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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

Journal article
Authors Isabelle Ottenvall Hammar
Helene Berglund
Synneve Dahlin-Ivanoff
Joel Olayiwola Faronbi
Susanne Gustafsson
Published in Health Psychology Research
Volume 6
Issue 1
Publication year 2018
Published at Institute of Neuroscience and Physiology, Department of Health and Rehabilitation
Institute of Neuroscience and Physiology
Institute of Health and Care Sciences
Centre for Ageing and Health (Agecap)
Language en
Links https://doi.org/10.4081/hpr.2018.75...
Keywords Aged, decision-making, depression, person-centredness
Subject categories Occupational Therapy

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, with161 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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