• Journal of Korean Public Health Nursing
• /
• v.26 no.3
• /
• pp.572-580
• /
• 2012

Purpose: This study examined factors influencing death anxiety in the middle aged. Method: This was a descriptive survey study. Data were collected from September to October, 2011, from 410 middle- aged adults. The questionnaires solicited information on death anxiety, health behavior, depression, life satisfaction, and family function. Analysis of data was performed using descriptive statistics, Pearson's correlation, and stepwise multiple regression. Results: Average scores were 2.53 for death anxiety, 3.02 for health behavior, 4.44 for depression, 10.13 for life satisfaction, and 3.77 for family function. Statistically significant negative correlations were observed between health behavior and death anxiety, life satisfaction and death anxiety, and family function and death anxiety. However, from the statistical point of view the correlation between depression and death anxiety was a significantly positive. In addition, statistically significant positive correlations were observed between depression and death anxiety. Depression, life satisfaction, and family function were significant predictors of death anxiety. Conclusion: Multilateral nursing intervention is needed for maintenance of the health of middle aged adults.

• Korean Journal of Human Ecology
• /
• v.20 no.5
• /
• pp.917-926
• /
• 2011

The purpose of this study is to identify the influence of ego integrity on death anxiety of the elderly, mediated by depression based on Erikson theory(1963). For this study, 313 elderly over 60 years old in Daegu city participated in a survey. The data of the survey was analyzed using SPSS 15.0 and Structural Equation Modeling(SEM) with AMOS 7.0. The results of the study are as follows: ego integrity of the elderly does not influence death anxiety due to the suppressing effect of depression. However, depression does mediate the relation between ego integrity and death anxiety fully. Such findings suggest that the Erikson theory can also be applied to elderly Korean citizens. A practical benefit derived from the study's results is the proposition to implement a reminiscence program, reinforce depression treatment and prevention systems, and augment a death awareness movement for elderly.

• Journal of Families and Better Life
• /
• v.24 no.5 s.83
• /
• pp.113-128
• /
• 2006

This study was to verify the effectiveness of the Life Review-Narrative group therapy program on decreasing depression and death anxiety in the elderly. The program was organized according to a course of life from childhood to old age. The objectives were for the elderly to enhance self-worth, to become aware of their solitary existence, to accept aging and death, to accept the life: both past and present, and to make the most of experiences in overcoming difficulties. For the most part, the program used reminiscence and re-authoring of the narrative therapy as counseling techniques. Thirty-two elderly people(16 in the experimental group, 16 in the control group) aged 60 years and over were randomly selected from patients at the Daegu Metropolitan City General Welfare Center. Two groups were identified as equivalents for the study in the pre-test. The program for the experimental group was implemented twice a week for 90 minutes per session over a 6-week period(Sep. 8-Oct.14. 2005). The pre-test(Sep. 8 2005), the post-test(Oct. 14. 2005) and the follow-up test(Nov. 14. 2005) were implemented in order to verify the effectiveness of the programs. The instruments used in the study were the Geriatric Depression Scale Short Form(Korean Version) and the Death Anxiety Scale. The data were analyzed using t-testing and One-Factor Repeated Measures ANOVA. This study supplemented other qualitative research methods in order to verify the variation in the depression and death anxiety in the elderly. The findings of the study were as follows: Significant decrease in the depression and death anxiety were reported in the experimental group. The control group however did not show any significant changes in the depression and death anxiety rates. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy program has lasted effects on decreasing of the death anxiety. Nevertheless, the effects of the life review-narrative group therapy program on decreasing depression are not lasting. The study has limitations so further research is suggested.

• Journal of the Korean Home Economics Association
• /
• v.43 no.3 s.205
• /
• pp.105-118
• /
• 2005

The purposes or this study were to compare and analyze the differences between the elderly in their own home and those in facilities in terms of their self-esteem, death anxiety, depression level and psychological characteristics. The subjects were the 386 elderly over 55 living in home and in facilities, free or paid. They had no physical or cognitive disabilities and were living in Daegu city, Kyungbuk and Kyungnam province. There were significant differences in self-esteem, death anxiety, depression level and the path to depression between the two elderly groups with the elderly in facilities showing negative aspects of psychological characteristics. The problems of caregiving for the elderly should be covered by social welfare.

• Journal of Korean Public Health Nursing
• /
• v.27 no.3
• /
• pp.527-538
• /
• 2013

Purpose: This study was conducted in order to provide basic data for development of a nursing intervention program needed in living successfully in elderly women's later years by examining the relationship among depression, death anxiety, and quality of life of elderly women. Methods: Subjects were 115 elderly women over 65 years old who were capable of verbal/nonverbal communication and could understand/answer the questionnaire in H region. Data collection was conducted after receiving written consent using a structured questionnaire. The data analysis was performed using descriptive statistics, t-test, ANOVA, Duncan's multiple range test and Pearson's Correlation Coefficient using the SPSS 12.0/WIN program. Results: Results of this study showed that the degree of depression in elderly women was $4.14{\pm}3.22$ on average and the degrees of death anxiety and quality of life were $2.41{\pm}0.55$ and $3.72{\pm}0.59$ on average, respectively. No significant correlation was observed between depression and death anxiety however, depression showed negative correlation (r=-.448, p<.001) with quality of life and death anxiety also showed negative correlation (r=-.219, p<.05) with quality of life. Conclusion: We can predict that depression and death anxiety negatively affect quality of life of elderly women.

• Research in Community and Public Health Nursing
• /
• v.26 no.3
• /
• pp.238-247
• /
• 2015

Purpose: This study was conducted to investigate the effects of a positive psychology improvement program on elders' depression and death anxiety. Methods: This was conducted as a quasi-experimental study with non-equivalent control group pretest-posttest design. The participants were community elders aged over 65 recruited by convenient sampling. A total of 94 elders (32 in the individual experimental group, 32 in the collective experimental group, and 30 in the control group) participated. Data were collected between April and September, 2012 and analyzed by using SPSS/WIN 21. Results: The individual and group approach experimental groups had significantly lower scores of depression than the control group after the treatment (F=7.50, p=.001). For death anxiety, however, only the individual experimental group had a significantly lower score compared to the control group (F=4.56, p=.013). Conclusion: These results indicate that the positive psychology improvement program was effective in decreasing depression and death anxiety in the elderly. Therefore, the program needs to be applied in a customized way fittingly to the characteristics of the elderly in community, and individually and/or collectively according to its purposes.

• Research in Community and Public Health Nursing
• /
• v.28 no.4
• /
• pp.440-449
• /
• 2017

Purpose: This study was conducted to identify the moderate effect of social support on the relationship between death anxiety and depressive symptoms among poor older women in rural areas. Methods: This was a secondary analysis of the data from 209 women who were participated in the intervention study to evaluate the effectiveness of depression prevention program. Data were collected between April and September 2012. The data were analyzed using moderate multiple regressions. Results: Among these poor older women, depressive symptoms were associated with death anxiety and social support. Self-esteem support had a moderating effect on the relationship between death anxiety and depressive symptoms. Conclusion: The results indicate that the self-esteem support was effective in decreasing depressive symptoms and death anxiety in poor older women. In order to reduce their depression and make positive changes in their lives, self-esteem improvement programs are needed.

• 한국노년학
• /
• v.31 no.1
• /
• pp.1-14
• /
• 2011

The purpose of this study is to develop a research model and to verify the effects death anxiety has on subjective health status, economic status, depression and social support for the elders and their quality of life. The survey targeting 330 elders from the 17 senior citizen centers in Dong-do-chun and Nam-yang-ju city was carried out from 2008.8.1 to 2008.9.31. To summarise the research result, 6 hypotheses among 9 hypotheses concerning the direct effects were supported. In another words, health status, depression and social support are valid and the direct effect of depression, social support and death anxiety are valid as subjective quality of life as an endogenous variable. In the case of indirect effects, 2 indirect effects among all 4 indirect effect hypotheses are valid. In another words, the effect the subjective health status has on the subjective quality of life is valid as the mediating effects of death anxiety and the effect depression has on the subjective quality of life is also valid as the mediating effects of death anxiety. Based on the results of this study, a proposal to reduce death anxiety among the elderly is suggested.

• 한국노년학
• /
• v.37 no.3
• /
• pp.527-547
• /
• 2017

The purpose of this study is to investigate how depression, death anxiety, and social support can exert influence on the psychological well-being of elderly living alone through a parameter of resilience. A survey was conducted involving 988 elderly over the age of 65 living alone in the Daejeon metropolitan area and Chungcheongnam-do and the data were analyzed using structure equation model. The results were as follows. First, in the measurement of variables according to demographic characteristics, depression showed significant differences depending on gender, level of education, health, and financial condition, while death anxiety differed depending on gender, and level of education. Social support was significantly different by gender, age, level of education, region, health, and financial condition. The level of resilience was significantly different by gender, age, level of education, health, and financial condition. Psychological well-being varied according to gender, level of education, health, and financial condition. Second, the effects of depression, death anxiety and social support on psychological well-being were examined. It was found that depression had a negative influence and social support had a positive impact while death anxiety showed no influence. Third, with regard to the effects of depression, death anxiety, social support on resilience, depression was found having negative influence, whereas social support having positive influence. Forth, psychological well-being was positively affected by resilience. Also, through the mediated pathway of resilience, their psychological well-being seemed to totally improve when the negative factors were reduced and the positive ones promoted. This study may have some significance in reference to examine the factors affecting the psychological well-being of elderly living alone and to develop social welfare service programs and policies in the field.

• Journal of Hospice and Palliative Care
• /
• v.22 no.1
• /
• pp.30-38
• /
• 2019

Purpose: This study analyzed a path through which factors influencing death anxiety in the community-dwelling elderly, assuming personal organismic factors and microsystemic factors based on the ecology model purported by Belsky (1980). Methods: This study was performed with 189 elderly people. Data were collected through a self-report questionnaire. The data were analyzed using the SPSS and AMOS programs. Results: The factors influencing death anxiety in the elderly were depression, family support, social network, and familism value, and the explanatory power of these variables was 22%. Death anxiety increased with higher depression, higher familism value, larger social network, and lower family support. Spiritual well-being and elderly discrimination experience had indirect effects on death anxiety, and these effects were mediated by depression. Conclusion: Depression, family support, social network, and familism value were found to influence death anxiety in the elderly, and the strongest effect came from depression. To reduce death anxiety in the elderly, it is important to improve their relationship with their family and friends. Moreover, support should be provided by establishing local systems, and intervention should be provided to alleviate depression.