open access
메뉴E-ISSN : 2733-4538
This study aimed to examine the clinical utility of the Korean version of the Older Adult Behavior Checklist (OABCL) focusing on depression, anxiety, and dementia, which are the most common mental health problems among elderly people. In total, 92 patients older than 60 years were included in the study. The neuropsychological evaluation included the following instruments: The Mini Mental Status Examination-Korean version (MMSE-K), the Korean-Beck Anxiety Inventory (K-BAI), and the Geriatric Depression Scale (GDS). One-way ANOVAs compared the depression (DP, n= 56), anxiety (AN, n= 18), and dementia (DM, n= 18) groups regarding all OABCL subscales. Diagnostic groups differed significantly on several subscales, and post-hoc tests revealed that the AN group showed significantly lower scores than the DP and DM groups on Functional impairment, Memory/cognition, and DSM–dementia problems. Furthermore, the AN group presented a significantly lower score on DSM-depressive problems than the DP group. Discriminant analysis revealed that the discriminant function classified 82.4% of DP and AN, and also 91.7% of AN and DM correctly. Implications for clinical utility and suggestions for further research are also discussed.
Achenbach, T. M., Newhouse, P. A., & Rescorla, L. A. (2004). Manual for the ASEBA older adult forms & profiles. Burlington, VT:University of Vermont, Research Center for Children, Youth, &Families.
Achenbach, T. M., Krukowski, R. A., Dumenci, L., & Ivanova, M. Y. (2005). Assessment of adult psychopathology: Meta-analyses and implications of cross-informant correlations. Psychological Bulletin, 131, 361-382.
Bazer, D., & Williams, C. D. (1980). Epidemiology of dysphoria and depression in an elderly population. American Journal of Psychiatry, 137, 439-444.
Baxter, A. J., Scott, K. M., Vos, T., & Whiteford, H. A. (2013). Global prevalence of anxiety disorders: A systematic review and meta-regression. Psychological Medicine, 43(5), 897-910.
Beck, A. T., Emery, G., & Greenberg, R. L. (2005). Anxiety disorders and phobias: A cognitive perspective. New York, United States, Basic Books.
Blazer, D., Burchett, B., Service, C., & George, L. K. (1991). The association of age and depression among the elderly: An epidemiologic exploration. Journal of Gerontology, 46(6), M210-M215.
Brigidi, B. D., Achenbach, T. M., Dumenci, L., & Newhouse, P. A. (2010). Broad spectrum assessment of psychopathology and adaptive functioning with the older adult behavior checklist: A validation and diagnostic discrimination study. International Journal of Geriatric Psychiatry, 25, 1177-1185.
Bryant, C., Jackson, H., & Ames, D. (2008). The prevalence of anxiety in older adults: Methodological issues and a review of the literature. Journal of Affective Disorders, 109, 233-250.
Floyd, M., & Scogin, F. (1998). Cognitive-behavior therapy for older adults: How does it work? Psychotherapy: Theory, Research, Practice, Training, 35, 459.
Graham, J. E., Rockwood, K., Beattie, B. L., Eastwood, R., Gauthier, S., Tuokko, H., & McDowell, I. (1997). Prevalence and severtiry of cognitive impairment with and without dementia in an elderly population. The Lancet, 349, 1793-1796.
Health Insurance Review & Assessment Service. (2019). 2018 National Health Insurance Statistical Yearbook. Retrieved from https://www.hira.or.kr/bbsDummy.do?pgmid=HIRAA020045020000&brdScnBltNo=4&brdBltNo=2311&pageIndex=1#none.
Kang, H. S., & Kim, K. J. (2000). The correlation between depression and physical health among the aged. Journal of Korean Public Health Association, 26, 451-459.
Kee, B. S., & Lee, C. W. (1995). A preliminary study for the standardization of geriatric depression scale in Korea. Journal of the Korean Neuropsychiatric Association, 34, 1875-1885.
Kim, D. J., Choi, J. Y., Lee, D. W., & Oh, K. J. (2017). A Clinical validity study on the Korean version of Older Adult Behavior Checklist. Korean Journal of Clinical Psychology, 36, 283-290.
Kim, K. S., Park, J. S., & Moon, J. W.(2008). The analysis on mental health of the elderly in Korea. Korean Association of Health and Medical Sociology, 23, 105-132.
Kim, M. Y., Lee, J., Kim, Y. A., & Oh, K. J. (2015). Older Adult Behavior Checklist, behavior problems of older adult, informant group, confirmatory factor Analysis, measurement equivalence. Korean Journal of Clinical Psychology, 34, 505-527.
Kogan, J. N., Edelstein, B. A., & McKee, D. R. (2000). Assessment of anxiety in older adults: current status. Journal of Anxiety Disorders, 14, 109-132.
Lee, H. J. (2009). An exploratory study on factors affecting quality of life for the elderly: Focusing on socioeconomic and social capital traits. The Korean Journal of Stress Research, 17, 131-141.
Lee, I. J. (2007). Sex differences in the effects of psychosocial factors on depression and life satisfaction of older persons. Journal of Welfare for the Aged, 36, 161-182.
Lee, K. Y., Choi, S. S., Park, H. S., Lim, H. J. (2010). A study of factors affecting on the preference of the elderly’s mental health services utilization in rural areas - Application of Andersen and Newman’s model. Korean Journal of Social Welfare, 62, 257-278.
Lenze, E. J., & Wetherell, J. L. (2011). A lifespan view of anxiety disorders. Dialogues in clinical neuroscience, 13, 381-399.
Levy, R. (1994). Aging-associated cognitive decline. International Psychogeriatrics, 6, 63-68.
Mehta, K. M., Simonsick, E. M., Penninx, B. W., Schulz, R., Rubin, S. M., Satterfield, S., & Yaffe, K. (2003). Prevalence and correlates of anxiety symptoms in well‐functioning older adults: Findings from the health aging and body composition study. Journal of the American Geriatrics Society, 51(4), 499-504.
OECD (2019). “Fiscal challenges and inclusive growth in ageing societies”, OECD Economic Policy Papers. Retrieved from https://doi.org/10.1787/2226583X
Oh, K. J., Kim, Y. A., & Kim, M.Y. (2015). Manual for the ASEBA Older Adult Forms. Seoul, Korea: HUNO.
Park, J. H., & Kwon, Y. C. (1989). Standardization of Korean version of the Mini-Mental State Examination(MMSE-K) for use in the elderly. Journal of the Korean Neuropsychiatric Association, 28, 508-513.
Shin, J. W. (2016, November 25). 1 in 3 depression patients aged over 65: data. Yonhap News. Retrieved from https://en.yna.co.kr/view/AEN20161125002300320?section=search.
Son, D. S. (2006). Factors influencing the mental health of the elderly women. Mental Health & Social Work, 23, 120-146.
Strine, T. W., Chapman, D. P., Kobau, R., & Balluz, L. (2005). Associations of self-reported anxiety symptoms with health-related quality of life and health behaviors. Social Psychiatry and Psychiatric Epidemiology, 40(6), 432-438.
Wetherell, J. L., Birchler, G. D., Ramsdell, J., & Unützer, J. (2007). Screening for generalized anxiety disorder in geriatric primary care patients. International Journal of Geriatric Psychiatry, 22, 115-123.
Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37-49.
Yook, S. P., & Kim, Z. S. (1997). A clinical study on the Korean version of Beck Anxiety Inventory: Comparative study of patient and non-patient. Korean Journal of Clinical Psychology, 16, 185-197.