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The cross-interaction between global and age-comparative self-rated health on depressive symptoms-considering both the individual and combined effects

 Jaeyong Shin  ;  Eun-Cheol Park  ;  Sang Gyu Lee  ;  Young Choi  ;  Jae-Hyun Kim  ;  Tae Hyun Kim 
 BMC PSYCHIATRY, Vol.16(1) : 433, 2016 
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BACKGROUND: Numerous studies suggesting the relation between self-rated health (SRH) and depression have been reported using different measures. Therefore, we attempted to determine the difference in a depressive scale based on the different ways of measuring health between global SRH (SRH-global) and age-comparative SRH (SRH-age). Then, the combined effect of SRH-global and SRH-age on depressive symptoms was further investigated. METHODS: Data from the Korean Longitudinal Study of Ageing (KLoSA) from 2008 to 2012 were analyzed. We divided the SRH-global and SRH-age into three levels-high, middle, and low-and combined each into nine new categories (SRH-combi). The Center for Epidemiologic Studies Depression Scale-10 Korean edition was used as the dependent variable. RESULTS: A total of 8621 participant were enrolled at baseline. Individuals with lower SRHs-age compared to SRH-global tended to be more vulnerable to depressive symptoms. Low SRH-global with low (b?=?0.654, p?<?0.001) and middle SRH-age (b?=?0.210, p?=?0.003) showed association with higher CESD scores. Participants with high SRH-global?×?low SRH-age also had higher scores (b?=?0.536, p?<?0.001) compared to the ""middle SRH-global?×?middle SRH-age"" reference group. In contrast, among the middle (b?=?-0.696, p?<?0.001) and high SRH-global (b?=?-0.545, p?<?0.001) groups, participants with superior SRH-age had statistically lower CESD scores than the reference group. CONCLUSIONS: Although a sole general SRH has historically been widely used, it has been suggested that use of both general and age-comparative SRH would be more powerful and easy when we consider analyzing depression in old age.
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1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
Yonsei Authors
Kim, Tae Hyun(김태현) ORCID logo https://orcid.org/0000-0003-1053-8958
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
Shin, Jae Yong(신재용)
Lee, Sang Gyu(이상규) ORCID logo https://orcid.org/0000-0003-4847-2421
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