• KSAN
  • Contact us
  • E-Submission

Korean J Adult Nurs : Korean Journal of Adult Nursing

OPEN ACCESS
mobile search button mobile menu button
Search
Advanced Search
ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS

Articles

Page Path

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

1Department of Nursing, Kongju National University, Gongju, Korea.

2Department of Nursing, Inha University, Incheon, Korea.

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

  • 23 Views
  • 1 Download
  • 2 Crossref
  • 1 Scopus
prev next

Full Article

Download PDF Download PDF
  • 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
  • 1. Statistics Korea. e-National indicator: estimated future population 2010-2060[Internet] Daejeon: Statistics Korea; 2011;cited 2011 December 7. Available from: http://www.kostat.go.kr/portal/korea/kor_nw/2/1/index. board?bmode=read&aSeq=252623.
  • 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.
  • 5. Chang HK, Oh WO. Factors influencing ego-integrity in community dwelling elders. J Korean Acad Fundam Nurs. 2011;18(4):529-537.
  • 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.
  • 10. Hur JS. Determinants of social participation activities among the elderly persons. J Welf Aged. 2014;64:235-263.
  • 11. Chang HK, Sohn JN, Cha BK. Influencing factors on ego-integrity of the aged. J Korean Acad Psychiatr Ment Health Nurs. 2014;13(1):64-71.
  • 12. Chu SK, Choi HJ, Yoo JH. A study on the relationship between depression and cognition in the community female aged. J East West Nurs Res. 2010;16(2):131-137.
  • 13. Pak KE, Kwon MH, Kwon YE. Correlation among depression, death anxiety, and quality of life of aged women. J Korean Public Health Nurs. 2013;27(3):527-538.
  • 14. Lee ER, Kang JH, Jung JP. Factors influencing the depression of aged people. Int J Contents. 2013;13(7):290-300.
  • 15. Hur JS, Yoo SH. Determinants of depression among elderly persons. Ment Health Soc Work. 2002;13(6):7-35.
  • 16. 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.
  • 17. Kim SO, Park MH, Kim YJ. A study on the relationship between the stress, depression and self-integrity of the rural elderly women. Journal of Korean Gerontological Nursing. 2006;8(2):180-188.
  • 18. Kim GS. Analysis structural equation modeling: amos 5. 3rd ed. Seoul: SPSS Academy; 2005. p. 111-121.
  • 19. McCaffery M, Pasero C. Pain: clinical manual. 2nd ed. St. Louis: Mosby; 1999. p. 62-73.
  • 20. Hjermstad MJ, Fayers PM, Haugen DF, Caraceni A, Hanks GW, Loge JH, et al. Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage. 2011;41(6):1073-1093.
  • 21. Won CW, Rho YG, Kim SY, Cho BR. The validity and reliability of Korean Activities of Daily Living(K-ADL) scale. J Korean Geriatr Soc. 2002;6(2):98-106.
  • 22. Jon BJ. Self-esteem: a test of its measurability. Yonsei Nonchong. 1974;1:107-130.
  • 23. Kim YS, SunWoo S, Kim BS, Park HK, Ok SW, Cha DH. Reliability and validity of family communication scale in the FACES IV package: Korean version. J Korean Fam Relat Assoc. 2012;17(1):241-258.
  • 24. Kee BS. A preliminary study for the standardization of geriatric depression scale short form-Korea version. J Korean Neuropsychiatr Assoc. 1996;35(3):298-307.
  • 25. Chang SO, Kong ES, Kim KB, Kim NC, Kim JH, Kim CG, et al. Development of a scale to measure Korean ego-integrity in older adults. J Korean Acad Nurs. 2007;37(3):334-342.
  • 26. Seo HR, Jung YK, Kim HN. The effects of physical diseases on elderly depression and moderate effects of the self-care performance. J Welf Aged. 2013;61:57-84.
  • 27. Choi HJ, Yoo JH. The effect of depression and self-efficacy on health promotion behavior among the elderly living alone in rural area. J East West Nurs Res. 2012;17(2):149-155.
  • 28. Kang HW, Park KM. Comparison of correlates of depression in late-life between urban and rural areas. J Korean Gerontol Soc. 2012;32(1):129-143.
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

    Download Citation

    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

    Format:

    Include:

    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
    Download Citation
    Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
    Format:
    • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
    • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
    Include:
    • Citation for the content below
    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
    Close

    Figure

    • 0
    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

    TOP