• Title/Summary/Keyword: Depression in the elderly

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The Effect of Stress on Depression of the Elderly: Focusing on the Moderating Effect of Social Support and Mediating Effect of Sense of Self-Respect (스트레스가 노인의 우울에 미치는 영향: 사회적 지지의 조절효과와 자아존중감의 매개효과를 중심으로)

  • Kim, Bong-Geum
    • The Journal of the Korea Contents Association
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    • v.19 no.6
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    • pp.281-291
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    • 2019
  • The objective of the current study is to verify the moderating effect of social support and mediating effect of sense of self-respect in the impact of stress on depression of the elderly. The subjects of the study are 485 people aged 65 or above who use a comprehensive social welfare center. First, in the effect of stress on depression of elderly people, family issues, health issues, economic issues, and feeling of loss were found to be significant. Second, in the impact of self-respect in the elderly on their depression, family issues, economic issues, and feeling of loss were found to have a mediating effect on depression, but not with health issues. Third, in the impact of social support to the elderly on the relationship between their stress and depression, the moderating effect of social support on depression was found to have a negative value. Based on these findings, the study suggests practical implications on social welfare in reducing depression experienced by the elderly.

The Effects of Percussion Program on Depression and Self-esteem of the Elderly Living in Residential Care (타악기 연주 프로그램이 시설노인의 우울감과 자아존중감에 미치는 영향)

  • Lee, Kyong-Jin;Kim, Soo-Ji
    • Journal of Families and Better Life
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    • v.29 no.5
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    • pp.153-163
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    • 2011
  • This study was to investigate the effects of percussion program on depression and self-esteem for the elderly lived in residential care. 12 older adults participated in the 40-min. percussion program for 4 weeks(10 sessions). The percussion program consisted of three steps; 1) introduction for creating rapport and relationship, 2) process for mood induction and increasing interaction, and ending for increasing self-achievement and confirming the changed mood. Korean Geriatric Depression Scale (KGDS) and Self-Esteem Scale (SES) were administered before the first session and after the completion of the program. Results showed statistical significance (p<.05) in KGDS (p=.020) and SES (p=.025). Findings imply that percussion program can induce positive changes in depression and self-esteem for elderly in the residential care, and more depressed elderly group may have better outcome in percussion playing. Future studies should consider various levels of depression among elderly, and design the program to be more sensitive to the level of functioning.

Affecting Factors of Homebound Bedridden Elderly′s Depression (재가 와상 노인의 우울에 영향을 미치는 요인)

  • 김인자;김금순;서문자;조남옥
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.665-672
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    • 2002
  • It was identified that how many homebound bedridden elderlies and their primary caregivers were depressed, and which factors affected the bedridden elderly's depression. Method: The subjects were 191 homebound bedridden elderlies and their primary caregivers. The affecting factors were classified into two categories : bedridden elderly and their primary caregiver related factors. Then bedridden elderly's factors were classified demographic and disease-related factors again. The stepwise regression was used to identify significant factors. Result: The prevalence of bedridden elderly's and caregiver's depression was 77.8% and 67.0%, respectively. And the model explained 33.3% of variance of bedridden elderly's depression. Cognitively-impaired female elderlies who had depressed caregivers were found to be more depressed. And caregivers who perceived burden were identified to be more depressed. Conclusion: It is recommended that the health professionals need to identify bedridden elderlies and caregivers at risk of depression. Especially elderlies who is in poor cognition, those who are female, and those whose caregivers were depressed might be considered carefully in all counseling or follow-up. Also the primary caregivers must be helped to access already available formal and informal support.

Prediction of Depression among Elderly with Mild Cognitive Impairment Living in the Community (경도인지장애 노인의 우울 예측 요인)

  • Shin, Kyung-Rim;Kang, Youn-Hee;Kim, Mi-Young;Jung, Duk-Yoo;Lee, Eliza
    • Korean Journal of Adult Nursing
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    • v.24 no.2
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    • pp.171-182
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    • 2012
  • Purpose: This study aimed to identify depression and its predictors among Korean community-dwelling elderly with mild cognitive impairment. Methods: Secondary data analyses of the data collected by the "Study on tailored integration program for reinforcing cognitive and physical function of the frail elderly. The study used data from one-to-one interviews using structured questionnaires. The subjects were 346 community-dwelling elderly who visited a healthcare center in Seoul, Korea. A descriptive correlational study design was utilized to explore depression and its predictors including physical factors and psychosocial factors among the elderly with mild cognitive impairment. Data were analyzed using t-test, Pearson's correlation, and hierarchical regression. Results: Mean score of depression was within normal limit $11.61{\pm}6.69$. Somatic symptoms, negative life events (severity), social support were shown as significant predictors of depression. The most influential predictor for depression was somatic symptoms (${\beta}$=.340, $p$ <.001). Conclusion: To prevent and relieve depression in the elderly with mild cognitive impairment, nursing intervention strategies which consider well-balanced physical and psychosocial aspects are needed. In particular, a specific nursing intervention strategy is required to improve physical health of the elderly with mild cognitive impairment.

The Relationship among Depression, Self-esteem and ADL in the Case of the Hospitalized Elderly Patients with Chronic Disease (만성질환으로 입원한 노인 환자의 우울, 자아존중감 및 일상생활수행능력(ADL)간 관계연구)

  • Yeo, Yeon-Og;Yoo, Eun-Kwang
    • Korean Journal of Adult Nursing
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    • v.22 no.6
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    • pp.676-686
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    • 2010
  • Purpose: This study has aimed to examine the relationship among self-esteem, Activities of Daily Living (ADL) and depression reported by hospitalized elderly patients with chronic diseases. Methods: A descriptive correlation study by means of a self-report questionnaire or face-to-face interview was used to collect data from 119 elderly patients who were hospitalized in a General Hospital from January 5 to February 25, 2010. Their levels of depression was measured using Short-Form Geriatric Depression Scale, self esteem using Jeon's, and activities of daily living using K-ADL. Results: 80.7% of the subjects experienced depression. Depression correlates with self-esteem (r=-.67) and ADL (r=.45). The influencing factors on depression were self-esteem, ADL, subjective health status, and family support satisfaction ($R^2=.57$), while self esteem in itself explained 45% of variance in depression. Conclusion: These findings indicate the importance of early detection of depression, which starts from the admission of patients and the continuing evaluation/management in daily life after discharge to ensure their well-being and quality of life. The development of program empowering self esteem, ADL and subjective health status with adequate family support during hospitalization and in daily life is indispensible.

A Study on the Correlation between the Types of Leisure Activity and Depression in the Elderly - in Bukgu District, Daegu City - (노인의 우울증과 여가활동의 상관성에 관한 연구 - 대구시 북구를 중심으로 -)

  • Kwon, Won-An;Kim, Han-Soo
    • The Journal of Korean Physical Therapy
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    • v.20 no.4
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    • pp.51-59
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    • 2008
  • Purpose: The aim of this study was to evaluate the correlation between the types of leisure activity and Korean form of geriatric depression score in the elderly. Methods: We surveyed elderly (>60 years old) people who participated in leisure activities using interviews in Bukgu district, Daegu city. Data collection was performed from 1 - 31 May, 2008. The data was analyzed with SPSS 12.0 program, which was used for descriptive statistics and Pearson correlation analysis. Results: Common leisure activities scored 'often' and 'very often' were family conversations, offspring visiting, eating out, plant cultivation, entertainment, conversation, walking or jogging, and TV or radio. It was investigated at the rate of 19.2% in the moderate depression and 8.3% in the severely depression. Depression positively associated with newspaper or magazine, family conversation, offspring visiting, social service, movie & theater, exercise and tour. Conclusion: Most elderly people surveyed indicated they were depressed, which should recommend significant leisure activities for elderly to reduce depression in Bukgu district, Daegu city.

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Study on Relations of Variables; Attributions of Somatic Symptoms, Fatigue, Chronic Pain and Depression in the Elderly (노인의 신체증상귀인, 피로, 만성통증, 우울의 관계연구)

  • 장성옥;박영주;윤지원
    • Journal of Korean Academy of Nursing
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    • v.33 no.1
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    • pp.26-33
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    • 2003
  • Purpose: The purpose of this study was to investigate the relationships among variables of somatic attribution, chronic pain, depression and chronic fatigue in the elderly. Methods: Empirical data for testing hypothetical models was collected from 311 people over 65 years old in a community settings in Seoul, Korea in June and July, 2000. Data were analyzed by descriptive statistics and correlational analysis using pc-SAS program. The Linear Structural Modeling(LISREL) 8.0 program was used to find the best fit model which explained causal relationship of variables. Result: According to Accepted model, the relation of variables is that the somatic attribution is the influencing variable to chronic pain and depression and chronic pain and depression is the influencing variable to chronic fatigue. Conclusion: The findings of this study give useful information to construct intervention program relating chronic pain, depression and chronic fatigue for the elderly.

The Effects of Group Art Programs On Depression and Qulity of Life of Elderly People Using Day Care Facilities

  • Yeon-Ju LEE
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.4
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    • pp.39-50
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    • 2024
  • Purpose: The purpose of this study is to present basic data that can be used as a program to improve emotional stability and daily life ability by reducing depression and improving the quality of life of the elderly using day care facilities. Research design, data and methodology: Changes in each stage of the study subjects were observed and interviewed, and pre- and post-tests were conducted on the depression and quality of life of the elderly in the group program. The measurement tool was designed for pre-and post-test using the tools of the Korean Elderly Depression Test (K-GDS) and the elderly's quality of life test. Results: As a result of observing and interviewing participants, and examining attitudes and reactions to each session, the pre-test showed a negative attitude, but then communicated with each other to form a positive relationship. As a result of pre- and post-test on the depression and quality of life of the elderly in the group art program, it was found that depression decreased and quality of life improved after participating in the program. Conclusions: This study was conducted by dividing the physically and psychologically deteriorated elderly into a control group and an experimental group. Sharing stories from past experiences had a positive effect on relationships with group members, and the elderly who have difficulty expressing their inner feelings through art, a non-verbal medium, had a positive effect on their satisfaction with their quality of life as they felt a sense of achievement after seeing the work.

Effect of Perceived Health Status, Sleep and Depression on Quality of Life of Elderly School Participants (일개 시 노인대학 노인들의 지각된 건강상태, 수면, 우울이 삶의 질에 미치는 영향)

  • Chang, Koung-Oh;Bae, Do-Yi;Park, Su-Gin
    • Journal of muscle and joint health
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    • v.19 no.3
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    • pp.329-339
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    • 2012
  • Purpose: This study was to examine the effect of perceived health status, sleep and depression on quality of life of older people in the elderly school. Methods: A cross-sectional descriptive study was conducted with a survey of 155 older persons in person 2 elderly school at J City. The data were analyzed with t-test, ANOVA, Pearson's correlation coefficients, and multiple regression using SPSS WIN 18.0 program. Results: The mean score of the quality of life was 8.10 (SD=8.79). Quality of life was significantly different by educational levels (F=4.711, p=.001). The result of the regression indicated that perceived health status, sleep, and depression explained 18.5% of variance in quality of life. Conclusion: Perceived health status, sleep and depression were associated with quality of life in the elderly. It is necessary to develop nursing strategies for the improvement of quality of life, considering health status, sleep, and depression in the elderly.

A Study on the Depression and Cognitive Impairment in the Rural Elderly (농촌지역 노인들의 우울 및 인지기능장애에 관한 연구)

  • Rhee, Jung-Ae;Jung, Hyang-Gyun
    • Journal of Preventive Medicine and Public Health
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    • v.26 no.3 s.43
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    • pp.412-429
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    • 1993
  • For the purpose of promotion of mental health in the rural elderly, the author surveyed 558 elderlies aged 60 years or more, and assessed the prevalence rates of depression and cognitive impairment by using self-rating depression scale of Zung (SDS) and the Korean version of mini-mental state examination (MMSEK). Also the association between depression or cognitive function and socio-environmental factors were investigated. The major findings were as follows ; 1. The prevalence rates of severe depression and cognitive impairment were 20.9% and 14.9% in all the elderly of both sexes, respectively. 2. The rates of depression and cognitive impairment increased with increasing age in both sex groups. The mean scores of SDS increased and the mean scores of MMSEK decreased significantly among them (p<0.01). 3. Those being female, widows or widowers, and those having low levels of physical activity, showed significantly high the mean scores of depression and had significantly low the mean scores of cognitive impairment (p<0.01). 4. The depression scores relating to decreased libido, confusion, psychomotor retardation, hopelessness and indecisiveness were relatively high in both sexes. 5. All the items of mini-mental state examination were significantly correlated with depression. 6. In stepwise multiple regression analysis on depression, MMSEK, level of physical activity, chronic disease, marital status and family income were selected as highly correlated variables, and the $R^2$-value for these variables was 33.7%. 7. In stepwise multiple regression analysis on cognitive function, level of physical activity, age, depression, sex and marital status were selected as highly correlated variables, and the $R^2$-value for these variables was 62.6%. The depression and cognitive impairment of the elderly were positively correlated with nearly all sociodemographic variables.

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