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Coping and depression in community d...

The University of Utah.

Coping and depression in community dwelling elders.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Coping and depression in community dwelling elders./
Author:	Wilby, Frances Eleanor.
Description:	163 p.
Notes:	Source: Dissertation Abstracts International, Volume: 69-02, Section: A, page: 0757.
Contained By:	Dissertation Abstracts International69-02A.
Subject:	Health Sciences, Mental Health. -
Online resource:	Download PDF (下載PDF全文)
ISBN:	9780549481607

Coping and depression in community dwelling elders.
Wilby, Frances Eleanor.

Coping and depression in community dwelling elders. - 163 p.

Source: Dissertation Abstracts International, Volume: 69-02, Section: A, page: 0757.

Thesis (Ph.D.)--The University of Utah, 2008.

This study examined the frequency of depression in a random sample of 100 community dwelling individuals aged 65 and over living in Salt Lake County, Utah. The study examined the coping strategies employed by these individuals and the perceived coping effectiveness of their approaches. The study was a mixed method study employing quantitative measures and a qualitative interview. Interviews were conducted in the respondents' homes by the principal investigator and MS W graduate students from the College of Social Work.

ISBN: 9780549481607Subjects--Topical Terms:

1000006199
Health Sciences, Mental Health.

Coping and depression in community dwelling elders.
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245 1 0 $a Coping and depression in community dwelling elders.
300 $a 163 p.
500 $a Source: Dissertation Abstracts International, Volume: 69-02, Section: A, page: 0757.
502 $a Thesis (Ph.D.)--The University of Utah, 2008.
520 $a This study examined the frequency of depression in a random sample of 100 community dwelling individuals aged 65 and over living in Salt Lake County, Utah. The study examined the coping strategies employed by these individuals and the perceived coping effectiveness of their approaches. The study was a mixed method study employing quantitative measures and a qualitative interview. Interviews were conducted in the respondents' homes by the principal investigator and MS W graduate students from the College of Social Work.
520 $a Measures included the Mini Mental State Exam, The Center for Epidemiological Studies-Depression Scale, The Medical Outcomes Short Form Health Survey, a coping inventory and effectiveness survey, The Ways of Coping Questionnaire, and a qualitative interview. Demographic data included gender, marital status, income, religious affiliation, and education level.
520 $a The frequency of depression in the sample was 27.5 % indicating that depression is a serious concern in this population. Descriptive and multivariate analyses indicated that coping strategies were related to depressive symptomology. The depressed group used more emotion oriented coping strategies than the nondepressed group. The nondepressed group used more problem solving strategies and fewer emotion oriented strategies. Although the statistical significance between the two groups was limited with regard to perceived coping effectiveness, the depressed group consistently ranked themselves as less effective in dealing with depressive symptoms. Coping effectiveness did moderate the relationship between depression and functioning for men but not for women or for the group overall. Thus men who rated themselves more effective also had less depression after controlling for functional ability.
520 $a Analysis of the qualitative interviews showed that the respondents for the most part did not seek treatment for a variety of reasons including denial and minimization of symptoms, dissatisfaction with providers, ageism, faith, attributional style, privacy and personal efficacy. The majority of the sample had never attempted to access professional mental health treatment. The findings of this study have implications for social work policy, practice, education and research. Among these implications is the need to develop more appropriate mental health policies that provide reimbursement for mental health service delivery in the home and other innovative delivery systems.
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