• Title/Summary/Keyword: Depression of the elderly

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A Study on the Perceived Health Status, Depression, and Activities of Daily Living for the Elderly in Urban Areas (재가 도시 노인의 주관적 건강상태, 우울, 일상생활수행능력에 관한 연구)

  • Lee, Keum-Jae;Park, Hye-Sook
    • Women's Health Nursing
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    • v.12 no.3
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    • pp.221-230
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    • 2006
  • Purpose: The study was done to identify the perceived health status, depression, and activities of daily living(ADL+IADL) of elderly women and men, and to define the difference between the two groups. In addition this study investigated the relationships among the variables of perceived health status, depression, and activities of daily living of both groups. Method: The subjects of this study were 579 elderly people over 65 years living in urban area. Data was collected through personal interviews using questionnaires from March to October 2005. Data was analyzed with the SPSS program. Result: There was a significant difference of perceived health status, depression, and activities of daily living(ADL+IADL) between the elderly women and men groups. There was a significant relationship among variables of perceived health status, depression, and activities of daily living in elderly men. However, there was no significant relationship among the variables in elderly women. Conclusion: The findings of this study give useful information for constructing an intervention program and care for elderly women and men.

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Association of self-perceived oral health and depression in the elderly: the sixth Korea national health and nutrition examination survey(the 6th KNHANES) (노인의 본인인지 구강건강상태와 우울감)

  • Cho, Han-A;Heo, Yun-Min;Kim, Hyoung-Joo;Choi, Eun sil
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.2
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    • pp.285-293
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    • 2016
  • Objectives: The aim of the study was to investigate the association of self-perceived oral health and depression in the Korean elderly. Methods: The subjects were 1,329 elderly in Korea from the sixth Korea National Health and Nutrition Examination Survey (the 6th KNHANES). The dependent variable was depression that continued more than two weeks. Model I for the impacts of depression on self-reported oral health, Model II for the impacts of depression on chewing problem, Model III for the impacts of depression on speaking problem was evaluated. PASW Statistics 18.0 version was used for frequency analysis, chi-square test and logistic regression analysis. Results: Female elderly were much more prone to depression than male. Female had lower monthly compensation, less medicaid, chewing problem, speaking problem, and less education. For these reasons, they tended to have more depression than male (p<0.001). Self-perceived oral health impacts on depression included poor self-reported oral health(p<0.01), poor chewing problem(p<0.01) and poor speaking problem(p<0.05). On the other hand, male did not show a statistically significant association. Conclusions: The study showed the self-perceived oral health related quality of life had a significant influence on depression in the elderly. The continuing lifelong oral health care can prevent depression in the later life because oral health care improvement can enhance the self-perceived oral health status.

The effects of music therapy program with the hand manipulation on the depression and cognition in elderly women with mild depression (손 조작을 통한 음악치료 프로그램이 경도우울증 여성노인의 우울과 인지에 미치는 영향)

  • Jung Min Lee;Young-Kyu Kwon;Dong Ju Lee
    • The Journal of Korean Medicine
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    • v.43 no.3
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    • pp.181-194
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    • 2022
  • Objectives: The purpose of this study is to investigate the effect of music therapy combined with hand manipulation on depression and cognition in elderly women with mild depression. Methods: In order to investigate the effects of a music therapy program through hand, 20 elderly women with a GDS-K score of 14-18 were selected among women aged 65 to 84 living in Busan. The 10 subjects in the experimental group were given the music therapy program 3 times a week for 4 weeks, 12 sessions, and the 10 subjects in the control group were not given it. GDS-K and K-MoCA were performed before and after the experiment, and data analysis was performed through Wilcoxon's test using the SPSS 24.0 statistical package program. Results: The music therapy program through hand manipulation is effective in reducing depression in elderly women with mild depression, and there was a significant decrease. The sub-domains of depression, such as tension and depressive emotions, life dissatisfaction, lethargy, cognitive difficulties, low energy, and loss of motivation, were significantly reduced. In addition, it has an effect on cognition, and it significantly increased in attention, delayed recall ability, which are sub-domains of cognition. There is a significant difference in depression between the experimental group and the control group, and there is a significant difference in cognition between the two groups. Conclusions: The music therapy program with hand manipulation has a positive effect on depression and cognition in elderly women with mild depression.

Affecting Factors of Homebound Bedridden Elderly′s Depression (재가 와상 노인의 우울에 영향을 미치는 요인)

  • 김인자;김금순;서문자;조남옥
    • Journal of Korean Academy of Nursing
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    • v.32 no.5
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    • pp.665-672
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    • 2002
  • It was identified that how many homebound bedridden elderlies and their primary caregivers were depressed, and which factors affected the bedridden elderly's depression. Method: The subjects were 191 homebound bedridden elderlies and their primary caregivers. The affecting factors were classified into two categories : bedridden elderly and their primary caregiver related factors. Then bedridden elderly's factors were classified demographic and disease-related factors again. The stepwise regression was used to identify significant factors. Result: The prevalence of bedridden elderly's and caregiver's depression was 77.8% and 67.0%, respectively. And the model explained 33.3% of variance of bedridden elderly's depression. Cognitively-impaired female elderlies who had depressed caregivers were found to be more depressed. And caregivers who perceived burden were identified to be more depressed. Conclusion: It is recommended that the health professionals need to identify bedridden elderlies and caregivers at risk of depression. Especially elderlies who is in poor cognition, those who are female, and those whose caregivers were depressed might be considered carefully in all counseling or follow-up. Also the primary caregivers must be helped to access already available formal and informal support.

A Relationship between Depression and The metamemory and Memory Performance in Elderly Women (여성노인의 우울유무에 따른 메타기억 및 기억수행의 차이)

  • Min, Hye-Sook
    • The Korean Journal of Rehabilitation Nursing
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    • v.5 no.2
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    • pp.145-155
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    • 2002
  • Purpose: This study tries to analyze the differences of memory performance and the metamemory of the elderly women according to degree of depression. And also it attempts to find the correlations among the sub-concepts of metamemory which have close relationships to the memory performance followed by the depression. Methods: The subjects of this study are 60 the elderly women who are older than sixty years in Busan city, Korea. We use the MIA(Dixon, et al., 1988) to measure metamemory and measure the memory performances such as the immeadiate word recall, the delayed word recall, the word recognition task, and face recognition. Results: 1. The average point of deprssed elderly womens' metamemory was significantly lower than non-depressed womens' point(t=10.86 p<.0017). Looking into subconcept of metamemory, depressed elderly womens' strategy, capacity, change, achievement point were significantly lower than non-depressed women. 2. In terms of immediate word recall and delayed word recall performances, depressed elderly women are significantly lower than non-depressed elderly women. 3. The degree of depressed elderly womens' metamemory(strategy, achievement, change, capacity) has significant correlations with immediate word recall performances. Conclusion: Metamemory has close relationship with the memory performance of elderly women. And also depressed elderly's sub-concepts of metamemory which have influences on their memory performance are different from non-depressed elderly's sub-concepts. Therefore, when we try to develop some programs to prevent memory decrease of elderly women, we should take these point into consideration.

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Examining the Relationship between Depression, Daily Hassles, and Family Support among Elderly Cerebral Vascular Accident Outpatients (통원치료 중인 뇌병변 장애노인의 생활스트레스, 가족지원, 우울간의 관계성 검증)

  • Moon, Soo-Kyung
    • Journal of the Korean Home Economics Association
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    • v.47 no.7
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    • pp.33-43
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    • 2009
  • Depression has a direct relationship with lower quality of life for elderly with cerebral vascular accidents(CVA). Daily hassles worsen depression for elderly with CVA disability and thus an effective intervention is necessary. This research examined the direct influence of daily hassles on depression and the mediation effect of family support among 161 elderly with CVA disability living in Seoul using Structural Equation Modeling. The direct effect of daily hassles on depression was statistically significant (p < .001) while family support was shown to be a mediator between daily hassles and depression. The mediation model of family support was examined using $x^2$ difference and Soble test. As a result, family support was proven to be a partial mediator. Implications are discussed.

The Relationship Between the Quality of Sleep and the Cognitive Function, Depression, and Activities of Daily Living in the Institutionalized Elderly (요양시설 노인의 수면의 질이 인지기능 및 우울감, 일상생활활동과의 관련성 연구)

  • Kang, Eun-Yeong;Chong, Sang-Mee;Chong, Bok-Hee
    • The Journal of Korean Society for Neurotherapy
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    • v.22 no.3
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    • pp.37-42
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    • 2018
  • Purpose. The purpose of this study was to determine the relationship between sleep quality and cognitive function, depression, and institutionalized elderly activity. The goal is to improve the quality of life through early intervention in the sleeping problems of the elderly hospitalized in the nursing home. Method Twentythree patients who were diagnosed with CDR (clinical dementia grade) 0.5 ~ 2 stages by a psychiatrist from September 3 to 30, 2017 were measured for sleep status, depression, cognitive function and activities of daily living at the same time once a day. The collected data were analyzed using SPSS (v.21, IBM, USA) program. Results The correlation between sleep status and cognitive function, depression, and activities of daily living was not statistically significant, and there was a moderate correlation between cognitive function and depression. Conclusion The results of this study suggest that the development and application of a program that activates the cognitive function that is institutionalized with a positive correlation between cognitive function and depression will be effective in decreasing depression in the elderly patients hospitalized in the nursing home.

The Effects of the Stress on Depression of Elderly Inpatients in Geriatric Hospital : Mediating Effects of Self-Esteem (요양병원 노인 입원환자의 스트레스가 우울에 미치는 영향: 자아존중감의 매개효과 분석)

  • Kwon, Jin;Ko, Min-Seok
    • Journal of Digital Convergence
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    • v.15 no.12
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    • pp.423-433
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    • 2017
  • The purpose of this study was to examine the effects of the stress on depression of elderly inpatients in geriatric hospitals and verify the mediating effects of self-esteem on the relationships between stress and depression. Data collected from 218 elderly inpatients of geriatric hospitals in Seoul and Gyeonggi region from Sept. 4th to 22nd, 2017 were analyzed with SPSS 23.0. As a results, there was a statistically significant difference in the level of stress, depression, self-esteem of elderly inpatients in geriatric hospitals depending on their Socio-demographic and Hospital-utilization characteristics. Stress of elderly inpatients had a positive influence on their depression(${\beta}=.297$, p=.000), the self-esteem had a partial mediating effect on the relationships between stress and depression(Sobel Z=2.034). These results suggest that the development and provision of self-esteem improvement programs as well as stress management of elderly inpatients are necessary to prevent depression of elderly inpatients in geriatric hospital.

Comparison of Cognitive Levels, Nutritional Status, Depression in the Elderly according to Living Situations (동거유형에 따른 노인의 인지기능, 영양상태, 우울의 비교)

  • 정영미;김주희
    • Journal of Korean Academy of Nursing
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    • v.34 no.3
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    • pp.495-503
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    • 2004
  • Purpose: The purpose of this study was to compare the degree of cognitive level, nutritional status and depression in elderly according to living situations. Method: The subjects consisted of 173 elderly classifying three groups(living alone, living with spouse, living with children). Data was collected from March to June, 2003 by a structured questionnaire that included general characteristics, MMSE-K, nutritional status and depression scale. The collected data was analyzed by the SPSS program including descriptive statistics, $\chi$$^2$-test, ANCOVA, Scheffe test and Pearson Correlation Coefficient. Result: In MMSE-K, the living alone group showed suspicious dementia while the other groups were normal. The living alone group showed a high nutritional risk and all three groups showed depression. In MMSE-K, the nutritional status and depression were statistically significant by the living situation. In each group except living with spouse, MMSE-K indicated a significantly negative correlation to depression and nutritional status, while nutritional status showed a significantly positive correlation to depression. Conclusion: It is necessary to develop supportive programs for decreasing the risk of bad health in the elderly and an individual approach according to their living situation. Especially, more concern and intervention is necessary for the solitary elderly.

Prediction of Depression among Elderly with Mild Cognitive Impairment Living in the Community (경도인지장애 노인의 우울 예측 요인)

  • Shin, Kyung-Rim;Kang, Youn-Hee;Kim, Mi-Young;Jung, Duk-Yoo;Lee, Eliza
    • Korean Journal of Adult Nursing
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    • v.24 no.2
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    • pp.171-182
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    • 2012
  • Purpose: This study aimed to identify depression and its predictors among Korean community-dwelling elderly with mild cognitive impairment. Methods: Secondary data analyses of the data collected by the "Study on tailored integration program for reinforcing cognitive and physical function of the frail elderly. The study used data from one-to-one interviews using structured questionnaires. The subjects were 346 community-dwelling elderly who visited a healthcare center in Seoul, Korea. A descriptive correlational study design was utilized to explore depression and its predictors including physical factors and psychosocial factors among the elderly with mild cognitive impairment. Data were analyzed using t-test, Pearson's correlation, and hierarchical regression. Results: Mean score of depression was within normal limit $11.61{\pm}6.69$. Somatic symptoms, negative life events (severity), social support were shown as significant predictors of depression. The most influential predictor for depression was somatic symptoms (${\beta}$=.340, $p$ <.001). Conclusion: To prevent and relieve depression in the elderly with mild cognitive impairment, nursing intervention strategies which consider well-balanced physical and psychosocial aspects are needed. In particular, a specific nursing intervention strategy is required to improve physical health of the elderly with mild cognitive impairment.