일 중소도시 노인의 양극성 범주 장애와 관련요인: 예비연구

The Factors Influencing Bipolar Spectrum Disorders among Elderly in a Small and Medium-Sized City: A Preliminary Study

일 중소도시 노인에서 K-MDQ를 통해 조사하고 국내 표준화 연구에서 제시하는 기준으로 평가한 양극성 범주 장애의 유병률은 3.3%였다. 양극성 범주 장애 유무에 따른 집단간의 비교에서는 성별, 수면시간에서 통계적으로 유의한 차이가 있었다. 노인의 양극성 범주 장애는 자아존중감, 사회적 지지, 수면시간과는 부적인 상관관계를 보였고 스트레스와는 정적인 상관성이 있었다. 이들 요인이 노인의 양극성 범주 장애의 9.2%를 설명했다.

Objective This study was aimed to investigate the prevalence of bipolar spectrum disorder and to analyze the factors influencing on bipolar spectrum disorders. Methods Data of this study was collected from over 65 years old who were located in Ik-san, Jeollabuk-do province. 320 data sheets were collected among them 300 were used in analysis. All of subjects were evaluated for the bipolar spectrum disorder, self-esteem, social support, stress with Korean version of Mood Disorder Questionnaire (K-MDQ), Rosenberg Self-Esteem Scale, Scale of Social Support (SSS), Brief Encounter Psychosocial Instrument Korean Version (BEPSI-K). We compared bipolar spectrum disorder among multiple factors and analyzed multiple regression with bipolar spectrum disorder as criterion variables and demographic characteristics. Results The prevalence of bipolar spectrum disorder in elderly was 3.3%. There were significant differences in result of the test about the bipolar spectrum disorder figuring out from sex (χ²=-2.058, p<0.01), sleep (t=-1.125, p<0.05). There were significant relation among bipolar spectrum disorder with stress (r=0.242, p<0.01), social support (r=-0.127, p<0.05), sleep (r=-0.136, p<0.05) and self esteem (r=-0.052, p<0.05). These factors accounted for 9.2% of bipolar spectrum disorder. Conclusion These results showed that the most important variable that influencing on bipolar spectrum disorders was stress.