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Experiences of Depression in Low Income Elderly Women

저소득 여성노인의 우울 경험

  • Received : 2016.09.08
  • Accepted : 2016.11.28
  • Published : 2016.12.20

Abstract

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.

Keywords

References

  1. World Health Organization. Global burden of mental disorders and the need for a comprehensive, coordinated response from health and social sectors at the country level [Internet]. Geneva: Author; 2011 [Cited 2012 April 12]. Available from:http://apps.who.int/gb/ebwha/pdf_files/EB130/B130_9-en.pdf
  2. Sohn SY. A study on factors affecting the elderly suicidal ideation in Korea. Korean Journal of Health Service Management. 2014;8(2):149-160. https://doi.org/10.12811/kshsm.2014.8.2.149
  3. Cao W, Guo C, Ping W, Tan Z, Guo Y, Zheng J. A community-based study of quality of life and depression among older adults. International Journal of Environmental Research and Public Health. 2016;13(7):693. https://doi.org/10.3390/ijerph13070693
  4. Kim JI, Choe MA, Chae YR. Prevalence and predictors of geriatric depression in community-dwelling elderly. Asian Nursing Research. 2009;3(3):121-129. https://doi.org/10.1016/S1976-1317(09)60023-2
  5. Song MS, Kim NC, Lee DH. Factors related to depression and activities of daily living in elders with symptoms of depression. Journal of Korean Gerontological Nursing. 2008;10(1):20-26.
  6. Kim CG, Park S. Gender difference in risk factors for depression in community-dwelling Elders. Journal of Korean Academy Nursing. 2012;42(1):136-147. https://doi.org/10.4040/jkan.2012.42.1.136
  7. Kim YJ, Park SY. Depression of retired elderly women in comparison with retired elderly men. Journal of Institute for Social Sciences. 2013;24(3):309-332.
  8. Kouwenhoven SE, Kirkevold M, Engedal K, Kim HS. 'Living a life in shades of grey': Experiencing depressive symptoms in the acute phase after stroke. Journal of Advanced Nursing. 2012;68(8):1726-1737. https://doi.org/10.1111/j.1365-2648.2011.05855.x
  9. Hsieh HF Shannon SE. Three approaches to qualitative content analysis. Qualitative Health Research. 2005;15(9):1277-1288. https://doi.org/10.1177/1049732305276687
  10. Sandelowski M. The problem of rigor in qualitative research. Advances in Nursing Science. 1986;8(3):27-37. https://doi.org/10.1097/00012272-198604000-00005
  11. Lee MS, Joung WJ, Hwang EM. Recovery process from depression of middle-aged low-income women in Korea through text analysis on the data of depression experience. Textlinguitics. 2016;40:199-223.
  12. Hedelin B, Strandmark M. The meaning of depression from the life-world perspective of elderly women. Issues in Mental Health Nursing. 2001;22(4):401-420. https://doi.org/10.1080/01612840117826
  13. Jeon GS, Jang SN, Kim DS, Cho SI. Widowhood and depressive symptoms among Korean elders: The role of social ties. Journal of Gerontology. 2013;68(6):963-973. https://doi.org/10.1093/geronb/gbt084
  14. Hou F, Cerulli C, Wittink MN, Caine ED, Qiu P. Depression, social support and associated factors among women living in rural China: A cross-sectional study. BMC Women's Health 2015;15:28. https://doi.org/10.1186/s12905-015-0180-7
  15. Chen YY, Wong GH, Lum TY, Lou VW, Ho AH, Luo H, et al. Neighborhood support network, perceived proximity to community facilities and depressive symptoms among low socioeconomic status Chinese elders. Aging and Mental Health. 2016;20(4):423-431. https://doi.org/10.1080/13607863.2015.1018867
  16. Bjorklof GH, Kirkevold M, Engedal K, Selbæk G, Helvik AS. Being stuck in a vice: The process of coping with severe depression in late life. International Journal of Qualitative Studies on Health and Well-being. 2015;10:27187. https://doi.org/10.3402/qhw.v10.27187
  17. Kim YK. Characteristics of middle class families and policy implications. Health and Welfare Policy Forum. 2012;187:20-39.
  18. Kim JY, Lee JM. The relationship of life-stress and depression between the poor elderly women and ordinary elderly womenfocus on control effect of self-esteem and social support. Journal of Welfare for the Aged Institute. 2008;39:399-420.
  19. Westdahl C, Milan S, Magriples U, Kershaw TS, Rising SS, Ickovics JR. Social support and social conflict as predictors of prenatal depression. Obstetrics and Gynecology. 2007;110(1):134-140. https://doi.org/10.1097/01.AOG.0000265352.61822.1b
  20. George LK, Blazer DG, Hughes DC, Fowler N. Social support and the outcome of major depression. British Journal of Psychiatry. 1989;154:478-485. https://doi.org/10.1192/bjp.154.4.478
  21. Grav S, Hellzen O, Romild U, Stordal E. Association between social support and depression in the general population: The HUNT study, a cross sectional survey. Journal of Clinical Nursing. 2012;21(1-2):111-120. https://doi.org/10.1111/j.1365-2702.2011.03868.x
  22. Cacioppo JT, Hughes ME, Waite LJ, Hawkley LC, Thisted RA. Loneliness as a specific risk factor for depressive symptoms:Cross-sectional and longitudinal analyses. Psychology and Aging. 2006;21(1):140-151. https://doi.org/10.1037/0882-7974.21.1.140
  23. Wen M, Hawkley LC, Cacioppo JT. Objective and perceived neighborhood environment, individual SES and psychosocial factors, and self-rated health: An analysis of older adults in Cook County, Illinois. Social Science and Medicine. 2006;63(10):2575-2590. https://doi.org/10.1016/j.socscimed.2006.06.025
  24. Beal C. Loneliness in older women: A review of the literature. Issues in Mental Health Nursing. 2006;27(7):795-813. https://doi.org/10.1080/01612840600781196
  25. St John PD, Montgomery PR. Marital status, partner satisfaction, and depressive symptoms in older men and women. Canadian Journal of Psychiatry. 2009;54(7):487-492. https://doi.org/10.1177/070674370905400710
  26. Azar D, Ball K, Salmon J, Cleland VJ. Physical activity correlates in young women with depressive symptoms: A qualitative study. International Journal of Behavioral Nutrition and Physical Activity. 2010;7:3. https://doi.org/10.1186/1479-5868-7-3
  27. Dekker RL, Peden AR, Lennie TA, Schooler MP, Moser DK. Living with depressive symptoms: Patient with heart failure. American Journal of Critical Care. 2009;18(4):310-318. https://doi.org/10.4037/ajcc2009672
  28. Hung M, Bounsanga J, Voss MW, Crum AB, Chen W, Birmingham WC. The relationship between family support; Pain and depression in elderly with arthritis. Psychology, Health and Medicine. 2017;22(1):75-86. https://doi.org/10.1080/13548506.2016.1211293
  29. Graven LJ, Grant J. The impact of social support on depressive symptoms in individuals with heart failure. Journal of Cardiovascular Nursing. 2013;28(5):429-443. https://doi.org/10.1097/JCN.0b013e3182578b9d

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