Depressive Symptoms and Sociodemographic Risk Factors among Chronic Disease Inpatients at University Medical Centers

Gyong-Ae Choi; Hyun-Jung Choi; So-Young Park

doi:10.15384/kjhp.2019.19.1.32

Korean J Health Promot > Volume 19(1); 2019 > Article

Choi, Choi, and Park: Depressive Symptoms and Sociodemographic Risk Factors among Chronic Disease Inpatients at University Medical Centers

Original Article

Korean Journal of Health Promotion 2019;19(1):32-38.

Published online: March 31, 2019

DOI: https://doi.org/10.15384/kjhp.2019.19.1.32

Depressive Symptoms and Sociodemographic Risk Factors among Chronic Disease Inpatients at University Medical Centers

Gyong-Ae Choi¹, Hyun-Jung Choi¹, So-Young Park²

¹Department of Social Work, Hallym University Kangnam Sacred Heart Hospital, Seoul, Korea.

²Ewha Institute for Age Integration Research, Ewha Womans University, Seoul, Korea.

Corresponding author: So-Young Park, PhD. Ewha Institute for Age Integration Research, Ewha Womans University, 52 Ewhayeodae-gil, Seodaemun-gu, Seoul 03760, Korea.
Tel: +82-2-3277-2235, Fax: +82-2-3277-2783, syp279@gmail.com

Received October 16, 2018 Revised January 17, 2019 Accepted January 28, 2019

This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

ABSTRACT

Background

The purpose of this study was to examine the prevalence of and the sociodemographic risk factors for depressive symptoms among inpatients with chronic diseases who completed the Patient Health Questionnaire-9 (PHQ-9) conducted by a social work department at university medical centers.

Methods

In 2015, PHQ-9 data were collected from six medical centers affiliated with Hallym University Medical Center. The sample comprised 517 inpatients aged 18 years or over with chronic diseases. Descriptive statistics, chi-square test, simple logistic regression, and multiple logistic regression were used for data analyses.

Results

The prevalence of depressive symptoms among inpatients with chronic diseases was 31.7 percent. The results of the simple and multiple logistic regressions showed that the single/widowed/divorced/separated group was at higher risk for depressive symptoms than married inpatients. Having a religion or being unemployed also increased the risk of depressive symptoms among the respondents.

Conclusions

Findings of this study emphasize the importance of systematic depressive symptom management for inpatients with chronic diseases.

Keywords: Patient Health Questionnaire-9, Depression, Prevalence, Risk factors

This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2018S1A5B5A02032658).

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Table 1

Prevalence of depressive symptoms

Abbreviation: PHQ-9, Patient Health Questionnaire-9.

Values are presented as number (%).

Table 2

Proportions (%) of the PHQ-9 categories by sociodemographic characteristics among Korean adult inpatients

Abbreviation: PHQ-9, Patient Health Questionnaire-9.

Values are presented as number (%).

^aP<0.01.

^bP<0.05.

^cP<0.001.

Table 3

Simple and multiple logistic regression model for depressive symptoms among Korean adult inpatients

Abbreviations: CI, confidence interval; OR, odds ratio.

^aDisease was excluded from the multiple logistic regression analysis because the sample size of the variable was too small when broken down by this sub-category.