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Loneliness, Depression and Health Status of the Institutionalized Elderly in Korea and Japan

There is mixed opinion on the likelihood of continued long-term increase in life expectancy. Most demographers including Vaupel and Lee (44, 45, 62) are optimistic about continued increases in life expectancy and decreases in mortality among older persons. Olshansky (63) has been a promoter of the idea that future increases will be minimal. The arguments for modest expectations generally rest on the notion that it would take very substantial decreases in mortality at older ages to achieve continued increases in life expectancy, and these would require scientific understanding and an ability to address the basic mechanisms of aging that are unlikely. The argument for continued optimism is that. | ORIGINAL ARTICLE I_ Loneliness Depression and Health Status of the Institutionalized Elderly in Korea and Japan Oksoo Kim1 RN PhD Young-Soon Byeon2 RN PhD Jung-Hee Kim3 RN PhD Emiko Endo4 RN PhD Makoto Akahoshi5 RN PhD Hiromi Ogasawara6 RN MS 1Professor Division of Nursing Science Ewha Womans University Seoul Korea 2Professor Division of Nursing Science Ewha Womans University Seoul Korea 3Full-time Lecturer Department of Nursing Woosuk University Wanju-gun Korea 4Professor Musashino University School of Nursing Tokyo Japan 5Professor Miyazaki Prefectural Nursing University Miyazaki Japan 6Associate Professor Miyazaki Prefectural Nursing University Miyazaki Japan Purpose The purpose of the study was to describe loneliness depression and health status in Korean and Japanese institutionalized elderly and explore differences between the countries. Also this study determined predictors of depression in each group. Methods Elderly subjects aged 65-98 n 184 were recruited from private nursing homes in Korea and Japan. Subjects were interviewed on health status loneliness and depression. Results Korean subjects had higher loneliness scores than Japanese. More Korean elderly had depressive symptoms than Japanese elderly. The mean GDS score of Korean elderly was 8.07 and that of Japanese elderly was 5.21. Korean elderly had less physical function and perceived their general health to be poor. Loneliness and perception of general health were significant predictors of depression in Korean and Japanese subjects. Conclusion It is necessary to assess the levels of loneliness and depression of institutionalized Korean elderly and pursue an intervention to reduce these problems. Asian Nursing Research 2009 3 2 63-70 Key Words aged depression health status loneliness INTRODUCTION In recent times Korea has become an increasingly aging society. The elderly aged 65 and over constituted about 9.7 of the Korean population in 2005 and numbers are expected to reach more than