• The Journal of Korean society of community based occupational therapy
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• v.10 no.1
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• pp.63-72
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• 2020

Objective : The purpose of this study is to identify and understand the internal and external control of the caregivers of elderly with severe dementia and the effects of care stress on depression, and to provide basic data of occupational therapy intervention. Methods : The internal and external control, care stress, and depression were examined in questionnaires for the caregivers of elderly who were diagnosed with moderate or higher degree of dementia through CDR by medical institutions. Internal and external control and depression by care stress was analyzed by using independent samples t-test and ANOVA, and the effects of internal and external control and care stress on depression were analyzed by performing multiple regression analysis. Results : The results were as follow; The first, there was a significant degree of depression according to difference of internal and external control. The second, there was a significant degree of classification in the care stress. The third, the effects of internal controls and care stress on depression were shown to be statistically significant. Conclusion : Based on the analyzed results, the caregivers of elderly with severe dementia needs to seek the role of a occupational therapist who can enhance internal control and lower care stress in intervention of occupational therapy because internal control and care stress can affect depression.

• Anxiety and mood
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• v.6 no.1
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• pp.45-54
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• 2010

Objective : This study aimed to investigate and compare the prevalence of depression and suicidality among the elderly in a rural city according to their residence type. Methods : Participants were 311 elderly people (109 male and 202 female) in Icheon City, whom trained researchers interviewed and examined Geriatric Depression Scale, Social Support Scale, Instrumental Activities of Daily Living, Activities of Daily Living, Quality of Life Scale, and Mini International Neuropsychiatric Interview (MINI), module C. Using these data, we analyzed participants' risk factors associated with depression and suicidality. Results : The prevalence of depression was 28.0%. The prevalence in the elderly living alone and those admitted to residential facilities was significantly higher than that among the elderly living with family. Suicidality frequency was 19.6%. The suicidality frequency among the elderly living alone and those admitted to facilities was significantly higher than that among the elderly living with family. The risk factors for depression were age, admission to a facility, and low economic status. The suicidality risk factors were living alone, admission to a facility, poor social support, and a history of headache. Conclusion : These results showed the prevalence of depression and frequency of suicidality among the elderly in such a city was quite high. The results of this study remind psychiatrists of the importance of early detection and therapeutic intervention for the elderly with a high risk of depression and suicidality.

• 한국노년학
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• v.28 no.4
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• pp.1023-1039
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• 2008

The purpose of this study was to develop a group validation therapy(V/T) which could be implemented for the elderly with dementia in nursing home, and to evaluate the effectiveness of the program on cognition, ADL(Activity of Daily Living), depression, problematic behavior and QOL(Quality of Life). Subjects were recruited from 4 nursing homes in D city. The sample comprised forty elderly with dementia, capable of verbal communication. Each twenty were in an experimental and control groups. However, four elders with dementia dropped out in experimental and control groups due to personal affairs. Experimental group completed twelve consecutive group validation therapy sessions that combined centering, asking factual questions, rephrasing, identifying and using the preferred sense, asking the extreme, imagining the opposite, reminiscing, touching, maintaining eye contact and a caring tone of voice, observing, matching and expressing the emotion with emotion, using ambiguity, linking behavior with a basic human need, using music and mirroring techniques. Following the intervention, experimental group experienced a significant improvement in cognition, ADL, depression, and QOL. But it is a nonsignificant in problematic behavior on statistically. As a result, a group validation therapy should be applied as an effective and practical psychosocial intervention for the elderly with dementia.

• Journal of the Korea Convergence Society
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• v.10 no.12
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• pp.437-445
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• 2019

This study is a 1:1 survey of 154 elderly 65 or older to find out the direct and indirect effects of oral dryness on their quality of life through the medium of depression. As a result, the subjective oral health of the elderly and oral dryness, depression and quality of life were correlated. In the medial effect of subjective oral health and oral dryness on the quality of life, subjective oral health is the quality of life(β=.23, p<.01), depression(β=-.24, p<.01)and the influence of subjective oral health when depression is controlled(β=.08, p>05) was not significant and was completely mediated. Oral dryness is the quality of life(β=-.24, p<.01) and depression(β=.37, p<.001) was shown to have a significant effect and the influence of oral dryness when depression is controlled(β=.00, p>.05) was not significant and was completely mediated. In order to improve the quality of life for the elderly, it is necessary to develop and apply a comprehensive arbitration program that can improve oral health and oral function, and to study the effects of consequences in the future.

• 한국노년학
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• v.39 no.4
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• pp.883-893
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• 2019

The purpose of this study is to analyze the characteristics of the elderly patients with depression who were admitted to the hospital with intentional self-harm. 3,280 patients were selected from KCDC database(2011-2015) using STATA 12.0. Analysis results show that gender(female), residence(micropolitan city), result of suicide(death), risk factors(financial problems, psychological problems, physical disease, conflicts with family, place(non-residence) method of suicide(poisoning) were statistically significant. The hospital should detect the elderly patient with depression when they admitted.

• Korean Journal of Culture and Social Issue
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• v.9 no.1
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• pp.115-137
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• 2003

This study aims to investigate the related variables of self-esteem and depression among the Korean elderly people living alone and examine the relationships or interactions between those variables. Participants were 676 elderly men and women who were at least 65 years of age(M=76.17, sd=7.60) and lived in Seoul, Korea. Three hundred seventy eight participants of this study were living alone. Participants completed questionnaires and psychological tests including: Rosenberg's Self-Esteem Scale, Zung's Self-Rating Depression Scale, The Index of Activities of Daily Living(IADL), Social Support Index(SSI), and Life Satisfaction in the Elderly Scale(LSES). Main statistical designs were 2(gender)×2(residential types), Pearson-product moment and regression analysis. Results indicated that the elderly living alone recognized their health poorer, have lower economic status, and received less social supports than the elderly lived with others. The elderly men who had children were more likely to lived alone. And the elderly men living alone received less social supports than the elderly women living alone, and significant gender difference was found in the reason of living alone. The elderly men living alone had lower self-esteem than the elderly women living alone, while the elderly living alone showed more depressive symptoms than the elderly living with others. There were 2-way interactions both in self-esteem and depression by gender and residential types. There was highly significant gender difference in self-esteem only for the elderly living alone, and it was found that there was no significant difference in depression between elderly men living alone and women living with others. Regression analysis revealed that physical function and self-reported health are predictors of self-esteem, and physical function, self-reported health, and social support are predictors of depression for the Korean elderly living alone. These findings reiterate the role of physical function, social support, health in self-esteem and depession among the elderly and suggest the gender role for quality of life among the Korean elderly living alone.

• Korean Journal of Social Welfare
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• v.59 no.2
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• pp.355-379
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• 2007

This study examined the role of social support and mastery in the effects of hopelessness and depression on suicidal ideation in order to identify elders' suicide and it's related factors. Especially, it focused to find out whether the hopelessness excluding depression has an independent effect on elders' suicidal ideation, and psychosocial factors such as social support and mastery has an interaction effects with elders' hopelessness variables and depression on suicidal ideation. This study recruited 297 elders over 65(older persons in the elder education programs of senior welfare center in Masan, Changwon and Jinhae) and employed a self-administered survey method during January, 2007. The following are the major results of the study. First, the level of hopelessness, depression and suicidal ideation related elders' suicide indicated differences according to their educational level, marital state, income, and their chronical disease numbers. Especially, the lower income and higher chronical disease numbers showed higher level of hopelessness, depression and suicidal ideation among the elder subjects. Second, interaction effects of social support and depression were significant in suicidal ideation, the more level of social support in elder' subjects, the lower the suicidal ideation. While, interaction effects of social support and hopelessness, and mastery and depression/hopelessness in suicidal ideation were not statistically significant. Third, psychosocial factors such as social support and mastery on elders' suicidal ideation have a significant effect when other relevant variables are controlled. From these results, hopelessness is other significant factor predicting suicidal ideation(suicide) among elders. Also, social support and mastery is very significant factor influencing to prevent or decrease suicidal ideation among elders.

• 한국노년학
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• v.32 no.2
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• pp.611-629
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• 2012

This research examines the participation experience of a Focusing group program dealing with elderly depression, with the aim of providing a groundwork for developing and improving such programs. Qualitative analysis is performed based interviews conducted with 9 elderly clients with depression symptoms that participated in a 10 week Focusing group program. The results summarize into 3 themes, 3 categories per theme, and 3 sub-categories per category. The first theme is "program effectiveness" with three associated categories: Category 1) The reduction effect of the depression ; Category 2) Increased self-awareness, self-respect and acceptance experience; Category 3) Everyday life changes. The second theme is "expectation and difficulties of the program", with 3 related categories: Category 1) Expectation of program; Category 2) Difficulties of program; Category 3) Personal difficulties. The third theme is "program enhancement methods" with 3 affiliated categories: Category 1) Differentiation with other programs; Category 2) Improvement of program; Category 3) Post program direction. Based on the results of the analysis, the effectiveness of the Focusing group program for elderly depression is examined and suggestions are provided for further program improvements and applications.

• 한국노년학
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• v.39 no.4
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• pp.781-800
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• 2019

The purpose of this paper is to investigate the association between residential environment satisfaction and elderly depression with a focus on the mediating effect of physical activity. The survey of Living Conditions and Welfare Needs of Korean Older Persons performed in 2017 was used for analysis. Among total 10,299 who aged 65 years or above and participated in survey, only 10,059 people who answered the survey questions by themselves without missing main questions were included in this analysis. Mediation effects were tested with Baron & Kenny(1986) method and Sobel test(Sobel, 1982). As results, first, residential environment satisfaction was negatively associated with elderly depression. Second, residential environment satisfaction was positively related to physical activity. Lastly, it was found that physical activity mediated the relationship between residential environment satisfaction and elderly depression. The results showed that older adults who satisfied in residential environment were more likely to participate in physical activity, and older people who participated in physical activity were less likely to experience depressive symptoms. Based on these results, the paper suggests the importance of subjective satisfaction of residential environment and participation of physical activity for mental health in later life, and some intervention strategies for Aging In Place.

• Journal of Digital Convergence
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• v.11 no.1
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• pp.289-297
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• 2013

The destination of this study is a convenience sample of 301 people age 65 and older to use each one elderly welfare center D, M received a structured questionnaire for one-on-one interviews with the subjects to read all the questions and questionnaire was written. The depressed group and the normal group, identify the general characteristics, the ADL, and sleep, and the difference between the two groups, and relative risk were analyzed. The results of the study are as follows: Showed depressed group compared to normal group was the low level of ability to perform daily living, sleep well, not more than the ability to perform daily living, dressing, bowel and bladder management, and complained of the difficulty to perform instrumental activities of daily living ability of grooming, more difficult to appeal to public transportation, shopping. In conclusion, elderly health promotion strategy when you want to take into account whether or not the depression of the elderly will require the development of a variety of education and physical activity programs, and suggest the need for expanded research to determine the effectiveness.