J Korean Geriatr Psychiatry.  2017 Oct;21(2):47-54. 10.0000/jkgp.2017.21.2.47.

The Associations between Social Relations, Activities of Daily Living, Cognitive Functions and Depressive Symptoms among the Korean Elderly: 2014 Korean National Survey on Older Adults

Affiliations
  • 1Department of Health Science, Graduate School of Chosun University, Gwangju, Korea.
  • 2Department of Preventive Medicine, College of Medicine, Chosun University, Gwangju, Korea. mahan@chosun.ac.kr
  • 3Department of Nursing, Honam University, Gwangju, Korea.

Abstract


OBJECTIVE
This study investigated the association between social relations, activities of daily living, cognitive functions and depressive symptoms among the Korean elderly.
METHODS
Study subjects were 10,260 elderly participated in 2014 Korean National Survey on Older Adults. General characteristics, social relations, activities of daily living, cognitive functions and depressive symptoms were collected by face-to-face interview. Descriptive analyses, chi-square tests and multiple logistic regression analysis were performed using SAS 9.4 statistical program.
RESULTS
Total 33.0% of elderly had depressive symptoms. The odds ratios (OR) for depressive symptoms were significantly higher in elderly without housemate [OR=1.30, 95% confidence interval (CI)=1.11-1.53], without contact of living children (OR=1.76, 95% CI=1.03-2.99), lower social activity (OR=2.00, 95% CI=1.71-2.35) and without contact of friends (OR=1.47, 95% CI=1.30-1.67). And impaired activity of daily living (ADL) (ADL : OR=1.61, 95% CI=1.18-2.20, instrumental activities of daily living : OR=1.68, 95% CI=1.36-2.06) and cognitive impairment (OR=1.21, 95% CI=1.07-1.38) were also associated the risk of depressive symptoms.
CONCLUSION
Social support for elderly who lack social relationships and services to improve the daily life of elderly with impaired activities are helpful to decrease depressive symptoms. And it is necessary to investigate and manage the depressive symptoms of elderly with impaired cognitive function.

Keyword

Activities of daily living; Cognition; Depression; Health surveys; Interpersonal relations
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