• Title/Summary/Keyword: Depression in the elderly

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A Study on the Physical Health Status, Depression and Health Behaviors of the Elderly (노인의 신체적 건강상태, 우울, 건강행위에 관한 연구)

  • Park, Jeong-Mo;Sim, Mi-Kyung
    • Research in Community and Public Health Nursing
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    • v.15 no.3
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    • pp.438-449
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    • 2004
  • Purpose: The purpose of this study was to examine the levels of and relationships between physical health status, depression and health behaviors and the factors affecting health behavior in the elderly. Method : The subjects of this study were 118 elderly people aged over 60 living in urban and rural areas. The data were collected by interview through questionnaires from December 1. 2003 to January 30, 2004. The data were analyzed by descriptive statistics. t-test. ANOVA. Pearson correlation coefficient, and stepwise multiple regression. Results: The results of the study are as follows. 1. The mean score of the physical health status was 63.88 out of a total of 78 and the mean score of depression 42.71 out of 80. The mean score of health behaviors was 126 out of 165 and 3.83 point out of 5. In terms of sub-domains of health behaviors, emotional areas showed the highest mean score (3.98). 2. There was a significant positive correlation between health behaviors and the physical health status (r=.491, P<.001), while there was a significant negative correlation between depression and physical health status(r=.626, P<.001), and depression and health behavior(r=.784. P<.001). 3. Stepwise multiple regression analysis revealed that the most powerful predictor of health behaviors was psychological health. namely depression. A combination of depression. perceived health status and religion accounted for 65% of the variance in health behaviors of the elderly. Conclusion: From the results of the study, we recommend that the development of a nursing intervention program for the health behaviors including the factors affecting the elderly. It suggests the need to focus more on psychological and spiritual health and the development of nursing interventions for health promotion among older adults.

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The Effects of the Instrumental Activities of Daily Living and Depression on the Life Satisfaction of the Rural Elderly (농촌 고령자의 일상활동능력 및 우울감이 생활만족도에 미치는 영향)

  • Cho, Heekeum;Lee, Miyoung;Kang, Hyekyun;Eum, Gayoung
    • Human Ecology Research
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    • v.52 no.6
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    • pp.617-627
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    • 2014
  • The purpose of this study was to investigate the effects of the instrumental activities of daily living (IADL) and depression on the life satisfaction of the rural elderly. The research subjects of this study were 1,000 people aged 65 years and over living in the rural areas of Korea. The data were collected using a questionnaire with direct interviews and analyzed using SPSS ver. 18.0 for Windows. The results of this study were as follows: First, the rural elderly's depression was affected by the IADL, cost of living, education level, and farming variables. The higher the IADL, the more sufficient the cost of living, the higher the education level and the more the farming time that the rural elderly had, the lower was the level of depression that they had. Second, the life satisfaction of the rural elderly was affected by the cost of living, depression, IADL, need for life services, and gender. The more sufficient the cost of living, the lower the level of depression, the higher the IADL, the less the need for life services, the higher was the life satisfaction that they experienced. Third, the results of the path analysis revealed that life satisfaction was influenced both directly and indirectly. The factors that affected life satisfaction directly were the cost of living, IADL, need for life services, and gender. The factors that affect life satisfaction indirectly were the IADL, cost of living, education level, and farming. Among them, farming and education level influenced life satisfaction indirectly through the parameter variables of depression.

Factors Related to Quality of Life among Rural Elderly (일 농촌지역 노인의 삶의 질 예측요인)

  • Seo, Nam Sook;Chung, Young hae;Kim, Jeong Sook
    • Korean Journal of Adult Nursing
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    • v.17 no.3
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    • pp.379-388
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    • 2005
  • Purpose: This study was conducted to explore the degree of depression, perceived health status, chronic disease and quality of life(QOL) among rural elderly and to determine the factors related to their QOL. Method: The design of this study was a correlational study. The subjects were 423 elderly consisted of 157(37.1%) men and 266(62.9%) women dwelling in a rural area of N City. Data were collected from May to December, 2003 using a structured questionnaire. A stepwise multiple regression analysis was performed to identify the factors related to the QOL. Result: It was found that the mean score of QOL was in total with 2.15 out of 5.00 and women elderly's score was significantly lower than men(t=2.20, p=.028). Perceived health status showed statistically significant positive relationship with QOL(r=.608, p<.05), while depression(r=-.751, p<.01) and chronic illness(r=-.336, p<.01) showed statistically significant negative relationship. Depression was found to have the highest correlation with QOL among the subjects. Depression score explained QOL at the most, accounting for 36.8% of the variability, followed by perceived health(8.2%) and the number of chronic illness(.7%). Other factors related to the QOL were economic status and absence of spouse. Conclusion: In order to increase the QOL of rural elderly, it is necessary to decrease the depression, to increase their perceived health status and to decrease the number of chronic illness. We suggest the implementation of a program not only to promote physical health status and self-care ability but to take care of mental health for the rural elderly.

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Experiences of Depression in Low Income Elderly Women (저소득 여성노인의 우울 경험)

  • Kim, Jeung-Im;Son, Haeng-Mi
    • Women's Health Nursing
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    • v.22 no.4
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    • pp.241-253
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    • 2016
  • Purpose: The purpose of this qualitative research was to understand the meaning of the depression in low income elderly women. Methods: Participants were 15 elderly women, aged between 60 and 80 who were registered in two senior welfare centers in Seoul. Data were collected from June to December, 2012 after having obtained consent from participants. In-depth interviews were done with open-ended questions about their depression experiences, which were audio-taped and transcribed with verbatim. Data were analyzed using qualitative content analysis to discover the categories considering their relationships and abstractness. Results: Depressions of aged women were a part of the their life throughout their long lived hardship and was implied unhealed wounds within the relationship. Participants did not know how to manage with depression symptoms that they tried to overcome individually but due to decreased activities and interpersonal relationships, their depressions were tended to continue. They have tried to get out from depressive symptoms, but it still remains unseen shadow of mind. Conclusion: This results suppose that social support and aged welfare policy included reliving the economical difficulty and improving relationships will be provided to manage the depression for low income elderly women.

A Study on Depression and Activities of Daily Living among Elderly Patients in Geriatric Hospitals (요양병원 노인 환자의 우울과 일상생활 수행능력에 관한 연구)

  • Hong, Ji-Youn;Hwang, Seon-Young
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.457-465
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    • 2010
  • Purpose: This study was conducted to examine the degrees of depression and activities of daily living (ADLs), and to identify factors that predict depression in elderly patients. Methods: The sample was149 patients (80% female; mean age 79.1) from three geriatric hospitals located in small cities and who agreed to participate in the study. Data were collected by staff nurses involved in direct patient care from October to September 2009. The level of depression was measured on a daily basis for seven days using a 13-item scale. Patients' ADLs was measured using a modified 10-item Bathel ADLs scale. Data were analyzed using SPSS/WIN 17.0. Results: Mean depression score was $10.05{\pm}4.77$ out of 26 points and about 27% was assessed as depressed with more than 13 points. Multiple regression analysis showed that low educational level, absence of spouse and fewer family visits predict depression. In addition, low ADLs and sleep disturbance predict depression. Conclusion: Nursing care providers need to be concerned about ADLs of older patients and should develop nursing activity programs to increase their in-hospital physical activities. It is also important care for older patients' sleep and encourages family visits to decrease their depression.

The Relationship between Xerostomia and Depression in Elderly People (노인의 구강건조증과 우울과의 관계)

  • Jang, Jong-Hwa;Kim, Sook-Hyang
    • Korean Journal of Health Education and Promotion
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    • v.24 no.3
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    • pp.51-60
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    • 2007
  • Objectives: This study was to investigate the level of xerostomia and depression in the elderly people and to determine the relationship between xerostomia and depression. Methods: The subjects were 238 subjects(86.5%), who were 65 years or older with mean age of 73.6 years. Data was collected using a self administrated questionnaire from September 14 to September 23, 2005. Perception of xerostomia was measured by questionnaire, and depression was measured using the 20-items CES-D. The data were analysed with t-test, one-way ANOVA, pearson correlation coefficient and multiple regression using the SPSS 12.0 Windows. Results: Regarding xerostomia, the subjects was a mean of 7.87 out of a maximum 12 points. The level of depression in the group of people 65 years or older was 21.51 out of a maximum 60 points. Xerostomia was positive related depression in this study. Perceived oral health and xerostomia had a significant impact on depression. Conclusion: Based on the findings, the perception of xerostomia is strongly associated with depression. These results suggest that oral health promotion should be considered various psychological factors related xerostomia in elders.

Risk Factors Influencing Depression among Elderly with Arthritis in Korean (관절염 노인의 우울위험요인)

  • Kim, Hye-Ryoung;Im, Hyun-Hee
    • The Korean Journal of Health Service Management
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    • v.8 no.1
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    • pp.103-112
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    • 2014
  • The purpose of this study was to identify the prevalence of depression and its affecting factors among a community dwelling elderly with Arthritis in Korea. A total of 4,050 subjects from the 2008 Korean National Older Adults Life Survey were selected. The data analysis was performed using the complex sampling function of SPSS version 20.0. Logistic regression analysis shows that depression was more prevalent as elderly who were uneducated, who had ADL limitation, who did smoke currently or formerly than had never smoked. The finding of prevalence of its risk factors is expected to promote the screening or prevention strategy for community dwelling elderly with Arthritis in Korea.

The Effects of Attitude toward Aging and Depression According to Demographic Dharacteristics in Elderly Welfare Facility Users (노인복지시설 이용자의 인구학적 특성에 따른 노화에 대한 태도와 우울에 미치는 영향)

  • Park, Sang-Hoon;Ma, Sung-Ryoung;Lee, Sun-Il
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.2
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    • pp.169-176
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    • 2019
  • The purpose of this study was to investigate attitudes toward aging and depression among elderly welfare facility users. For this purpose, a questionnaire-based survey was conducted with 280 elderly participants in the facilities of 15 institutions in Gyeonggi-do. In total, 258 data points were used for analysis. The measuring instruments used an attitude scale and depression scale for aging. The results of this study are as follows. First, there was no difference in attitude toward aging and depression among elderly welfare institution users by gender. Second, attitudes toward aging among elderly welfare facility users were also assessed according to final educational background. Positive attitudes in general (lack of depression) and positive attitudes toward aging were found to be higher with a higher rate of final academic completion. Third, attitudes toward aging were assessed according to experience with welfare facilities among the elderly, and it was found that depression has a significant impact on perceptions of physical change caused by aging. As a result, even when attitudes toward aging are generally negative, an elderly person cannot be judged to be depressed because this is highly related to final academic completion. Therapists working in welfare facilities for the elderly are more likely to have negative attitudes toward aging and depression when the number of facilities used is lower.

Factors That Affect Health-Related Quality of Life in Community-Dwelling Older Adults (재가노인의 삶의 질에 영향을 미치는 요인)

  • Oh, Jihyun;Yi, Myungsun
    • Perspectives in Nursing Science
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    • v.9 no.2
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    • pp.102-110
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    • 2012
  • Purpose: The purpose of this study was to investigate the factors that influence health-related quality of life (HRQoL) in community-dwelling older adults. Methods: The participants were 133 elderly people dwelling in a community. Data were analyzed using descriptive statistics, Pearson's correlation coefficients, and Stepwise multiple regression with SPSS. Results: The predictors of quality of life in the elderly were depression, physical symptoms, and social support. Depression and physical symptoms had a significant negative correlation with HRQoL and social support had a significant positive correlation with HRQoL. Among them, depression was shown as the most significant predictor of HRQoL in the elderly ($R^2$=.573, p<.001). Conclusion: These results indicate that strategies to relieve depression should be integrated in interventions to improve the QoL of older adults dwelling in a community residence.

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Influence of Social Contact, Depression and Anxiety on Suicidal Ideation of the Elderly in the COVID-19 pandemic (코로나19 팬데믹 상황에서 노인의 사회접촉, 우울, 불안 정도가 자살사고에 미치는 영향)

  • Kim, Ji Eun
    • The Journal of the Korea Contents Association
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    • v.21 no.12
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    • pp.870-878
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    • 2021
  • This study aimed to identify how social contact, depression, and anxiety influence suicidal ideation of the elderly related to general characteristics. The objects were 198 elderly living in Mungyeong-si, Gyeongsangbuk-do. The data were collected from 2, March to 15, April 2021. Collected data were analyzed by t-tests, ANOVA, Pearson's correlation coefficient, and multiple stepwise regression analysis using SPSS 24.0. Findings revealed 1) Pearson's correlation coefficient indicated significant association among social contact, depression, anxiety, and suicidal ideation 2) Multiple regression analysis showed that the influencing factors have 44.9% of explanation power in suicidal ideation of the elderly: depression(β=.430, p< .001), perceived financial status(β=-.198, p<.001), psychiatric treatment history (β=-.182, p=.002), and social contact (β=-.155, p=.007) in order. The conclusion of this study indicates that we need to pay interdisciplinary attention to the mental health of the elderly in the Covid-19 pandemic. Based on the findings, health professionals should provide elderly persons with comprehensive and appropriate management to prevent suicidal ideation upon factors. Additionally, there should be establishing a system to access and ensure social contact for the elderly.