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

So Young Lee

doi:10.12799/jkachn.2010.21.4.489

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

Original Article

Journal of Korean Academy of Community Health Nursing 2010; 21(4): 489-501.

Published online: 4 April 2014

DOI: https://doi.org/10.12799/jkachn.2010.21.4.489

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

So Young Lee

Assistant Professor, Department of Nursing, Kkottongnae Hyundo University of Social Welfare, Korea.

Address reprint requests to: Lee, So Young, Department of Nursing, Kkottongnae Hyundo University of Social Welfare, 387 Sangsam-ri, Hyundo-myen, Cheongwon 363-823, Korea. Tel: 82-43-270-0135, Fax: 82-43-270-0120, soyoungjh@kkot.ac.kr

Received 15 October 2010 Revised 16 December 2010 Accepted 16 December 2010

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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: Health behavior, Activities of daily living, Depression, Aged

Figures and Tables

Table 1

General Characteristics and Depression Status of the Participants (N=229)

Note. Numbers are excluded no response.

Table 2

Health Behavior Related Characteristics of the Participants (N=229)

Note. Numbers are excluded no response; ^†Overlapping responses are included.

Table 3

Means, Standard Deviations, and Correlations among Influencing Factors on Depression

Table 4

Depression according to the Health Behavior Related Characteristics (N=229)

Note. Numbers are excluded no response.

a, b, c=Tukey's test (means with the same letters are significantly different).

Table 5

Influencing Factors on Depression in Community-dwelling Elderly

^†Continuous variables.

Notes

This research was supported by Research Fund of Kkottongnae Hyundo University of Social Welfare, 2009 (KURI2009-005).

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