당뇨병을 가진 노인 환자에서의 우울증 유병률 조사 = Survey of Depression in the Elderly Patients with Diabetes Mellitus

다국어 초록 (Multilingual Abstract)

Objectives Depression is commonly comorbid in elderly patients with physical illness. This study examined the prevalence of depression in the elderly with Diabetes Mellitus (DM). Methods Eighty-nine patients, over 60 years old, with DM were enrolled. The medical and psy¬chiatric history, Hamilton Rating Scale for Depression (HDRS), Patient Health Questionnaire-9 (PHQ-9), Geriatric Depression Scale-Short form Korean (GDS-SF-K), and Mini-Mental Status Ex¬amination Korean version were examined. Results The prevalence of depression was estimated as 21.3% (male 4.5% ; female 16.9%) in HDRS, 32.6% (male 9.0% ; female 23.6%) in PHQ-9, and 24.7% (male 5.6% ; female 19.1%) in GDS-SF-K. Conclusion The self-reporting scale, such as GDS-SF-K, PHQ-9 is an effective screening test for depression. The prevalence of elderly depression with DM ranged from 20% to 30%, the prev¬alence of depression is almost three times more common in women.

참고문헌 (Reference)

1 이중서, "한국판 Hamilton 우울증 평가 척도의 신뢰도, 타당도 연구" 대한신경정신의학회 44 (44): 456-465, 2005

2 최홍석, "주요우울장애의 선별 도구로서 한국판" 대한가정의학회 28 (28): 114-119, 2007

3 김신열, "배우자 사별노인의 우울과 적응유연성: 사회적 지지의 매개효과 검증" 한국보건사회연구원 31 (31): 165-196, 2011

4 김정범, "당뇨병과 연관된 심리사회적 문제들" 대한생물치료정신의학회 7 (7): 288-295, 2001

5 박혜숙, "당뇨병 환자에서 우울증과 혈당 조절과의 관련성" 대한내과학회 64 (64): 204-210, 2003

6 김승연, "노인 집단에서 배우자의 사별 스트레스와 우울의 관계: 사회적 지지와 대처행동의 조절효과" 한국임상심리학회 26 (26): 573-596, 2007

7 Knesevich JW, "Validity of the Hamilton Rating Scale for depression" 131 : 49-52, 1977

8 Lloyd CE, "The relationship between stress and the development of diabetic complications" 8 : 146-150, 1991

9 Woo IH, "The psychopathology associated with diabetes" 35 : 624-633, 1996

10 Anderson RJ, "The prevalence of comorbid depression in adults with diabetes a meta-analysis" 24 : 1069-1078, 2001

11 Ali S, "The prevalence of co-morbid depression in adults with Type 2 diabetes: a systematic review and meta-analysis" 23 : 1165-1173, 2006

12 Barnard KD, "The prevalence of co-morbid depression in adults with Type 1 diabetes: systematic literature review" 23 : 445-448, 2006

13 Crockett AJ, "The impact of anxiety, depression and living alone in chronic obstructive pulmonary disease" 11 : 309-316, 2002

14 Kim JW, "The Relationship between perceived stress and coping strategies in patients with coronary artery disease" 39 : 288-296, 2000

15 Kroenke K, "The PHQ-9: validity of a brief depression severity measure" 16 : 606-613, 2001

16 Miller IW, "The Modified Hamilton Rating Scale for Depression: reliability and validity" 14 : 131-142, 1985

17 Lernmark B, "Symptoms of depression are important to psychological adaptation and metabolic control in children with diabetes mellitus" 16 : 14-22, 1999

18 Statics Korea, "Special Population projections results" Statics Korea 2006

19 Pouwer F, "Rates and risks for co-morbid depression in patients with Type 2 diabetes mellitus: results from a community-based study" 46 : 892-898, 2003

20 Gavard JA, "Prevalence of depression in adults with diabetes. An epidemiological evaluation" 16 : 1167-1178, 1993

21 Suh GH, "Prevalence and risk factors of depressive symptomatology among the Korean elderly" 2 : 49-60, 1998

22 Alexopoulos GS, "Mood disorders. In: Kaplan HI, Sadock BJ, editors. Comprehensive textbook of psychiatry" Williams & Wilkins 2566-2568, 1995

23 Lyketsos CG, "Major and minor depression in Alzheimer’s disease: prevalence and impact" 9 : 556-561, 1997

24 de Groot M, "Glycemic control and major depression in patients with type 1 and type 2 diabetes mellitus" 46 : 425-435, 1999

25 Korean Association for Geriatric Psychiatry, "Geriatric Psychiatry" Korean Association for Geriatric Psychiatry 197-218, 2004

26 Ministry of Health & Welfare, "Elderly welfare. 94 Department of Health and Human Services major operations data" Ministry of Health & Welfare 45-49, 1994

27 Cho MJ, "Elderly mental disorders in Korea" Korean Association for Geriatric Psychiatry 6-8, 1994

28 Bae JN, "Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients" 57 : 297-305, 2004

29 Lee JH, "Development of the Korean version of the Consortium to Establish a Registry for Alzheimer’s Disease Assessment Packet (CERAD-K): clinical and neuropsychological assessment batteries" 57 : 47-53, 2002

30 Yesavage JA, "Development and validation of a geriatric depression screening scale:a preliminary report" 17 : 37-49, 1982

31 Jeon HS, "Depression, anxiety and its association on diabetes mellitus patients" 17 : 83-90, 1996

32 Oh GB, "Depression trends of diabetic patients" 8 : 175-183, 1999

33 Bae JN, "Current clinical practice: depression in late life" 63 : 602-609, 2002

34 황용일, "COPD 환자에서 우울증 선별검사" 대한내과학회 83 (83): 468-475, 2012

35 Talbot F, "A review of the relationship between depression and diabetes in adults: is there a link?" 23 : 1556-1562, 2000

36 Hamilton M, "A rating scale for depression" 23 : 56-62, 1960