The Association between the Number of Chronic Diseases and Depressive Symptoms among Korean Elderly Men and Women: The Moderating Effect of Marital Satisfaction

2020 ◽  
Vol 40 (3) ◽  
pp. 511-530
Author(s):  
Hee Jin Kong ◽  
Hey Jung Jun ◽  
Susanna Joo
Healthcare ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 475
Author(s):  
Hye-Young Jang ◽  
Ji-Hye Kim

This study was conducted to identify the factors associated with frailty according to gender of older adults living alone in Korea. Data from the National Survey of the Living Conditions of Korean Elderly in 2017 were used. Participants were 2340 older adults who live alone. Frailty was determined based on the frailty criteria developed by van Kan et al. that consist of fatigue, resistance, ambulation, and illness. The collected data were analyzed using descriptive statistics, chi-squared test, t-test, Jonckheere–Terpstra test and multinomial logistic regression. Among the older men living alone, 47.7% were in the pre-frail and 5.1% were in the frail. On the other hand, 51.8% were in the pre-frail and 12.2% were in the frail among the older women living alone. The factors associated with frailty according to gender are as follows. In males, depressive symptoms, limitation in IADL, and number of medications in pre-frail; BMI, limitation in IADL, and number of chronic diseases in frail. In females, depressive symptoms, number of chronic diseases, age, and nutritional status in pre-frail; limitation in IADL, depressive symptoms, age, number of chronic diseases, number of medications, nutritional status in frail. Based on the findings of this study, it is considered necessary to approach frailty management considering gender as well as the classification of frailty.


1997 ◽  
Vol 8 (5) ◽  
pp. 351-356 ◽  
Author(s):  
Frank D Fincham ◽  
Steven R.H Beach ◽  
Gordon T Harold ◽  
Lori N. Osborne

A sample of 150 recently married couples provided data egarding marital satisfaction and depressive symptoms Approximatey 18 months later, 116 of these couples provided complete information on marital satisfaction and depression once again The data were examined using three sets of causal models, which yielded converging results For men, causal paths emerged from depression to marital satisfaction, whereas for women causal paths were from satisfaction to depression The results are discussed in relation to the marital discord model of depression


2013 ◽  
Vol 5 (1) ◽  
pp. 5-12 ◽  
Author(s):  
Sherita Hill Golden ◽  
Hui-Chun Hsu ◽  
Brad C. Astor ◽  
Saurabh Malhotra ◽  
Gary Wand ◽  
...  

Background: Depressive symptoms are associated with obesity, a precursor to type 2 diabetes and cardiovascular disease, and might in part explain the association of depressive symptoms with adverse metabolic outcomes. We determined the cross-sectional association between depressive symptoms and body mass index (BMI) and waist circumference (WC) in 1,314 elderly men and women age 60 to 83 years in the Atherosclerosis Risk in Communities (ARIC) Carotid MRI Study. Methods: Depressive symptoms were assessed using the Center for Epidemiological Studies Depression (CES-D) Scale. Elevated depressive symptoms were defined as CES-D score !16 and/or anti-depressant medication use. CES-D score was also modeled continuously. Results: In unadjusted analyses, each 5-point higher CES-D score was associated with a 0.48 kg/m2 higher BMI (95% CI: 0.24 to 0.69) and a 1.23 cm higher WC (95% CI: 0.67 to 1.82). Adjustment for potential confounders, including physical activity, attenuated the associations with BMI (0.16 kg/m2; 95% CI: -0.07 to 0.39) and WC (0.45 cm; 95% CI: -0.11 to 1.01). Compared to individuals without elevated depressive symptoms, those with elevated symptoms had significantly greater BMI (0.99 kg/m2; 95% CI: 0.07 to 1.90) and WC (3.22 cm; 95% CI: 1.04 to 5.40), even after multivariable adjustment. In a subsidiary analysis, compared to individuals not taking anti-depressants, those taking anti-depressants had significantly higher waist circumference (1.54 cm; 95% CI: 0.18 to 2.90) and BMI (4.23 kg/m2; 95% CI: 0.90 to 7.55) following multivariable adjustment. All results were similar when individuals with diabetes and coronary heart disease were excluded and when waist to height ratio was used an alternative measure of body fat. Conclusions: We found a significant cross-sectional association between depressive symptoms and BMI and WC in elderly individuals that was partially explained by health behaviors, particularly physical activity.


2007 ◽  
Vol 32 (8-10) ◽  
pp. 874-883 ◽  
Author(s):  
Lisette F.J. Morsink ◽  
Nicole Vogelzangs ◽  
Barbara J. Nicklas ◽  
Aartjan T.F. Beekman ◽  
Suzanne Satterfield ◽  
...  

2002 ◽  
Vol 11 (2) ◽  
pp. 171-197 ◽  
Author(s):  
Päivi Lampinen ◽  
Riitta-Liisa Heikkinen

The purpose of this prospective study, which is part of the Finnish Evergreen project, was to study depressive symptoms and positive self-esteem in different physical activity categories among men and women aged 65 and over during an eight-year period. Only subjects (N=663) who participated in both the baseline (1988) and the follow-up (1996) interviews were selected for the analyses. Depressive symptoms and positive self-esteem were assessed using a modified version of Beck’s 13-item scale (RBDI; Raitasalo, 1995). The intensity of physical activity was assessed on a seven-point scale ranging from the performance of necessary chores only to competitive sports. In addition, lifelong physical exercise was assessed by two questions. Number of chronic diseases and marital status were obtained from the participants themselves. Gender, lifelong physical exercise, intensity of physical activity and chronic diseases were associated with depressive symptoms and self-esteem. Physically active men and women and lifelong exercisers reported fewer depressive symptoms than their sedentary counterparts both at baseline and follow-up. The self-esteem scores were fairly similar among both sexes in the different categories of physical activity in both study years. The most active women had higher self-esteem scores than the more sedentary ones. Based upon these results, physical activity and lifelong physical exercise may prevent depressive symptoms and maintain positive self-esteem in older age. Positive measures should therefore be taken to support regular physical activity among older men and women.


2009 ◽  
Vol 21 (6) ◽  
pp. 864-880 ◽  
Author(s):  
Vassiliki Bountziouka ◽  
Evangelos Polychronopoulos ◽  
Akis Zeimbekis ◽  
Eftichia Papavenetiou ◽  
Evaggelia Ladoukaki ◽  
...  

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