Korean J Fam Pract. 2018; 8(3): 455-461  https://doi.org/10.21215/kjfp.2018.8.3.455
Depression among Elderly in Long-Term Care Facilities: Focusing on the Prevalence and Related Factors
Hyun-Joon Kim, Youn-Jung Son, Hye-Jin Jung, In-Young Hwang, Moo-Young Kim, Ki-Hyun Park, Soo-Hyung Lee*
Department of Family Medicine, Seoul Medical Center, Seoul, Korea
Soo-Hyung Lee
Tel: +82-2-2276-7000, Fax: +82-2-2276-8533
E-mail: jasinita@seoulmc.or.kr
ORCID: http://orcid.org/0000-0002-5373-6690
Received: March 29, 2017; Revised: June 16, 2017; Accepted: June 30, 2017; Published online: June 20, 2018.
© The Korean Academy of Family Medicine. All rights reserved.

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: The elderly in nursing homes are at a high-risk for depression; therefore they need an intensified depression screening. In this study, we compare the prevalence of depression between residents of a nursing home and a local community and determine factors related to depression in the elderly in nursing homes.
Methods: We enrolled 50 men and women aged over 65 from a nursing home and 50 patients of the family medicine inpatient service of the Seoul Medical Center. We checked for the presence of depressive symptoms in both groups. Additionally, we analyzed the correlation between depression and disease-related factors.
Results: The prevalence of depression in nursing home residents was 50.0%. In contrast, this prevalence was 14.0% in inpatients of the Seoul Medical Center. Our results confirm that the number of nursing home visits by family or friends shows a statistically significant correlation with depression prevalence.
Conclusion: We confirm that the prevalence of depression in the nursing home was higher than that in the local community. We also identified the number of nursing home visitors as a depression-related factor. Thus, there is an urgent need for a cohort study to establish guidelines for early detection and treatment for depression in the elderly in nursing homes.
Keywords: Aged; Depression; Nursing Homes
  1. Korean National Statistical Office. Future population estimation 2010-2060 [Internet]. Daejeon: Korean National Statistical Office [cited 2017 Dec 12].
  2. Ministry of Health and Welfare. 2016 Status of elderly welfare facilities [Internet]. Sejong: Ministry of Health and Welfare [cited 2017 Dec 12].
  3. Ministry of Health and Welfare. Elderly factual survey [Internet]. Sejong:Ministry of Health and Welfare [cited 2017 Dec 12].
  4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-IV. 4th ed. Washington, D.C.: American Psychiatric Association; 1994.
  5. Min SG. Modern psychiatry. Seoul: Iljogak; 2006.
  6. Seedat S, Scott KM, Angermeyer MC, Berglund P, Bromet EJ, Brugha TS, et al. Cross-national associations between gender and mental disorders in the World Health Organization World Mental Health Surveys. Arch Gen Psychiatry 2009; 66: 785-95.
    Pubmed KoreaMed CrossRef
  7. Jongenelis K, Pot AM, Eisses AM, Beekman AT, Kluiter H, Ribbe MW. Prevalence and risk indicators of depression in elderly nursing home patients:the AGED study. J Affect Disord 2004; 83: 135-42.
    Pubmed CrossRef
  8. Roesler e Silva E, Sousa AR, Ferreira LB, Peixoto HM. Prevalence and factors associated with depression among institutionalized elderly individuals:nursing care support. Rev Esc Enferm USP 2012; 46: 1387-93.
  9. Tiong WW, Yap P, Huat Koh GC, Phoon Fong N, Luo N. Prevalence and risk factors of depression in the elderly nursing home residents in Singapore. Aging Ment Health 2013; 17: 724-31.
    Pubmed CrossRef
  10. Sheikh JI, Yesavage JA. Geriatric Depression Scale: recent evidence and development of a shorter version. Clin Gerontol 1986; 5: 165-73.
  11. Bae JN, Cho MJ. Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients. J Psychosom Res 2004; 57: 297-305.
    Pubmed CrossRef
  12. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982-1983; 17: 37-49.
  13. Mitchell AJ, Bird V, Rizzo M, Meader N. Diagnostic validity and added value of the Geriatric Depression Scale for depression in primary care: a metaanalysis of GDS30 and GDS15. J Affect Disord 2010; 125: 10-7.
    Pubmed CrossRef
  14. Cole MG, Dendukuri N. Risk factors for depression among elderly community subjects: a systematic review and meta-analysis. Am J Psychiatry 2003;160: 1147-56.
    Pubmed CrossRef
  15. Levin CA, Wei W, Akincigil A, Lucas JA, Bilder S, Crystal S. Prevalence and treatment of diagnosed depression among elderly nursing home residents in Ohio. J Am Med Dir Assoc 2007; 8: 585-94.
    Pubmed KoreaMed CrossRef
  16. Ministry of Health and Welfare. Health checkup criteria enactment [Internet]. Sejong: Ministry of Health and Welfare [cited 2017 Dec 12].
  17. Marinkovic SP, Badlani G. Voiding and sexual dysfunction after cerebrovascular accidents. J Urol 2001; 165: 359-70.
  18. Jørgensen TS, Wium-Andersen IK, Wium-Andersen MK, Jørgensen MB, Prescott E, Maartensson S, et al. Incidence of depression after stroke, and associated risk factors and mortality outcomes, in a large cohort of Danish patients. JAMA Psychiatry 2016; 73: 1032-40.
    Pubmed CrossRef
  19. Kimura M, Robinson RG, Kosier JT. Treatment of cognitive impairment after poststroke depression : a double-blind treatment trial. Stroke 2000; 31:1482-6.
    Pubmed CrossRef
  20. Chi I, Chou KL. Social support and depression among elderly Chinese people in Hong Kong. Int J Aging Hum Dev 2001; 52: 231-52.
    Pubmed CrossRef
  21. Wilby F. Depression and social networks in community dwelling elders: a Wdescriptive study. J Gerontol Soc Work 2011; 54: 246-59.
    Pubmed CrossRef
  22. Hilari K, Northcott S, Roy P, Marshall J, Wiggins RD, Chataway J, et al. Psychological distress after stroke and aphasia: the first six months. Clin Rehabil 2010; 24: 181-90.
    Pubmed CrossRef
  23. Wragg RE, Jeste DV. Overview of depression and psychosis in Alzheimer’s disease. Am J Psychiatry 1989; 146: 577-87.
    Pubmed CrossRef

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