A Cultural Psychosocial Model for Depression in Elder Care Institutions: The Roles of Socially Supportive Activity and Self-Transcendence

Persistent Link:
http://hdl.handle.net/10150/196102
Title:
A Cultural Psychosocial Model for Depression in Elder Care Institutions: The Roles of Socially Supportive Activity and Self-Transcendence
Author:
Hsu, Ya-Chuan
Issue Date:
2009
Publisher:
The University of Arizona.
Rights:
Copyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.
Abstract:
This study (1) developed and tested the Socially Supportive Activity Inventory (SSAI) to assess the quantity and quality of socially supportive activities that institutionalized elders receive, and (2) tested the predicted relationships among the variables proposed in the hypothesized causal model, socially supportive activities, self-transcendence, and depression in institutionalized elders. For pilot testing psychometric properties of the SSAI, the content validity was 0.96. Test-retest reliability from a sample of 10 participants yielded stability coefficients of 0.76-1.00, indicating the SSAI is a highly relevant and reliable culturally-based instrument. In the main study, a total of 196 participants were recruited from eight elder care institutions. The results showed an elder's expectation of filial responsibility did not have a moderating effect on the willingness to be/remain institutionalized and on perceived stress. An elder's acceptance of institutionalization was significantly related to perceived stress and indirectly affected depression. The mediator effect of self-transcendence on the relationship between perceived stress and depression was supported. The participation of elderly residents in socially supportive activities demonstrated a moderating effect on the strength of a negative relationship between perceived stress and self-transcendence. In the modified model, an elder's willingness to remain institutionalized, perceived stress, and self-transcendence were significant predictors of depression, accounting for 54.7% of variance. Self-transcendence was the best predictor of depression. These findings contribute to an awareness of importance of culture factors as potential stressors. These findings also help to explain how the psychosocial mechanism of participation in socially supportive activities and the perception of self-transcendence act on depressed elders.
Type:
text; Electronic Dissertation
Keywords:
acceptance of institutionalization; Depression; filial piety; institutionalized elders; self-transcendence; social activity
Degree Name:
Ph.D.
Degree Level:
doctoral
Degree Program:
Nursing; Graduate College
Degree Grantor:
University of Arizona
Advisor:
Badger, Terry A
Committee Chair:
Badger, Terry A

Full metadata record

DC FieldValue Language
dc.language.isoENen_US
dc.titleA Cultural Psychosocial Model for Depression in Elder Care Institutions: The Roles of Socially Supportive Activity and Self-Transcendenceen_US
dc.creatorHsu, Ya-Chuanen_US
dc.contributor.authorHsu, Ya-Chuanen_US
dc.date.issued2009en_US
dc.publisherThe University of Arizona.en_US
dc.rightsCopyright © is held by the author. Digital access to this material is made possible by the University Libraries, University of Arizona. Further transmission, reproduction or presentation (such as public display or performance) of protected items is prohibited except with permission of the author.en_US
dc.description.abstractThis study (1) developed and tested the Socially Supportive Activity Inventory (SSAI) to assess the quantity and quality of socially supportive activities that institutionalized elders receive, and (2) tested the predicted relationships among the variables proposed in the hypothesized causal model, socially supportive activities, self-transcendence, and depression in institutionalized elders. For pilot testing psychometric properties of the SSAI, the content validity was 0.96. Test-retest reliability from a sample of 10 participants yielded stability coefficients of 0.76-1.00, indicating the SSAI is a highly relevant and reliable culturally-based instrument. In the main study, a total of 196 participants were recruited from eight elder care institutions. The results showed an elder's expectation of filial responsibility did not have a moderating effect on the willingness to be/remain institutionalized and on perceived stress. An elder's acceptance of institutionalization was significantly related to perceived stress and indirectly affected depression. The mediator effect of self-transcendence on the relationship between perceived stress and depression was supported. The participation of elderly residents in socially supportive activities demonstrated a moderating effect on the strength of a negative relationship between perceived stress and self-transcendence. In the modified model, an elder's willingness to remain institutionalized, perceived stress, and self-transcendence were significant predictors of depression, accounting for 54.7% of variance. Self-transcendence was the best predictor of depression. These findings contribute to an awareness of importance of culture factors as potential stressors. These findings also help to explain how the psychosocial mechanism of participation in socially supportive activities and the perception of self-transcendence act on depressed elders.en_US
dc.typetexten_US
dc.typeElectronic Dissertationen_US
dc.subjectacceptance of institutionalizationen_US
dc.subjectDepressionen_US
dc.subjectfilial pietyen_US
dc.subjectinstitutionalized eldersen_US
dc.subjectself-transcendenceen_US
dc.subjectsocial activityen_US
thesis.degree.namePh.D.en_US
thesis.degree.leveldoctoralen_US
thesis.degree.disciplineNursingen_US
thesis.degree.disciplineGraduate Collegeen_US
thesis.degree.grantorUniversity of Arizonaen_US
dc.contributor.advisorBadger, Terry Aen_US
dc.contributor.chairBadger, Terry Aen_US
dc.contributor.committeememberReed, Pamela Gen_US
dc.contributor.committeememberJones, Elaineen_US
dc.identifier.proquest10342en_US
dc.identifier.oclc659751950en_US
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