• Title/Summary/Keyword: 우울 및 죽음불안

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A Study about the Model of Subjective Quality of Life for the Elderly: Focused on the Mediating Effects of Death Anxiety (노인의 주관적 삶의 질 모형 연구: 죽음불안의 매개효과를 중심으로)

  • Lim, Seung Hee;Roh, Seung-Hyun
    • 한국노년학
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    • v.31 no.1
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    • pp.1-14
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    • 2011
  • The purpose of this study is to develop a research model and to verify the effects death anxiety has on subjective health status, economic status, depression and social support for the elders and their quality of life. The survey targeting 330 elders from the 17 senior citizen centers in Dong-do-chun and Nam-yang-ju city was carried out from 2008.8.1 to 2008.9.31. To summarise the research result, 6 hypotheses among 9 hypotheses concerning the direct effects were supported. In another words, health status, depression and social support are valid and the direct effect of depression, social support and death anxiety are valid as subjective quality of life as an endogenous variable. In the case of indirect effects, 2 indirect effects among all 4 indirect effect hypotheses are valid. In another words, the effect the subjective health status has on the subjective quality of life is valid as the mediating effects of death anxiety and the effect depression has on the subjective quality of life is also valid as the mediating effects of death anxiety. Based on the results of this study, a proposal to reduce death anxiety among the elderly is suggested.

The Effects of Group Reminiscence Counseling on Ego integrity, Depression, Death anxiety of the Elderly. (일반노인 대상 회상치료 프로그램의 자아통합 및 우울, 죽음불안의 개선효과)

  • Nam, Hyang-Ja;Park, Joong-Kyu;Kim, Jung-Mo
    • 한국노년학
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    • v.31 no.1
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    • pp.49-61
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    • 2011
  • The purpose of this study was to analyze the effects of the Group Reminiscence Counseling on ego integrity, depression and death anxiety of the institutionalized compared to the home stay elderly. This study is conducted for 16 weeks from March 9, 2010 to June 22, 2010. The subjects of experimental group consisted of 14 elderly persons of G city. The control group consisted 13 who matched in D city. The experimental group was provided with group 60 minutes session once a week during 16 weeks. The results of this study were first, the experimental group showed higher statistically significant mean scores than control in ego integrity. second, the experimental group showed lower statistically significant mean scores than control in depression and death anxiety. Based on the above results, elder's ego integrity was improved, elder's depression and death anxiety were decreased after reminiscence counseling. it is expected that the group reminiscence counseling can be used as one program to improvement the psychological well-being of the elderly.

The Effects of Depression, Death Anxiety, and Social Support on Psychological Well-Being of Elderly Living Alone: Mediating Effect of Resilience (우울, 죽음불안, 사회적 지지가 독거노인의 심리적 안녕감에 미치는 영향: 탄력성의 매개효과)

  • Jang, Yeon-Sik;Mo, Seon-Hee
    • 한국노년학
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    • v.37 no.3
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    • pp.527-547
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    • 2017
  • The purpose of this study is to investigate how depression, death anxiety, and social support can exert influence on the psychological well-being of elderly living alone through a parameter of resilience. A survey was conducted involving 988 elderly over the age of 65 living alone in the Daejeon metropolitan area and Chungcheongnam-do and the data were analyzed using structure equation model. The results were as follows. First, in the measurement of variables according to demographic characteristics, depression showed significant differences depending on gender, level of education, health, and financial condition, while death anxiety differed depending on gender, and level of education. Social support was significantly different by gender, age, level of education, region, health, and financial condition. The level of resilience was significantly different by gender, age, level of education, health, and financial condition. Psychological well-being varied according to gender, level of education, health, and financial condition. Second, the effects of depression, death anxiety and social support on psychological well-being were examined. It was found that depression had a negative influence and social support had a positive impact while death anxiety showed no influence. Third, with regard to the effects of depression, death anxiety, social support on resilience, depression was found having negative influence, whereas social support having positive influence. Forth, psychological well-being was positively affected by resilience. Also, through the mediated pathway of resilience, their psychological well-being seemed to totally improve when the negative factors were reduced and the positive ones promoted. This study may have some significance in reference to examine the factors affecting the psychological well-being of elderly living alone and to develop social welfare service programs and policies in the field.

The Relationship between the Death Preparation of the Aged and Successful Aging -Focusing on Depression and Death Anxiety as Mediators- (노인의 죽음준비도와 성공적 노화의 관계 -우울 및 죽음불안의 매개효과를 중심으로-)

  • Moon, Namsook;Nam, Kimin
    • 한국노년학
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    • v.28 no.4
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    • pp.1227-1248
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    • 2008
  • In this study, death preparation was used as an independent variable, with ego integrity as successful aging used as a dependent variable while depression and death anxiety were used as mediate variables. The purpose of this study is to investigate the differences of the study variables according to the demographic characteristics of the research subjects, and to create a database for developing and improving current educational programs and welfare services to help the elderly achieve successful aging. Two hundred and eighty three elderly people above the age of sixty in Cheongju city were given standardized questionnaires, and the collected data were analyzed. The results of this study are the following. First, the differences of the study variables according to the level of education, health, economy, and social involvement of the elderly are statistically significant. Second, there exists a positive relationship between mental preparation for death and ego integrity (successful aging) while there is no such relation in case of formal preparation for death and ego integrity. Third, depression and death anxiety of the elderly partially mediate ego integrity, which leads to successful aging.

Factors Influencing Death Anxiety in Community-Dwelling Elderly: Based on the Ecology Theory (재가 노인의 죽음불안에 영향을 미치는 요인: 생태학 이론을 바탕으로)

  • Kim, Yeonha;Kim, Minju
    • Journal of Hospice and Palliative Care
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    • v.22 no.1
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    • pp.30-38
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    • 2019
  • Purpose: This study analyzed a path through which factors influencing death anxiety in the community-dwelling elderly, assuming personal organismic factors and microsystemic factors based on the ecology model purported by Belsky (1980). Methods: This study was performed with 189 elderly people. Data were collected through a self-report questionnaire. The data were analyzed using the SPSS and AMOS programs. Results: The factors influencing death anxiety in the elderly were depression, family support, social network, and familism value, and the explanatory power of these variables was 22%. Death anxiety increased with higher depression, higher familism value, larger social network, and lower family support. Spiritual well-being and elderly discrimination experience had indirect effects on death anxiety, and these effects were mediated by depression. Conclusion: Depression, family support, social network, and familism value were found to influence death anxiety in the elderly, and the strongest effect came from depression. To reduce death anxiety in the elderly, it is important to improve their relationship with their family and friends. Moreover, support should be provided by establishing local systems, and intervention should be provided to alleviate depression.

A Study on the Social Environment of Elderly (노인의 사회적 환경에 대한 연구)

  • Kim, Hee-Jung
    • The Journal of Korean society of community based occupational therapy
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    • v.5 no.1
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    • pp.35-43
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    • 2015
  • Objective : The purpose of the study is to find the factors affecting a social phenomena of the elderly and suggest a basic data for efficiency of a senior policy and type of the life in Korea. Methods : We refereed to sources from the Korean Statistical Information, the National Pension Service, and the Ministry of Health and Welfare. We also surveyed and analysed the depression and death anxiety among the elderly in 2014. Results : First, most of them were low educated people and family composing a couple. An annual income were average. Second, medical costs were increasing constantly in proportion to the increase of aging population. Third, they had high depression index resulting from negative thinking of the future and themselves. Fourth, the death anxiety level of them were more than moderate and that was about the death of themselves and the process of the death. Conclusion : It is needed to help physical, mental, and social health and improve the quality of the life in the elderly through social program established a variety of special fields like occupational therapy and family support program belonging to the government.

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A Study on Self-Esteem, Death Anxiety and Depression of the Elderly in Home and Facilities (재가노인과 시설노인의 자아존중감, 죽음불안 및 우울에 관한 연구)

  • Oh Mi Na;Choi Wai Sun
    • Journal of the Korean Home Economics Association
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    • v.43 no.3 s.205
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    • pp.105-118
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    • 2005
  • The purposes or this study were to compare and analyze the differences between the elderly in their own home and those in facilities in terms of their self-esteem, death anxiety, depression level and psychological characteristics. The subjects were the 386 elderly over 55 living in home and in facilities, free or paid. They had no physical or cognitive disabilities and were living in Daegu city, Kyungbuk and Kyungnam province. There were significant differences in self-esteem, death anxiety, depression level and the path to depression between the two elderly groups with the elderly in facilities showing negative aspects of psychological characteristics. The problems of caregiving for the elderly should be covered by social welfare.

Meta-Analysis of Psychological·Emotional Variables and Quality of Life of the Elderly (노인의 심리·정서관련 변인과 삶의 질에 대한 메타분석)

  • Lee, Myung-Hee
    • The Journal of the Korea Contents Association
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    • v.19 no.9
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    • pp.338-347
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    • 2019
  • The purpose of this study is to provide policy and adaptive interventions for quality of life of the elderly and evidence-based data. For this, meta-analysis was performed using CMA program, and the final 65 researches were used for analysis. The results, (1)The risk factors(depression, solitude, anxiety, suicidal Ideation, stress) showed the effect size which is suitable for quality of life. The effect size of depression was the highest. (2)The protective factors(self-esteem, self-efficacy) showed medium effect size and large effect size. Among them, self-esteem showed the greatest effect size of quality of life. However, self - control appeared to have a low effect size.

The effect of social support on elderly people for rehabilitation at nursing homes (요양시설 내 재활대상 노인의 지지가 죽음불안에 미치는 영향)

  • Shin, So-Hong;Lee, Jae-Hong;Kwon, Won-An;Kweon, Yong-Hyun;Kim, Chang-Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.6
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    • pp.2616-2623
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    • 2011
  • The purpose of this study is investigate the sociology population variable and social support system(emotional, financial, informal and evaluative support) with regards to the death anxiety and provide a basic data to relieve the fear of death in the elderly special nursing service. 300 old people who are living in Daeg-gu city and Kyong-buk province were selected and interviewed under their agreement which they are fully aware of the purpose and the intention of this study. Interviews for study were performed by structured questionnaire which consists of general area(11-question), social support area(emotional support 7-question, financial support 6-question, informal support 6-question and evaluative support 6-question) and death-anxiety(20-question). Statistical analysis was carried out with SPSS 12.0 program, which was applied to descriptive statistics and regression analysis to analyze the questionnaire.

A Study on the Characteristics of Cancer Patients with Radiotherapy and Social Support, Psychosocial Status (방사선치료를 받는 암환자의 특성과 사회적지지 및 심리상태에 관한 연구)

  • Lee, Myung-Koo
    • Journal of radiological science and technology
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    • v.27 no.3
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    • pp.59-69
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    • 2004
  • By studying on the characteristics of cancer patients who receive radiotherapy and the attitudes of medical social workers, this thesis aims to suggest of requirements for medical social work intervention. The study was conducted using SPSS 10.0 for Windows to analyze data taken from a survey involving 90 cancer patients receiving radiotherapy in 4 general hospitals in Daejeon city. The data were collected form Oct. 1st to 15th, 2003, and its analyses used averages, correlation, and regression. The results were summarized as follows ; 1. The average family income in 67.8% of the cases was less than 2,000,000 won, which is a lower income bracket. In the disease characteristics, fatigue ware the highest (2.78) in the side effects of radiotherapy, which most patients were receiving alongside other forms of treatment. 2. It was shown that cancer patients receiving radiotherapy receive a high level of psychological and social support from doctors and other medical staffs, and that they also received a high average (4.38) of individual care and encouragement from family members. 3. In the psychosocial status, the need for financial assistance in the form of a national aid program or an expansion of medical insurance was great, especially in the need for house keeping service and night nurses. The need for psychosocial counselling rose following rises in treatment side effects and depression. Information for cancer patients was especially needed in the areas of treatment plans, treatment costs, and side effects of radiotherapy. The need for information rose in accordance with an elongation of hospital treatment and an escalation of care from family members.

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