Browse > Article

Study on Relations of Variables; Attributions of Somatic Symptoms, Fatigue, Chronic Pain and Depression in the Elderly  

장성옥 (고려대학교 간호대학)
박영주 (고려대학교 간호대학)
윤지원 (고려대학교 간호대학)
Publication Information
Journal of Korean Academy of Nursing / v.33, no.1, 2003 , pp. 26-33 More about this Journal
Abstract
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.
Keywords
Attributions of somatic symptoms; Chronic Fatigue; Chronic Pain; Depression; The Elderly;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Butler, J. A., Chadder, T., & Wessely, S. (2001). Causal attributions for somatic sensations in patients with chronic fatigue syndrom and their partner, Psychol Medi, 31(1), 97-105   DOI   ScienceOn
2 Kim, K. Y., & Kang, H. C. (2000) The analysis of structural equation model, Seoul: Jayou Academy Press
3 Kwon, Y. E., & Chung, M. S. (1996). A grounded theory approach on fatigue of the female elderly with osteoarthritis, J Acad Rhematic Health, 3(1), 50-62
4 McGregor, N. R., Niblett, S., Bligh, P. C., Dunstan, R. H., Fulcher, G., Hoskin, L., Butt, H. L., Robert, T. K., King, K., & Klineberg, I. (2000). The biochemistry of chronic pain and fatigue, J Chronic Fatigue Syndrom, 7(1), 3-21
5 Sohn, S. J., Shin, J. H., Shin, H. Y., Chung, E. K., Bum, M. S., & Kweon, S. S. (2000). Assessment of depression and relates in rural elderly., Korea J of Rural Med, 25(1), 85-98
6 Reid, S., & Wessely, S. (1999). Somatoform disorders, Current Opinion in Psychiat, 12(2), 163-168   DOI   ScienceOn
7 Cope,H., Mann, A., Pelosi, A., & David, A. (1996). Psychosocial risk factors for chronic fatigue and chronic fatigue syndrome following presumed viral illness: a case control study, Psychol Medi, 26(6), 1197-1209   DOI   ScienceOn
8 Kim, M. J., Kim, K. S., Kim, J. I., Kim, J. S., Park, H. S., Song, K. A., & Choi, S. H. (1997). Fundermental of Nursing, HyunMoon Publishing Co, Seoul
9 Kim, J. H., & Kim, J. H. (1998). A study for relationship between depression and chronic musculoskeletal pain in the elderly by geriatric depression scale, J Korea Gerontol Soc, 18(3), 90-102
10 Robbins, J. M., & Kirmayer, L. J. (1991). Attributions of common somatic symptoms, Psychol Med, 21, 1029-1045
11 Sharpe, M., Hawton, K., Seagroatt, V., & Pasvol, G. (1992). Follow-up of patients presenting with fatigue to an infectious disease clinic, Br Med J, 305, 147-152
12 Pawlikowska, T., Chalder, T., Hirsch, S. R., Wallace, P., Wright, D. J. M., & Wessely, S. C. (1994). A population based study of fatigue and psychological distress, Br Med J, 308, 763-766
13 Ray, C. Jefferies, S., & Weir, W. R. C. (1995). Life-events and the course of chronic fatigue syndrom, Br J Med Psychol, 68, 323-331
14 Wessely, S., & Powell, R. (1991). Fatigue syndromews: a comparison of chronic 'postviral' fatigue with neuromuscular and affective disorders, J. Neurol, Neurosurg Psychiat, 42, 940-948   DOI
15 Sheikh, J. I., & Yesavage, J. A. (1986). Geriatric depression scale(GDS), recent evidence and development of shorter version, Clini Gerontol, 4, 165-173
16 Chalder, T., Power, M. J., & Wessely, S. (1996). Chronic fatigue in the community: 'A Question of attribution', Psychol Medi, 26(4), 791-800   DOI   ScienceOn
17 Kim, J. H., Yang, K. H., & Lee, H. J. (1996). A descriptive study on pain of elderly, J Korean Acad Nurs, 26(4), 878-888
18 Gray, E. (2001). Linking chronic pain and depression, Nurs Stand, 15(25), 33-36
19 Powell, R., Dolan, R., & Wessely, S. (1990). Attributions and self-esteem in depression and chronic fatigue syndromes, J Psychosomatic Res, 34(6), 665-673   DOI   ScienceOn
20 Wilson, A., Hickie, I., Lloyd, A., Hadzi-Pavlovic, D., Boughton, C, Dwyer, J., & Wakefield, D. (1994). Longitudinal study of outcome of chronic fatigue syndrom. Br Med J, 308, 756-759
21 Heath, I. (1999). Cross sectional study of symptom attribution and recognition of depression and anxiety in primary care: Commentary: There must be limits to the medicalisation of human distress, Br Med J, 318(7181), 439-440
22 Pickard-Holly, S. (1991). Fatigue in cancer patient, Cancer Nursing, 14(1), 13-20
23 Vogel, C. H. (1982). Anxiety and depression among the elderly, J.Gerontol, 8, 214
24 Dzurec, L. C. Hoover, P. M. Fields, J. (2002). Acknowledging unexplained fatigue of tired women, J Nurs Scholarship, 34(1), 41-46   DOI   ScienceOn
25 Wessely, S. Wright, D., & Wallace, E. P. (1993). Development of a fatigue scale, J Psychosomatic Res, 37(2), 147-153   DOI   ScienceOn
26 Liao, S. S., & Ferrell, B. A. (1999). Fatigue in an elderly residential care population, The J Am Geriat Soc, 49(9), S16
27 Vercoulen, J. H. M. N. Swanink, C. M. A. Fennis, J. F. M., et al. (1996). Prognosis in chronic fatigue syndrom: a prospective study on the natural course, J Neurol Neurosurg Psychiatry, 60, 489-494
28 David, A. S. (1991). The post viral fatigue syndrom and psychiatry, British Medical Bulletin, 47, 966-988
29 Chon, M. Y., Yeun, E. J., & Ryu, E. J. (2001). Typological study on fatigue management in the elderly, J Korea Gerontol Soc, 21(2), 1-14