Korean Journal of Health Promotion

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

Original Article

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.

Key words: Patient Health Questionnaire-9; Depression; Prevalence; Risk factors

NOTES

NOTES: 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.