• The Korean Journal of Community Living Science
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• v.26 no.1
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• pp.51-61
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• 2015

This study introduces the possibility of the $9^{th}$ stage by Joan Erikson by adding Erikson's original theory of the $8^{th}$ stage and validates the gerotranscendece scale in later life. For this, 10 items from Erikson's scale was examined and the relationships among gerotranscendence, ego-integrity, and wisdom were examined using a sample of 244 elderly individuals over the age of 60. According to the results, the measurement of gerotranscendence based on Erikson was applicable to the Korean sample. In addition, ego-integrity and wisdom influenced gerotranscendence in later life. Based on these results, the validity of gerotranscedence, psychosocial development in the $9^{th}$ stage, discussed and the utility of Erikson's theory is emphasized.

• Journal of the Korea Convergence Society
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• v.9 no.11
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• pp.433-441
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• 2018

The purpose of this study is to understand the effect of psychosocial support, death preparedness, and ego integrity on death anxiety in old people. The participant of this study were the elderly who attended welfare centers, worked in their workplaces, or lived at their home in Seoul regions, from whom this study had collected their data from February to May 2017. A total of 350 questionnaires were distributed and 329 copies of them were used for its final analysis using SPSS 24.0 and AMOS 20.0 statistical programs. According to the results of this study, psychosocial support had no statistically significant effect on death anxiety, whereas death preparedness and ego integrity had statistically significant effects on death anxiety. Based upon these research results, this study suggested that it is necessary to develop death education and counseling programs as policy supports and practical methods for helping old people to accept their death positively, reintegrate their ego, and perform their successful aging.

• Korean Journal of Adult Nursing
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• v.19 no.5
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• pp.12-26
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• 2007

The purpose of this study was to examine what types of customized nursing intervention for the elderly were most effective by looking at age group difference and other factors related to ego integrity. Methods: A secondary analysis was used with 104 elderly people. The data were analyzed using $\chi^2$-test, Fisher's exact test, ANCOVA, Pearson's correlation analysis and multiple regression. Results: For those 80 and older, powerlessness was higher than for those in their 60s and 70s. The factors influencing ego integrity for those in their 60s were powerlessness, economic condition, source of discretionary money, and health condition; for those in their 70s - life satisfaction, self-esteem, and health condition; and for those 80 and older - life satisfaction and source of discretionary money. Conclusion: In nursing for the elderly, age differences should be taken into consideration. The study suggests that for people in their 60s, the creation of jobs that allow them to earn money is important. For people in their 70s over, offering of health care and self-esteem programs through community health centers are equally important. For people in their 80s over, nursing programs for advocacy, support, and psychological care are needed in order to elevate their life satisfaction.

• 한국노년학
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• v.32 no.2
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• pp.559-576
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• 2012

This research aims to address the effect of Guided Autobiography(GAB) on ego-integrity, depression and life-satisfaction in the elderly and to investigate psychological changes and experiences on the senior subject. 20 subjects participated weekly autobiography writing sessions in a senior academy in the S city for 13 weeks. In this research, we carried out examination on ego-integrity, depression test, and life-satisfaction survey were performed before and after the writing sessions for a quantitative analysis, which was later investigated through a 'corresponding sample T-test'. Based on the results of the above mentioned tests, the qualitative analysis was conducted through an individual sessions with 5 selected participants. The results of this research are summarized as following. First, ego-integrity showed satisfactorily meaningful difference between pre- and post-GAB writing. The participants recollected the past repent and revisited unresolved issues in their lives. The subjects were able to accept these past misdemeanors and appreciate their lives. GAB indeed helped improving ego-integrity. Second, the hypothesis that GAB writing will help decrease depression was accepted. 2-page weekly writing assignments enabled the participants think of joyful moments in their past, and showed decrease the symptoms of depression. Third, this study revealed that GAB writing improved life- satisfaction. The participants learned to express gratitude and peace in their mind. The happy feeling and optimistic thoughts enhanced their satisfaction of life in turn. In addition, it turned out that the effects of GAB were more drastic in group sessions than in individual writings. Interpersonal interactions in group sessions encouraged the exchange of positive feedback, thereby helping them reflect themselves positively.

• 한국노년학
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• v.31 no.1
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• pp.79-96
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• 2011

The purpose of this study was to search the clustering and variables in discriminating the groups by the level of the loss experience and ego-integrity among the elderly. In addition, the study aimed to confirm the moderating effects of variables related to resilience in the relationship between a loss experience and ego-integrity. The subjects were 245 elderly aged 60 or above, most of whom were socially active with comparatively high education levels. Six individual variables(physical self-efficacy, general self-efficacy, social self-efficacy, existential spirituality, religious spirituality, optimism) and five environmental variables(emotional support, instrumental support, informational support, appraisal support, social activity) were used in the study. The results of the study are as follows. To data analysis, ANOVA, Stepwise Discriminant analysis, Cluster analysis, Regression analysis and Two-way analysis of variance was employed. First, the subjects were 4 cluster into overcome group, crisis group, stable group and vulnerable group according to the level of loss experience and ego-integrity. Second, optimism, physical self-efficacy, existential spirituality and emotional support were seen to be significant variables in discriminating the groups. Third, the ego-integrity became higher as the variables related to resilience were increased.

• Korean Journal of Culture and Social Issue
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• v.13 no.2
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• pp.17-32
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• 2007

The word "Loss" means being deprived a person's meaningful property, people or idea by irresistible force, and it is not avoidable in one's life. Especially, the elderly have higher possibility to experience this "Loss" than any other age groups on account of their characteristics. Feeling grief of loss after going through any kind of loss is natural and normal. However, if someone has severe trouble with overcoming this grief, it would affect negatively to his/her psychological or social inelastic. Therefore, we tried to find out which factors consists the "Grief of loss" and how it affects on the elderly's quality of life, especially on the sense of ego-integrity through this study. 97 of the elderly over age 65 participated in the survey and the results as follow; grief of loss is classified into four factors, 'economical loss', 'loss from being parted by death', 'loss of physical functions' and 'loss of relations'. These four factors of "Grief of loss" showed negative correlations with the scores of the sense of ego-integrity factors except 'acceptance of death'. Especially, the 'economical loss' affects on every factor of the sense of ego-integrity negatively except 'acceptance of death' and 'acceptance of aging'. Moreover, 'loss of physical functions' and 'loss of relations' affect negatively on elderly's satisfaction to their lives. On the other hand, the 'loss from being parted by death' of "Grief of loss" and 'acceptance of death' of the sense of ego-integrity showed no statistically significant effect in every process of analysis.

• Journal of Digital Convergence
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• v.19 no.10
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• pp.357-365
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• 2021

This study is a descriptive survey research for identifing double mediating effect of ego-integrity and cultural competency and the moderated mediation effect of Wisdom on the relationship between basic pychological needs and successful aging. The participants were 211 elderly people aged at least 60 from June 2020 to March 2021. Data were collection by self-report questionnaire. Data was analyzed by Hayes' number 6 and 91 models using the SPSS/25.0 program and SPSS PROCESS MACRO. According to the study, the ego-integration and cultural competence were effected to double mediated in successful aging, and the ego-integration and cultural competence were effected to successful aging through moderated mediation by wisdom. Therefore, it is needed to develop welfare policy and strategy for the elderly to enhance ego-integration and cultural competence by effort to satisfy basic pychological needs and wisdom.

• Journal of the Korean Applied Science and Technology
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• v.37 no.4
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• pp.794-806
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• 2020

This study was conducted in order to attain an in-depth understanding of and describe the Ego-Integrity Phenomenon of the elderly of age 65 and older. The data was collected from June 2020 to July 2020 as an in-depth interview consisting of semi-structured questions. The data was analyzed using the Colaizzi's method, one of the phenomenology methods. All interviews were recorded and transcribed for analysis. Through analysis, 309 significant statements were extracted, and 88 formulations of meaning, 53 themes, 16 theme clusters, and 5 categories were derived. The categories and the theme clusters are as such : 'reflecting on the past life with delight' ('fruitfulness over the lifetime', 'achieving through fulfilling responsibilities', 'achieved specially and gratefully'), 'Currently lonely and distressed due to the bitter old days' ('Physical health needs and psychosocial needs are not met', 'Wasn't able to make good choices for parents and children', 'Elderly life is not easy'), 'Satisfaction from enduring tough and difficult journeys in life' ('Compensated for hard work at workplace and home', 'Problem solved through endurance and overcoming', 'Living a healthy elderly life by escaping from the habits of the past'), 'Realizing the way of life as an elderly' ('Now is the best and most satisfying moment', 'Managing self in old age', 'Living passionately, though it may be late', 'Retiring from the forefront of life with an abundant heart'), 'Passing on beautifully' ('Desires toward the later years', 'Hope during the last moments', 'Appearance and emotions when death approaches'). It was observed that during the Ego-Integrity Phenomenon of the elderly, they have come to discern the meaning of life by reminiscing the regrets and difficulties of the past, and through this reminiscence, they have come to attain a positive and transcendental hope for the rest of their lives. The Ego-Integrity of the elderly appeared to be subjective, dynamic, and occurring simultaneously rather than continuously. It is recommended to develop a variety of nursing interventions while taking into consideration the age and the type of experience of the elderly.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.3
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• pp.408-417
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• 2017

The objective of this study is to examine the structural relations between physical self-efficacy, depression, and ego-integrity among the elderly (60 years and older) currently participating in leisure sports. In addition, since the variables affecting ego integrity are presented in a multidimensional manner, it is very important to examine the cause and effect of the variables from an integrated perspective. To achieve this objective, 427 senior citizens attending the leisure sports program of a seniors center were assigned as the research subjects. For the structural equation modeling performed in the study, confirmatory factor analysis and reliability analysis were conducted for each variable, and direct, indirect, and total effects were estimated. The model fit is based on TLI, CFI, and RMSEA, and both the fit of the measurement model and the fit of the research model satisfy the criterion. The results of the analysis are as follows. First, in the results of verifying the validity and reliability of the questionnaire, all the variables of physical self-efficacy, depression, and ego-integrity were suitable. Second, the perceived physical ability had positive effects on depression, current life satisfaction, wise life, and attitude toward life, whereas the physical self-expression confidence had positive effects on current life satisfaction and attitude toward life, but negative effects on acceptance of the past life. Lastly, depression had negative effects on current life satisfaction. The results showed that the elderly identified the integrated relationship of physical self - efficacy, depression, and self-integration.

• Journal of Korean Academy of Nursing
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• v.49 no.3
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• pp.349-360
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• 2019

Purpose: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients. Methods: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory. Results: The core category was "the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity." The core phenomenon was "shattered by suffering from cancer," and the causal conditions were "physical change" and "limitations in daily life." The contextual conditions were "decreased self-esteem," "feelings of guilt toward the family," and the sense of "economic burden." The participants' action and interaction strategies were "maintaining or avoiding social relations," "seeking meaning of the illness," "falling into despair," and "strengthening the willingness to battle the cancer." The intervening conditions were "support from health care providers and family," "dissatisfaction with health care providers," "spiritual help from religion," and "the improvement or worsening of health conditions." The consequences were "having a new insight for life," "living positively along with cancer illness," and "the loss of willingness to live." A summary of the series of processes includes the "crisis stage," "reorganizing stage," and the "ego integration stage." Conclusion: This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.