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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
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2018 (English)In: Health Psychology Research, ISSN 2420-8124, Vol. 6, no 1, article id 7577Article in journal (Refereed) Published
Sustainable development
Sustainable Development
Abstract [en]

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.

Place, publisher, year, edition, pages
Pagepress Publications , 2018. Vol. 6, no 1, article id 7577
Keywords [en]
Aged, decision-making, depression, person-centredness
National Category
Geriatrics
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URN: urn:nbn:se:hj:diva-54475DOI: 10.4081/hpr.2018.7577ISI: 000460758900004PubMedID: 30596157OAI: oai:DiVA.org:hj-54475DiVA, id: diva2:1590306
Available from: 2021-09-02 Created: 2021-09-02 Last updated: 2021-09-05Bibliographically approved

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Gustafsson, Susanne

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CiteExportLink to record
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  • apa
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