• Title/Summary/Keyword: Elderly depression

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Dependency, Abuse, and Depression by Gender in Widowed Elderly (사별노인의 성별에 따른 의존성과 학대 및 우울에 관한 연구)

  • Kim Ok-Soo;Yang Kyoung-Mi;Kim Kye-Ha
    • Journal of Korean Academy of Nursing
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    • v.35 no.2
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    • pp.336-343
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    • 2005
  • Purpose: The purpose of this study was to investigate the effects of dependency and abuse on depression according to gender in widowed elderly. Method: A convenient sample consisted of 246 widowed elderly who were more than 65 years old in four cities. Data was collected using a structured questionnaire from August to September, 2002. A dependency Scale developed by Ahn (1999) was used to measure the level of dependency. Emotional abuse and physical abuse were measured by 10 items for emotional abuse and 7 items for physical abuse selected out of the Conditions Scale of Elder Abuse. The level of depression was measured by the Geriatric Depression Scale (GDS). The SPSS WIN 11.0 version program was used for data analysis. Result: In male widowed elderly, dependency affected depression indirectly through emotional abuse. While in female widowed elderly, dependency affected depression directly and affected emotional abuse indirectly. Conclusion: The study showed that dependency was the most explainable variable on depression in widowed female elderly. Therefore, it dependency should be assessed first in nursing intervention to relieve depression of widowed elderly.

Associated factors of Depression among Elderly for Visiting Health Services in Public Health Centers: Focused on Social Support and Perceived Health Status (보건소 방문보건 대상 노인들의 우울에 영향을 미치는 요인: 사회적 지지와 인지된 건강상태를 중심으로)

  • Kim, Hyeon-Suk;Kim, Hee-Young
    • Korean Journal of Health Education and Promotion
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    • v.24 no.2
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    • pp.1-14
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    • 2007
  • Purpose: The purpose of this study is to investigate predictors of depression among elderly who have received visiting health services in public health centers. Method: The data has been collected from 678 elderly living in Seoul and Gyeonggi Province during the period from February 21 to June 30 in 2006. The data were collected by individual interview and were analyzed using correlation and multiple regression analysis with the SAS 9.1 program. Result: Among elderly, 73.8% of them showed depression. The elderly with higher level of socioeconomic status (${\beta}=0.136$, p=0.019) and higher level of social support including family support(${\beta}=-0.018$, p<.0001), friend's support(${\beta}=-0.025$, p<.0001) and special person's support (${\beta}=-0.021$, p<.0001) show lower levels of depression. In addition, elderly with perceived good health status (${\beta}=0.119$, p<.0001) feel less depression than those who have poor health condition. Conclusion: These findings suggest that low socioeconomic status and lower level of social support among elderly should be considered to decrease depression. These findings would contribute to health education, designing interventions and program development for appropriate depression management for the elderly.

The Effects of Chronic Diseases, Sleep and Serotonin Concentration on Depression among Elderly People Living in the Community (지역사회 거주 노인의 만성질환 수, 수면의 질 및 세로토닌 농도가 우울에 미치는 영향)

  • Nam, Eunjeong;Park, Jin Kyoung
    • Research in Community and Public Health Nursing
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    • v.31 no.4
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    • pp.472-480
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    • 2020
  • Purpose: This study identified the effects of chronic disease number, quality of sleep and, serum serotonin concentration on the elderly's depression in order to provide basic data for the development of intervention program to effectively prevent and manage depression of the elderly living in the community. Methods: The study surveyed 207 people aged 65 or older living in the community. The general characteristics of the subjects, the number of chronic diseases, the quality of sleep (PSQI-K), the hematological test (Serotonin) and the depression (K-GDS) were statistically analyzed using SPSS/WIN 23.0. Results: It was shown that the elderly's depression differed significantly depending on the number of chronic diseases, the quality of sleep, and serum serotonin concentration, and that the variable that most affected depression was the quality of sleep. Next, the number of chronic diseases and serum serotonin levels were the variables affecting the depression of the elderly. Conclusion: In order to prevent and manage the depression of the elderly in the future, treatment and education for diseases and depression should be provided to the subjects. In particular, nursing interventions are needed to improve the quality of sleep for the elderly. Health care programs should also be provided, such as providing nutritional supplements to provide serotonin and increasing daytime activities.

Comparison of Depression and Cognitive Function between Elderly Welfare Recipients and Non-Elderly Welfare Recipients in a Public Health Center (한 보건기관에 내원한 기초생활수급노인과 비 수급노인의 우울 및 인지기능 상태 비교)

  • Park, Jung-Ah;Cho, Young-Chae
    • Journal of agricultural medicine and community health
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    • v.32 no.1
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    • pp.1-12
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    • 2007
  • Objectives: This study was performed to provide the fundamental data available in the field of the elderly health of the low-income bracket by researching and comparing related factors for the assessment of the degree of depression and cognitive function between elderly welfare recipients and non-elderly welfare recipients. Methods: The study subjects, 402 elderly person over 65-year-old in Daejeon were interviewed, during the two-month from May to June 2006, about their general characteristics, depression and cognitive function. Results: elderly welfare recipients was higher than non-elderly welfare recipients in degree of depression on the other hand, in cognitive function is lower. Also, the depression and cognitive function were related with not only socio-demographic characteristics like the age, the degree of education, the presence of spouse or not and the health status but also health behavior characteristics like the sleeping time, the drinking and the exercise. Conclusions: The project of health promotion and programs that can improve the related factors to the depression and cognitive function for elderly welfare recipients should be developed and practiced.

Factors Affecting Depression in Elderly Vulnerable People Living Alone (취약계층 독거노인의 우울에 미치는 영향변인)

  • Kim, Hyun-Mi;Choi, Yeon-Hee
    • Research in Community and Public Health Nursing
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    • v.22 no.4
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    • pp.355-364
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    • 2011
  • Purpose: The purpose of this study was to investigate factors that influenced depression of the elderly vulnerable people living alone in the public home visiting health service center. Methods: The participants for this study were 491 Korean elderly men living in G city. Data were collected from February to July, 2011 using structured questionnaires. ${\chi}^2$-test, t-test, Pearson's correlation coefficient and multiple regression with the SPSS/WIN program were used to analyze the data. Results: The levels of ADL and IADL of the elderly living alone were higher, and the levels of social support and life satisfaction were lower than the normal elderly. Depression was positively related to ADL and IADL and negatively to social support and life satisfaction in the elderly living alone. In addition, age, fall experience, ADL, IADL and life satisfaction had influence on the depression. Conclusion: The elderly living alone are in a more serious health status, especially in depression than the normal elderly. It is necessary to develop depression controlling intervention programs in order to promote healthy lifestyles for the elderly vulnerable people living alone.

The effects of psychological factors on elderly of depression scale and Electroephalography

  • Kang, Byeong-Woo;Jung, Mi-Hyun;Cho, Byung-Jun
    • Journal of the Korea Society of Computer and Information
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    • v.21 no.12
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    • pp.157-163
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    • 2016
  • Purpose : This study purposed on the understanding of psychology in the elderly women using depression scale and electroephalography. The subjects were thirty elderly women in geriatric care hospital. All participants were elderly women over 65 years old. The subjects signed up with informed consent and they were divided into a normal elderly group, an exercise elderly group and a hospital elderly group. They were randomly assigned with 10 persons. Methods : The study instruments were Geriatric Depression Scale(GDS) and Poly-G-I. Brain wave activity was measured by 'power spectrum analysis' of TeleScan program. Statistic analysis consisted of average, standard deviation, One-way ANOVA and post-hoc Tukey using SPSS 21.0 version. The significance was set at .05. Results : Depression scale results showed that the exercise elderly group were $10.60{\pm}5.36$ points which was the lowest among the three groups. The Normal elderly group was $16.20{\pm}5.59$, and the hospitalized elderly group was $16.70{\pm}6.76$ points. There was no significant difference between the normal elderly group, exercise elderly group and hospitalized elderly group. The hospitalized group showed statistical difference in relative theta power in the area of Fp1, F3, F4, T3, P3 as compared to the normal elderly group and the exercise elderly groups. There was no significant difference between relative beta power and relative gamma power in three groups. Conclusion : Geriatric depressed scale showed no significant difference in each group. This is indicated in the mental problems associated with depression. This indicates a higher level of depression in the hospitalized elderly women, more than in the normal elderly women and exercise elderly women groups.

Prevalence and Its Influencing Factors on Depression among Elderly Vulnerable People in Urban Community (일 도시지역 취약노인의 우울 유병률과 영향 요인)

  • Kim, Hye-Ryoung
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.275-286
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    • 2013
  • To identify the prevalence and its influencing factors on depression among elderly vulnerable people in one urban community. This study used data from 381 of elderly vulnerable people in the community. The prevalence of depression was found to be 51.97%. Multivariate logistic regression analysis shows that depression was more prevalent as people in female gender; people with lower self-esteem compared to those with higher self-esteem; in elderly who perceived lower social support compared to those who perceived higher social support; and in the older adults with limitation in instrumental activity of daily living. The finding of a significant association between gender difference; self-esteem; perceived social support, and limitation in instrumental activity of daily living and occurrence of depression expected to promote the screening strategy for elderly at risk of depression in Korean community.

The Effects of Ego Integrity on Death Anxiety of the Elderly: Focusing on the Mediating Effect of Depression (노인의 자아통합감이 죽음불안에 미치는 영향 : 우울의 매개효과를 중심으로)

  • Chang, Kyung-Eun
    • Korean Journal of Human Ecology
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    • v.20 no.5
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    • pp.917-926
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    • 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.

Effects of Social Supports and Health on the Depression of the Rural Elderly: Focus on Household Patterns (가구유형별 농촌 노인의 사회적지지 및 건강이 우울감에 미치는 영향)

  • Cho, Hee Keum
    • Journal of Family Resource Management and Policy Review
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    • v.19 no.4
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    • pp.35-53
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    • 2015
  • The purpose of this study was to investigate the effects of social supports and health on the depression of the rural elderly according to their household patterns. Data were collected from 1,000 of the elderly over 65 living in rural Korea. A questionnaire was used with direct interviews and was analyzed through descriptive statistics, ANOVA, and a multiple regression analysis. The major findings of this study are as follows. First, the general characteristics, social supports, and health of the rural elderly are significantly different according to their household patterns. Second, depression in the rural elderly is also significantly different according to household patterns; elderly people in a single household report greater depression than elders in a coupled household or those in a household with a child. Third, satisfaction with health conditions and nutrition management variables has a significant influence on the depression of the rural elderly in all household patterns. Fourth, there are differences among variables that affect depression of the rural elderly according to their household patterns.

Factors Influencing Depression in the Elderly Based on the ICF Model: A Longitudinal Analysis Using Data from the Korea Welfare Panel Study (ICF 모델에 기반한 노인의 우울에 영향을 미치는 요인: 한국복지패널 자료를 활용한 종단분석)

  • Yu-Hwa Shim
    • Journal of the Korean Society of Industry Convergence
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    • v.27 no.4_2
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    • pp.961-972
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    • 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.