A framework to understand depression among older persons

Zeng, Wen, North, Nicola and Kent, Bridie 2012, A framework to understand depression among older persons, Journal of clinical nursing, vol. 21, no. 17-18, pp. 2399-2409, doi: 10.1111/j.1365-2702.2011.04049.x.

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Title A framework to understand depression among older persons
Author(s) Zeng, Wen
North, Nicola
Kent, Bridie
Journal name Journal of clinical nursing
Volume number 21
Issue number 17-18
Start page 2399
End page 2409
Total pages 11
Publisher Wiley-Blackwell Publishing Ltd.
Place of publication Oxford, England
Publication date 2012
ISSN 0962-1067
Keyword(s) Chinese culture
older persons
mixed methods
Summary Aims and objectives.  To develop an explanatory framework to understand depression among community-dwelling Chinese older persons in Macau.

Background.  Depression has been described as the most common psychological problem among Chinese older persons. Dominant psychosocial theories are derived from research conducted mainly in western societies and similar research in Chinese populations is scant.

Design.  Mixed methods.

Methods.  Qualitative and quantitative methods (mixed methods) were employed to collect data from 31 participants between 2007–2009 in Macau.

Results.  Four categories of factors related to depression emerged: (1) negative thinking, (2) physical limitations and complaints, (3) present living conditions and social support and (4) past experiences. Each category interacts with the others and, consequently, one category both affects and is affected by others. The categories captured participants’ life-long hardship and bio-psycho-social-cultural disability that lay at the root of their negative thinking. The consequences and impacts of their negative thinking appear to feed and sustain depression.

Conclusion.  The framework offers a deeper understanding of the nature and meaning of the experiences of depressed older persons in a Chinese context.

Relevance to clinical practice.
  The findings have several implications for clinical practice. First, the cultural context of Chinese older persons should be emphasised in nursing practice. Second, the root of depression among Chinese older persons is seen to lie in their social, family, cultural and day to day living issues. Finally, this study illustrates the potential for incorporating psychosocial nursing interventions as a therapeutic approach on its own or as an adjunct to other therapy.
Language eng
DOI 10.1111/j.1365-2702.2011.04049.x
Field of Research 111001 Aged Care Nursing
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2012, Blackwell Publishing Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30048384

Document type: Journal Article
Collection: School of Nursing and Midwifery
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Created: Thu, 13 Sep 2012, 11:09:07 EST by Jane Moschetti

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