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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Objectives More than half of the elders suffer from chronic sleep disturbances. Moreover, sleep disturbances are more prevalent in patients with depressive disorder than in community dwelling elderly. In this study, we aim to estimate the risk factors of poor sleep quality and its effect on quality of life in patients with late life depression. Methods This study included 159 depressive patients aged 65 years or older who completed Pittsburgh Sleep Quality Index (PSQI). A global PSQI score of 5 or greater indicates a poor sleeper. Structural diagnostic interviews were performed using the Korean version of Mini International Neuropsychiatric Interview (MINI). Depression was evaluated by the Korean form of Geriatric Depression Scale (KGDS). Global cognition was assessed by Mini-Mental State Examination in the Korean version of the Consortium to Establish a Registry for Alzheimer's Disease assessment packet. Quality of life was evaluated by the Korean version of Short-Form 36-Item Health Survey (SF-36). Results The frequencies of poor sleepers were 90.5% in major depressive disorder, 71.8% in minor depressive disorder, 47.1% in subsyndromal depressive disorder, and 73.0% in all types of depressive disorders. Multivariate logistic regression analysis indicated that female [odds ratio (OR) = 2.83, 95% confidence interval (CI) = 1.20-6.67] and higher KGDS score (OR = 1.13, 95% CI = 1.05-1.21) were risk factors of poor sleep quality in patients with late life depression. In the analysis of ANCOVA adjusted for age, gender, education and KGDS score, the mean scores of vitality mental health and mental component summary of SF-36 were lower in poor sleepers than in good sleepers. Conclusions Poor sleepers among patients with late life depression are very common and are associated with female and higher KGDS scores. Poor sleep quality causes a significant negative effect on mental health quality. So researchers and clinicians should be more vigilant in the evaluation and treatment of sleep disturbances in patients with late life depression.
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참고문헌 (43)
참고문헌 신청
Murray CJ / 1997 / Mortality by cause for eight regions of the world: Global Burden of Disease Study / Lancet 349:1269~1276
Lopez AD / 2006 / Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data / Lancet 367:1747~1757
Nelson JC / 2005 / Symptoms of late-life depression: frequency and change during treatment / Am J Geriatr Psychiatry 13:520~526
Schubert CR / 2002 / Prevalence of sleep problems and quality of life in an older population / Sleep 25:889~893
Léger D / 2001 / SF-36 : evaluation of quality of life in severe and mild insomniacs compared with good sleepers / Psychosom Med 63:49~55
Lopez AD / 2006 / Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data / Lancet 367:1747~1757
Nelson JC / 2005 / Symptoms of late-life depression: frequency and change during treatment / Am J Geriatr Psychiatry 13:520~526
Schubert CR / 2002 / Prevalence of sleep problems and quality of life in an older population / Sleep 25:889~893
Léger D / 2001 / SF-36 : evaluation of quality of life in severe and mild insomniacs compared with good sleepers / Psychosom Med 63:49~55
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