Depression in Patients with Disorders of Musculoskeletal or Nervous System in Korea

Monday, July 11, 2011

Young-Ran Chae, RN, PhD
Department of Nursing, health care research center, Kangwon National University, Chuncheon, South Korea
Su Jeong Yu, RN, PhD
Department of Nursing, Sangji University, Kangwon-do, South Korea

Learning Objective 1: will learn that patients with disorders of musculoskeletal or nervous system in Korea are vulnerable to depression

Learning Objective 2: will learn differences in levels of depression by socio-demographic characteristics, physical symptoms, self-rated health, and familial support

Purpose:

This study aimed to describe whether levels of depression by socio-demographic characteristics, physical symptoms, self-rated health, and family support in patients with disorders of musculoskeletal or nervous system in Korea.

Methods:  

This study was designed as cross-sectional descriptive survey. One hundred thirty nine participants were recruited from the orthopedic and neurology outpatient clinics or in-patients departments of three hospitals in Korea. Study participants completed socio-demographic characteristics, symptom distress scale developed by McCorkle and Young (1978), self-rated health, family APGAR, and Korean version of the Center for Epidemiologic Studies Scale (CES-D).

Results:

On average, the participants reported an overall depression score of 19.2 (range: 0-54), physical symptoms of 23.0 (range: 10-45), self-rated health of 7.7 (range: 4-12), and family support of 5.8 (range: 0-10). About 60 % (83 individuals) of the participants had depression. Patients who are older, unemployed, in admission, or with lower monthly household income had great depression. Patients who had higher physical symptoms score, lower self-rated health, or lower family support were vulnerable to depression.

Conclusion: Study findings will be useful to establish priorities in planning nursing interventions in order to diminish depression in patients with disorders of musculoskeletal or nervous system. Nursing interventions can be provided to patients with disorders of musculoskeletal or nervous system who are older, unemployed, with lower monthly household income, higher physical symptoms score, lower self-rated health, or lower family support.