DOI QR코드

DOI QR Code

Predictors of Psychological Well-Being in Single Elderly People Living Alone Across Developmental Stages and Implications for Elderly Policy

노년시기별 단독거주 노인의 심리적 복지감 예측 요인과 정책적 함의

  • Yun, Kang-In (Department of Consumer & Family Sciences SungKyunkwan University.Korea Funeral Culture & Policy Institute) ;
  • Sung, Miai (Department of Human Ecology, Korea National Open University)
  • Received : 2016.11.04
  • Accepted : 2017.02.20
  • Published : 2017.02.28

Abstract

Using data from the 2015 Korea Welfare Panel Study, we examined the predictors of psychological well-being (life satisfaction and depression) of single elderly people living alone across development stages (young-old, mid-old, and old-old) and suggested implications for elderly policy. For this purpose, we selected 1,364 elderly people who lived alone but preserved their family relationships, and were 65 years of age or older. Separate analyses were conducted for the three groups of single elderly people living alone. Overall, the psychological well-being of single elderly people living alone was higher than moderate level, and they were generally satisfied with their everyday lives and less depressed. However, there were group differences: the young-old group was more satisfied than the old-old group with in their everyday lives and less depressed than the mid-old and old-old groups. In the young-old group, life satisfaction was significantly associated with subjective health, non-physical conflict with family, disposal income, house ownership, dietary deficiency, cost of living, and public pension. In addition, depression was significantly associated with subjective health, non-physical conflict with family, dietary deficiency, and physical conflict with family. In the mid-old group, life satisfaction was significantly associated with subjective health, housing non-physical conflict with family, disposal income, and dietary deficiency. Depression was significantly associated with subjective health, housing deficiency. In the old-old group, life satisfaction was significantly associated with subjective health and non-physical conflict with family. Depression was significantly associated with subjective health. Therefore, 'health'and 'family'are important key concepts to consider when making elderly policy.

Keywords

References

  1. Ahn, K. S. (2005). Study on the quality of life and social support of married couples and single households elderly. Journal of the Korea Gerontological Society, 25(1), 1-19.
  2. Alexopoulos, G. S., Buckwalter, K., Olin, J., Martinez, R., Wainscott, C., & Krishnan, K. R. R. (2002). Comorbidity of late life depression: An opportunity for research on mechanisms and treatment. Biological psychiatry, 52(6), 543-558. https://doi.org/10.1016/S0006-3223(02)01468-3
  3. Bae, J.-M. (2012). A comparative study on the relationship among post-traumatic stress, psychological well-being, and depression by SEM: Focusing on policemen and fire fighters. Fire Science and Engineering, 26(2), 109-117. https://doi.org/10.7731/KIFSE.2012.26.6.109
  4. Borg, C., Hallberg, I. R., & Blomqvist, K. (2006). Life satisfaction among older people (65+) with reduced self‐care capacity: the relationship to social, health and financial aspects. Journal of clinical nursing, 15(5), 607-618. https://doi.org/10.1111/j.1365-2702.2006.01375.x
  5. Bradburn, N. M. (1969). The structure of psychological well-being. Chicago: Aldine.
  6. Cha, M. (2015). Effects of social exclusion of the elderly psychological well-being. Unpublished doctoral thesis. Seonam University, Namwon, Korea.
  7. Cho, K.-W. (2002). Study on the degree of life satisfaction of the female single aged. Korean Journal of Gerontological Social Welfare, 17, 85-125.
  8. Choi, Y.-M., & Lee, S.-J. (2003). Relationship between the quality of life and the social support network for single home-owned old people. Korean Journal of Gerontological Social Welfare, 22, 193-217.
  9. Choi, Y.-J. (2009). A study on factors that affect quality of life of the elderly by age. Unpublished doctoral thesis. Hanyoung Theological University, Seoul, Korea.
  10. Choi, E. Y., Kim, J. Y., & Kim. H. S. (2003). The correlational study on health-promoting behavior, life satisfaction and family support of elderly people. Journal of Korean Gerontological Nursing, 5(1), 7-16.
  11. Chou, K. L., & Chi, I. (2000). Comparison between elderly Chinese living alone and those living with others. Journal of Gerontological Social Work, 33(4), 51-66. https://doi.org/10.1300/J083v33n04_05
  12. Diener, E. D. (1994). Assessing subjective well-being: Progress and opportunities. Social Indicators Research, 31, 103-157. https://doi.org/10.1007/BF01207052
  13. Diener, E. D., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of personality assessment, 49(1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13
  14. Enkvist, A., Ekstrom, H., & Elmstahl, S. (2011). What factors affect life satisfaction among the old-est-old? Archives of Gerontology and Geriatrics, 54(1), 140-145. https://doi.org/10.1016/j.archger.2011.03.013
  15. Ha, K.-P., & Song, S.-H. (2013). A study on the relationship of daily stress and social support to psychological wellbeing in the elderly. The Journal of the Korea Contents Association, 13(7), 278-289. https://doi.org/10.5392/JKCA.2013.13.07.278
  16. Han, K., & Yun, S. (2001). Living arrangements and psychological well-being of the rural elderly in Korea. Journal of the Korea Gerontological Society, 21(2), 163-178
  17. Han, G.-H., & Son, J.-Y. (2012). Retirement process, economic and relational resources, and psychological well-being of Korean baby boomers. Korean Journal of Family Welfare, 38, 291-330.
  18. Han, S.-S., Kang, S.-W., & Jeong, S.-H. (2012). Experiences of depressive symptom and suicidal thinking between the elderly living alone and the elderly couples. The Korean Journal of Health Service Management, 6(3), 29-38. https://doi.org/10.12811/kshsm.2012.6.3.029
  19. Hu, S., & Kim, J. (2011). Analysis of multi-level effectiveness on life satisfaction in old age at KLIPS 2006. Journal of the Korean Gerontological Society, 31(2), 407-418.
  20. Hwang, S. Y. (1994). A Study on social worker's discharge planning process with the chronically ill. Unpublished doctoral thesis. Seoul National University, Seoul, Korea.
  21. Jang, S.-H. (2006). A study on the relationship between health status, social support and life satisfaction in elderly. Journal of Korean Gerontological Nursing, 8(1), 36-46.
  22. Jang, I. S., & Kim, S. M. (2002). The relationship between social network and death anxiety in elders. Journal of Korean Gerontological Nursing, 4(1), 80-92.
  23. Jeong, K. H. (2011). Living to one hundred: Old-age criteria and policy tasks. Health and Welfare Policy Forum, 180, 16-27.
  24. Jeong, J. H., & Kim, J. S. (2015). The effect of abuse experience and coping styles on suicidal ideation in the elderly. Journal of Korean Academy of Community Health Nursing, 26(1), 42-51. https://doi.org/10.12799/jkachn.2015.26.1.42
  25. Jeong, H.-J., Kim, T.-H., & Lee, D.-S. (2000). Related variables of life satisfaction of elderly women living alone in Chonbuk-do Province. Journal of the Korea Gerontological Society, 20(2), 49-70.
  26. Jeong, W., & Jeong, S. (2011). Study on the relations between the economic characteristics and life satisfaction by income levels among single elderly households. Journal of the Korean Gerontological Society, 31(4), 1119-1134.
  27. Jung, M. K., & Lee, K. M. (2010). A path analysis of stress, depression, optimism, and resilience in the elderly. Journal of the Korean Gerontological Society, 30(2), 629-642.
  28. Kang, E. J. (2005). Factors related to suicide ideation by age group. Health and Welfare policy forum, 107, 81-86.
  29. Kang, H. Y., Seo, N. S., & Kim, Y. H. (2004). Health pattern of elderly according to age group who living alone in an urban area. Journal of Korean Academy of Nursing, 34(6), 1057-1068. https://doi.org/10.4040/jkan.2004.34.6.1057
  30. Kim, B. J., & Choi, Y. (2015). The relationship between activities of daily living(ADL), chronic diseases, and depression among older Korean immigrants. Educational Gerontology 41(6), 417-427. https://doi.org/10.1080/03601277.2014.982006
  31. Kim, C.-G. (2015). Factors influencing life satisfaction among community-dwelling elders by health status. Journal of Korean Gerontological Nursing, 17(2), 108-119. https://doi.org/10.17079/jkgn.2015.17.2.108
  32. Kim, C.-H. (2014). Factors affecting the suicidal ideation of the young-old and old-old elderly in Korea. Unpublished doctoral thesis. Yeungnam University, Daegu, Korea.
  33. Kim, C.-S. (2007). Social theories and discourses on population aging. Journal of the Korea Gerontological Society, 27(3), 667-690.
  34. Kim, H. K., Lee, H. J, & Park, S. M. (2010). Factors influencing quality of life in elderly women living alone. Journal of the Korea Gerontological Society, 30(2), 279-292.
  35. Kim, H. M., & Choi, Y, H. (2011). Factors affecting depression in elderly vulnerable people living alone. Journal of Korean Academy of Community Health Nursing, 22(4), 355-364. https://doi.org/10.12799/jkachn.2011.22.4.355
  36. Kim, H.-R. (2012). Prevalence of depression and its correlates among young-old and old-old elderly people with poverty in Korean urban community. Journal of the Korea Gerontological Society, 32(3), 924-954.
  37. Kim, J. H., & Jung, Y. M. (2002). A study on health status and quality of life in living alone elderly. Journal of Korean Gerontological Nursing, 4(1), 16-26.
  38. Kim, K. B., Lee, Y. J., & Sok, S. (2008). A comparative study on health status, depression, and quality of life between the elderly living with family and the elderly living alone. Korean Journal of Adult Nursing, 20(1), 765-777.
  39. Kim, K.-T., Choi, S.-S., Park, M.-J., Park, S.-H, Ko, S.-H., & Park, H.-S. (2011). The effect of family structures and psycho-social factors on suicidal ideation of senior citizens. Journal of Welfare for the Aged, 52, 205-228.
  40. Kim, M.-H., & Moon, J.-W. (2013). The impact of family and social relationship on depression and suicidal ideation of the elderly. Korean Journal of Care Management, 10, 1-26.
  41. Kim, M. Y. (1997). A study on the functional health status of living-alone elderly. Journal of Korea Community Health Nursing Academic Society, 11(2), 94-105.
  42. Kim, S. O., Park, M. H., & Kim, Y. J. (2006). A study on the relationship between the stress, depression and self-integrity of the rural elderly women. Journal of Korean Gerontological Nursing, 8(2), 161-169.
  43. Kim, Y.-B., & Park, J.-S. (2003). The family network and life satisfaction of elderly in South Korea. Journal of the Korean Gerontological Society, 24(1), 169-185.
  44. Kim, Y.-H. (2013). Factors influencing the health-related quality of life by age among vulnerable elderly women. Journal of Korea Academia-Industrial Cooperation Society, 14(3), 1342-1349. https://doi.org/10.5762/KAIS.2013.14.3.1342
  45. Kim, Y.-R., Song, C.-S., & Lee, C.-S. (2013). The community-based care support plan for elderly single household-the case study of elderly community care. Korean Women's Development Institute.
  46. Kim, Y. S., & Kim, J. (2009). The relationship between socio-demographic variables and death anxiety among the elderly. Journal of the Korean Gerontological Society, 29(1), 275-289.
  47. Kawai, K. (2002). Social isolation, security and welfare problems among the elderly in urban areas: Focusing on the living conditions of the single-living elderly in Minato Ward, Tokyo. Shakai Seisakugaku, 7, 118-131.
  48. Kobayashi, E., Fujiwara, Y., Fukaya, T., Nishi, M., Saito, M., & Shinkai, S. (2011). Social support availability and psychological well-being among the socially isolated elderly: Differences by living arrangement and gender. Japanese journal of public health, 58(6), 446-456.
  49. Ko, S. D., Son, A. R., & Choi, Y. S. (2001). A study on the relationship of the geriatric depression to the elderly’s general characteristics. Korean Journal of Famliy Welfare, 6(1), 3-15.
  50. Ko, Y.-M. (2013). Factors affecting the health status of elderly living alone in community. Unpublished doctoral thesis. Seoul National University, Seoul, Korea.
  51. Kwon, C.-W. (2014). A study on the residential housing welfare law for the aged. Unpublished doctoral thesis. Dong-A University, Pusan, Korea.
  52. Lee, E.-G., & Cho, S.-S. (2014). Relations among the social activity, self-efficacy and psychological well-being of the urban elderly. The Journal of the Korea Contents Association, 14(7), 196-216. https://doi.org/10.5392/JKCA.2014.14.07.196
  53. Lee, H.-J. (2013). Longitudinal changes in depression in older adults: Differences across age groups and risk factors. Korean Journal of Gerontological Social Welfare, 61, 291-318.
  54. Lee, H. W. (1998). Theory of senior citizen welfare: Theory and practice. Seoul: Yu-pung Press.
  55. Lee, I. J. (2011). A study on the differences of health, life satisfaction, and determinants of young-old, mid-old, and old-old. National Research Foundation of Korea.
  56. Lee, J.-K., & Kim, J.-H. (2013). A study on the needs of the elderly living alone in Seoul. Seoul Studies, 14(3), 191-211.
  57. Lee, J.-L. (2012). The effects of acceptance-rejection of parents in law on psychological well-being of husbands and wives: Using APIM. Journal of Korean Home Management Association, 30(4), 1-11. https://doi.org/10.7466/JKHMA.2012.30.4.001
  58. Lee, G.-S., & Lim, W.-K. (2012). Effects of the leisure activity and social support of the elderly on their psychological well-being. The Journal of the Korea Contents Association, 12(10), 291-306. https://doi.org/10.5392/JKCA.2012.12.10.291
  59. Lee, M.-R. (2012). Mediated effect of family support in influence route of health condition and self-integration of old people: Focused on difference by age group. The Journal of the Korea Contents Association, 12(10), 280-290. https://doi.org/10.5392/JKCA.2012.12.10.280
  60. Lee, S. L. (2016). The influence of elders' demographic-sociological characteristic, self-esteem, health state on satisfaction with life. Journal of the Korean Academy of Health and Welfare for Elderly, 8(1), 51-68.
  61. Lee, S. S., & Cha, Y. E. (2003). A study of the relationship among family support, public support and the depression of the functional disabled elderly. Family and Environment Research, 41(3), 165-180.
  62. Lee, S. (2016). A study of effects of family relation on economic satisfaction effects of the later life preparation on life satisfaction. Unpublished doctoral thesis. Daegu Haany University, Daegu, Korea.
  63. Lee, S., Kim, H., Jung, Y.-I., Choi, Y.-H., Lee, K., Yu, S.-D., & Hong, Y.-C. (2014). Environmental exposure and health inequality by socio-economic position among older people. Journal of the Korea Gerontological Society, 34(2), 349-367.
  64. Lee, Y.-K., & Jung, M.-H. (2013). The effect of family resilience on depression and suicide ideation of the elderly. Journal of Welfare for the Aged. 61, 111-134.
  65. Lyu, I. A. (2008). A study of life satisfaction level concerning the life management assistant dispatch project for the elderly. Korean Journal of 21 Century Society Welfare, 5(1), 159-180.
  66. Ministry of Health and Welfare (2012). Integrated support for living alone elderly. Retrieved from http://www.mohw.go.kr/front_new/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&page=1&CONT_SEQ=271273&SEARCHKEY=TITLE&SEARCHVALUE=독거노인.
  67. Ministry of Health and Welfare. (2016). The elderly welfare act. Retrieved from http://www.law.go.kr/lsInfoP.do?lsiSeq=178129&efYd=20161230#0000.
  68. RLee, H.-G., & Ha, K.-S. (2012). Effect of the daily living factor on the satisfaction of life for the aged. The Journal of the Korea Contents Association, 12(6), 280-292. https://doi.org/10.5392/JKCA.2012.12.06.280
  69. Russell, D., & Taylor, J. (2009). Living alone and depressive symptoms: The influence of gender, physical disability, and social support among Hispanic and non-Hispanic older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 64(1), 95-104.
  70. IM, H. (2015). Longitudinal mediation analysis on the relationship of economic factors, life-satisfaction and depression of one person household. Unpublished doctoral thesis. Konkuk University, Seoul, Korea.
  71. Radloff, L. S. (1977). The CES-D Scale: A self-report depression scale for research in the general population. Psychological Measurement, 1, 385-401. https://doi.org/10.1177/014662167700100306
  72. Oh, I.-G. (2012). The effect of hopeless depression on stress in elderly women who live alone. Korean Journal of Family Welfare, 17(4), 237-255.
  73. Oh, M.-L. (2015). A study of the ecological variables affecting on the psychological well-being of disabled women. Unpublished master's degree. Chonnam National University, KwangJu, Korea.
  74. Oh, S., & Ko, Y. (2015). Activities of daily living, depression, and self-rated health and related factors in Korean elderly: Focused on socioeconomic status and family support. Journal of Korean Academy of Community Health Nursing, 26(2), 140-149. https://doi.org/10.12799/jkachn.2015.26.2.140
  75. Oh, Y. E., & Lee, J. H. (2011). The effect of adult-children support network on the psychological well-being of the single and couple elderly households in rural areas. The Korean Society of Community Living Science, 22(4), 557-572. https://doi.org/10.7856/kjcls.2011.22.4.557
  76. Park, J. I., Park, T. W., Yang, J. C., & Chung, S. K. (2016). Factors associated with depression among elderly Koreans: The role of chronic illness, subjective health status, and cognitive impairment. Psychogeriatrics, 16(1), 62-69. https://doi.org/10.1111/psyg.12160
  77. Park, J. Y., & Kim, K. S. (2012). The impact of family resilience and social support affecting the psychological welfare of single parents. Journal of Korean Family Relations Association, 17(1), 23-46.
  78. Park, J. Y., & Lee, C. S. (2013). Mediating effect of hope between stress coping and psychological well-being of women immigrants. Journal of Digital Convergence, 11(1), 405-412. https://doi.org/10.14400/JDPM.2013.11.1.405
  79. Park, K.-G., Goo, H.-S., Park, S.-H., & Kang, S.-K. (2003). A study on the relationship among the subjective health status, the degree of interest in health status, the personal health management, and the life satisfaction outcomes of the elderly. Communication Disorders, 26(1), 141-162.
  80. Park, N. S., Jang, Y., Lee, B. S., & Chiriboga, D. A. (2015). Relationship between perceived neighborhood environment and depressive symptoms in older Korean Americans: Do chronic disease and functional disability modify it?. Asian American Journal of Psychology, 6(2), 174. https://doi.org/10.1037/aap0000017
  81. Park, S. O., Paik, H. J., Kim, C. M., Moon, J. H., Choi, S. Y., Kim, J. S., & Kim, A. J. (2003). A study on self-esteem and social support, health-promoting lifestyle of the elderly. Journal of Korean Academy of Community Health Nursing 14(1), 144-156.
  82. Ryff, C. D. (1989). Happiness is everything or is it?: Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 1069-1081. https://doi.org/10.1037/0022-3514.57.6.1069
  83. Schilling, O. K., Wahl, H. W., & Oswald, F. (2013). Change in life satisfaction under chronic physical multi-morbidity in advanced old age: Potential and limits of adaptation. Journal of Happiness Studies, 14(1), 19-36. https://doi.org/10.1007/s10902-011-9313-3
  84. Schulz, R., & Heckhausen, J. (1996). A life span model of successful aging. American psychologist, 51, 702-714. https://doi.org/10.1037/0003-066X.51.7.702
  85. Seo, I.-K., & Cho, H.-C. (2013). Mediation effects of depression in the relationship between stress and suicidal ideation of the elderly : A comparative study on people who live alone and those who live with family. Journal of Welfare for the Aged, 61, 135-162.
  86. Seo, K. J. (2014). A study on the effects of the activity characteristics and person-environment fit on psychological well-being of elderly people under participation in job activities: Moderating effects of work satisfaction. Unpublished master's degree. Hoseo university, Chunan, Korea.
  87. Shin, G. H. (2012). A study on family disorganization type of elderly people live alone. Korean Journal of Social Policy, 19(4), 79-104. https://doi.org/10.17000/kspr.19.4.201212.79
  88. Shim, Y. (2003). An analysis of the economic well-being of elderly households based on housing ownership and housing costs. Korean Journal of Human Ecology, 12(1), 25-38.
  89. Shin, H. H., Choi, S. W., Park, J., & Han, M. A. (2014). Factors affecting suicidal ideation and attempts among the elderly. Journal of the Korea Gerontological Society, 34(4), 751-762.
  90. Shin, G., & Kim, E. K. (2014). Factors associated with health-related quality of life in vulnerable elderly women. Journal of Korean Public Health Nursing, 28(3), 419-431. https://doi.org/10.5932/JKPHN.2014.28.3.419
  91. Shin, S. (2012). Study on the competence, process, and performance of the delivery system of social welfare service for the senior: Focused on the private delivery system and its effectiveness within three cities of Gyeonggi province. Hankuk University of Foreign Studies, Seoul, Korea.
  92. Son, J.-A., Suh, S.-R., & Kim, M. (2015). Factors related to depression of rural elders. Journal of Korean Gerontological Nursing, 17(1), 56-64. https://doi.org/10.17079/jkgn.2015.17.1.56
  93. Statistics Korea (2012). Household projections for Korea : Household by household head's age and household type. Vital statistics division(101062)
  94. Statistics Korea (2015). The Survey of household financial welfare research. Welfare statistics division(930001)
  95. Statistics Korea (2016). Population projections for Korea. Vital statistics division(101033)
  96. Sung, J. S., & Park, C.-S. (2005). Health promoting behavior and health status in the elderly. Journal of Korean Gerontological Nursing, 7(1), 71-78.
  97. Sung, M., Choi, Y., & Lee, J. (2014). Portraits of childless couples in South Korea I: Psychological well-being, couple relationships, and attitudes toward children by types of childlessness. Family and Culture, 26(1), 40-71. https://doi.org/10.21478/family.26.1.201403.002
  98. Sherman, A. M. (2003). Social relations and depressive symptoms in older adults with knee osteoarthritis. Social science & medicine, 56(2), 247-257. https://doi.org/10.1016/S0277-9536(02)00023-0
  99. Tsai, P. F. (2005). Predictors of distress and depression in elders with arthritic pain. Journal of advanced nursing, 51(2), 158-165. https://doi.org/10.1111/j.1365-2648.2005.03481.x
  100. WONCA Classification Committee (1988). Functional status measurement in primary care. New York: Spinger-Veriag New York Inc.
  101. Yang, N.-Y., & Moon, S.-Y. (2012). The effects of suicidal thought on health status social support, and life satisfaction in elderly. Journal of Digital Convergence, 10(11), 515-524. https://doi.org/10.14400/JDPM.2012.10.11.515
  102. Yang, O.-N. (2005). An analysis of life satisfaction of the poor according to in-home service: Including the households of the elderly. Social Welare Policy, 22, 5-32.
  103. Yang, Y. J. (2015). Socio-demographic characteristics, nutrient intakes and mental health status of older Korean adults depending on household food security: Based on the 2008-2010 Korea National Health and Nutrition Examination Survey. Korean Journal of Community Nutrition, 20(1), 30-40. https://doi.org/10.5720/kjcn.2015.20.1.30
  104. Yee, N. H. (2014). Analysis of determinants on depression changes of the elderly population. Unpublished master's thesis. Hanyang University, Seoul, Korea.
  105. Yim, K. S., & Lee, T. Y. (2004). Socio-demographic factors associated with nutrients intake of elderly in Korea. Korean Journal of Nutrition, 37(3), 210-222.
  106. Yim, S. W., Kim, Y. H., & Son, H.-M. (2014). Risk for dysphagia and nutritional status in community-dwelling elders. Journal of Korean Gerontological Nursing, 16(3), 288-298. https://doi.org/10.17079/jkgn.2014.16.3.288
  107. Yoo, J., & Sung, H. (2009). The moderating effect of family relationship on depression in the elderly. Journal of the Korean Gerontological Society, 29(2), 717-728.
  108. Yoo, Y.-G., Ko, S.-H., Kim, K.-B., & Chung, S.-H. (2004). Effects of perceived social support on self esteem in elderly. The Korean Academic Society of Adult Nursing, 16(1), 102-110.
  109. Ministry of Health and Welfare. (2016). Elderly policy. Retrieved from http://www.mohw.go.kr/front_new/policy/sotong/201 6/index. jsp?PAR_MENU_ID=06&MENU_ID=06490301