Highlights
- •Depression is more common in the elderly because they are a vulnerable group.
- •In previous studies, factors affecting depression were examined, but aging in place and adaptation difficulty in older adults were not looked at.
- •Aging in place and adaptation difficulty in older adults affect the level of depression. In addition, it was found with the machine learning approach that these factors affect more than demographic characteristics.
Abstract
We conducted this study to determine the correlation between old age adaptation, aging
in place, and depression in older adults. We carried out the descriptive correlational
study with older adults (n:319) Ağrı Provincial Directorate of Health between October
2021 and April 2022. “SPSS 25 and Amos 23 programs” were used in the analysis of the
data. Python 3.11.1, Microsoft Power BI programs were used for machine learning and
graphical visualizations. In the study, it was determined that the model for the relationship
between aging at a place level, adaptation difficulty in older adults level, and geriatric
depression level was significant (F(2,316) = 37.002, p = 0.001). The aging in place
level and the adaptation difficulty in older adults level explain 18.5% of the total
variance of the level of geriatric depression. In the regression model, it was determined
that the increase in the level of aging in place (t = −6.081, p < 0.001) and the decrease
in the level of adaptation difficulty in older adults (t = 4.107, p < 0.001) of the
participants caused a statistical decrease in the level of “Geriatric Depression.”
It has been determined that adaptation difficulty in older adults has a moderator
role in the relationship between geriatric depression level and aging in place level.
In our data set, while the estimate of the presence of depression was 40 % with logistic
regression analysis, it was 97 % with Random Forest. The study determined that as
the level of aging in -place increased and the adaptation difficulty in older adults
decreased, and depression decreased.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Archives of Psychiatric NursingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Birinci basamağa başvuran yaşlı bireylerde başarılı yaşlanma ile yaşam doyumu arasındaki ilişki.Erzincan Binali Yıldırım Üniversitesi Sağlık Bilimleri Enstitüsü, 2020
- Measuring attachment to life in old age: The Portuguese version of the Positive Valuation of Life Scale (Positive VOL).Quality of Life Research. 2015; 24: 2385-2389https://doi.org/10.1007/s11136-015-0981-z
- The effect of older people's adaptation to old age on their health-related quality of life.IJHLS. 2018; 4: 14-25
- Lifestyle predictors of successful aging: A 20-year prospective HUNT study.PloS one. 2019; 14e0219200
- Depression in older adults: A treatable medical condition.Primary Care. 2017; 44: 499-510https://doi.org/10.1016/j.pop.2017.04.007
- Successful Aging and developmental adaptation of oldest-old adults.2011
- Statistical power analysis.Current Directions in Psychological Science. 1992; 1: 98-101
- Çevresel Gerontoloji Bağlamında ‘Yerinde Yaşlanma’nın Temel Belirleyicileri ve Aktif Yaşlanma Süreciyle İlişkisi.İnsan ve Toplum Bilimleri Araştırmaları Dergisi. 2019; 8: 1949-1966
- Huzurevinde Ve Evde Kalan Yaşlılarda Yalnızlık Ve Algılanan Sosyal Destek İle Mutluluk Düzeyleri Arasindaki İlişki.Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2018; 21: 33-41
- Huzurevinde ya da yerinde yaşlanmayı tercih eden yaşlı bireylerde yaşadıkları çevre ile yaşam kalitesi arasındaki ilişki.Sağlık Bilimleri Enstitüsü, 2014
- Strategies for aging in place: The experience of language-minority seniors with loss of independence.Global Qualitative Nursing Research. 2015; 22333393614565187
- Geriatrik depresyon ölçeğinin Türk yaşlı nüfusunda geçerlilik ve güvenilirliği.Nöropskiyatri Arşivi. 1997; 33: 62-71
- Türkiye'de Yerinde Yaşlanma ve Mekan Gerontolojisinin Temel Paremetreleri.İstanbul University Journal of Sociology. 2016; 36: 411-429
- Comparison of quality of life of elders living in nursing homes and in their homes and its relationship with socio-demographic factors.Ankara Medical Journal. 2018; 18: 552-561
- Loneliness among very old Mexican Americans: Findings from the Hispanic established population's epidemiologic studies of the elderly.Archives of Gerontology and Geriatrics. 2014; 59: 145-149
- Continuity and change in relationships with neighbors: Implications for psychological well-being in middle and later life.Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2015; 70: 607-618
- Consumer views about aging-in-place.Clinical Interventions in Aging. 2015; 10: 1803
- Trajectories of multimorbidity and impacts on successful aging.Experimental Gerontology. 2015; 66: 32-38
- Coping strategies and adaptation for the disabled elderly in Taiwan.Geriatrics & Gerontology International. 2011; 11: 488-495
- Health-promoting lifestyles and depression in urban elderly Chinese.Plos one. 2015; 10e0117998
- An evidence review of ageing, long-term care provision and funding mechanisms in Turkey: Using existing evidence to estimate long-term care cost.Sustainability. 2021; 13: 6306
- Does social capital influence preferences for aging in place? Evidence from urban China.Aging & Mental Health. 2018; 22: 405-411
- Yerinde yaşlanma ölçeğinin geliştirilmesi ve psikometrik özellikleri.Yaşlı Sorunları Araştırma Dergisi. 2017; 10: 54-66
- Evde Yaşayan Yaşlı Bireylerin Yerinde Yaşlanmaya İlişkin Tutumlarının Sosyo-Demografik Değişkenler Bağlamında İncelenmesi.Igdir University Journal of Social Sciences. 2020; 22
- Attitudes to aging mediate the relationship between older peoples' subjective health and quality of life in 20 countries.Health and Quality of Life Outcomes. 2013; 11: 1-10
- Resilience and protective factors in older adults.2018
- Valuation of life among old and very old adults: Comparison between Germany and Japan.Innovation in Aging. 2018; 2igy020https://doi.org/10.1093/geroni/igy020
- Huzurevlerinde yaşayan yaşlıların yerinde yaşlanma konusundaki duygu ve düşünceleri.Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2017; 4: 522-526
- Huzurevlerinde yaşayan yaşlıların yerinde yaşlanma konusundaki duygu ve düşünceleri.Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi. 2017; 4: 522-526
- Başarılı Yaşlanma Ölçeği (BYÖ) Türkçe Versiyonu.International Journal of Education Technology Scientific Researches. 2017; 2: 184-206
- Factors associated with quality of life among the elderly in the community of the southern triangle macro-region, Minas Gerais Brazil.Ciencia & Saude Coletiva. 2016; 21: 3347-3356
- Geriatric depression in primary care.Psychiatric Clinics of North America. 2011; 34 (ix-x): 469-487https://doi.org/10.1016/j.psc.2011.02.009
- Kendi evinde yaşayan ve huzurevinde yaşayan yaşlı bireylerin günlük yaşam aktivitelerinin, depresyon düzeylerinin ve sosyal izolasyon durumlarının karşılaştırılması.Ankara Sağlık Hizmetleri Dergisi. 2017; 16: 19-28
- Yaşlı Bireylerin Algıladığı Yalnızlık Düzeyi İle Depresyon Arasındaki İlişki.İnönü Üniversitesi Sağlık Hizmetleri Meslek Yüksek Okulu Dergisi. 2020; 8: 72-82
- The relationship between the healthy lifestyle behaviors of elderly individuals and the perceived social support.Fırat Medical Journal. 2013; 18: 213-218
- Türk-İslam Geleneğinde Yaşlılara Verilen Değer.Ahi Evran Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2017; 3: 281-287
- Aging in place and quality of life among the elderly in Europe: A moderated mediation model.Archives of Gerontology and Geriatrics. 2018; 77: 196-204
- Yaşlı bireylerin algılanan sosyal destek sistemleri, sağlıklı yaşam biçimi davranışları ve etkileyen faktörler.Yaşlı Sorunları Araştırma Dergisi. 2016; 9: 1-12
- Promoting successful aging through occupation. An examination of engagement in life: A look at aging in place, occupation, and successful aging.Activities, Adaptation & Aging. 2003; 27: 19-37
- Development of an assessment scale of adaptation difficulty for the elderly (ASADE) and its psychometric properties.Journal of Psychiatric Nursing. 2016; 7: 25-33
- Using multivariate statistics.Vol. 5. Pearson, Boston, MA2007
- Yaşlılarda Algılanan Sosyal Desteğin Geriatrik Depresyon İle İlişkisi: Bir Saha Çalışması.Turkish Journal of Family Medicine and Primary Care. 2020; 14: 203-209
- Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): Explanation and elaboration.PLOS Medicine. 2007; 4e297
- The quality of life of older people aging in place: A literature review.Quality of Life Research. 2017; 26: 2899-2907https://doi.org/10.1007/s11136-017-1651-0
- Depression in older adults: Screening and referral.Journal of Geriatric Physical Therapy. 2014; 37 (2001): 24-30https://doi.org/10.1519/JPT.0b013e31828df26f
- The meaning of “aging in place” to older people.The Gerontologist. 2012; 52: 357-366
- Attachment to place in advanced age: A study of the LiLACS NZ cohort.Social Science & Medicine. 2017; 185: 27-37
- An investigation of the relationship between aging in place and successful aging in elderly individuals.Psychogeriatrics. 2020; 20: 473-479
- Yaşlı Bireylerde Yerinde Yaşlanma ile Başarılı Yaşlanma ve Yaşam Doyumu Arasındaki İlişkinin Belirlenmesi.Sağlık ve Toplum Dergisi. 2020; 20: 38-48
- Yaşlı bireylerin yaşlılığa uyum düzeyi ile sağlıklı yaşam biçimi davranışları arasındaki ilişkinin değerlendirilmesi.Mersin Üniversitesi Sağlık Bilimleri Dergisi. 2020; 13: 305-317
- The relationship between the older adults' adaptation to old age and perceived social support level.Cukurova Medical Journal. 2020; 45: 338-346
- Yaşlı Bireylerde Yerinde Yaşlanma ile Başarılı Yaşlanma ve Yaşam Doyumu Arasındaki İlişkinin Belirlenmesi.Sağlık ve Toplum Dergisi. 2020; 20: 38-48
- Sleep correlates with depression and anxiety in the elderly Asian population.Psychogeriatrics. 2016; 16: 191-195https://doi.org/10.1111/psyg.12138
- Psyho-social adaptation of the elderly.Trakia Journal of Sciences. 2013; 11: 234-236
Article info
Publication history
Published online: March 06, 2023
Accepted:
February 20,
2023
Received in revised form:
January 15,
2023
Received:
August 14,
2022
Identification
Copyright
© 2023 Elsevier Inc. All rights reserved.
