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Effects of Tailored Case Management using a Gatekeeper for the Depressed Single-household Elderly Population: Focusing on the Mental Health Case Management
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Yun Jung Choi, Mi Ra Won
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J Korean Acad Community Health Nurs. 2012;23(4):376-385. Published online December 31, 2012
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DOI: https://doi.org/10.12799/jkachn.2012.23.4.376
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 Abstract
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- PURPOSE
The aim of this study was to evaluate the effects of tailored case management using a gatekeeper on depression and life satisfaction in the single-household elderly population.
METHODS
The design of Quasi experiment was applied to compare the variables before and after the management. Ninety-seven people who had depression categorized by the Korean Geriatric Depression Scale.
RESULTS
Depression (t=11.22, p<.001) and life satisfaction (t=-5.36, p<.001) were improved after management in comparison to the results of pre-tests, and the differences were statistically significant. The difference in the pre-test and post-test scores of the support system (chi2=13.89, p<.001) were significant, while the differences in the perception of depression (chi2=.02, p=.891) and coping methods (chi2=.34, p=.558) were not statistically significant.
CONCLUSION
Tailored case management using a gatekeeper is effective to reduce the degree of depression and improve life satisfaction in the single-household elderly population having depression. This study offers a model of individualized as well as systemic mental health care for the community of single-house hold elderly people as an effective means for prevention of and early intervention in depression.
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Citations
Citations to this article as recorded by  - Examining Utilization of Formal Supports and Related Impacts on Overall Well-Being Among East Asian American Family Caregivers of Persons With Dementia: A Mixed-Methods Study
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The Gerontologist.2024;[Epub] CrossRef - The mediating effect of life satisfaction and the moderated mediating effect of social support on the relationship between depression and suicidal behavior among older adults
Mi‐Ra Won, Eun‐Joo Choi, Eunjung Ko, Youn‐Joo Um, Yun‐Jung Choi
International Journal of Geriatric Psychiatry.2021; 36(11): 1732. CrossRef - Mediating Effects of Social Support on Depression and Suicidal Ideation in Older Korean Adults With Hypertension Who Live Alone
Eun Jeong NAM, Jong-Eun LEE
Journal of Nursing Research.2019; 27(3): e20. CrossRef - Case management effectiveness for managing chronic illnesses in Korea: a systematic review
J.Y. Joo, M.F. Liu
International Nursing Review.2019; 66(1): 30. CrossRef - A social psychiatric approach to suicide prevention
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Journal of the Korean Medical Association.2019; 62(2): 93. CrossRef - Effects of a Program to Improve Mental Health Literacy for Married Immigrant Women in Korea
Yun-Jung Choi
Archives of Psychiatric Nursing.2017; 31(4): 394. CrossRef - Factors Affecting the Intention to Participate in Healthcare Programs among Elders Living Alone
Mi Sook Song, Sunjoo Boo
Journal of Korean Academy of Community Health Nursing.2016; 27(4): 319. CrossRef - Material hardship and depression among low‐income households in South Korea: Differences by household type
Jaeseung Kim, Joyce Shim, RaeHyuck Lee
International Journal of Social Welfare.2016; 25(2): 187. CrossRef - A Study on the Effect of Education Method for Adolescent's Suicide Prevention Using HMD and Virtual Reality
Yungil Lee
Journal of Korea Multimedia Society.2016; 19(2): 495. CrossRef - A Study on the Experience of Depression in Elderly Women Living Alone
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