Research in Community and Public Health Nursing (지역사회간호학회지)

Korean Academy of Community Health Nursing (한국지역사회간호학회)
권호 표지

The Effects of Health Behavior-related Characteristics, Self-esteem, Activities of Daily Living, and Family Support on Depression in the Community-dwelling Elderly

재가노인의 건강행위 관련 특성, 자아존중감, 일상생활 수행능력 및 가족지지가 우울에 미치는 영향

  • Lee, So-Young (Department of Nursing, Kkottongnae Hyundo University of Social Welfare)
  • 이소영 (꽃동네현도사회복지대학교 간호학과)
  • Received : 2010.10.15
  • Accepted : 2010.12.16
  • Published : 2010.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study was to investigate the effects of health behavior-related characteristics, self-esteem, activities of daily living, and family support on depression in the community-dwelling elderly. Methods: The participants were 229 elders sampled from Seoul and other five provinces. A structured questionnaire was used to collect data, and data were analyzed by applying t-test, ANOVA, Pearson correlation coefficient, and stepwise multiple regression with SAS 8.12. Results: There was a negative correlation between depression, MMSE-K, self-esteem, ADL, IADL, and family support. Depression and health behavior-related characteristics showed a significant difference according to stress level and the reason of stress. Major factors that affected the elders depression were self-esteem, the amount of alcohol drinking, sleeping hours, ADL and the cognition of health status, which explained 59.4%. Conclusion: Based on the findings of this study, self-esteem and health behavior-related characteristics including alcohol drinking, sleeping hours and ADL were the influencing factors of depression in the community-dwelling elderly. Therefore, effective psychological and physical health promotion methods need to be developed and applied in nursing interventions to prevent depression in the community-dwelling elderly.

Keywords

References

  1. Bae, J. N. (1996). Accuracy of geriatric depression scale, Korean version (GDS) in the assessment of DSM-III-R major depression. Unpublished master's thesis, Seoul National University, Seoul.
  2. Breslow, L., & Enstrom, J. E. (1980). Persistence of health habits and their relationship to mortality. Preventive Medicine, 469-483.
  3. Cho, M. J., & Bae, J. N. (1994). Impact of socio-cultural changes on mental health of the elderly in Korea. Mental Health Research, 13, 82-96.
  4. Cho, M. J., Bae, J. N., Suh, G. H., Hahm, B. J., Kim, J. K., Lee, D. W., et al. (1999). Validation of geriatric depression scale, Korean version(GDS) in the assessment of DSM-IIIR major depression. Journal of Korean Neuropsychiatric Association, 38 (1), 48-62.
  5. Choi, I., Kim, Y. S., & Suh, K. H. (2009). The psychosocial factors affecting suicidal ideation of the elderly. Health and Social Science, 25 , 33-56.
  6. Hur, J. S., & Yoo, S. H. (2002). Determinants of depression among elderly persons. Mental Health and Social Work, 13 (6), 7-35.
  7. Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). "Minimental state": A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189-198. https://doi.org/10.1016/0022-3956(75)90026-6
  8. Jang, M. H., & Won, J. S. (2009). Association of anger and anger expression, social support, self-esteem, and depression in elderly. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 18 (3), 259-268.
  9. Jeon, H. S., & Kahng, S. K. (2009). Predictors of depression trajectory among the elderly using the Korean welfare panel data. Journal of the Korean Gerontological Society, 29 (4), 1611-1628.
  10. Jon, B. J. (1974). Self-esteem: A test of its measurability. Yonsei Journal, 11 (1), 107-130.
  11. Katz, S., Ford, A. B., Moskowitz, W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychosocial function. Journal of the American Medical Association, 21 (185), 914-919.
  12. Kim, D. B., & Sohn, E. S. (2005). A meta-analysis of the variables related to depression in elderly. Journal of the Korean Gerontological Society, 25 (4), 167-187.
  13. Kim, H. S., & Kim, B. S. (2007). The effects of self-esteem on the relationship between the elderly stress and depression. Journal of the Korean Gerontological Society, 27 (1), 23-37.
  14. Kim, M. A., Kim, H. S., & Kim, E. J. (2005). Cognitive function and depression in the elderly. Journal of Korean Gerontological Nursing, 7 (2), 176-184.
  15. Kim, Y. S., Yoo, M. S., & Park, J. H. (2009). Factors influencing depression in community-dwelling elderly with low income. Journal of the Korean Gerontological Society, 29 (4), 1313-1325.
  16. Kwon, Y. E., Ha, J., & Ahn, S. Y. (2007). A study of the perceived health status, activities of daily living, depression for the elderly at home. Journal of the Korean Gerontological Society, 27 (2), 335-343.
  17. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. Gerontologist, 9 (3), 179-186. https://doi.org/10.1093/geront/9.3_Part_1.179
  18. Lee, H. J. Kahng, S. K., & Lee, J. Y. (2008). The effects of socioeconomic position and health behavior on geriatric depressive symptom. Journal of the Korean Gerontological Society, 28 (4), 1129-1145.
  19. Lee, K. J., & Park, H. S. (2006). A study on the perceived health status, depression, and activities of daily living for the elderly in urban area. Korean Journal of Women Health Nursing, 12 (3), 221-230.
  20. Ministry of Health and Welfare (2009a). 2008. National elderly living conditions survey (11-1351000-000316-12). Seoul: Author.
  21. Ministry of Health and Welfare (2009b). 2010 National elderly welfare facilities survey (11-1352000-000002-10). Seoul: Author.
  22. Moon, S. K., Chung, J. E., & Sohn, E. S. (2008). Analysis of the mediating effects of family support and social participation between daily hassles and depression for the elderly with stroke disabilities. Korean Journal of Family Social Work, 24 (4), 223-248.
  23. Park, J. H., & Kwon, Y. C. (1989). Standardization of Korean version of the mini-mental state examination (MMSE_K) for use in the elderly. Part II. Diagnostic validity. Journal of Korean Neuropsychiatric Association, 28 (3), 508-513.
  24. Park, M. J. (2007). Buffering effects of strengths and social support between stress and depression of the elderly women. The Korean Journal of Women Psychology, 12 (2), 197-211.
  25. Rosenberg, M. (1965). Society and adolescent self image. Princeton, NJ: Princeton University Press.
  26. Seo, J. M., Kim, M. H., & Kim, J. S. (2006). Discriminating power of depression of elderly women by arthralgia, physical function and physical self-efficacy. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 15 (3), 237-245.
  27. Shin, K. R., Kang, Y. H., Jung, D. Y., & Choi, K. A. (2007). A study on the depression, somatic symptom, activities of daily living for the elderly women in an urban area. Journal of Korean Academy of Nursing, 37 (7), 1131-1138.
  28. Sohn, S. H. (1998). Differences in cognitive function and activities of daily living between two groups without depression among patients with senile dementia. Unpublished master's thesis, Ewha Womans University, Seoul.
  29. Won, J. S., & Kim, K. H. (2008). Evaluation of cognitive functions, depression, life satisfaction among the elderly receiving visiting nursing services. Journal of Korean Academy of Nursing, 38 (1), 1-10. https://doi.org/10.4040/jkan.2008.38.1.1
  30. Yesavege, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., et al. (1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37-49.