The Journal of the Convergence on Culture Technology (문화기술의 융합)

The International Promotion Agency of Culture Technology (국제문화기술진흥원)
권호 표지
DOI QR코드

DOI QR Code

A Study on the Effect of Subjective Health Status, Death Anxiety and Life Meaning of the Elderly on Somatization; Focusing on Local Community

노인의 주관적 건강상태, 죽음불안, 삶의 의미가 신체화 증상에 미치는 영향; 지역사회 중심으로

  • Received : 2022.04.30
  • Accepted : 2022.05.09
  • Published : 2022.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

This study was to investigates the effects of subjective health status, death anxiety and life mening of the elderly living in local community might influence somatization. Participants were 241 65 years of age or older and living in K city and B city. Data were collected with structured questionnaires from February 1 to March 25, 2018. Data were analyzed SPSS 21.0 program for descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression. Factors which influeence somatization of the elderly in local community were ife meaning(𝛽=-.260, p<.001), subjective health status(𝛽=-.256, p<.001), death anxiety(𝛽=.163, p<.01). Therefore a program which can reduce somatization should be developed and utilized.

본 연구는 지역사회 노인의 주관적 건강상태, 죽음불안, 삶의 의미가 신체화 증상에 미치는 영향을 파악하기 위해 실시되었다. 자료수집은 K도와 B시에 있는 65세 이상 노인 241명을 대상으로 2018년 2월 1일부터 3월 25일까지 구조화된 설문지를 이용하여 시행되었다. 자료분석은 SPSS WIN 21.0을 이용하여 t-test, ANOVA, Pearson's correlation coefficients, Multiple Regression Analysis로 분석하였다. 지역사회 노인의 신체화 증상에 영향을 미치는 요인은 삶의 의미(𝛽=-.260, p<.001), 주관적 건강상태(𝛽=-.256, p<.001), 죽음불안(𝛽=.163, p<.01) 순으로 신체화 증상에 유의미한 영향을 미치는 것으로 나타났다. 따라서 지역사회 노인의 삶의 의미가 낮을수록, 주관적 건강상태가 좋지 않을수록, 죽음불안이 높을수록 신체화 증상이 높아지므로 신체화 증상을 감소시키는 프로그램 개발과 적용이 필요하다.

Keywords

References

  1. S.D. Chung, "Public Perceptions of Aging Korean Society and the Influencing Factors," Journal of Korean Gerontological Society, Vol. 32, No. 2, pp. 541-557, 2012.
  2. http://www.kosis.kr/statisticslist/
  3. J.H. Kim, Y.M. Jung, " A Study on the health Age, Activity Daily of Living and Cognitive function of the Elderly", Journal of Korean Gerontological Nursig Society, Vol. 3, No. 1, pp. 22-31, 2001.
  4. Y.H. Oh., et al, "Old Persons' Quality of Life and Policy Implications", Health and Social Welfare Review, 2005.
  5. Gili, M., Magallon, R, Lopez-Navarro, E, Roca, M., Moreno, S, Bauza, N, & Garcia-Cammpayo, J. : Health related quality of life changes in somatising patients after individual versus group cognitive behavioural therapy: A randomized clinical trial", Journal of Psychosomatic Research, Vol. 76, No. 2, pp. 89-93, 2014. https://doi.org/10.1016/j.jpsychores.2013.10.018
  6. J.Y. Lee, "Psychological Symptoms and Stress Coping Styles in College Students with Somatization", Korean Journal of Stress Research, Vol. 22, No. 3, pp. 149-158, 2014. https://doi.org/10.17547/kjsr.2014.22.3.149
  7. H.K. Shin, "Effects of depressive mood state on self-focused attention, somatosensory amplification, somatic attribution, and somatic symptoms in somatization group", Korean Journal of Clinical Psychology, Vol. 25, No. 2, pp. 467-488, 2006.
  8. S.G. Jo, M.S. Park, "The Influence of Emotional Labor and Job Stress on Somatization Symptoms among Nurse Officers", Journal of military nursing research, Vol. 31, No. 2, pp. 77-90, 2013.
  9. H.J. Choi, "A Study on Perceived Health Status, Physical Symptom, Depression in the Elderly of Rural Areas", Korean Journal of Nursing, Vol. 11, No. 2, pp. 74-80, 2008. https://doi.org/10.5388/jkon.2011.11.1.74
  10. L.N. Seo, "The Effects of Manifest Anxiety and Death Anxiety on the Symptoms of Somatization", Master's Thesis, Korea University, Seoul, 2012.
  11. S.Y. Kim, "Effects of Death Anxiety and Meaning of Life on Somatization of Grandparent Raising Grandchildren", Journal of Korean Academy of Nursing, Vol. 45, No. 2, pp. 262-270, 2015. https://doi.org/10.4040/jkan.2015.45.2.262
  12. S.B. Hong, "The relationship among Subjective Health Status and Successful Aging and the Mediating Effects of Meaning in Life of Elderly Participating in Physical Activity", Journal of Korean Leisure Sciences, Vol. 10, No. 1, pp. 1-12, 2019.
  13. Y.J. Choi, Y.S. Park, C. Kim, Y.K. Chang, "Evaluation of Functional Ability and Nutritional Risk according to Self-Rated Health (SRH) of the Elderly in Seoul and Kyunggi-do", Journal of Nutrition and Health, Vol. 37, No. 3, pp. 223-235, 2004.
  14. C.M. Heo, S.H. An, "Relationship among Subjective Health, Psychological Well-being and Successful Aging of Elderly Participating in Physical Activity", Korean journal of physical education, Vol. 25, No. 6, pp. 357-369, 2014.
  15. E.S. Kim., et al. "Subjective health status and relative factors of old-old elderly of more than 75-year-old-Based on 2011 Korea National Health and Nutrition Examination Survey", Journal of the Korea Academia-Industrial cooperation Society, Vol. 15, No. 7, pp. 4279-4289, 2014. https://doi.org/10.5762/KAIS.2014.15.7.4279
  16. S.H. Ji, "The Effects of Subjective Health Status of the Elderly on the Satisfaction of Life: Moderating Effect of Family Relationship Satisfactio", Master's Thesis, Kyungpook National University, Daegu, 2017.
  17. C.H. Park, "Relation ship between Depression and Somatic Symptoms of Elderly People under Nursing Home Care and their Impulse of Suicide", Master's Thesis, Wonkwang University, Iksan, 2012.
  18. K.H. Kim, H.J. Kwon, M.H. Choi, Y.J. Park, S.K. Kim, "Psychological and Spiritual Factors Associated with Death Anxiety of Elderly People Living at Home", Journal of Korean Academic Psychiatric Mental Health Nursing, Vol. 19, No. 1, pp. 96-105, 2010. https://doi.org/10.12934/jkpmhn.2010.19.1.96
  19. J.E. Paik, "The Relationships of Life Support and Death Anxiety for Elderly", Journal of The Korean Data Analysis Society, Vol. 12, No. 3, pp. 3117-3136, 2010.
  20. M.N. Oh, W.S. Choi, "A Study on Self-Esteem, Death Anxiety and Depression of the Elderly in Home and Facilities", Family and Environment Research, Vol. 43, No. 3, pp. 105-118, 2005.
  21. D.H. Im, "Study of Effects of Spiritual Wellbeing and Practical Wellbeing on Death Anxiety among Elderly People", Journal of the Korea Spirituality and Health Welfare, Vol. 2, No. 2, pp. 33-51, 2015.
  22. O.K. Kwon, "A Survey on the Determinants of Death Anxiety in Nuring-Home Residents", Journal of Welfare for the Aged Institute, Vol. 41, pp. 27-50, 2008.
  23. D.H. Jang, S.M. Lee, "The Effect of Family Factors on Death Anxiety of The Aged", Journal of Welfare for the Aged Institute, Vol. 37, pp. 89-110, 2007.
  24. H.K. Han, K.I. Kim, "Evaluating the Effects of Social Support of Home Visiting Hospice on Dying Elderly's Fear of Death", Journal of Korean Gerontological Society, Vol. 23, No. 2, pp. 171-185, 2003.
  25. Goldenberg, J. L, Pyszczynski, T, McCoy, S .K, Greenberg, J & Solomon, S. Death, sex, love, and neuroticism: why is sex such a problem?. Journal of Personality and Social Psychology, Vol. 77, 1173-1187. 2000. https://doi.org/10.1037/0022-3514.77.6.1173
  26. Goldenberg, J. L, Hart, J, Pyszczynski, T, Warnica, G. M. ,Landau, M & Thomas, L. Ambivalence toward the body: death, neuroticism and the flight from physical sensation. Personality and Social Psychology Bulletin, 32, 1264-1277. 2006. https://doi.org/10.1177/0146167206289505
  27. E.S. Park, J.A. Park, "Research Trends and Implications in Meaning in life", Ewha Journal of Social Sciences, Vol. 29, No. 1, pp. 267-299, 2013. https://doi.org/10.16935/ejss.2013.29..008
  28. K.M. Kim, S.A. Ryu, I.C. Choi, "The effect of meaning in Life on happiness and health in Late Life", Korean Journal of Psychology: General, Vol. 30, No. 2, pp. 503-523, 2011.
  29. M.Y. Chung, "The Influence of the Searching Process for the Meaning in Life on the Well-being: Focused on Difference for the Intolerance of Uncertainty", Korean Journal of Christian Counseling, Vol. 11, pp. 203-228, 2009.
  30. W.S. Choi, "A Study on the Elderly's Ego Integrity and Death Anxiety", Journal of Korean Gerontological Society, Vol. 27, No. 4, pp. 755-773, 2007.
  31. H.R. Kim, K. Park, "The effects of Life stress and anger on somatization of women", Korean Journal of Psychology, Vol. 1, pp. 246-247, 2006.
  32. H.H. Kim, "Meaning in Life and Death Anxiety in the Elderly", Master's Thesis, Catholic University of Busan, Busan, 2006.
  33. H.R. Bae, "The Meaning of life and Hope for Home Elderly and Institutionalized Elderly", Master's Thesis, Daegu Catholic University, Daegu, 2002.
  34. M.K. Shin, J.S. Kang "Factors Affecting Physical Symptoms of Elders", The Journal of Korean Academic Society of Adult Nursing, Vol. 22, No. 2, pp. 211-220, 2010.
  35. Kroenke K, Spitzer RL, Williams J B. The PHQ-15: validity of anew measure for evaluating the severity of somatic symptoms. Psychosomatic Medicine. Vol. 64, No. 2, 258-66. 2002. https://doi.org/10.1097/00006842-200203000-00008
  36. H.J. Back, "A Study on depression and somatic symptoms in the Community-Dwelling Elderly", Master's Thesis, Ewha Womans University, Seoul, 2007.
  37. Y.H. Lee, C.S. Park, "Effects of a Stress Management Program on Perceived Stress, Depression and Somatic Symptom in the Elderly", The Journal of korean academic society of home care nursing, Vol. 17, No. 2, pp. 127-134, 2010.
  38. Lawton, M. P, Moss, M, Fulocomer, M, & Kleban, M. H. A research and service oriented multilevel assessment instrument. Journal of gerontolojy, 39(5), 603-612. 1982.
  39. K.J. Kim, "Prediction Model for Health Promotion Behaviors in Middle-aged Men", Master's Thesis, Hanyang University, Seoul, 2000.
  40. Linn, M, & Linn, B. S. Self-evaluation of life function scale. Journal of Gerontology, Vol. 37, 91-99. 1984. https://doi.org/10.1093/geronj/37.1.91
  41. Y.J. Kim, Y.S. Park, "Mid-Life Crisis and It's Related Variables", Journal of Korean home management association, Vol. 7, No. 1, pp. 97-118, 1989.
  42. M.S. Lee, "A Study on the health promotion behavior, subjective health, and quality of life in the elderly", Master's Thesis, Hanyang University, Seoul, 2012.
  43. Thorsons, J. A. Powell, F. C. Meaning of death and intrinsic religiosity. Journal of Clinical Psychology, Vol. 46, No. 4, 379-387. 1992. https://doi.org/10.1002/1097-4679(199007)46:4<379::AID-JCLP2270460402>3.0.CO;2-A
  44. E.K. Park, "Death Anxiety Scale", Master's Thesis, Korea University, Seoul, 1995.
  45. Crumbaugh, J. C. & Maholick, L. T. Manual of instruction for the purpose-in-Life test. Munster, Psychometric Affiliates. 1969.
  46. J.J. Lee, "The effect of nursing-logotherapy on self-esteem, purpose in life and finding meaning, and hope of the patients of mental illness", Master's Thesis, Kyungpook National University, Daegu, 1996.
  47. J.S. Kang, M.K. Shin, "The Influences of Disease, Anger Trait and Anger Expression on the Somatizing Symptoms of Elderly Dwelling in a City", The Korean Journal of Stress Reserch, Vol. 19, No. 4, pp. 343-350, 2011.
  48. J.S. Kang, Y.S. Chung, "The Influences of Physical Health, Cognitive Symptom and Nutritional Status on the Depression of the Elderly Dwelling in a Big City", Journal of Korean Academy of Community Health Nursing, Vol. 19, No. 3, pp. 378-387, 2008.
  49. K.R. Shin, Y.H. Kang, H.J. Park, K.H. Kim, "Depression, Somatoform Disorders, and Quality of Life between Poor Sleepers and Good Sleepers in Community-Dwelling Older Adults", The Journal of Korean Academic Society of Adult Nursing, Vol. 23, No. 4, pp. 332-339, 2011.
  50. J.H. Oh, M.S. Lee, "Factors That Affect Health-Related Quality of Life in Community-Dwelling Older Adults", Perspectives in Nursing Science, Vol. 9, No. 2, pp. 102-110, 2012.
  51. K.R. Shin, Y.H. Kang, M.Y. Kim, D.Y. Chung, A.J. Lee, "Prediction of Depression among Elderly with Mild Cognitive Impairment Living in the Community", The Journal of Korean Academic Society of Adult Nursing, Vol. 24, No. 4, pp. 171-182, 2012. https://doi.org/10.7475/kjan.2012.24.2.171
  52. A.R. Park, K.S. Jeong, "Influence of Subjective Health Status, Social Activity and Family Support on Subjective Quality of Life of Elderly in a Community", The journal of Korea Contents Association, Vol. 17, No. 3, pp. 212-221, 2017. https://doi.org/10.5392/JKCA.2017.17.03.212
  53. K.Y. Kim, Y.J. Jung, "IThe Study on Elements of Successful Aging by Physical Health and Economic Status", Journal of Welfare for the Aged Institute, Vol. 34, pp. 31-54, 2006.
  54. J.S. Min, "The Relationships between Adult Attachment, Perceived Availability of Social Support and Death Anxiety in older adults", Master's Thesis, Korea University, Seoul, 2009.
  55. Y.J. Lee, "A Study on the Relationship between Elderly Consciousness Regarding Preparation for Death and Anxiety of Death", Master's Thesis, Catholic University, Seoul, 2005.
  56. S.C. Oh, "Study of Senior Housing Residents Fear of Death", Master's Thesis, Soongsil University, Seoul, 2008.
  57. Y.M. An, "A Study on the Relationship among Meaning of Life, Self-esteem and Mental Health of the Elderly", Journal of Korean Academic Psychiatric Mental Health Nursing, Vol. 12, No. 4, pp. 576-585, 2003.
  58. Y.J. Jung, "A Comparative Study on the Meaning in Life of the Hospitalized Elderly and the Non-Hospitalized Elderly", Master's Thesis, Catholic University of Busan, Busan, 2002.