The relationship between multiple chronic diseases and depressive symptoms among middle-aged and elderly populations: results of a 2009 korean community health survey of 156,747 participants

Seo, Joo Youn; Choi, Bo-Youl; Kim, Shinah; Lee, HyeYoung; Oh, D.D.

doi:10.1186/s12889-017-4798-2

Cited by 64 publications

(48 citation statements)

References 49 publications

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“…Next to hearing impairment, a diminished psychosocial functioning had a major contribution. This finding is in accordance with prior studies indicating that depressive symptoms are present in 15–20% of the elderly and demonstrating the close association between multi-morbidity and depressive symptoms [ 37 – 39 ]. More attention should therefore be given to the assessment of depressive symptoms in a vulnerable group such as elderly, hospitalized patients.…”

Section: Discussionsupporting

confidence: 93%

Transition in Frailty State Among Elderly Patients After Vascular Surgery

et al. 2020

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Background Frailty in the vascular surgical ward is common and predicts poor surgical outcomes. The aim of this study was to analyze transitions in frailty state in elderly patients after vascular surgery and to evaluate influence of patient characteristics on this transition. Methods Between 2014 and 2018, 310 patients, ≥65 years and scheduled for elective vascular surgery, were included in this cohort study. Transition in frailty state between preoperative and follow-up measurement was determined using the Groningen Frailty Indicator (GFI), a validated tool to measure frailty in vascular surgery patients. Frailty is defined as a GFI score ≥4. Patient characteristics leading to a transition in frailty state were analyzed using multivariable Cox regression analysis. Results Mean age was 72.7 ± 5.2 years, and 74.5% were male. Mean follow-up time was 22.7 ± 9.5 months. At baseline measurement, 79 patients (25.5%) were considered frail. In total, 64 non-frail patients (20.6%) shifted to frail and 29 frail patients (9.4%) to non-frail. Frail patients with a high Charlson Comorbidity Index (HR = 0.329 (CI: 0.133–0.812), p = 0.016) and that underwent a major vascular intervention (HR = 0.365 (CI: 0.154–0.865), p = 0.022) had a significantly higher risk to remain frail after the intervention. Conclusions The results of this study, showing that after vascular surgery almost 21% of the non-frail patients become frail, may lead to a more effective shared decision-making process when considering treatment options, by providing more insight in the postoperative frailty course of patients.

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Section: Discussionsupporting

confidence: 93%

Transition in Frailty State Among Elderly Patients After Vascular Surgery

et al. 2020

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“…We collected the data via computer-assisted personal interviews with 900 people in each of the 253 community units between August and October in 2013, including 17 metropolitan areas and provinces. Study participants aged 19 or older in each area who were selected by the probability proportional sampling method and the systematic sampling method [ 11 ]. Among total surveyed 228,781 adults in 2013, we selected subjects who had lived in the same domicile for > five years.…”

Section: Methodsmentioning

confidence: 99%

Long-term exposure to ambient air pollutants and mental health status: A nationwide population-based cross-sectional study

2018

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There is a suspected but unproven association between long-term exposure to ambient air pollution and mental health. The aim of this study is to investigate the association between long-term exposure to ambient air pollution and subjective stress, depressive disorders, health-related quality of life (QoL) and suicide. We selected 124,205 adults from the Korean Community Health Survey in 2013 who were at least 19 years old and who had lived in their current domiciles for > five years. Based on the computer-assisted personal interviews to measure subjective stress in daily life, EuroQoL-5 dimensions, depression diagnosis by a doctor, suicidal ideation, and suicidal attempts, we evaluated the risk of mental disorders using multiple logistic regression analysis according to the quartiles of air pollutants, such as particulate matter <10μm (PM10), nitrogen dioxide (NO2), carbon monoxide (CO), and sulfur dioxide, using yearly average concentration between August 2012 and July 2013. The prevalence of high stress, poor QoL, depressiveness, diagnosis of depression, and suicide ideation was positively associated with high concentrations of PM10, NO2, and CO after adjusting for confounding factors. Men were at increased risk of stress, poor QoL, and depressiveness from air pollution exposure than were women. The risk of higher stress or poor QoL in subjects < age 65 increased with air pollution more than did that in subjects ≥ age 65. Long-term exposure to ambient air pollution may be an independent risk factor for mental health disorders ranging from subjective stress to suicide ideation.

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“…The lifetime prevalence of depression is as high as 20-25% in women and 7-12% in men in the general population 2 . In Korea, 9.6-17.3% and 2.8-3.6% of adults complain of depressive symptoms and depression, respectively 3 . The multiple factors of genetic or external factors were suggested to cause depression by evoking inflammation of the nervous system and subsequent vulnerability to social stress 4 .…”

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confidence: 99%

Bidirectional relation between depression and sudden sensorineural hearing loss: Two longitudinal follow-up studies using a national sample cohort

Kim

Min

Lee

et al. 2020

Sci Rep

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A few studies have explored the association between depression and sudden sensorineural hearing loss (SSnHL). this study was aimed to investigate the reciprocal relations between SSnHL and depression using a nationwide cohort of the Korean population. Subjects aged > 20 years from the Korean National Health Insurance Service-National Sample Cohort were enrolled from 2002 to 2013. In study I, a total of 60,178 depressed patients were matched 1:4 with 242,872 control I subjects. In study II, a total of 4,328 SSNHL patients were 1:4 matched with 17,312 control II subjects. They were matched for age, sex, income, and region of residence. the charlson comorbidity index (cci) was adjusted. Subgroup analysis was performed according to age and sex. the crude and adjusted cci hazard ratios (HRs) of SSnHL in depressed patients (study i) and depression in SSnHL patients (study ii) were analyzed using the stratified Cox proportional-hazard model. In study I, the depression group exhibited an elevated adjusted HR of SSNHL 1.16 times that of the control group (confidence interval [95% CI] = 1.02-1.31, p < 0.023). The middle-aged women subgroup demonstrated an increased risk of SSNHL within the depression group. In study II, the SSNHL group showed a higher adjusted HR of depression 1.29 times that of control II group (95% CI = 1.06-1.57, P = 0.010). The middle-aged women subgroup showed an elevated risk of depression in the SSnHL group. the risk of SSnHL was elevated in the depressed patients and the risk of depression was increased in the SSnHL patients.

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The relationship between multiple chronic diseases and depressive symptoms among middle-aged and elderly populations: results of a 2009 korean community health survey of 156,747 participants

Cited by 64 publications

References 49 publications

Transition in Frailty State Among Elderly Patients After Vascular Surgery

Transition in Frailty State Among Elderly Patients After Vascular Surgery

Long-term exposure to ambient air pollutants and mental health status: A nationwide population-based cross-sectional study

Bidirectional relation between depression and sudden sensorineural hearing loss: Two longitudinal follow-up studies using a national sample cohort

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