바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

메뉴

On the moderating and mediating effects of ego-integrity and resilience in the relationship between daily stress and depression in the elderly

Abstract

The current study aimed to show the moderating and mediating effects of ego-integrity and resilience in the relationship between daily stress and depression in the elderly. A total of 94 adults between the ages of 65 and 79 years participated in this study. The results show that daily stress had a direct effect on depression and was also partially mediated by ego-integrity. In addition, the mediating effect of ego-integrity was moderated by resilience. This indicates that resilience acts as a protective factor buffering the negative impacts of stress and low ego-integrity and decreasing the risk of depression among seniors. Active interventions to enhance resilience and ego-integrity and to reduce the severity of daily stress are needed for successful aging in later adulthood.

keywords
Submission Date
2019-07-15
Revised Date
2019-11-05
Accepted Date
2019-12-06

Reference

1.

김수옥, 박미화, 김유정 (2006). 농촌 여성노인의 스트레스, 우울 및 자아통합감에 관한 연구. 노인간호학회지, 8(2), 180-188.

2.

김기태, 박미진 (2005). 여성 노인의 부정적인 생활스트레스와 탄력성과의 관계: 사회적 지지의 중재효과와 매개효과. 노인복지연구, 29, 71-90.

3.

김기태, 최송식, 박미진 (2007). 노인의 심리사회적자원과 스트레스 및 우울과의 관계. 노인복지연구, 36, 91-111.

4.

김승연, 고선규, 권정혜 (2007). 노인 집단에서 배우자의 사별 스트레스와 우울의 관계. Korean Journal of Clinical Psychology, 26(3), 573-596.

5.

김신열, 김순규, 서효정 (2011). 배우자 사별노인의 우울과 적응유연성. 보건사회연구, 31(3), 165-196.

6.

박종원, 김숙희 (2015). 배우자 사별 여성노인의 회복탄력성에 영향을 미치는 요인. 한국케어매니지먼트연구, 16, 1-32.

7.

손정남. (2013). 지역사회 거주 노인의 우울증상에 영향하는 요인. 정신간호학회지, 22(2), 107-116.

8.

손덕순 (2005). 노인의 심리적 안녕감에 영향을 미치는 요인에 관한 연구. 한국노년학, 25(4), 205-217.

9.

이신숙, 이경주 (2002). 노인의 일상적 스트레스, 사회적 지지, 심리적 적응에 관한 연구. 한국노년학, 22, 1-20.

10.

이영자, 김태현 (1999). 연구논문/단독가구 노인의 스트레스와 우울감-사회적 지지의 완충효과를 중심으로. 한국노년학, 19(3), 79-93.

11.

이민아 (2014). 사별과 우울에 대한 종단분석: 성차와 배우자와의 관계만족도를 중심으로. 한국인구학, 37(1), 109-130.

12.

윤현숙, 염소림 (2017). 노인의 우울이 자살생각에 미치는 영향에 대한 회복탄력성의 매개효과. 노인복지연구, 72(1), 233-255.

13.

윤현희 (1994). 남녀노인의 스트레스, 대처행동, 심리적 적응감. 숙명여자대학교 대학원 석사학위논문.

14.

임소정 (2013). 재가 뇌졸중 환자의 극복 영향요인. 서울대학교 대학원 석사학위논문.

15.

이경숙, 김병석 (2013). 노인의 자아탄력성과 자아통합감 간의 관계에 미치는 스트레스 대처방식의 매개효과. 상담학연구, 14(5), 2783-2797.

16.

장재진 (2012, 1월 18일). “나이 들수록 불행”…한국인의 뒤틀린 행복. 한국일보. Retrieved from http://www.hankookilbo.com/v/734a84cabb254776987f3be4ce798a64.

17.

정선호, 서동기 (2016). 회귀분석을 이용한 매개된 조절효과와 조절된 매개효과 검증 방법. 한국심리학회지: 일반, 35(1), 257-282.

18.

정미경 (2010). 노년기 적응유연성에 관한 연구:상실경험과 자아통합감을 중심으로. 아주대학교 대학원 박사학위논문.

19.

전영자 (2015). 노인의 스트레스가 우울에 미치는 영향. 한국생활과학회지, 24(2), 219- 236.

20.

정인과, 곽동일, 신동균, 이민수, 이현수, 김진영 (1997). 노인우울척도(Geriatric Depression Scale)의 신뢰도, 타당도 연구. 신경정신의학, 36(1), 103-112.

21.

최현옥 (2014). 관련변인을 중심으로 비교한 자아통합 척도 연구. 한국노년학, 34, 539-553.

22.

최정민 (2010). 노인 스트레스와 자살생각에 관한 연구: 탄력성의 조절효과를 중심으로. 한국사회복지조사연구, 24, 233-252.

23.

홍주연 (2000). 성격과 자아통합감이 노인 회상 기능에 미치는 영향. 이화여자대학교 대학원 박사학위논문.

24.

Alex, L. (2010). Resilience among very old men and women. Journal of Research in Nursing, 15(5), 419-431.

25.

Almeida, D. M. (2005). Resilience and vulnerability to daily stressors assessed via diary methods. Current Directions in Psychological Science, 14(2), 64-68.

26.

Bauer, H., Emeny, R. T., Baumert, J., & Ladwig, K. H. (2016). Resilience moderates the association between chronic pain and depressive symptoms in the elderly. European Journal of Pain, 20(8), 1253-1265.

27.

Erikson, E. H., & Erikson, J. M. (1998). The life cycle completed (extended version). NY: W. W. Norton & Company.

28.

Fergus, S., & Zimmerman, M. A. (2005). Adolescent resilience: A framework for understanding healthy development in the face of risk. Annu Rev Public Health, 26, 399-419.

29.

Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual Review of Clinical Psychology, 5, 363-389.

30.

Folkman, S., & Moskowitz, J. T. (2000). Positive affect and the other side of coping. American Psychologist, 55(6), 647.

31.

Folkman, S. (2013). Stress: appraisal and coping. In Encyclopedia of behavioral medicine (pp. 1913-1915). NY: Springer.

32.

Hayes, A. F., & Matthes, J. (2009). Computational procedures for probing interactions in OLS and logistic regression: SPSS and SAS implementations. Behavior research methods, 41(3), 924-936.

33.

Hearn, S., Saulnier, G., Strayer, J., Glenham, M., Koopman, R., & Marcia, J. E. (2012). Between integrity and despair: Toward construct validation of Erikson’s eighth stage. Journal of Adult Development, 19(1), 1-20.

34.

Heisel, M. J., & Flett, G. L. (2008). Psychological resilience to suicide ideation among older adults. Clinical Gerontologist, 31(4), 51-70.

35.

Homan, K. J. (2016). Self-compassion and psychological well-being in older adults. Journal of Adult Development, 23(2), 111-119.

36.

Kline, R. B. (2015). Principles and practice of structural equation modeling. NY:Guilford publications.

37.

Lazarus, R. S. (1998). Fifty years of the research and theory of RS Lazarus: An analysis of historical and perennial Issues, London: Lawrence Erlbaum.

38.

Lim, M. L., Lim, D., Gwee, X., Nyunt, M. S. Z., Kumar, R., & Ng, T. P. (2015). Resilience, stressful life events, and depressive symptomatology among older Chinese adults. Aging & Mental Health, 19(11), 1005-1014.

39.

MacLeod, S., Musich, S., Hawkins, K., Alsgaard, K., & Wicker, E. R. (2016). The impact of resilience among older adults. Geriatric Nursing, 37(4), 266-272.

40.

Mancini, A. D., & Bonanno, G. A. (2006). Resilience in the face of potential trauma: Clinical practices and illustrations. Journal of Clinical Psychology, 62(8), 971-985.

41.

Melici, B. (2016). Ego integrity and resilience:The human experience across the life span delineated by Erikson's eighth stage of psychosocial development. (Doctoral dissertation), The Chicago School of Professional Psychology.

42.

Merriam, S. (1980). The concept and function of reminiscence: A review of the research. The Gerontologist, 20, 604-609.

43.

Ownby, R. L., Crocco, E., Acevedo, A., John, V., & Loewenstein, D. (2006). Depression and risk for Alzheimer disease:Systematic review, meta-analysis, and metaregression analysis. Archives of General Psychiatry, 63(5), 530-538.

44.

Preacher, K. J., & Hayes, A. F. (2004). SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behavior Research Methods, Instruments, & Computers, 36(4), 717-731.

45.

Preacher, K. J., Rucker, D. D., & Hayes, A. F. (2007). Addressing moderated mediation hypotheses: Theory, methods, and prescriptions. Multivariate Behavioral Research, 42(1), 185-227.

46.

Rylands, K. J., & Rickwood, D. J. (2001). Ego-integrity versus ego-despair: The effect of “accepting the past” on depression in older women. The International Journal of Aging and Human Development, 53(1), 75-89.

47.

Santor, D. A., & Zuroff, D. C. (1994). Depressive symptoms: Effects of negative affectivity and failing to accept the past. Journal of Personality Assessment, 63(2), 294-312.

48.

Sneed, J. R., Whitbourne, S. K., & Culang, M. E. (2006). Trust, identity, and ego integrity: Modeling Erikson’s core stages over 34 years. Journal of Adult Development, 13(3-4), 148-157.

49.

Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: Interdisciplinary perspectives. European Journal of Psychotraumatology, 5(1), 25338.

50.

Svetina, M. (2014). Resilience in the context of Erikson’s theory of human development. Current Psychology, 33(3), 393-404.

51.

Tedeschi, R. G., & Calhoun, L. G. (2004). “Posttraumatic growth: Conceptual foundations and empirical evidence”. Psychological Inquiry, 15(1), 1-18.

52.

Torges, C. M., Stewart, A. J., & Duncan, L. E. (2008). Achieving ego integrity:Personality development in late midlife. Journal of Research in Personality, 42(4), 1004-1019.

53.

Wagnild, G., & Young, H. M. (1990). Resilience among older women. Journal of Nursing Scholarship, 22(4), 252-255.

54.

Wagnild, G. (2003). Resilience and successful aging: Comparison among low and high income older adults. Journal of Gerontological Nursing, 29(12), 42-49.

55.

Westerhof, G. J., Bohlmeijer, E. T., & McAdams, D. P. (2017). The relation of ego integrity and despair to personality traits and mental health. The Journals of Gerontology: Series B, 72(3), 400-407.

56.

Whitehead, B. R., & Bergeman, C. S. (2011). Coping with daily stress: Differential role of spiritual experience on daily positive and negative affect. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 67(4), 456-459.

57.

Wilburn, V. R., & Smith, D. E. (2005). Stress, self-esteem, and suicidal ideation in late adolescents. Adolescence, 40(157), 34-45.

logo