Correlates of cognitive impairment and depressive symptoms among older adults in Korea and Japan
Correlates of cognitive impairment and depressive symptoms among older adults in Korea and Japan
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DOI：
10.1002/gps.1313
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发表时间：
2005-06-01
影响因子：
4
通讯作者：
Shinkai, S
中科院分区：
文献类型：
--
作者：
Lee, Y;Shinkai, S
背景认知障碍和抑郁症状给日本和韩国这两个亚洲老龄化速度最快的国家的老年人带来了沉重的护理负担。本研究的目的是检查和比较两国老年人认知障碍和抑郁症状的相关因素。方法2002年，在韩国安养市和日本与分市的居民中选取了65岁及以上社区居民的代表性样本。采用简易精神状态检查和老年抑郁量表评估老年人的精神状态。对社会人口统计学、身体机能、慢性病、社会支持和健康行为进行了检查，以确定显着的关联。结果 安阳市老年人认知障碍患病率为 17.0%，与板市老年人认知障碍患病率为 14.6%。抑郁症状的发生率分别为15.2%和19.8%。总体而言，功能能力是与精神状况显着相关的普遍因素。研究还发现，自评健康和社会支持与研究对象的抑郁症状独立相关。然而，社区结社模式的差异在其他特征上也很显着。例如，在与认知障碍相关的因素中，年龄、性别和教育等社会人口因素在韩国人中显着，而肥胖、社会支持和住院经历等社会行为因素在日本老年居民中显着。结论关联模式的相似性表明需要共同探讨这些因素在影响老年人心理健康方面所起的作用。然而，社会经济和地区差异可能是所观察到的关联差异的原因，这表明制定对老年人文化敏感的心理健康计划的重要性。版权所有 (c) 2005 John Wiley & Sons, Ltd.
Background Cognitive impairment and depressive symptoms impose a heavy burden on the care of the elderly in Japan and Korea, two of the fastest aging nations in Asia. The purpose of this study was to examine and compare factors associated with cognitive impairment and depressive symptoms among older persons in the two countries.Methods In 2002, representative samples of community-dwelling people aged 65 and older were selected among residents in Anyang, Korea and Yoita, Japan. Mini-Mental State Examination and Geriatric Depression Scale were used to assess the elderly's mental status. Sociodemographics, physical function, chronic conditions, social support, and health behaviors were examined to identify significant associations.Results The prevalence of cognitive impairment in older adults was 17.0% in Anyang and 14.6% in Yoita. The rates for depressive symptoms were 15.2% and 19.8%, respectively. Overall, functional capacity was the universal factor significantly associated with mental conditions. Self-rated health and social support were also found to be independently associated with depressive symptoms in the study subjects. Differences in the patterns of association by community, however, were notable for other characteristics. For example, in factors associated with cognitive impairment, sociodemographic factors such as age, gender, and education were significant among Koreans, whereas socio-behavioral factors such as obesity, social support and hospitalization experience were found to be significant for older Japanese residents.Conclusions Similarities in the patterns of association indicate the need for joint explorations into the role these factors play in affecting the mental health of older persons. Socioeconomic and regional differentials, however, may account for the disparity in the associations observed, suggesting the importance of developing mental health programs sensitive to the older individual's culture. Copyright (c) 2005 John Wiley & Sons, Ltd.