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Characteristics of depressive symptoms in middle-aged family members of dementia patients: 2017 Korea Community Health Survey

Epidemiology and Health 2020년 42권 1호 p.31 ~ 31
Park Jin-Beom, 이원철, 정현숙, 홍나영, Bae Bo-Young, 임현우,
소속 상세정보
 ( Park Jin-Beom ) - Catholic University College of Medicine Department of Preventive Medicine
이원철 ( Lee Won-Chul ) - Catholic University College of Medicine Department of Preventive Medicine
정현숙 ( Jeong Hyun-Suk ) - Catholic University College of Medicine Department of Preventive Medicine
홍나영 ( Hong Na-Young ) - Catholic University College of Medicine Department of Preventive Medicine
 ( Bae Bo-Young ) - Catholic University College of Medicine Department of Preventive Medicine
임현우 ( Yim Hyeon-Woo ) - Catholic University College of Medicine Department of Preventive Medicine

Abstract


OBJECTIVES: The characteristics of depressive symptoms in the family members of home-dwelling patients with dementia have not been clearly reported. This study aimed to investigate the characteristics of depressive symptoms in middle-aged family members living with a patient with dementia.

METHODS: This study used the data from the nationwide 2017 Korea Community Health Survey. Among the 228,381 survey participants, 77,276 participants in their 40s and 50s were finally selected for this study. The participants consisted of 760 family members of home-dwelling dementia patients and 76,516 general family members comprising a control group.

RESULTS: The positive rate of Patient Health Questionnaire-9 (PHQ-9)-measured depressive symptoms was significantly higher in the family members of home-dwelling dementia patients (4.4%; control group: 1.9%). After adjusting for potential confounders, the prevalence of PHQ-measured depressive symptoms was 1.72 times (95% confidence interval [CI], 1.03 to 2.85) higher in the family members of home-dwelling dementia patients compared to the control group. The positive rate of depressive symptoms was 2.26 times higher (95% CI, 1.26 to 4.05) in the female middle-aged family members of home-dwelling dementia patients compared to the control group. In addition, those who reported having symptoms almost every day in the PHQ-9 questions had significantly higher positive rates on questions about loss of interest, depression, sleep disturbance, fatigue, poor appetite, and suicidal ideation, and not on questions regarding feelings of worthlessness and psychomotor agitation, compared to the control group.

CONCLUSIONS: Active interventions are needed to relieve depression in the family members of home-dwelling dementia patients.

키워드

Family with dementia patient; Depressive symptom; PHQ-9; Korea Community Health Survey

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