Risk for depression affects older people’s possibilities to exercise self-determination in using time, social relationships and living life as one wants: A cross-sectional study with frail older people

  • Isabelle Ottenvall Hammar | isabelle.o-h@neuro.gu.se The Frail Elderly Research Support Group, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at Gothenburg University, Gothenburg; The Gothenburg University Centre for Ageing and Health, Gothenburg, Sweden.
  • Helene Berglund The Frail Elderly Research Support Group, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at Gothenburg University, Gothenburg; Institute of Health and Care Sciences, the Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
  • Synneve Dahlin-Ivanoff The Frail Elderly Research Support Group, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at Gothenburg University, Gothenburg; The Gothenburg University Centre for Ageing and Health, Gothenburg, Sweden.
  • Joel Faronbi 1The Frail Elderly Research Support Group, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden; Department of Nursing Science, College of Health Science, Obafemi Awolowo University, Ile-Ife, Nigeria.
  • Susanne Gustafsson The Frail Elderly Research Support Group, Institute of Neuroscience and Physiology, the Sahlgrenska Academy at Gothenburg University, Gothenburg; The Gothenburg University Centre for Ageing and Health, Gothenburg, Sweden.

Abstract

Exercising self-determination in daily life is highly valued by older people. However, being in the hands of other people may challenge the older people’s possibilities to exercise self-determination in their daily life. Among frail older people living in Sweden, risk for depression is highly predominant. There is a knowledge gap regarding if, and how having a risk of depression affects older people’s self-determination. The objective was, therefore, to explore if, and in that case how, frail older people’s self-determination is affected by the risk of depression. In this cross-sectional, secondary data analysis, with 161 communitydwelling frail older people, simple logistic regression models were performed to explore the association between self-determination, the risk of depression and demographic variables. The findings showed that risk for depression and reduced self-determination were significantly associated in the dimensions: use of time (P=0.020), social relationship (P=0.003), help and support others (P=0.033), and the overall self-determination item (P=0.000). Risk for depression significantly affected self-determination in use of time (OR=3.04, P=0.014), social relationship (OR=2.53, P=0.011), and overall self-determination (OR=6.17, P=0.000). This point out an increased need of strengthening healthcare professionals’ perspectives, and attitudes towards a self-determined, friendly, and person-centred dialogue.

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Published
2018-11-29
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Supporting Agencies
This study was supported by the Swedish Research Council for Health, Working Life and Welfare (AGECAP 2013-2300), The Vårdal Institute, the Swedish Institute for Health Sciences, and Vinnvård.
Keywords:
Aged, decision-making, depression, person-centredness
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How to Cite
Ottenvall Hammar, I., Berglund, H., Dahlin-Ivanoff, S., Faronbi, J., & Gustafsson, S. (2018). Risk for depression affects older people’s possibilities to exercise self-determination in using time, social relationships and living life as one wants: A cross-sectional study with frail older people. Health Psychology Research, 6(1). https://doi.org/10.4081/hpr.2018.7577