Korean Clinical Psychology Association

Current Issue

Korean Journal of Clinical Psychology - Vol. 38 , No. 2

[ Original Article ]
Korean Journal of Clinical Psychology - Vol. 38 , No. 2 , pp.171-181
ISSN: 2466-197X (Online)
publication date 31 May 2019
Received 05 Nov 2018 Revised 11 Mar 2019 Accepted 15 May 2019
DOI: https://doi.org/10.15842/kjcp.2019.38.2.004

수면이 노인 우울에 미치는 영향
이슬아 ; 최승원
덕성여자대학교 심리학과

The Effect of Sleep on Depression Among Older Adults
Seul-Ah Lee ; Sung-Won Choi
Department of Psychology, Duksung Women’s University, Seoul, Korea
Correspondence to : Sung-Won Choi, Department of Psychology, Duksung Women’s University, 33 Samyang-ro 144-gil, Dobong-gu, Seoul, Korea; E-mail: karatt92@duksung.ac.kr


© 2019 Korean Clinical Psychology Association
Funding Information ▼

초록

본 연구는 수면을 통해 노년기 우울을 예측할 수 있는지 살펴보고, 수면요소 중 어떤 것이 우울을 가장 잘 예측하는지 파악하고자 하였다. 본 연구는 “한국인의 사회적 삶, 건강한 노화 프로젝트(Korea Social Life, Health and Aging Project, KSHAP)”에 참여한 K지역 노인들의 4년차 자료를 사용해 위계적 회귀분석을 실시하였다. 그 결과, 인구통계학적, 건강상태 변수들을 통제하고서도 수면이 우울을 유의하게 설명하였다(R2=.34, ∆R2=.07, F(20, 543)=14.05, p<.001). 수면변수 중 수면 중 호흡 불편(β=.09, p<.05), 악몽(β=.10, p<.05), 낮은 수면의 질(β=.12, p<.01)과 집중 어려움(β=.19, p<.001)이 우울증상을 유의하게 예측해 주는 것으로 나타났으며, 이 변수들은 서로 유의한 상관을 나타냈다. 이를 통해 수면의 문제 자체가 우울에 독립적으로 영향을 미치는 것을 확인하였고, 여러 수면문제 변수들이 상호작용하며 우울에 영향을 미친다는 것을 추측해 볼 수 있다. 때문에 구체적인 수면문제를 파악하여 전반적인 수면의 질을 높이는 것이 우울증상을 예방하는 데 중요한 역할을 할 것으로 사료된다.

Abstract

The purpose of this study was to examine the effect of sleep on depression among older adults and to determine which sleep variables best explain depression. The data for this study were from the fourth wave of the Korean Social Life, Health and Aging Project (KSHAP). A hierarchical regression analysis was conducted to determine whether sleep variables, such as sleep latency, sleep quality, and nightmares could predict depression after controlling for demographic and health status variables. The results indicated that, similar to the hypotheses, some sleep variables predict depression, even after controlling other variables (R2=.34, ΔR2=.07, F(20, 543)=14.05, p<.001). Specifically, breathing discomfort (β=.09, p<.05), nightmares (β=.10, p<.05), low sleep quality (β=.12, p<.01), and difficulty of concentration (β=.19, p<.001) predict depression significantly, and their correlations were also significant. These findings suggest that various sleep problems interact with each other. Therefore, increasing general sleep quality would aid in the prevention of depression among older adults by examining the sleep problems in detail.


Keywords: older adults, sleep, depression
키워드: 노인, 수면, 우울

Acknowledgments

This manuscript include portions of poster were presented at 2018 annual conference of Korean psychological association.

This manuscript is a revision of the first author's master's thesis from Duksung Women’s University.

This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2017S1A3A2067165).


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