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老年人社区护理利用年限中抑郁症状的轨迹:一项使用“韩国福利面板调查”的 14 年随访研究。

The Trajectory of Depressive Symptoms Across Years of Community Care Utilization Among Older Adults: A 14-Year Follow-up Study Using the 'Korean Welfare Panel Survey'.

机构信息

Center for Collaborative Research on Population and Society, Dongguk University, Seoul, Korea.

Department of Sociology, Dongguk University, Seoul, Korea.

出版信息

J Prev Med Public Health. 2023 Nov;56(6):495-503. doi: 10.3961/jpmph.23.022. Epub 2023 Oct 6.


DOI:10.3961/jpmph.23.022
PMID:37871906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10704074/
Abstract

OBJECTIVES: While older adults using community care services are known to be vulnerable for depression, community care utilization (CCU) may help to improve the mental health of these elderly. To date, however, it is much less clear how CCU affects depressive symptoms in the elderly population. This study focuses on the trajectory of depressive symptoms across years of CCU among older adults in Korea. METHODS: Using the 2006-2019 Korean Welfare Panel Survey, this study is focused on elderly born in 1940 or earlier and selected 3281 persons for baseline interviews in 2006. This consisted of 35 800 person-year observations during a period of 14 years. Panel data analysis were employed to construct years of CCU. RESULTS: After controlling for covariates, linear term of years using community care was negatively associated with depressive symptoms, but a quadratic term was positively significant. The trajectory of depressive symptoms across the years of CCU follows a U-shaped curve. Older adults in the first year of using community care reported the highest level of depressive symptoms. However, a significant and steady decrease in depressive symptoms was observed during the following 9 years of CCU, which then gradually increased. The level of depressive symptoms at the 14th year of using community care remains significantly lower than the level at the outset of its utilization. CONCLUSIONS: This finding implies that CCU could be beneficial for improving mental health among older adults.

摘要

目的:虽然已知使用社区护理服务的老年人易患抑郁症,但社区护理的使用(CCU)可能有助于改善这些老年人的心理健康。然而,到目前为止,社区护理使用对老年人群抑郁症状的影响还不太清楚。本研究关注的是韩国老年人在多年社区护理使用中抑郁症状的轨迹。

方法:本研究使用 2006-2019 年韩国福利小组调查,以 1940 年或更早出生的老年人为研究对象,在 2006 年选择了 3281 人进行基线访谈。这包括在 14 年期间进行了 35800 人年的观察。采用面板数据分析来构建社区护理使用的年限。

结果:在控制了协变量后,社区护理使用年限的线性项与抑郁症状呈负相关,但二次项呈正相关。抑郁症状随社区护理使用年限的轨迹呈 U 形曲线。在使用社区护理的第一年,老年人报告的抑郁症状最高。然而,在接下来的 9 年社区护理使用期间,抑郁症状显著且稳定地下降,然后逐渐增加。在使用社区护理的第 14 年,抑郁症状的水平仍然明显低于开始使用时的水平。

结论:这一发现表明,社区护理可能有助于改善老年人的心理健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3288/10704074/796b16908073/jpmph-23-022f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3288/10704074/796b16908073/jpmph-23-022f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3288/10704074/796b16908073/jpmph-23-022f1.jpg

相似文献

[1]
The Trajectory of Depressive Symptoms Across Years of Community Care Utilization Among Older Adults: A 14-Year Follow-up Study Using the 'Korean Welfare Panel Survey'.

J Prev Med Public Health. 2023-11

[2]
Trajectories of depressive symptoms among community-dwelling Korean older adults: findings from the Korean longitudinal study of aging (2006-2016).

BMC Psychiatry. 2022-4-8

[3]
"Leisure Life Satisfaction:" Will It Have a Beneficial Impact on Depression Among Older Adults in Community Care Settings in Korea?

J Prev Med Public Health. 2022-7

[4]
Depressive symptoms, chronic medical illness, and health care utilization: findings from the Korean Longitudinal Study of Ageing (KLoSA).

Int Psychogeriatr. 2011-3-22

[5]
Relationship between Emotional Abuse and Depression among Community-Dwelling Older Adults in Korea.

Yonsei Med J. 2018-7

[6]
Gender differences in the association between socioeconomic status (SES) and depressive symptoms in older adults.

Arch Gerontol Geriatr. 2010-10-13

[7]
Loneliness as a mediator in the relationship between social engagement and depressive symptoms: Age differences among community-dwelling Korean adults.

Health Soc Care Community. 2018-11-28

[8]
Age-friendly environments and depressive symptoms among Korean adults: The mediating effects of loneliness.

Aging Ment Health. 2021-6

[9]
Social capital, socioeconomic status, and depression in community-living elderly.

J Psychiatr Res. 2018-1-10

[10]
Mental health literacy in korean older adults: A cross-sectional survey.

J Psychiatr Ment Health Nurs. 2017-9

本文引用的文献

[1]
"Leisure Life Satisfaction:" Will It Have a Beneficial Impact on Depression Among Older Adults in Community Care Settings in Korea?

J Prev Med Public Health. 2022-7

[2]
Community-based social interventions for people with severe mental illness: a systematic review and narrative synthesis of recent evidence.

World Psychiatry. 2022-2

[3]
Effectiveness of a nurse-led hospital-to-home transitional care intervention for older adults with multimorbidity and depressive symptoms: A pragmatic randomized controlled trial.

PLoS One. 2021

[4]
A Conceptual Framework for Integrated Community Care.

Int J Integr Care. 2021-2-10

[5]
Association of depressive symptoms with health care utilization in older adults: Longitudinal evidence from the Survey of Health, Aging, and Retirement in Europe.

Int J Geriatr Psychiatry. 2021-4

[6]
Loneliness and social isolation interventions for older adults: a scoping review of reviews.

BMC Public Health. 2020-2-14

[7]
Effectiveness of multidisciplinary psychiatric home treatment for elderly patients with mental illness: a systematic review of empirical studies.

BMC Psychiatry. 2019-12-3

[8]
Major Depression and Subthreshold Depression among Older Adults Receiving Home Care.

Am J Geriatr Psychiatry. 2018-5-8

[9]
The effectiveness of integrated care interventions in improving patient quality of life (QoL) for patients with chronic conditions. An overview of the systematic review evidence.

Health Qual Life Outcomes. 2017-9-29

[10]
Depressive Symptoms in Recipients of Home- and Community-Based Services in the United States: Are Older Adults Receiving the Care They Need?

Am J Geriatr Psychiatry. 2017-6-19

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