Yonsei University Underwood International College, Seoul, Korea.
Interdisciplinary Program in Cancer Biology Major, Cancer Research Institute, Seoul National University College of Medicine, Seoul, Korea.
Qual Life Res. 2020 Oct;29(10):2807-2814. doi: 10.1007/s11136-020-02538-x. Epub 2020 May 28.
PURPOSE: The aim of this study was to determine if multidimensional (physical, mental, social, spiritual) health status could predict the presence of depressive symptoms and suicidal ideation in the general population. METHODS: We administered a population-based, cross-sectional survey to 1200 participants from the general Korean population. The survey included the 5 Health Status Questionnaire (5HSQ) for self-rated health status, Patient Health Questionnaire-9 (PHQ-9) for depression, and a question from the PHQ-9 for suicidal ideation. Multiple logistic regression was performed to estimate the association of significant socio-demographic factors and self-rated health status with depression and suicidal ideation. RESULTS: Physical health status was associated with depression in both men and women (men: adjusted odds ratio [aOR], 4.69; 95% confidence interval [CI] 2.44-9.00; women: aOR, 2.05; 95% CI 1.13-3.72) while spiritual health status only affected men (aOR, 5.50; 95% CI 2.59-11.65) and mental health status only women (aOR, 3.92; 95% CI 2.03-7.54). Social health status was associated with suicidal ideation in men (aOR, 4.87; 95% CI 2.74-19.99) while mental health status was associated with suicidal ideation in women (aOR, 4.31; 95% CI 1.90-9.76). CONCLUSION: Physical, mental, social, and spiritual self-rated health statuses were all found to be associated with an individual's predisposition to depression and suicidal ideation with notable differences between men and women.
目的:本研究旨在确定多维(身体、心理、社会、精神)健康状况是否可以预测普通人群中抑郁症状和自杀意念的存在。
方法:我们对来自普通韩国人群的 1200 名参与者进行了一项基于人群的横断面调查。该调查包括自我评估健康状况的 5 健康状况问卷(5HSQ)、抑郁的患者健康问卷-9(PHQ-9)和 PHQ-9 中的一个自杀意念问题。采用多因素逻辑回归分析来评估显著的社会人口统计学因素和自我评估健康状况与抑郁和自杀意念的相关性。
结果:身体状况与男性和女性的抑郁均相关(男性:调整后的优势比[aOR],4.69;95%置信区间[CI],2.44-9.00;女性:aOR,2.05;95%CI,1.13-3.72),而精神健康状况仅影响男性(aOR,5.50;95%CI,2.59-11.65),心理健康状况仅影响女性(aOR,3.92;95%CI,2.03-7.54)。社会健康状况与男性的自杀意念相关(aOR,4.87;95%CI,2.74-19.99),而心理健康状况与女性的自杀意念相关(aOR,4.31;95%CI,1.90-9.76)。
结论:身体、心理、社会和精神自我评估健康状况均与个体易患抑郁和自杀意念有关,男性和女性之间存在显著差异。
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