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Influence of the number and severity of somatic symptoms on the severity of depression and suicidality in community-dwelling elders.

Publication ,  Journal Article
Jeong, H-G; Han, C; Park, MH; Ryu, S-H; Pae, C-U; Lee, JY; Kim, SH; Steffens, DC
Published in: Asia Pac Psychiatry
September 2014

INTRODUCTION: Older adults commonly experience somatic symptoms, and those who do are more likely to have depressive disorders as well. Our goal in this study is to examine the influence of the number and severity of somatic symptoms on the severity of depressive symptoms, including suicidality, in elderly adults. METHODS: This study was conducted as part of the Ansan Geriatric (AGE) Study, a community-based cohort study in Ansan City, South Korea. A total of 3,210 elderly adults aged 60 years or over (1,388 males and 1,770 females) participated in this study. The Korean version of the Beck Depression Inventory (BDI) was used to measure depressive symptoms and suicidality. Somatic symptoms were assessed by the Patient Health Questionnaire-15 (PHQ-15). RESULTS: Both mild and severe somatic symptoms significantly increased the risk for severe depression and high suicidality. Severe somatic symptoms doubled the risk for severe depression and suicidal intent. DISCUSSION: Somatic symptoms not fully explained as medical illnesses are closely associated with late-life depression, even after adjustments for comorbid physical illnesses and other confounding factors. The presence of somatic symptoms concurrent with, but not fully explained by comorbid physical illness or disability, seems to be an independent marker for predicting the severity of late-life depression and suicidality.

Duke Scholars

Published In

Asia Pac Psychiatry

DOI

EISSN

1758-5872

Publication Date

September 2014

Volume

6

Issue

3

Start / End Page

274 / 283

Location

Australia

Related Subject Headings

  • Suicidal Ideation
  • Somatoform Disorders
  • Severity of Illness Index
  • Republic of Korea
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depressive Disorder
  • Comorbidity
 

Citation

APA
Chicago
ICMJE
MLA
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Jeong, H.-G., Han, C., Park, M. H., Ryu, S.-H., Pae, C.-U., Lee, J. Y., … Steffens, D. C. (2014). Influence of the number and severity of somatic symptoms on the severity of depression and suicidality in community-dwelling elders. Asia Pac Psychiatry, 6(3), 274–283. https://doi.org/10.1111/appy.12138
Jeong, Hyun-Ghang, Changsu Han, Moon Ho Park, Seung-Ho Ryu, Chi-Un Pae, Jun Young Lee, Seung Hyun Kim, and David C. Steffens. “Influence of the number and severity of somatic symptoms on the severity of depression and suicidality in community-dwelling elders.Asia Pac Psychiatry 6, no. 3 (September 2014): 274–83. https://doi.org/10.1111/appy.12138.
Jeong H-G, Han C, Park MH, Ryu S-H, Pae C-U, Lee JY, et al. Influence of the number and severity of somatic symptoms on the severity of depression and suicidality in community-dwelling elders. Asia Pac Psychiatry. 2014 Sep;6(3):274–83.
Jeong, Hyun-Ghang, et al. “Influence of the number and severity of somatic symptoms on the severity of depression and suicidality in community-dwelling elders.Asia Pac Psychiatry, vol. 6, no. 3, Sept. 2014, pp. 274–83. Pubmed, doi:10.1111/appy.12138.
Jeong H-G, Han C, Park MH, Ryu S-H, Pae C-U, Lee JY, Kim SH, Steffens DC. Influence of the number and severity of somatic symptoms on the severity of depression and suicidality in community-dwelling elders. Asia Pac Psychiatry. 2014 Sep;6(3):274–283.
Journal cover image

Published In

Asia Pac Psychiatry

DOI

EISSN

1758-5872

Publication Date

September 2014

Volume

6

Issue

3

Start / End Page

274 / 283

Location

Australia

Related Subject Headings

  • Suicidal Ideation
  • Somatoform Disorders
  • Severity of Illness Index
  • Republic of Korea
  • Middle Aged
  • Male
  • Humans
  • Female
  • Depressive Disorder
  • Comorbidity