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KMID : 0981220200200040423
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Congnitive Behavior Therapy in Korea
2020 Volume.20 No. 4 p.423 ~ p.443
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The Moderating Effects of Interpersonal Variables in the Relationship between Depression and Suicidal Ideation : A Comparison of Young-Old and Old-Old Older Adults
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Lee Yun-Jin
You Sung-Eun
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Abstract
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The goal of this study was to examine the moderating effects of interpersonal variables in the association between depression and suicidal ideation in older adults, and further to examine whether the moderating effect would differ by the age groups, young-old (65-74 years old) and old-old (75 years old and above) older adults. Based on the interpersonal-psychological theory and Korean culture, it was hypothesized that thwarted belongingness and perceived burdensomeness were risk factors, and reasons for living related to family was a protective factor that moderate the relationship between depression and suicidal ideation. A community sample of 2,000 older adults were recruited from Chuncheon, a mid-size city in Korea. The Depressive Symptom Inventory-Suicidality Subscale (DSI-SS) was used to assess suicidal ideation during the past two-week. Participants also completed the Geriatric Depression Scale (SGDS), Interpersonal Needs Questionnaire Revised (INQ-R), and a subscale of the Reasons for Living Scale-Older Adult Version (RFL-OA) to assess depression, thwarted belongingness, perceived burdensomeness, and reasons for living related to family responsibility. The results of the study supported the moderating effect of thwarted belongingness, perceived burdensomeness, and family-related reasons for living in the relationship between depression and suicidal ideation. Moreover, the moderating effects of perceived burdensomeness and family-related reasons for living were stronger among the young-old group compared to the old-old group. However, there was no significant group difference in the moderating effect of thwarted belongingness. These results suggest the need for differential psychosocial intervention approach in suicide prevention for young-old and old-old older adults.
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KEYWORD
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young-old, old-old, elderly depression, suicidal ideation, interpersonal variable
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