Loneliness, Depression and Health Status of the Institutionalized Elderly in Korea and Japan
Article Outline
Purpose
The purpose of the study was to describe loneliness, depression, and health status in Korean and Japanese institutionalized elderly and explore differences between the countries. Also this study determined predictors of depression in each group.
Methods
Elderly subjects, aged 65–98 (n = 184), were recruited from private nursing homes in Korea and Japan. Subjects were interviewed on health status, loneliness, and depression.
Results
Korean subjects had higher loneliness scores than Japanese. More Korean elderly had depressive symptoms than Japanese elderly. The mean GDS score of Korean elderly was 8.07 and that of Japanese elderly was 5.21. Korean elderly had less physical function, and perceived their general health to be poor. Loneliness and perception of general health were significant predictors of depression in Korean and Japanese subjects.
Conclusion
It is necessary to assess the levels of loneliness and depression of institutionalized Korean elderly and pursue an intervention to reduce these problems.
Key Words: aged , depression , health status , loneliness
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References
- . Development the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients . Journal of Psychosomatic Research . 2004;57:297–305
- . Loneliness as a specific risk factor for depressive symptoms: Cross-sectional and longitudinal analyses . Psychology & Aging . 2006;21:140–151
- . Comparison of health status, health-related life habits, activities of daily living and bio-physical index between Korean and Japanese elderly . Journal of Korean Academy of Adult Nursing . 2006;18:612–621
- . Assessing and comparing of attitude toward institution living and parent-child relationship between the Korean elderly and the Japanese elderly in institutions . Journal of Korea Gerontological Society . 2002;22:163–182
- . Aging, disability, and frailty: Implications for universal design . Journal of Physiological Anthropology . 2006;25:113–118
- . Predicting nursing facility residents' quality of life using external indicators . Health Service Research . 2005;41:335–357
- Depressed mood and the incidence of Alzheimer's disease in the elderly living in the community . Archives of General Psychiatry . 1996;53:175–182
- . Translation, adaptation, and validation of the SF-36 health survey for use in Japan . Journal of Clinical Epidemiology . 1998;51:1037–1044
- . Development of the Korean version of short-form 36-item health survey: Health related QOL of healthy elderly people and elderly patients in Korea . The Tohoku Journal of Experimental Medicine . 2004;203:189–194
- . Influences of cognitive status, depression and health on the use of memory strategies among residents of Japanese geriatric nursing facilities . Nursing and Health Sciences . 2000;2:143–151
- . Analysis of depression and health status in Korean-American Elderly . Journal of Korean Gerontological Nursing . 2005;7:157–165
- . Prevalence and correlated of recognized depression in U.S. Nursing Homes . Journal of the American Geriatrics Society . 2003;51:1404–1409
- . Increasing trend of elderly population . Retrieved September 20, 2008, from http://kosis.kr 2005;
- Kim, J. H. (2006). A study of the relationships between loneliness and leisure activities of elderly people. Unpublished master's thesis, Ewha Womans University, Seoul, Korea.
- . Korean version of the Revised UCLA Loneliness Scale: Reliability and validity test . Journal of Korean Academy of Nursing . 1997;27:871–879
- . The needs about paying nursing homes for elderly parents . Journal of Korean Gerontology Nursing . 2005;7:20–27
- . A study on factors influencing depression of Medicaid recipients: Focus on social support . Journal of Welfare for the Aged . 2005;29:285–308
- . Influence of personality and health behaviors on fatigue in late and very late life . Journals of Gerontology: Social Science . 2006;61:161–166
- . Population Research Institute . Retrieved October 22, 2008, from http://www.ipss.go.jp 2006;
- . A study on self-esteem, death anxiety and depression of the elderly in home and facilities . Journal of the Korean Home Economics Association . 2005;43:105–118
- . Posttraumatic stress, depression, and health among older adults in primary care . American Journal of Geriatric Psychiatry . 2006;14:316–324
- . The Revised UCLA Loneliness Scale: Concurrent and discriminant validity evidence . Journal of Personal and Social Psychology . 1980;13:6–12
- . Nursing home institutionalization: A source of eustress or distress for the elderly? . International Journal of Geriatric Psychiatry . 2006;21:281–287
- . Screening for late life depression: Cut-off scores for the geriatric depression scale and the Cornell scale for depression in dementia among Japanese subjects . International Journal of Geriatric Psychiatry . 2003;18:498–505
- . Geriatric Depression Scale (GDS): recent evidence and development of a shorter version . Clinical Gerontologist . 1986;5:165–173
- . The prevalence of depression among elderly warded in a tertiary care center in Wilayah Persekutuan . Medical Journal of Malaysia . 2006;61:15–21
- . The MOS short-form general health survey. Reliability and validity in a patient population . Medical Care . 1988;26:724–735
- . A comparative study on privacy desire and desire satisfaction of the elderly between community resident and institutional settings-Based on the sociodemographic factors . Journal of Welfare for the Aged . 2006;31:101–117
- . Association between loneliness, depressive symptoms and perceived togetherness in older people . Aging & Mental Health . 2005;9:526–534
- . Subjective feeling of happiness: comparisons with elder people living in nursing homes and living in their homes . Integrated Care . 2004;14:90–93
- . The relationship between suicide ideation and late-life depression . American Journal of Geriatric Psychiatry . 2007;15:1024–1033
- . Relative effects of depression on suicide ideation of the rural elderly . Journal of Welfare for the Aged . 2006;32:377–396
- . Depression in the elderly. How the recognize masked symptoms and choose appropriated therapy . Journal of Postgraduate Medicine . 1992;91:255–261
PII: S1976-1317(09)60017-7
doi:10.1016/S1976-1317(09)60017-7
© 2009 Korean Society of Nursing Science. Published by Elsevier Inc. All rights reserved.
