Skip to main content
Published Online:https://doi.org/10.3928/02793695-20200817-02

Abstract

Depression is a significant mental health problem in older adults. There is a decrease in self-care agency and an increase in the prevalence of depression with aging. The current study was conducted to determine the relationship between self-care agency and depression in Turkish older adults aged ≥65 years (N = 473) and the influencing factors. Data were collected using a demographics questionnaire, the Self-Care Agency Scale, and the Geriatric Depression Scale. Self-care agency was related to age, marital status, level of education, economic status, and persons lived with, and depression was related to gender, marital status, level of education, economic status, chronic disease, and persons lived with. A negative correlation was found between the scales. As the score of self-care agency increased, depression decreased. [Journal of Psychosocial Nursing and Mental Health Services, 58(10), 39–47.]

  • Aba N., Tel H. (2012). Depression and self-care agency among diabetes mellitus patients [article in Turkish]. Cumhuriyet Nursing Journal, 1(1), 18–23 https://pdfs.semanticscholar.org/f552/868f771caa3b932028ebec272cb5df55ce79.pdf

    Google Scholar
  • Alpass F. M., Neville S. (2003). Loneliness, health and depression in older males. Aging & Mental Health, 7(3), 212–21610.1080/1360786031000101193 PMID:12775403

    Crossref MedlineGoogle Scholar
  • Altay B., Avci I. A. (2009). The relation between the self care strength and life satisfaction of the elderly living in nursing home. Dicle Medical Journal, 36(4), 275–282 https://www.ingentaconnect.com/content/doaj/13002945/2009/00000036/00000004/art00007;jsessionid=3l194d9o0dp94.x-ic-live-03

    Google Scholar
  • Altiok M., Yilmaz M., Onal P., Akturk F., Temel G. O. (2012). Relationship between activities of daily living, sleep and depression among the aged living at home. Pakistan Journal of Medical Sciences, 28(1), 162–166 https://www.pjms.com.pk/index.php/pjms/article/view/1465

    Google Scholar
  • Argyropoulos K., Bartsokas C., Argyropoulou A., Gourzis P., Jelastopulu E. (2015). Depressive symptoms in late life in urban and semi-urban areas of South-West Greece: An undetected disorder?Indian Journal of Psychiatry, 57(3), 295–30010.4103/0019-5545.166617 PMID:26600585

    Crossref MedlineGoogle Scholar
  • Babatsikou F., Konsolaki E., Kouri M., Zyga S., Koutis C. (2017). Depression in the elderly: A descriptive study of urban and semi-urban Greek population. International Journal of Caring Sciences, 10(3), 1286–1295 https://www.internationaljournalofcaringsciences.org/docs/19_babatsikou_original_10_3.pdf

    Google Scholar
  • Bakar N., Asilar R. H. (2015). Factors affecting depression and quality of life in the elderly. Journal of Gerontology & Geriatric Research, 4(5), 2–810.4172/2167-7182.1000249

    CrossrefGoogle Scholar
  • Bozo O., Toksabay N. E., Kürüm O. (2009). Activities of daily living, depression, and social support among elderly Turkish people. The Journal of Psychology, 143(2), 193–20510.3200/JRLP.143.2.193-206 PMID:19306681

    Crossref MedlineGoogle Scholar
  • Carayanni V., Stylianopoulou C., Koulierakis G., Babatsikou F., Koutis C. (2012). Sex differences in depression among older adults: Are older women more vulnerable than men in social risk factors? The case of open care centers for older people in Greece. European Journal of Ageing, 9(2), 177–18610.1007/s10433-012-0216-x PMID:28804418

    Crossref MedlineGoogle Scholar
  • Chang A. K., Lee E. J. (2015). Factors affecting self-care in elderly patients with hypertension in Korea. International Journal of Nursing Practice, 21(5), 584–59110.1111/ijn.12271 PMID:24954584

    Crossref MedlineGoogle Scholar
  • Civi S., Tanrikulu M. (2000). An epidemiological study to evaluate the level of dependence and physical disability with the prevalence of chronic diseases in the elderly [article in Turkish]. Turkish Journal of Geriatrics, 3, 85–90 http://geriatri.dergisi.org/uploads/pdf/pdf_TJG_40.pdf

    Google Scholar
  • Chalise H. N. (2014). Depression among elderly living in Briddashram (old age home). Advances in Aging Research, 3(1), 6–1110.4236/aar.2014.31002

    CrossrefGoogle Scholar
  • Chu W., Chang S. F., Ho H. Y., Lin H. C. (2019). The relationship between depression and frailty in community-dwelling older people: A systematic review and meta-analysis of 84,351 older adults. Journal of Nursing Scholarship, 51(5), 547–559. 10.1111/jnu.12501 PMID:31328878

    Crossref MedlineGoogle Scholar
  • Çiftçi B., Yildirim N., Sahin Altun Ö., Avsar G. (2015). What level of self-care agency in mental illness? The factors affecting self-care agency and self-care agency in patients with mental illness. Archives of Psychiatric Nursing, 29, 372–37610.1016/j.apnu.2015.06.007 PMID:26577549

    Crossref MedlineGoogle Scholar
  • Elkin N. (2016). Evaluation of life satisfaction and depression prevalence in elderly patients administered to a family health center [article in Turkish]. Mersin University Health Science Journal, 9(1), 9–21 https://dergipark.org.tr/tr/download/article-file/182816

    Google Scholar
  • Erci B., Yilmaz D., Budak F. (2017). Effect of self-care ability and life satisfaction on the levels of hope in elderly people. Journal of Psychiatric Nursing, 8(2), 72–7610.14744/phd.2017.52714

    CrossrefGoogle Scholar
  • Ertan T., Eker E. (2000). Reliability, validity, and factor structure of the geriatric depression scale in Turkish elderly: Are there different factor structures for different cultures?International Psychogeriatrics, 12(2), 16310.1017/s1041610200006293 PMID: 10937537

    Crossref MedlineGoogle Scholar
  • Fadiloglu C. (2003). Chronic diseases. In , Fasiloglu C. (Ed.), Aegean days of internal medicine in chronic disease care. Meta Printing Services.

    Google Scholar
  • Forget E. L., Roos L. L., Deber R. B., Walld R. (2008). Variations in lifetime healthcare costs across a population. Healthcare Policy, 4(1), e148–e167 PMID:19377335

    MedlineGoogle Scholar
  • Ganatra H. A., Zafar S. N., Qidwai W., Rozi S. (2008). Prevalence and predictors of depression among an elderly population of Pakistan. Aging & Mental Health, 12(3), 349–35610.1080/13607860802121068 PMID:18728948

    Crossref MedlineGoogle Scholar
  • Gumus A. B., Engin E., Ozgur G. (2009). Evaluation of sleep pattern characteristics of the elderly without a cognitive disorder living in a nursing home. Turkish Journal of Geriatrics, 12(3), 138–146 http://geriatri.dergisi.org/uploads/pdf/pdf_TJG_432.pdf

    Google Scholar
  • Hosseinzadeh M., Mahdavi N., Valizadeh S., Fooladi M. M., Rahmani F., Ghanouni F., Aghajari P. (2019). Self-care behavior and self-care agency in lowering salt consumption in hypertensive older patients based on Orem's self-care theory. Social Health and Behavior, 2(3), 89–9510.4103/SHB.SHB_7_19

    CrossrefGoogle Scholar
  • Jiang J., Tang Z., Meng X. J., Futatsuka M. (2002). Demographic determinants for change in activities of daily living: A cohort study of the elderly people in Beijing. Journal of Epidemiology, 12, 280–28610.2188/jea.12.280 PMID:12164333

    Crossref MedlineGoogle Scholar
  • Jones L. C., Clay O. J., Ovalle F., Cherrington A., Crowe M. (2016). Correlates of depressive symptoms in older adults with diabetes. Journal of Diabetes Research, 2016, 1–810.1155/2016/8702730 PMID:26682235

    Crossref MedlineGoogle Scholar
  • Jylhä M. (2004). Old age and loneliness: Cross-sectional and longitudinal analyses in the Tampere Longitudinal Study on Aging. Canadian Journal on Aging, 23(2), 157–16810.1353/cja.2004.0023 PMID:15334815

    Crossref MedlineGoogle Scholar
  • Karagozoglu S., Arikan A., Eraydin S. (2012). The fatigue and self-care agency levels of the elderly people staying in rest homes and the relation between these two conditions. Archives of Gerontology and Geriatrics, 54(3), e322–e32810.1016/j.archger.2012.02.009 PMID:22417402

    Crossref MedlineGoogle Scholar
  • Karakurt P., Kasimoglu N., Bahçeli A., Atalikoglu Baskan S., Agdemir B. (2017). The effect of activities of daily living on the self-care agency of patients in a cardiovascular surgery clinic. Journal of Vascular Nursing, 35(2), 78–8510.1016/j.jvn.2016.10.004 PMID:28527731

    Crossref MedlineGoogle Scholar
  • Kearney B. Y., Fleischer B. J. (1979). Development of an instrument to measure exercise of self-care agency. Research in Nursing & Health, 2(1), 25–3410.1002/nur.4770020105 PMID:254279

    Crossref MedlineGoogle Scholar
  • Keskinoglu P., Piçakçiefe M., Giray H., Bilgiç N., Uçku R., Tunca Z. (2006). Depressive signs and risk factors in the elderly [article in Turkish]. Genel Tip Dergisi, 16(1), 21–26 http://www.geneltip.org/upload/sayi/47/GTD-00348.pdf

    Google Scholar
  • Kleisiaris C., Maniou M., Papathanasiou L., Sfiniadaki A., Collaku E., Koutsoumpa C., Sarafis P. (2013). The prevalence of depressive symptoms in an elderly population and their relation to life situations in home care. Health Science Journal, 7(4), 417–423.

    Google Scholar
  • Koç Z. (2015). The investigation of factors that influence self-care agency and daily life activities among the elderly in the northern region of Turkey. Collegian (Royal College of Nursing, Australia), 22(3), 251–25810.1016/j.colegn.2014.01.002 PMID:26552195

    Crossref MedlineGoogle Scholar
  • Kocatas S., Güler G., Güler N. (2004). Depression widespread in 60 years old and elder adults [article in Turkish]. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 7(1), 11–18 https://dergipark.org.tr/tr/download/article-file/29213

    Google Scholar
  • Lee Y. H., Salman A. (2018). The mediating effect of spiritual well-being on depressive symptoms and health-related quality of life among elders. Archives of Psychiatric Nursing, 32(3), 418–42410.1016/j.apnu.2017.12.008 PMID:29784224

    Crossref MedlineGoogle Scholar
  • Nahcivan N. O. (2004). A Turkish language equivalence of the exercise of self-care agency scale. Western Journal of Nursing Research, 26(7), 813–82410.1177/0193945904267599 PMID:15466617

    Crossref MedlineGoogle Scholar
  • Orem D. E. (2001). Self-care deficit theory of nursing: Concepts and applications. Mosby-Year Book, Inc.

    Google Scholar
  • Parissopoulos S., Kotzabassaki S. (2004). Orem's self-care theory, transactional analysis and the management of elderly rehabilitation. ICUs & Nursing Web Journal, (17), 1–11.

    Google Scholar
  • Patra P., Alikari V., Fradelos E. C., Sachlas A., Kourakos M., Gil A. P. R., Babatsikou F., Zyga S. (2017). Assessment of depression in elderly. Is perceived social support related? A nursing home study: Depression and social support in elderly. Advances in Experimental Medicine and Biology, 987, 139–15010.1007/978-3-319-57379-3_13

    Crossref MedlineGoogle Scholar
  • Rantanen T., Penninx B. W. J. H., Masaki K., Lintunen T., Foley D., Guralnik J. M. (2000). Depressed mood and body mass index as predictors of muscle strength decline in old men. Journal of the American Geriatrics Society, 48(6), 613–61710.1111/j.1532-5415.2000.tb04717.x PMID:10855595

    Crossref MedlineGoogle Scholar
  • Rokach A. (2000). Loneliness and the life cycle. Psychological Reports, 86(2), 629–64210.2466/pr0.2000.86.2.629 PMID:10840922

    Crossref MedlineGoogle Scholar
  • Sagduyu A. (1997). The Geriatric Depression Scale: A reliability and validity study in comparison with Hamilton Rating Scale for Depression [article in Turkish]. Journal of Turkish Psychiatry, 8(1), 3–8.

    Google Scholar
  • Sendra-Gutiérrez J. M., Asensio-Moreno I., Vargas-Aragón M. L. (2017). Characteristics and factors associated with depression in the elderly in Spain from a gender perspective. Actas Españolas de Psiquiatría, 45(5), 185–200 PMID:29044444

    MedlineGoogle Scholar
  • Sertel M., Simsek T. T., Yümin E. T. (2016). Investigation of the relationship between cognitive status, depression level, and balance in elderly [article in Turkish]. Journal of Exercise Therapy and Rehabilitation, 3, 90–95 https://dergipark.org.tr/tr/download/article-file/609831

    Google Scholar
  • Substance Abuse and Mental Health Services Administration. (2011). Treatment of depression in older adults evidence-based practices (EBP) kit. https://store.samhsa.gov/product/Treatment-Depression-Older-Adults-Evidence-Based-Practices-EBP-Kit/SMA11-4631

    Google Scholar
  • Sundsli K., Söderhamn U., Espnes G. A., Söderhamn O. (2012). Ability for self-care in urban living older people in southern Norway. Journal of Multidisciplinary Healthcare, 5, 85–9510.2147/JMDH.S29388 PMID:22536079

    Crossref MedlineGoogle Scholar
  • Tanimura C., Matsumoto H., Yoshimura J., Tokushima Y., Yamamoto Y., Fujihara Y., Miyoshi M., Hagino H. (2019). A path model analysis of the causal relationship between self-care agency and healthy behavior in community-dwelling older people from the GAINA study. Yonago Acta Medica, 62, 137–14510.33160/yam.2019.03.019 PMID:30962756

    Crossref MedlineGoogle Scholar
  • Turkey Statistical Institute. (2012). Turkey statistical institute. http://istmat.info/files/uploads/47795/turkey_in_statistics_2014.pdf

    Google Scholar
  • Ünal G., Bilge A. (2005). The evaluation of the loneliness, depression and cognitive function in older age group. Turkish Journal of Geriatrics, 8(2), 89–93 http://geriatri.dergisi.org/uploads/pdf/pdf_TJG_260.pdf

    Google Scholar
  • United Nations. (2011). World population prospects: The 2010 revision. http://www.un.org/en/development/desa/population/publications/pdf/trends/WPP2010/WPP2010_Volume-I_Comprehensive-Tables.pdf

    CrossrefGoogle Scholar
  • Unsar S., Dindar I., Kurt S. (2015). Activities of daily living, quality of life, social support and depression levels of elderly individuals in Turkish society. The Journal of the Pakistan Medical Association, 65(6), 642–646 PMID:26060163

    MedlineGoogle Scholar
  • Unsar S., Sut N. (2010). Depression and health status in elderly hospitalized patients with chronic illness. Archives of Gerontology and Geriatrics, 50(1), 6–1010.1016/j.archger.2008.12.011 PMID:19203803

    Crossref MedlineGoogle Scholar
  • Velioglu P. (1999).Concepts and theories in nursing. Alaş Ofset.

    Google Scholar
  • World Health Organization. (2011) Global health and aging. http://www.who.int/ageing/publications/global_health.pdf

    Google Scholar
  • World Health Organization. (2020). Depression. https://www.who.int/news-room/fact-sheets/detail/depression

    Google Scholar
  • Yasar M. (2007). Feminine gender depression [article in Turkish]. Firat University Journal of Social Science, 17(2), 251254279282 http://web.firat.edu.tr/sosyalbil/dergi/arsiv/cilt17/sayi2/251-282.pdf

    Google Scholar
  • Yeom H. A., Fleury J., Keller C. (2008). Risk factors for mobility limitation in community-dwelling older adults: A social ecological perspective. Geriatric Nursing, 29(2), 133–14010.1016/j.gerinurse.2007.07.002 PMID:18394514

    Crossref MedlineGoogle Scholar
  • Yesavage J. A., Brink T. L., Rose T. L., Lum O., Huang V., Adey M., Leirer V. O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37–4910.1016/0022-3956(82)90033-4 PMID:7183759

    Crossref MedlineGoogle Scholar
  • Yildirim A., Asilar R. H., Bakar N., Demir N. (2013). Effect of anxiety and depression on self-care agency and quality of life in hospitalized patients with chronic obstructive pulmonary disease: A questionnaire survey. International Journal of Nursing Practice, 19, 14–2210.1111/ijn.12031 PMID:23432884

    Crossref MedlineGoogle Scholar

We use cookies on this site to enhance your user experience. For a complete overview of all the cookies used, please see our privacy policy.

×