노인의 주관적 행복감에 영향을 미치는 스트레스 요인
The Effects of Stressors on Subjective Well-Being in the Elderly
1
조회
0
다운로드
5
인용
0
참고문헌
키워드
초록
Objective:This study aims to identify self-reported stressors in the Korean community-dwelling elderly and examine their effects on subjective well-being. Methods:The subjects of this research were 1,010 elderly people who lived in Suwon, Korea. Each subject was administered the questionnaires regarding the socio-demographic characteristics, self-reported stressors, Concise Measure of Subjective Well-Being (COMOSWB) consisting of life satisfaction, positive emotion and negative emotion, Mini-Mental State Examination for dementia screening and Short Form Geriatric Depression Scale-Korean version. Statistical analyses including the Pearson’s correlation test and multiple linear regressions were performed in this study. Results:In our adjusted model for confounding variables, stress from physical problems (S-PP) (ß=-0.133, p<0.001), stress from loneliness or solitude (S-LS) (ß=-0.077, p=0.007), stress from family members (S-FM) (ß=-0.083, p=0.001) were negatively associated with the total score of COMOSWB. In subscale analyses of COMOSWB, we also found that S-PP (ß=-0.184, p<0.001), S-LS (ß=-0.077, p=0.014), stress from economic problems (ß=-0.072, p=0.021) were negatively associated with life satisfaction score. While S-PP (ß=-0.140, p<0.001) and S-FM (ß=-0.079, p=0.003) were negatively associated with positive emotion score, S-FM (ß=0.105, p=0.001) and stress from friends and neighbors (ß=0.072, p=0.016) were positively associated with negative emotion score. Conclusion:Stresses from physical problems, loneliness, and family members might be associated with subjective well-being in the elderly. While life satisfaction appears to be affected by one’s perceived physical health status, loneliness, and economic conditions, positive and negative emotions appear to be affected by relationships with family members, friends, or neighbors.
Abstract
Objective:This study aims to identify self-reported stressors in the Korean community-dwelling elderly and examine their effects on subjective well-being. Methods:The subjects of this research were 1,010 elderly people who lived in Suwon, Korea. Each subject was administered the questionnaires regarding the socio-demographic characteristics, self-reported stressors, Concise Measure of Subjective Well-Being (COMOSWB) consisting of life satisfaction, positive emotion and negative emotion, Mini-Mental State Examination for dementia screening and Short Form Geriatric Depression Scale-Korean version. Statistical analyses including the Pearson’s correlation test and multiple linear regressions were performed in this study. Results:In our adjusted model for confounding variables, stress from physical problems (S-PP) (ß=-0.133, p<0.001), stress from loneliness or solitude (S-LS) (ß=-0.077, p=0.007), stress from family members (S-FM) (ß=-0.083, p=0.001) were negatively associated with the total score of COMOSWB. In subscale analyses of COMOSWB, we also found that S-PP (ß=-0.184, p<0.001), S-LS (ß=-0.077, p=0.014), stress from economic problems (ß=-0.072, p=0.021) were negatively associated with life satisfaction score. While S-PP (ß=-0.140, p<0.001) and S-FM (ß=-0.079, p=0.003) were negatively associated with positive emotion score, S-FM (ß=0.105, p=0.001) and stress from friends and neighbors (ß=0.072, p=0.016) were positively associated with negative emotion score. Conclusion:Stresses from physical problems, loneliness, and family members might be associated with subjective well-being in the elderly. While life satisfaction appears to be affected by one’s perceived physical health status, loneliness, and economic conditions, positive and negative emotions appear to be affected by relationships with family members, friends, or neighbors.
참고문헌 (33)
- Larson R, "Thirty years of research on the subjective well-being of older americans", J Gerontol, 33, pp.109~125 (1978)
- Netuveli G, "Quality of life at older ages : evidence from the English longitudinal study of aging(wave 1)", J Epidemiol Community Health, 60, pp.357~363 (2006)
- Hardy SE, "Stressful life events among community-living older persons", J Gen Intern Med, 17, pp.841~847 (2002)
- Sprangers MA, "Which chronic conditions are associated with better or poorer quality of life?", J Clin Epidemiol, 53, pp.895~907 (2000)
- Kim TH, "A study on improvement of the quality of life for the aged(2)", J Korean Gerontol Soc, 19, pp.61~81 (1999)
- Steptoe A, "Subjective wellbeing, health, and ageing", Lancet, 385, pp.640~648 (2015)
- 김혜령, "기초생활보장 수급 노인의 삶의 질", Journal of Korean Academy of Nursing, 38(5), pp.694~703 (2008), 한국간호과학회
- Koo J, "Age and gender differences in affect and subjective well-being", Geriatr Gerontol Int, 4, pp.S268~S270 (2004)
- Gladis MM, "Quality of life : expanding the scope of clinical significance", J Consult Clin Psychol, 67, pp.320~331 (1999)
- Suzman R, "Health in an ageing world--what do we know?", Lancet, 385, pp.484~486 (2015)
- Sadler ME, "Subjective wellbeing and longevity : a co-twin control study", Twin Res Hum Genet, 14, pp.249~256 (2011)
- Kang HJ, "Suicidal ideation in elderly Korean population : a two-year longitudinal study", Int Psychogeriatr, 26, pp.59~67 (2014)
- Shin KM, "Suicide among the elderly and associated factors in South Korea", Aging Ment Health, 17, pp.109~114 (2013)
- Dolan P, "How can measures of subjective well-being Be used to inform public policy?", Perspect Psychol Sci, 2, pp.71~85 (2007)
- 서은국, "단축형 행복 척도(COMOSWB) 개발 및 타당화", 한국심리학회지: 사회및성격, 25(1), pp.95~113 (2011), 한국사회및성격심리학회
- Strack FE, "Subjective well-being: an interdisciplinary perspective" (1991), Pergamon Press
- Tae Hui Kim, "Korean Version of Mini Mental Status Examination for Dementia Screening and Its Short Form", PSYCHIATRY INVESTIGATION, 7(2), pp.102~108 (2010), 대한신경정신의학회
- Folstein MF, ""Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician", J Psychiatr Res, 12, pp.189~198 (1975)
- Cho MJ, "Validation of Geriatric Depression Scale, Korean Version (GDS)in the assessment of DSM-III-R major depression.", J Korean Neuropsychiatr Assoc, 38, pp.48~63 (1999)
- Yesavage JA, "Development and validation of a geriatric depression screening scale : a preliminary report", J Psychiatr Res, 17, pp.37~49 (1982)
- Lee Y, "Correlates of cognitive impairment and depressive symptoms among older adults in Korea and Japan", Int J Geriatr Psychiatry, 20, pp.576~586 (2005)
- Netuveli G, "Quality of life in older ages", Br Med Bull, 85, pp.113~126 (2008)
- Berg AI, "What matters for life satisfaction in the oldest-old?", Aging Ment Health, 10, pp.257~264 (2006)
- Cooper C, "Cognitive impairment and happiness in old people in low and middle income countries : results from the 10", 66 study, 2011, pp.130, 198~204
- Imai H, "Depression and subjective economy among elderly people in Asian communities: Japan, Taiwan, and Korea", Arch Gerontol Geriatr, 60, pp.322~327 (2015)
- Ng W, "What matters to the rich and the poor? Subjective well-being, financial satisfaction, and postmaterialist needs across the world", J Pers Soc Psychol, 107, pp.326~338 (2014)
- Layard R. Economics, "Measuring subjective well-being", Science, 327, pp.534~535 (2010)
- Statistics on the aged, "Korea S.", Korea National Statistical Office, ~ (2012)
- Alexopoulos GS, "Interventions for depressed elderly primary care patients", Int J Geriatr Psychiatry, 16, pp.553~559 (2001)
- Charles ST, "Strength and vulnerability integration : a model of emotional well-being across adulthood", Psychol Bull, 136, pp.1068~1091 (2010)
- A comparative study of the national welfare index in the OECD countries, "Kim YH", Korea Institute for Health and Social Affairs, ~ (2011)
- Brown PJ, "Age and anxiety and depressive symptoms: the effect on domains of quality of life", Int J Geriatr Psychiatry, 26, pp.1260~1266 (2011)
- Bonsignore M, "Validity of the five-item WHO Well-Being Index (WHO-5) in an elderly population", Eur Arch Psychiatry Clin Neurosci, 251(Suppl 2), pp.II27~II31 (2001)
