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Original Article

Mutual Reciprocal Relationship between Ego Integrity and Depression in Elderly: Multi-dimensional Influencing Factors

Hye Sun Jeong1, Hyun Soo Oh2
Korean Journal of Adult Nursing 2015;27(3):262-272.
Published online: June 30, 2015

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Corresponding author: Oh, Hyun Soo. Department of Nursing, Inha University, 253 Yonghyun-dong, Incheon 402-751, Korea. Tel: +82-32-860-8206, Fax: +82-32-860-5880, hsoh@inha.ac.kr
• Received: February 3, 2015   • Revised: May 18, 2015   • Accepted: May 22, 2015

© 2015 Korean Society of Adult Nursing

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  • Purpose
    This study was conducted to examine the mutual reciprocal relationship between elders' ego integrity and depression including physical and psycho-social predictors of both variables. The study also investigated the significant predictors of elders' ego integrity and depression.
  • Methods
    Data were collected using a structured questionnaire from 137 elders.
  • Results
    Perceived health status, self-esteem, family interaction, and depression were significant predictors of ego integrity, whereas pain, self-esteem, and ego integrity were significant factors of depression. The results also showed that ego integrity and depression had reciprocal relationship with each other.
  • Conclusion
    Psycho-social factors might be more important to improve ego integrity and to alleviate depression in elderly subjects than physical factors.
  • Key Words: Aged; Ego; Depression
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  • 2. Erickson EH. Childhood and society. New York: Norton; 2000. p. 268-269.
  • 3. Kim HR. Quality of life and it's correlates among older adults in one urban community in Korea: mediating effects of ego integrity. J Korean Gerontol Soc. 2012;32(1):223-236.
  • 4. Hwang YY. A study on the relationship between depression,self-esteem and ego-integrity among the aged women in an area. J Korean Data Anal Soc. 2009;11(4):1843-1854.
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  • 6. Kim SY, Kim MY. The relationship among pain, depression and ego integrity in day care center elderly people with chronic pain. J Korean Gerontol Nurs. 2003;5(1):50-60.
  • 7. Chang SO, Kong ES, Kim NC, Kim CG, Kim HK, Song MS, et al. A study of major variables predicting ego-integrity and depression in Korean elders. J Korean Gerontol Nurs. 2010;12(3):225-236.
  • 8. Chang HK, Oh WO. Factors influencing ego-integrity in community dwelling elders. J Korean Acad Fundam Nurs. 2011;18(4):529-537.
  • 9. Kim DH, An JS. The relationship among wisdom, family relationship, generativity, and ego-integrity of Korean elderly. J Korean Gerontol Soc. 2013;33(2):381-395.
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Figure 1

Study model of ego-integrity and depression for elderly.

kjan-27-262-g001.jpg
Table 1

Demographic and Disease-related Characteristics of the Participants (N=137)

kjan-27-262-i001.jpg
Table 2

Self Esteem, Family Interaction, Depression and Ego-Integrity, K-ADL and Perceived Health Status of the Participants (N=137)

kjan-27-262-i002.jpg

K-ADL=Korean activities of daily living.

Table 3

Goodness and Fit Indices of the Model

kjan-27-262-i003.jpg

RMSEA=root mean square error of approximation; NFI=normed fit index; NNFI=non-normed fit index; NNFI=non-normed fit index; GFI=goodness of fit index; AGFI=adjusted GFI; CN=critical N.

Table 4

Parameters Estimates of the Hypothetical Model of Influencing and Mediating Factors of Ego-integrity and Depression of Elderly Individuals

kjan-27-262-i004.jpg

SMC=Squared multiple correlation; †T≥1.64, p≤.05; ‡T≥1.96, p≤.01.

Figure & Data

References

    Citations

    Citations to this article as recorded by  
    • Impact of Frailty, Depression, and Loneliness on Ego-Integrity in Community-Dwelling Elderly
      Seon Ju Song, Sung Hee Ko, Ji Young Kim, Hyun Kyung Kim
      STRESS.2022; 30(3): 139.     CrossRef
    • The Influences of Loss Experiences and Depression on Ego-integrity and Transcendence of Elderly Korean Men and Women
      Jeong-Shin An, Gyu-Ri Park
      The Korean Journal of Community Living Science.2016; 27(3): 405.     CrossRef

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    Mutual Reciprocal Relationship between Ego Integrity and Depression in Elderly: Multi-dimensional Influencing Factors
    Korean J Adult Nurs. 2015;27(3):262-272.   Published online June 30, 2015
    DOI: https://doi.org/10.7475/kjan.2015.27.3.262
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    Mutual Reciprocal Relationship between Ego Integrity and Depression in Elderly: Multi-dimensional Influencing Factors
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    DOI: https://doi.org/10.7475/kjan.2015.27.3.262
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    Mutual Reciprocal Relationship between Ego Integrity and Depression in Elderly: Multi-dimensional Influencing Factors
    Image
    Figure 1 Study model of ego-integrity and depression for elderly.

    Figure 1

    Mutual Reciprocal Relationship between Ego Integrity and Depression in Elderly: Multi-dimensional Influencing Factors

    Demographic and Disease-related Characteristics of the Participants (N=137)

    Self Esteem, Family Interaction, Depression and Ego-Integrity, K-ADL and Perceived Health Status of the Participants (N=137)

    K-ADL=Korean activities of daily living.

    Goodness and Fit Indices of the Model

    RMSEA=root mean square error of approximation; NFI=normed fit index; NNFI=non-normed fit index; NNFI=non-normed fit index; GFI=goodness of fit index; AGFI=adjusted GFI; CN=critical N.

    Parameters Estimates of the Hypothetical Model of Influencing and Mediating Factors of Ego-integrity and Depression of Elderly Individuals

    SMC=Squared multiple correlation; †T≥1.64, p≤.05; ‡T≥1.96, p≤.01.
    Table 1 Demographic and Disease-related Characteristics of the Participants (N=137)

    Table 2 Self Esteem, Family Interaction, Depression and Ego-Integrity, K-ADL and Perceived Health Status of the Participants (N=137)

    K-ADL=Korean activities of daily living.

    Table 3 Goodness and Fit Indices of the Model

    RMSEA=root mean square error of approximation; NFI=normed fit index; NNFI=non-normed fit index; NNFI=non-normed fit index; GFI=goodness of fit index; AGFI=adjusted GFI; CN=critical N.

    Table 4 Parameters Estimates of the Hypothetical Model of Influencing and Mediating Factors of Ego-integrity and Depression of Elderly Individuals

    SMC=Squared multiple correlation; †T≥1.64, p≤.05; ‡T≥1.96, p≤.01.

    Table 1

    Table 2

    Table 3

    Table 4

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