• 한국산업융합학회 논문집
• /
• 제27권4_2호
• /
• pp.961-972
• /
• 2024

As the global elderly population rapidly increases, the mental health of the elderly, particularly depression, has emerged as a significant social issue. This study analyzes the various factors influencing depression in the elderly based on the ICF model. Utilizing data from the Korea Welfare Panel Study, the study identifies the types of changes in depression among individuals aged 65 and older and examines the factors influencing these changes. This longitudinal secondary data analysis research uses the most recent three years of data (2021-2023) from the Korea Welfare Panel. The study sample consisted of 965 elderly individuals, and a latent class growth model was applied to identify the types of depression changes, while a multinomial logistic regression analysis was conducted to analyze the influencing factors. The analysis revealed that elderly depression could be categorized into four types: high-level decrease, high-level maintenance, low-level increase, and low-level maintenance. Main influencing factors included gender, age, education, poverty, social trust, social relationships, participation in economic activities, participation in religious activities, and health status. Particularly, social relationships and health status were significant factors affecting the types of depression changes. To mitigate depression in the elderly, a multifaceted approach considering both individual characteristics and social relationships and health status is required. The study suggests the development of community-based programs and trust-building activities at the community level to maintain and strengthen the social relationships of the elderly. These findings can serve as important foundational data for policies and practices aimed at improving the mental health of the elderly.

• 지역사회간호학회지
• /
• 제16권2호
• /
• pp.148-156
• /
• 2005

Purpose: This study was to identify the relations among health-promoting behaviors. self-esteem and depression in the vulnerable elderly in an urban community. Method: The subjects were 185 vulnerable elderly adults aged over 65 in D city, who were selected through convenience sampling. Data were collected by a questionnaire survey. The tools used in this study are the HPLP developed by Walker(1987), the Self-esteem Scale developed by Rosenberg (1965), and the Geriatric Depression Scale developed by Yesavage & Brink(1983). Collected data were analyzed with the SAS program using descriptive statistics. Pearson's correlation coefficient, t-test, ANOVA, Duncan's multiple-range test and stepwise multiple regression. Result: Self-esteem and depression was in a negative correlation with each other (r=-0.21), but no significant correlation was observed between HPB and depression. HPB and self-esteem were in a positive correlation with each other (r=0.38). The most powerful predictor of depression was self-esteem and, next, leisure activity and the type of family living together. The three factors accounted for 41.1% of the variance in depression in the vulnerable elderly. Conclusion: These results suggest that self-esteem, leisure activity, and the type of family living together can be potential risk factors for old age depression. These findings may give useful information for developing visiting nursing service programs focused on depression in the vulnerable elderly.

• 대한간호학회지
• /
• 제34권3호
• /
• pp.477-484
• /
• 2004

Purpose: This study was to identify the relationship between stress, social support and depression in the elderly. Method: The subjects were 283 elderly adults over 60 in Seoul. Data was collected by questionnaire surveys using convenience sampling. The instruments used in this study are the ELSI developed by Aldwin(1990), the Interpersonal Support Evaluation List developed by Cohen & Hoberman (1983), and the Geriatric Depression Scale by Yesavage & Brink(l982). Data was analyzed by the SAS program, using descriptive statistics, Pearson Correlation Coefficient, t-test, ANOVA and progressed Multiple Regression. Result: The relationship between stress and depression had a positive correlation (r=0.33), but the relationship between stress and social support had no significant correlations. The relationship between social support and depression had a negative correlation (r=-0.38). The most powerful predictor of depression was the economic status and then a combination of stress, and social support account for 39% of the variance in depression in the elderly. Conclusion: These results suggested that stress and social support deficits can be potential risk factors in old age depression. Therefore, these findings give useful information for constructing an intervention program focused on depression in the elderly.

• 한국보건간호학회지
• /
• 제31권3호
• /
• pp.492-504
• /
• 2017

Purpose: This study aims to investigate the effect of employment of elderly over 65 years on elderly depression using the "Nation Elderly Survey 2014". Methods: The subjects were 10,451 elderly aged 65 or older who were selected from 16 cities and provinces via multilevel stratified sampling method. In an effort to represent well the nation's elderly population, composite sample analysis method was used for the study, and a hierarchical logistic regression analysis was performed to identify those factors affecting the depression among the elderly population. Results: The factors affecting the depression were education level, household income, Perceived health status, smoking, drinking, physical activity, body mass index and employment status. It was found that the unemployed persons were 1.68 times more likely to be depressed than those who remain employed. Conclusion: Where the average life expectancy is getting longer and the poverty rate of elderly is high, employment activities of the elderly are of great significance in terms of ensuring economic stability as well as in lowering medical expenses through reduction of depression. Therefore, it is necessary to increase the employment rates of the elderly for economic, social and healthcare perspectives.

• 한국가족관계학회지
• /
• 제20권4호
• /
• pp.105-130
• /
• 2016

Objectives: The purpose of this study was to explore the moderating effect of stress coping styles on the relationships between loss experiences and depression of the men and women elderly. Method: The subjects of the study were 116 men and 156 women aged over 60 years. For the data analysis, frequency, Cronbach's ${\alpha}$. Pearson's correlation coefficients, and multiple regression were used. Results: The main results were as follows: First, elderly men reported higher role loss experience, relation loss experience, and problem-focused coping styles than elderly women. Also elderly women reported higher bereavement experience than elderly men. Second, there were main effects of health loss experience, economy loss experience, role loss experience, relation loss experience, problem-focused coping style, and emotion-focused coping style on depression of elderly men and women. Third, problem-focused coping styles moderated the relationships between physical health loss experience, economy loss experience, role loss experience and depression in the elderly men group. Last, social support-seeks coping styles moderated the relationships between economy loss experience and depression in the elderly women group. Conclusions: These results were discussed in terms of educational programs related stress coping strategies for the elderly.

• 여성건강간호학회지
• /
• 제9권4호
• /
• pp.449-456
• /
• 2003

Purpose: The purpose of this study was investigate the relationships among perceived social support, instrumental support needs, and depression of healthy, community dwelling elderly women. Method: This study was designed to examine whether the perceived social support and instrumental support were correlated with depression in elderly women. Data were cross-sectional and community-dwelling elderly individuals. The subject was 98 elderly women recruited from Elderly Welfare Center and Community center for Elderly. The instruments for this study were Personal Resource Questionnaire-part II, Geriatric Depression Scale (Short Form), and Instrumental Support Activities Checklist. Data were gathered by means of structured personal interviews. The internal consistency of the instruments was relatively good. Result: The participants' perceived social support was moderately high and instrumental support needs was low. Depression was mild and moderate relatively. The correlation analysis showed that the perceived social support was negatively related to depression and negatively related with instrumental support needs. Conclusion: The findings suggested that more perceived social support, less their depressive symptom in elderly women. It also revealed that the age, marital status, and socioeconomic status of elderly women also are important indicator of the elderly depression. Therefore nursing assessment and the design of intervention that incorporate the determinants supported in this study, such as perceived social support of the elderly women are needed in adopting and maintain health promoting lifestyle for the mental health and effective functioning in later life in women.

• 국제물리치료학회지
• /
• 제1권1호
• /
• pp.26-31
• /
• 2010

The purpose of this study was to investigate perceived health status, activities of daily living and depression of the elderly in nursing facilities and to identify correlations among them. The collected data is to improve healthy life for the aged people in communities. This study was performed by using of questionnaire which was consisted of perceived health status, activity of daily living(ADL) and depression. The survey was conducted by 180 aged people at nursing homes. The results of perceived health status show that 64.9% of elderly feel very bad or bad, 61.6% of elderly have a degree of independent level of activity of daily living(ADL) and 48.6% of elderly have a degree of depression. There were statically revealed meaningful correlation between ability of activity of daily living(ADL) and perceived health status, ability of activity of daily living(ADL) and depression. This study about connection among perceived health status, activity of daily living(ADL) and depression is necessary for number of the affiliation function of elderly at nursing homes and development of intervention programs concerned about depression are necessary.

• 대한간호학회지
• /
• 제40권4호
• /
• pp.542-550
• /
• 2010

Purpose: This study was done to identify the factors which influence depression for elderly people who live at home. Methods: The participants were 134 elderly people living at home in M city. Data were collected from April 2 to 30, 2009 and analyzed using SPSS/WIN 12.0 and AMOS 5.0 program. I assumed path coefficients by doing path analysis to understand synthetically causal relationship which influences on depression. Results: Social support, sleep pattern and self esteem had significant direct effects on life satisfaction and accounted for 50% of the total variance in life satisfaction. Physical symptoms, sleep pattern and life satisfaction also had significant direct effects on depression and accounted for 59% of the variance in depression. But social support, self assertiveness and self esteem were not significant for depression. Conclusion: These results provide guidance for designing useful strategies to reduce depression in elderly people living at home.

• International Journal of Advanced Culture Technology
• /
• 제11권3호
• /
• pp.122-130
• /
• 2023

This study aimed to identify factors associated with depression by household type among the elderly in the community during the COVID-19 pandemic. The subjects were 72,812 elderly aged 65 and over who participated in the 2020 Community Health Survey. Multivariate logistic regression with complex samples was performed to analyze the data. The incidence of depression was higher in single-person households than in multi-person households. In single-person and multi-person households, depression was higher in women, those over 75 years old, those with middle school graduates or lower, those with a household monthly income of 1 million won or less, and those receiving basic living recipients. Factors related to depression among the elderly in single-person households were physical activity, sleep time, and drinking, among the changes in lifestyle due to COVID-19. Factors related to depression among the elderly in multi-person households were physical activity, sleep time, consumption of instant food, and alcohol drinking, among the changes in lifestyle due to COVID-19, and psychological concerns due to COVID-19. Promoting mental health and developing customized programs by household type is necessary to prevent depression in the elderly in the community.

• 성인간호학회지
• /
• 제17권3호
• /
• pp.400-410
• /
• 2005

Purpose: The purpose of this study is to examine the relationship between the living arrangement, life satisfaction and depression in the elderly. Method: The subjects consisted of 371 elderly who has at least one adult child classifying two groups(living with children and not living with children). The data were collected by a structured questionnaire that included general characteristics, Geriatric Leisure Activity Scale, Geriatric Life Satisfaction Scale, Geriatric Depression Scale, from March to December, 2004. The collected data were analyzed by SPSS program including descriptive statistics, ${\chi}^2-test$, t-test, Pearson Correlation Coefficient and Hierarchical Regression. Result: In hierarchical regression, the elders who live with their children showed more life satisfaction than elders who lived by themselves. However, living arrangement showed no effect on the level of depression of the elderly parents. Significant leisure activity interaction effect was found on the depression among the elderly: The elderly with no leisure activity reported lower levels of depression when they lived with their adult child. Conclusion: It is necessary to explore further the various relationship among living arrangement and life satisfaction of the elderly, their preferences and expectations regarding inter-generational obligations and living arrangements.