Korean J Health Promot.  2019 Mar;19(1):32-38. 10.15384/kjhp.2019.19.1.32.

Depressive Symptoms and Sociodemographic Risk Factors among Chronic Disease Inpatients at University Medical Centers

• Choi GA
• Choi HJ
• Park SY

• KMID: 2442656
• DOI: http://doi.org/10.15384/kjhp.2019.19.1.32

Abstract

BACKGROUND
The purpose of this study was to examine the prevalence of and the sociodemographic risk factors for depressive symptoms among inpatients with chronic diseases who completed the Patient Health Questionnaire-9 (PHQ-9) conducted by a social work department at university medical centers.
METHODS
In 2015, PHQ-9 data were collected from six medical centers affiliated with Hallym University Medical Center. The sample comprised 517 inpatients aged 18 years or over with chronic diseases. Descriptive statistics, chi-square test, simple logistic regression, and multiple logistic regression were used for data analyses.
RESULTS
The prevalence of depressive symptoms among inpatients with chronic diseases was 31.7 percent. The results of the simple and multiple logistic regressions showed that the single/widowed/divorced/separated group was at higher risk for depressive symptoms than married inpatients. Having a religion or being unemployed also increased the risk of depressive symptoms among the respondents.
CONCLUSIONS
Findings of this study emphasize the importance of systematic depressive symptom management for inpatients with chronic diseases.

Keyword

Patient Health Questionnaire-9; Depression; Prevalence; Risk factors

MeSH Terms

Academic Medical Centers*
Chronic Disease*
Depression*
Humans
Inpatients*
Logistic Models
Prevalence
Risk Factors*
Social Work
Statistics as Topic
Surveys and Questionnaires

Reference

1. World Health Organization. The world health report 2001-Mental health: new understanding, new hope [Intrernet]. Geneva: WHO;2001. Accessed Oct 16, 2018. Available from: https://www.who.int/whr/2001/en/whr01_en.pdf?ua=1.

2. Hong JP. The survey of mental disorders in Korea [Intrernet]. Sejong: Ministry of Health and Welfare;2017. Accessed Sep 14, 2018. Available from: http://www.korea.kr/archive/expDocView.do?docId=37547.

3. Himani G, Badini A, Nanji K. Depression and its associated factors among patients with chronic obstructive pulmonary disease in Karachi, Pakistan. Cureus. 2018; 10(7):e2930.

4. Katon WJ. Clinical and health services relationships between major depression, depressive symptoms, and general medical illness. Biol Psychiatry. 2003; 54(3):216–226.

5. Lotfaliany M, Bowe SJ, Kowal P, Orellana L, Berk M, Mohebbi M. Depression and chronic diseases: co-occurrence and communality of risk factors. J Affect Disord. 2018; 241:461–468.

6. Jeon JA, Lee NH. Depression, its concurrent chronic illnesses, and related health service use in the Korea welfare panel data. Health and Welfare Policy Forum. 2015; 219:75–84.

7. Lee PS, Lee YM, Lim JY, Hwang RI, Park EY. The relationship of stress, social support and depression in the elderly. J Korean Acad Nurs. 2004; 34(3):477–484.

8. Kim JM, Stewart R, Bae KY, Yang SJ, Yoon JS, Jung SW, et al. Physical comorbidity and 12-week treatment outcomes in Korean patients with depressive disorders: the CRESCEND study. J Psychosom Res. 2011; 71(5):311–318.

9. The Korean Geriatrics Society. Textbook of geriatric medicine. 3rd ed. Seoul: Medical Publisher;2015.

10. Kim KU, Park HK, Jung HY, Ahn JJ, Moon E, Kim YS, et al. Association of depression with disease severity in patients with chronic obstructive pulmonary disease. Lung. 2014; 192(2):243–249.

11. Han KM, Ko YH, Yoon HK, Han C, Ham BJ, Kim YK. Relationship of depression, chronic disease, self-rated health, and gender with health care utilization among community-living elderly. J Affect Disord. 2018; 241:402–410.

12. Jung YH. A study on the effective chronic disease management [Internet]. Seoul: Korea Institute for Health and Social Affairs;2013. Accessed Sep 28, 2018. Available from: https://www.kihasa.re.kr/web/publication/research/view.do?pageIndex=29&keyField=&key=&menuId=44&tid=71&bid=12&division=001&ano=1678.

13. Jeong H, Yim HW, Jo SJ, Kim CM, Jeong S, Song H, et al. The screening and post-management of depression in primary care. Korean J Fam Pract. 2012; 2(1):15–23.

14. Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001; 16(9):606–613.

15. Han C, Jo SA, Kwak JH, Pae CU, Steffens D, Jo I, et al. Validation of the Patient Health Questionnaire-9 Korean version in the elderly population: the Ansan Geriatric study. Compr Psychiatry. 2008; 49(2):218–223.

16. Choi HS, Choi JH, Park KH, Joo KJ, Ga H, Ko HJ, et al. Standardization of the Korean version of Patient Health Questionnaire-9 as a screening instrument for major depressive disorder. J Korean Acad Fam Med. 2007; 28(2):114–119.

17. Yeo Y, Yoo EK. The relationship among depression, self-esteem and ADL in the case of the hospitalized elderly patients with chronic disease. J Korean Acad Adult Nurs. 2010; 22(6):676–686.

18. Zivin K, Wharton T, Rostant O. The economic, public health, and caregiver burden of late-life depression. Psychiatr Clin North Am. 2013; 36(4):631–649.

19. Kim H, Yi M. Anxiety, depression and uncertainty in cancer patients participating in clinical trial of anticancer drugs. Korean J Adult Nurs. 2013; 25(1):53–61.

20. Lee SJ, Kim J, Park YM. Influence of depression on cancer metastasis. J Korean Oncol Nurs. 2008; 8(2):105–110.

21. Choi R, Moon HJ, Hwang BD. The influence of chronic disease on the stress cognition, depression experience and suicide thoughts of the elderly. Korean Journal of Health Service Management. 2010; 4(2):73–84.

22. Lee DH, Ham KA, Kim JY, Kim MK, Jung SW, Kim JB. Gender differences in DSM-IV major depression symptoms: based on Korean psychiatric diagnostic screening questionnaire (K-PDSQ). Korean Journal of Rehabilitation Psychology. 2013; 20(3):501–522.

23. Koenig H, King D, Carson VB. Handbook of religion and health. 2nd ed. New York: Oxford University Press;2012.

24. Krause N. Church-based social support and health in old age: exploring variations by race. J Gerontol B Psychol Sci Soc Sci. 2002; 57(6):S332–S347.

25. Roh S, Lee YS, Kim Y, Park SY, Chaudhuri A. Gender differences in the roles of religious support and social network support in reducing depressive symptoms among older Korean Americans. J Soc Serv Res. 2015; 41(4):484–497.

26. Price RH, Choi JN, Vinokur AD. Links in the chain of adversity following job loss: how financial strain and loss of personal control lead to depression, impaired functioning, and poor health. J Occup Health Psychol. 2002; 7(4):302–312.

27. Ko SJ. Medical care expenditures and utilitsations for depressed adults with chronic disease. Health and Welfare Policy Forum. 2011; 182:24–31.