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노년기 우울증에 대한 구조적 인생회고(Structured Life Review)의 효과성 연구

Publication Date
Keywords
  • 구조적 인생회고
  • 노인
  • 우울
  • 자아존중감
Disciplines
  • Design
  • Psychology

Abstract

This study examined the effectiveness of Structured Life Review (SLR) for older persons with minor depression. The program and manual was developed based on SLR procedures for older persons designed by Haight & Haight (2007). After screening depression of the elderly who lived in Chuncheon by using PHQ-9, the 46 elderly who were in the moderate level and signed informed consents were assigned randomly to experimental group(N=25) and control group(N=24). 49 elderly completed SLR program and provided baseline, post-treatment, three-month follow-up data. SLR program was composed of eight sessions conducted by one session per one week. Comparing the results of pre with post test, post with follow-up test, and pre with follow-up test for psychological well-being measured by PGCMS, even if no differences were found between experimental group and control group before the program was performed, PGCMS of the experimental group has been significantly increased by 6.36 (55.96→62.32) after program intervention. In comparison of follow-up test with pre test, PGCMS has been also increased even though not statically significant. Depression measured by KGDS of experimental group has been reduced to 4.45 (21.73→17.28) in comparison of pre with post-test, 0.79 (17.28→16.49) in comparison with post with follow-up test, and 5.24 (21.73→16.49) in comparison with pre with follow-up test. This result suggests that the program has been effective after three months. With regard to self-esteem measured by SES, SES of the experimental group has been increased by 4.12 (22.64→26.76) after program intervention. In comparison of follow-up test with pre test, SES has been rather decreased even though not statically significant. However, in comparison of pre with follow-up test, SES of the experimental group has been increased by 4.09 (22.64→26.73). The control group didn't show significant change of depression in pre and post, post and follow-up, and pre and follow-up tests. This study suggests that SLR is a effective intervention program for the minor depression of elderly and also emphasizes benefit of the SLR in home visit program with social work perspectives.

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