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KMID : 0379220140340040821
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Journal of Korea Gerontological Society
2014 Volume.34 No. 4 p.821 ~ p.842
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Stress Process of Older Cancer Patient’s Depression Undergoing Chemotherapy: Focus on Spirituality, Optimism, and Family Support
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Lim Yeon-Ok
Yoon Hyun-Sook
Nam Il-Sung
Kim Yo-Jin
Lee Hyen-Joo
Choi Kyoung-Won
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Abstract
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This study examined the direct and mediated contributions of stress mediators(spirituality, optimism, and family supports) to stress sources(symptom, side effects and worry related with cancer) and depression among older cancer patients(stress outcome). Applying Pearlin(1981)’s ’Stress Process Model’, the research model was proposed, and tested to the 269 older cancer patients undergoing chemotherapy. Spirituality(stress mediator)was not found to contribute to depression directly. Spirituality was found to decrease to depression indirectly through the mediation of more optimism and more family support, the mediation of more optimism and less fatigue, and the mediation of more optimism and less sleep problems. The results showed the comprehensive framework of the older cancer patient’s depression. Therefore, the results suggested the interdisciplinary intervention program based on the association spiritualty and optimism will effectively decrease depression in older cancer patients.
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KEYWORD
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Old Cancer Patients , Depression , Spirituality , Optimism , Family Support , Fatigue , Sleep Problems , Stress Process
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