Browse > Article
http://dx.doi.org/10.15207/JKCS.2018.9.6.241

Factors Affecting the Suicidal Ideation in Spouse Caregivers of the Elderly with Dementia Living in the Community  

Du, Nam-Hee (Sahmyook University Graduate school)
Han, Suk-Jung (Dept. of Nursing, Sahmyook University)
Publication Information
Journal of the Korea Convergence Society / v.9, no.6, 2018 , pp. 241-250 More about this Journal
Abstract
The purpose of this study was to determine factors affecting the suicidal ideation in spouse caregivers of the elderly with dementia Living in the Community. The data were collected from 160 spouses of elderly people with dementia who use dementia support centers and long-term care service in seoul. Data were collected with structured questionnaires to investigate the general characteristics and suicidal ideation-related factors, and analyzed using t-test, ANOVA, Pearson's correlation coefficient, Multiple regression analysis with SPSS win version 24.0 program. The significant factors affecting suicidal ideation were entrapment(${\beta}=.452$), SDAP(${\beta}=.273$), coping strategies(${\beta}=-.199$), it were explained 55.7%(F=19.199, p<.001). Therefore, counseling and education should be provided to help reduce the entrapment and enhance coping strategy with the dementia condition of the elderly with dementia. Measures also need to be made to improve the accessibility of a spouse with dementia that are left neglected.
Keywords
Dementia; Caregiver; Spouse; Social Support; Coping Strategies; Entrapment;
Citations & Related Records
Times Cited By KSCI : 7  (Citation Analysis)
연도 인용수 순위
1 J. S. Kim. (2018). The Structural Model Suicidal Ideation in elderly Living Alone. Journal of Convergence for Information Technology, 8(2), 29-36. DOI : 10.22156/CS4SMB.2018.8.2.029   DOI
2 Y. J. Oh. (2018). A Study on predicitive factors of Elderly Suicidal Ideation. Journal of Convergence for Information Technology, 8(2), 1-9. DOI : 10.22156/CS4SMB.2018.8.2.001   DOI
3 M. A. Lee. (2015) The Effects of Social Quality on Suicide Ideation of Korean Elderly. Journal of Digital Convergence, 13(3), 271-281. DOI : 10.14400/JDC.2015.13.3.271   DOI
4 B. J. Kim. (2016). Convergence Study on the Related Risk Factors of Elderly's Suicidal ideation Based on the 6th Korea National Helth and Nutrition Examination Survey. Journal of Digital Convergence, 14(11), 27-35. DOI : 10.14400/JDC.2016.14.11.27.   DOI
5 J. Y. Kim, J. B. Kim, D, Y. Jang & I. H. Song. (2016). A Study on the Effect of Caregiver Burden on suicidal Ideation among Caregiver for the Elderly with Dementia. Journal of the Gerontological Society, 36(3), 883-903.
6 H. Ch. Jeong. (2017). A study on the Effect of Elderly Dementia Caregiver's Stress to their Suicidal Ideation. Journal of the Korea Contents Association, 17(11), 167-182. DOI : 10.5392/JKCA.2017.17.11.167   DOI
7 H. D. Yang, Y. J. Hong, J. E. Kim, M. H. Park, H. R. Na, I. W. Han & S. Y. Kim. (2012). Activities of Daily Living and Dementia. Dementia and Neurocognitive Disorders, 2012(11), 29-37.
8 D. Y. Lee, M. H. Park, S. J. Lee, Y. H. Kim, J. H. Kim, H. J. Kim & H. J. Lee. (2014) Registered dementia management in Seoul city in 2014. Seoul Metropolitan City Dementia Center.
9 S. O'Dwyer, W. Moyte, M. Zimmer-Gebeck & D. De Leo. (2013). Suicidal ideation in family carers of people with dementia. Aging & Mental Health, 20(2), 222-230.
10 S. O'Dwyer, W. Moyte & S. Van Wyk. (2013). Suicidal ideation and resilience in family cares of people with dementia: A pilot qualitative study. Aging & Mental Health, 17(6), 753-760. DOI : 10.1080/13607863.2013.789001S   DOI
11 W. K. Kim. (2014). Analysis of newspaper articles on suicide and murder of dementia families. Health and Social Research, 34(2), 219-246.
12 L. L. Harlow, M. D. Newcomb & P. M. Bentler. (1986). Depression, self-derogation, substance use and suicidal ideation: Lack of purpose in life as a mediational factor. Journal of Clinical psychology, 42(1), 5-21. DOI : 10.1002/1097-4679(198601)42:1<5::aid-jclp2270420102>3.0.co;2-9   DOI
13 A. Beck, M. Kovacs & A. Weissman. (1979). Assessment of Suicidal intention: The Scale Ideation. Journal of Consulting and Clinical Psychology, 47(2), 343-352. DOI : 10.1037/0022-006x.47.2.343   DOI
14 H. S. Jo & Y. H. Jo. (2018). 2017 Central Dementia Center Annual Report. Seoul: Central Dementia Center.
15 H. J. Nam, S. H. Hwang, Y. J. Kim, S. J. Byun & K. W. Kim. (2017). Korean Dementia Observatory 2017. Seoul: Central Dementia Center.
16 P. J. Taylor, P. A. Gooding, A. M. Wood, J. Johnson, D. Pratt & N. Tarrier. (2010). Defeat and entrapment in schizophrenia: The relationship with suicidal ideation and positive psychotic symptoms. Psychiatry research, 178(2), 244-248. DOI : 10.1016/j.psychres.2009.10.015 J   DOI
17 P. Gilbert & S. Allan. (1998). The role of defeat and entrapment(arrested flight) in depression An exploration of an evolutionary view. Psychological Medicine, 28(3), 585-598. DOI : 10.1017/s0033291798006710   DOI
18 S. H. Cheon. (2011). The Relationship among perceived Entrapment, Depression and Subjective Well-being of Women as Family Caregivers Caring for Dementia Elderly. Koreans Journal Women Health Nursing, 17(3), 285-293.   DOI
19 Y. Martin, F. Gilbert, K. McEwan & C. Irons. (2006). The relation of entrapment, shame and guilt to depression in carers of people with dementia. Aging & Mental Health, 10(2), 101-106. DOI : 10.1080/13607860500311953H. S   DOI
20 H. S. Kim. (2002). A studdy on epistemology of Korean elder's suicidal thought. Journal of the Korean Gerontological Society, 22(1), 159-172.
21 M. P. Lawston, M. Moss, M. Fulcomer & M. H. Kleban. (1982). A research and service oriented multi-level assessment instrument. Journal of Gerontology, 37(1), 91-99. DOI : 10.1093/geronj/37.1.91   DOI
22 D. Harwood & R. Jacoby. (2000). Suicidal behavior among the elderly. In K. Howton & K. van Heeringen (Eds), international Handbook of Suicide and Attempted Suicide. Chichester: Wiley, 275-291. DOI : 10.15709/hswr.2014.34.2.219
23 Korea Ministry of Health & Welfare. Press release for Announcement of the Second Long-Term Care Plan[Internet]. 2018 Feb 13[cited 2018 Apr 14] Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp
24 M. R. Sung, M. S. Yi, D. Y. Lee & H. Y. Jang. (2013). Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home. Journal of Korean Academy of Nursing, 43(3), 389-398. DOI : 10.22156/CS4SMB.2017.7.3.001   DOI
25 H. Oh & S. H. Sok. (2009). Health Condition, Burden of Caring, and the Quality of Life among Family Members of the Elderly with Senile Dementia. Journal Korean Academy Psychiatric Mental Health Nursing, 18(2). 157-166.
26 Statistics Korea. Press release for Cause of death in 2016.[Internet]. 2017 Sep 22[cited 2018 Jan 2] Available from http://kostat.go.kr/portal/korea/kor_nw/2/6/2/index.board?bmode=read&aSeq=363268
27 Korea Ministry of Health & Welfare. Press release for Establishment of Suicide Prevention State Action Plan[Internet]. 2018 Jan 23[cited 2018 Apr 14] Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp
28 M. K. Lim. (2002). Relationships between Social Support and Health among Low Income Groups in Urban Area. Unpublished master's thesis, Seoul National University, Seoul.
29 I. S. Shin & S. S. Han. (2005). A Study on Cancer Patients' Quality of Life, Perceived Health Status and Susceptibility Severity for Cancer Recurrence. East-West Nursing Research, 11(2), 146-154.
30 C. D. Sherbourne, & A. L. Stewart. (1991). The MOS social support survey. Social Science and Medicine, 32(6), 705-714. DOI : 10.1016/0277-9536(91)90150-b   DOI
31 H. I. McCubbin, A. I. Thompson & M. A. McCubbin. (1996). Family Assesment: Resiliency, Coping and Adaptation. New York: University of Wisconsin publishers.
32 Y. J. Kim. (2004). A study on the managing strategy of supply system for the reduction of care-giving costs burdened on care-givers of the elderly with dementia. Doctoral dissertation, Sang Myung University, Seoul.
33 J. H. Kim, D. Y. Lee, S. J. Lee, B. Y. Kim & N. J. Kim. (2015). Predictive Relationships between BPSD, ADLs and IADLs of the Elders with Dementia in Seoul, Korea. Journal korean Gerontological Nursing, 17(1), 1-9. DOI : 10.17079/jkgn.2015.17.1.1   DOI
34 Korea Ministry of Health & Welfare. Press release for Announcement of results of 2014 elderly situation survey[Internet]. 2015 Apr 1[cited 2018 Apr 14] Available from http://www.mohw.go.kr/react/al/sal0301vw.jsp