Factors Affecting Depression in Elderly Vulnerable People Living Alone

Article information

Res Community Public Health Nurs. 2011;22(4):355-364
Publication date (electronic) : 2014 April 04
doi : https://doi.org/10.12799/jkachn.2011.22.4.355
1Professor, Department of Nursing, Taegu Science University, Korea.
2Professor, College of Nursing, Kyungpook National University, Korea.
Address reprint requests to: Choi, Yeon Hee, College of Nursing, Kyungpook National University, 101 Dongin-dong, Jung-gu, Daegu 700-422, Korea. Tel: 82-53-420-4926, Fax: 82-53-421-2758, yeonhee@knu.ac.kr
Received 2011 August 30; Revised 2011 November 30; Accepted 2011 December 05.

Abstract

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. χ2-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.

Keywords: Elderly; Depression

Notes

This work was supported by Taegu Science College Competency Upgrade Research Grant of 2011.

References

1. Brandt PA, Weinert C. The PRQ: A social support measure. Nurs Res 1981;30:277–280.
2. Bowling A, Banister D, Sutton S, Evans O, Windsor J. A multidimensional model of the quality of life in older age. Aging Ment Health 2002;6:355–371.
3. Butler J, Ciarrochi J. Psychological acceptance and quality of life in the elderly. Qual Life Res 2007;16:607–615.
4. Cha SH, Han KH, Lee JH. Relationship between self-rated health and physical, mental social health: Differences among three aged group. J Korea Gerontol Soc 2002;22:173–190.
5. Choi IH. A study on self-efficacy, family support and health promoting behavior of the aged in a community. J Korean Community Nurs 2003;14:657–666.
6. Choi YH. A study on depression, sleep and fatigue in younger and older elders. J Korean Acad Community Health Nurs 2007;18:223–231.
7. Cohen J. Statistical power analysis for the behavioral sciences 2nd edth ed. New Jersey: Lawrence Erlbaum Associates; 1988.
8. Fiori KL, Antonucci TC, Cortina KS. Social network typologies and mental health among older adults. J Gerontol B Psychol Sci Soc Sci 2006;61:P25–P32.
9. Hakim RM, Roginski A, Walker J. Comparison of fall education methods for primary prevention with community-dwelling older adults in a senior center setting. J Geriatr Phys Ther 2007;30:60–68.
10. Jeon KS, Lee HK, Hong BK, Jang SR. Community health promotion program for vulnerable women. J Korean Soc Health Educ Promot 2007;24:99–118.
11. Kim ML. The study of comparing the factors of affecting on the satisfaction of life for young-old women and old-old women. Korean J Soc Welf 2006;58:197–222.
12. Kim YH. Social structure and action in social theory-toward micro-foundation of macro-social phenomena Seoul: Nanam Publishing House; 2003.
13. Kwon YC, Park JH. Standardization of Korean version of the mini-mental state examination for use in the elderly part. II. diagnostic validity. J Korean Neuropsychiatr Assoc 1989;28:508–513.
14. Lawton MP, Brody EM. Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179–186.
15. Lee HS, Kim HS, Jung YM. Depression and quality of life in Korean elders. J Korean Acad Community Health Nurs 2009;20(1):12–22.
16. Lee MS. Sense of mastery and depression in community dowelling elders Iksan: Wonkwang University; 2000. Unpublished master's thesis.
17. Litwin H, Landau R. Social network type and social support among the old-old. J Aging Stud 2000;14:213–228.
18. Ministry for Health and Welfare Affairs. Statistical yearbook of health and welfare 2008 Seoul: Author; 2009.
19. Park HS, Lee KJ. A study on the health behaviors, physical function, and life satisfaction for elderly women. Korean J Women Health Nurs 2007;13:115–122.
20. Park KM, Ha EK. Ability of self care and health promotion lifestyle for vulnerable elderly in urban community. Korean Public Health Res 2004;30(1):96–103.
21. Park JS, Lee HR. A comparative study on a health promoting lifestyle and perceived health status between high and low income elderly. J Korean Community Nurs 2003;14:157–166.
22. Puts MT, Shekary N, Widdershoven G, Heldens J, Lips P, Deeg DJ. What does quality of life mean to older frail and non-frail community-dwelling adults in the Netherlands? Qual Life Res 2007;16:263–277.
23. Scheffer AC, Schuurmans MJ, Dijk N, Hooft T. Fear of falling: Measurement strategy, prevalence, risk factors and consequences among older persons. Age Ageing 2008;37:19–24.
24. Sheikh JA, Yesavage JA. Geriatric depression scale (GDS): Recent evidence and development of a shorter version clinical gerontology; A guide to assessment and intervention New York, NY: Haworth; 1986.
25. Smith J, Borchelt M, Maier H, Jopp D. Health and well-being in the young old and oldest old. J Soc Issues 2002;58:715–732.
26. Stones MJ, Kozma A. Issues relating to the usage and conceptualization of mental health constructs employed by gerontologists. Int J Aging Hum Dev 1980;11:269–281.
27. Sugisawa H, Shibata H, Hougham GW, Sugihara Y, Liang J. The impact of social ties on depressive symptoms in U.S. and Japanese elderly. J Soc Issues 2002;58:785–804.
28. Won CW, Yang KY, Rho YG, Kim SY, Lee EJ, Yoon JL, et al. The Development of Korean Activities of Daily Living(K-ADL) and Korean Instrumental Activities of Daily Living(K-IADL) Scale. J Korean Geriatr Soc 2002;6:107–120.
29. Won JS, Kim KH. Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. J Korean Acad Nurs 2008;38:1–10.
30. Won JS, Kim JH. Influencing factors on cognitive function and depression in elderly. J Korean Acad Psychiatr Ment Health Nurs 2003;12:148–154.

Article information Continued

Funded by : Taegu Science College Competency Upgrade

Table 1

General Characteristics

Table 1

*p<.05, **p<.01, ***p<.001.

Table 2

Difference of Physical, Psychological, Social Variables according to Depression (N=491)

Table 2

*p<.05, **p<.01, ***p<.001.

ADL=activities of daily living, IADL=instrumental activities of daily living.

Table 3

Correlations of related Variables with Depression (N=343)

Table 3

*p<.05, **p<.01, ***p<.001.

Table 4

Factors Affecting Depression (N=343)

Table 4

Note. Dummy variables=gender (0: male, 1: female); age (0: 65~74 year, 1: 75~84 year, 2: ≥85 year); religion (0: not have, 1: have); education (0: none, 1: elementary school, 2: middle school); fall experience (0: have, 1: not have); volunteer service (0: have, 1: not have); visiting health service (0: <12 month, 1: 12~<24 month, 2: ≥24 month); ADL=activities of daily living; IADL=instrumental activities of daily living.

*p<.05, **p<.01, ***p<.001.