectional study

et al. 2021

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“…A previous study on older adults with executive dysfunction showed that age ≥ 75 years, living alone, and low socioeconomic status were associated with suicidal ideation or attempts ( 37 ). In this context, suicidal thoughts can lead to a lower quality of life ( 11 ). In this study, frailty, depression, and cost of living were found to affect the quality of life along with suicide.…”

Section: Discussionmentioning

confidence: 99%

“…It is affected by physical and mental capacities, functional abilities, and environmental aspects, such as social factors. A previous study has reported that HRQoL in older adults is associated with sociodemographic factors ( 8 ) physical health status ( 9 ), nutritional status ( 7 , 10 ), and mental health ( 11 ). However, only a few studies have comprehensively investigated the association between health status and HRQoL among older adults living alone.…”

Section: Introductionmentioning

confidence: 99%

Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study

Ko,

Cho,

Lim

et al. 2023

Front. Public Health

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BackgroundThe percentage of older adults living alone is rapidly increasing, improving the health status and health-related quality of life (HRQoL) in this group is becoming a more significant public health issue. This study aimed to examine the changes in the HRQoL of older South Korean adults living alone and identify the factors that affect their HRQoL.MethodsA longitudinal study design was followed. Data were collected at baseline and 1-year follow-up. Participants consisting of 789 older adults living alone in S*City aged>65 years completed a cohort survey regarding health status and HRQoL from August 2018 to August 2019. Trained interviewers conducted face-to-face interviews with the participants using a validated questionnaire (physical health, mental health, social health, and HRQoL). Generalized estimating equations were used to assess the change in health status and the interaction effect of time and gender. Then, a stepwise multiple logistic regression analysis was performed to identify factors related to HRQoL.ResultsTime differences were observed in the subjective evaluation of health status (SEH), IPAQ scores, frailty, nutritional status, and depression. Gender differences were observed in the SEH, IPAQ, frailty, loneliness, depression, and social support. The interaction between time and gender was observed in the IPAQ and HRQoL. At baseline, SEH, depressive symptoms, gender, frailty, and age were associated with HRQoL. After one year, HRQoL was associated with SEH, frailty, depressive symptoms, cost of living, suicidal thoughts, gender, social support, loneliness, and suicide attempts.ConclusionOur results highlight that HRQoL is associated with physical health, mental health, and social support. Future detailed studies are needed to determine whether governments and communities can prevent depression, loneliness, and suicidal thoughts through psychological support and provide economic support to improve the quality of life of older adults living alone.

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Associations between suicidal ideation and health-related quality of life among community-dwelling stroke survivors: 2013–2017 Korea National Health and Nutrition Examination Survey

et al. 2021

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Effects of Health-Related Quality of Life on Suicidal Ideation and Depression among Older Korean Adults: A Cross-Sectional Study

Cited by 11 publications

References 38 publications

Associations between depressive symptoms, anxiety symptoms, their comorbidity and health-related quality of life: a large-scale cross-sectional study

Associations between depressive symptoms, anxiety symptoms, their comorbidity and health-related quality of life: a large-scale cross-sectional study

Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study

Associations between suicidal ideation and health-related quality of life among community-dwelling stroke survivors: 2013–2017 Korea National Health and Nutrition Examination Survey

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