Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
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The Effect of Social Support and, Avoidance Coping Style and Depression on Suicidal Ideation among in the Elderly over the Age 65 in G City

G시 65세 이상 노인의 사회적 지지, 회피적 대처방식 및 우울이 자살생각에 미치는 영향

  • Oh, Eum-Jung (Depart of Nursing, Choonhae College of Health Science) ;
  • Chang, Koung-Oh (Department of Nursing Science, Y'sU(Youngsan University))
  • 오은정 (춘해보건대학교 간호학과) ;
  • 장경오 (와이즈유(영산대학교) 간호학과)
  • Received : 2020.10.21
  • Accepted : 2021.02.05
  • Published : 2021.02.28
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Abstract

This study was undertaken to examine the effects of social support, as well as avoidance coping, depression and suicidal ideation, of the elderly over 65 years, in G city. This was a descriptive survey study, enrolling 482 subjects from 9 elderly schools in G city, from October 31, 2019 to 1. Data collected were analyzed with t-test, ANOVA, Pearson's correlation coefficients and multiple regression, using the SPSS WIN 24.0 program. The average score of social support was 5.71±1.11, avoidance coping style 12.41±3.45, depression 6.33±2.77, and suicidal ideation 6.17±1.87. Suicidal ideation (r=0.292, p<0.001) positively correlated with avoidance coping, and negatively correlated with gender (r=-0.02, p=0.018), number of family (r=-0.12, p=0.008), social support (r=-0.19, p<0.001), and depression (r=-0.24, p<0.001). Results of regression indicated that gender, social support, avoidance coping style, and depression explained 12.8% of variance in suicidal ideation. Therefore, our results indicate the necessity to develop a support program that improves the social support, and addresses avoidance coping style, depression and suicidal ideation, thereby helping to reduce negative thinking amongst the community of seniors aged over 65 years.

본 연구는 G시 65세 이상 노인의 사회적 지지와 회피적 대처방식 및 우울이 자살생각에 미치는 영향을 파악하기 위해 시도되었다. 연구방법은 G시 9곳의 노인대학을 이용하는 노인 482명을 대상으로 한 서술적 조사연구로, 2019년 10월 7일부터 2019년 10월 31일까지 자료를 수집하였다. 연구 통계방법은 IBM SPSS 24.0 프로그램을 t-test, ANOVA, 피어슨 상관관계분석, 다중회귀분석을 이용하였다. 그 결과, 연구대상자의 사회적 지지의 평균점수는 5.72±1.11점, 회피적 대처방식의 평균점수는 6.33±3.45점, 우울의 평균점수 6.33±2.77 그리고 자살생각 평균점수는 6.17±1.87점이었다. 대상자들의 자살생각은 회피적 대처방식(r=.29, p<.001)은 통계적으로 유의한 양의 상관관계, 성별(r=-.02, p=.018), 가족수(r=-.12, p=.008) 사회적 지지(r=-.19, p<.001) 그리고 우울(r=-.24, p<.001)은 음의 상관관계 있는 것으로 나타났다. 그리고 연구대상자의 자살생각에 영향을 미치는 요인을 다중회귀분석 한 결과, 성별, 회피적 대처방식 및 우울이 영향을 미치는 요인으로 설명력은 12.8%로 나타났다. 이상의 본 연구 결과를 토대로 성별, 사회적 지지, 회피적 대처방식 및 우울이 영향을 미치는 것을 확인할 수 있었다. 그러므로 지역사회 65세 이상 노인의 사회적 지지를 향상시키고 회피적 대처방식, 우울 및 자살생각의 부정적인 사고를 감소시켜 노인의 자살을 예방할 수 있는 프로그램 개발과 지원이 필요하다.

Keywords

References

  1. Statistics Korea. 2020 ederly statistics [Iternet]. Seoul: Statistics Korea. 2020 [cited 2020 September 21]. Available from: http://kostat.go.kr/portal/korea/kornw/1/1/index.board?bmode=read&aSeq=385322
  2. S. J. Sim. "Analysis of influecing factors affecting the subjective well-being of the elderly", Statistics Development Institute Research Report, pp.70-109, 2018.
  3. S. M. Chae, "Psychosocial anxiety and mental health in old age", Health and welfare policy forum. 239:84-96, 2016
  4. Statistics Korea. Cause of death statistics in 2019 [Internet]. Seoul: Statistics Korea. 2019 [cited 2020 September 21]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385219
  5. Statistics Korea. Cause of death statistics in 2018 [cited 2020 September 21]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=38521
  6. E. K. Kwon, K. Park, "The mediating effects of thought suppression and avoidace coping style on the relationship beyween mundfulness and suicidal ideatin in older adults", Jouranal of Rehabilitation Psychology, Vol. 23, No. 1, pp. 187-201, 2016.
  7. H. E. Park, "Health status and social support of the elderlt living alone", 2019 Korean Society of Senior Welfare Spring Conference, Korean Society of Gerontolgical Social Welfare, pp.238-245, 2019. 6.
  8. Y. E. Kim, Y. S. Lee, "The effect of social support of elderly people using welfare center on happiness. Mediating effect of self-efficacy", Korean Journal of Gerontological Social Welfare, Vol. 72, No. 4, pp. 217-238, 2017. DOI; http://dx.doi.org/10.21194/kjgsw.72.4.201712.217
  9. J. I. Kim, "Predictive relationships between depression and health status, physical function, and social support of elders in rural areas", Journal of Korean Gerontological Nursing, Vol. 16, No. 3, pp.231-241, 2014. DOI: http://dx.doi.org/10.17079/jkgn.2014.16.3.231
  10. E. Tonelle, A. Sarah, J. Kelly, J. Frances, J. Brian, J. Terry., et al., "Predictors of suicidal ideation in older people: a decision tree analysis", The American Journal of Geriatric Psychiatry, Vol. 22, No. 11, pp.1325-1335, 2014. DOI: http://dx.doi.org/10.1016/j-jagp.2013.05.009
  11. G. H. Cho. Affects of self-esteem, melancholy and of suicide ideation among the low-incom elderty, Unpublished master's thesis, Keimyung Univertisty, Deagu, 2010.
  12. H. J. Lee, "Life satisfaction and depression among the oldest-old :the mediating effect of gerotranscendence", Korean Journal of Gerontological Social Welfare, Vol. 75, No. 3, pp.9-29, 2020. DOI; http://dx.doi.org/10.21194/KJGSW.75.3.202009.9
  13. H. R. Jeong M. W. Kim. "The effect of abuse experience and coping styles on suicidal ideation in the elderly", Journal of Korean Academy of Community Health Nursing, Vol. 26, No. 1, pp.42-51, 2015. DOI; http://dx.doi.org/10.12799/jkachn.2015.26.1.42
  14. R. S. Lazarus, S. Folkman. "Stress appraisal, and coping", New York; springer publishing Co, 1984.
  15. G. E. Kim, J. H. Kwon, E. J. Yang, "The moderation effect of avodiant coping strategy and gender in the relationship between interpersonal conflict and depression: the comparison of avoidant copings strategies in online and offline space", The Korean Journal of Woman Psychology, Vol. 18, No. 2, pp.279-294, 2013. https://doi.org/10.18205/kpa.2013.18.2.002
  16. Ben-Zur, Hasida. "Coping style and affect", International Jouranal of Stress Management, Vol. 16, No. 2, pp.87, 2009. https://doi.org/10.1037/a0015731
  17. H. S. Yoon, S. R. Yeom, "The Mediating Effects of Resilience on Depression and Suicidal Ideation of Older Adults in Korea", Korean Journal of Gerontological Social Welfare, Vol. 72, No. 1, pp.233-255, 2017. DOI; http://dx.doi.org/10.21194/kjgsw.72.1.201703.233
  18. Ministty of Health and Welfare, "2017 senior survery", Korea Institute for Health and Social Affairs, 2017.
  19. C. Y. Cho. "A study on the depression and social support factors that influence suicide ideation among the elderly from an ecological perspective", Korea Academy of Care Management, Vol. 8, pp.1-21, 2013.
  20. I. K. Seo, Y. S. Lee, "Mediated effects of depression on the relationship between social resources of the elderly living alone and their siucidal ideation-with a focus on the comprison between the elderly living alone in rural and urban areas-", Journal of Welfare for the Aged, Vol. 71, No, 2, pp.219-247, 2016. DOI; http://dx.doi.org/10.21194/kjgsw.71.2.201606.219
  21. M. S. Lee, "Study on the effect of social support on depression and suicide of the old", Korean Journal of Clicical Social Work, Vol. 3, No. 3, pp.191-211, 2005.
  22. Y. S. Kim, W. Y. Ha, "A study of the effect of participation in productive leisure activities on the suicide ideation and physical and mental health of elderly living along", Health and Social Welfare Review, Vol. 35, No. 4, pp.344-374, 2015. DOI: http://dx.doi.org/10.15709/hswr.2015.35.4.344
  23. Y. O. Lim, H. S. Yoon, "Process of old age stress leading to suicidal ideation: focus on mediator of social support, mastert, and depression", Korean Society of Geontological Social Welfare, Vol. 72, No. 1, pp.123-149, 2017. DOI: http://dx.doi.org/10.21194/kjgsw.72.1.201703.123
  24. The ENRICHD investigators, "Enhancing recovery in coronary heart disease patients(ENRICHD): study design and methods. ", American Heart Journal, Vol. 139, pp.1-9, 2000. DOI; http://dx.doi.org/10.1016/s0002-8703(00)90301-6
  25. C. J. Holahan, R. H. Moos, "Personal and contextual determinants ofcoping strategies", .Journal of Personailty and Social Psychology, 52(5), PP. 946 -955, 1987. https://doi.org/10.1037/0022-3514.52.5.946
  26. S. E. You, J. H, Kwon, "The effects of perfectionism, social support, stress and coping style on depression in the middle-aged woman", Korean Journal of Clinical Psychology, 16(6), pp.67-84, 1997.
  27. H. J. Kim, J. G. Kwon, "Relationship between meaning of life and suicide ideation: mediating effects of perceived social support and avoidance coping style", Korean Journal of Clicical Psychology, 31(2), pp.589-606, 2012. https://doi.org/10.15842/kjcp.2012.31.2.011
  28. J. I. Sheikh, J. A. Yesavage, "Geriatric Depression Scale (GDS): Recent evidence and development of a shorter version. In T. L. Brink (Ed.), Clinical gerontology: A guide to assessment and intervention", pp. 165-173. New York: The Harwoth Press, 1986.
  29. B. S. Kee. "A preliminary study for the standardization of geriatric depression scale short form Korea version", Journal of the Korean Neuropsychiatric Association, 35 (2), 298-307, 1996.
  30. L. L. Harlow, M. D. Newcomb, P. M. Bentler, ".Depression, self-derogation, substance use, and suicide ideation: lack of purpose in life as a mediational factor", Journal of Clinical Psychology, 42(1), pp.5-21, 1986. https://doi.org/10.1002/1097-4679(198601)42:1<5::AID-JCLP2270420102>3.0.CO;2-9
  31. S. J. Lee, E. J. Lee, "Factors associated with suicidal ideation of elderly people based on complete enumeration of a community setting", The Korean Academy of Psychiatric and Mental Health Nursing, Vol. 28, No.4, pp.393-403, 2019. DOI: https://doi.org/10.12934/jkpmhn.2019.28.4.393
  32. S. K. Lee, J. Y. Park, C. H. Seo, H. Y. Sung, "Factors associated wit suicide ideation among oder adults in concentrated poverty community; focused on gender difference", Korean Journal of Social Welfare Education, Vol, 46, pp.31-59, 2019.
  33. J. I. Kim, "Prediction of quality of life among the elderly at care facilities for the elderly according to health states, physical and cognitive functions, and social supports-focused on D metropolitan City", Journal of the Korea Academia-Industrial cooperation Society, Vol. 16, No. 7, pp.4656-4667, 2015. DOI: http://dx.doi.org/10.5762/KAIS.2015.16.7.4656
  34. H. J. Kim. The study of relationship between meaning of life and suicide ideation: the mediating effects of perceived social support and avoidance coping, Unpublished master's thesis, Korea National University, Seoul, 2008.
  35. M. S. Yang. The effect of sucide impulse with stress and depression of old people who living nursing home-the counter program of stress removing and control- Unpublished master's thesis, Kyonggi National University, Kyonggi, 2011.
  36. H. Y. Kim, A study of factors influencing suicidal ideation of elders, Unpublished master's thesis, Ewha Womans University, Seoul, 2006.
  37. O. K. Yang, S. H. Ju, "An exploratory study on the influencing factors to suicidal ideation among single-household elderly population", Korea Academy of Mental Health Social Work, Vol. 37, pp.321-347, 2011.
  38. H. T. Choi, S. Y. Ryu, G. I. Kwak, C. W. Choi, "The factors associated with suicidal ideation among the elderly living alone received the elderly care service in a rural area", Journal of Agricultural Medicine and Community Health, Vol. 39, No. 2, pp .91-93, 2014. DOI: https://doi.org/10.5393/JAMCH.2014.39.2.081
  39. A. R. Joo, H. W. Kim, "Effects of health-related characteristics, social support, and depression on cognitive function in elders resident in community health post areas", Journal of Korean Gerontological Nursing, Vol. 13, No. 2, pp.154-162, 2011.
  40. J. S. Yoon, The effects of the elderly's life stress on depression, Unpublished master's thesis, Daegu Haany University, Gyeongbuk, 2014.
  41. K. O. Chang. "Effect of depression, sleep and self-esteem on quality of life of elders living at home", Journal of the Korea Academia-Industrial cooperation Society, Vol. 18, No.10, pp.401-412, 2017. DOI: https://doi.org/10.5762/KAIS.2017.18.10.401
  42. Y. K. Lee, M. H. Jung, "The effect of family resilience on depression and suicide ideation of the elderly", Journal of Welfare for the Aged, Vol. 61, pp.111-134, 2013.
  43. S. A. Josepho, R. Plutchik, Robert. "Stress, coping, and suicide risk in psychiatric inpatients", Suicide and Life-Threatening Behavior, Vol. 24, No. 1, pp.48-57, 1994.
  44. Y. Y. Sim, A study on the factors that influence depression and suicidal ideation of rural elders, Unpublished master's thesis, Kkottongnae University, Cheongju, 2012.