latent growth model; chronic diseases; depression; self-assessed health condition; medical examination
한국사회복지조사연구, vol. 59, pp. 31 - 59
The purpose of this study is to look at the impact of changes in the self-assessed health condition of older adults chronic disease patients on the changes in depression, focusing on the utilization of medical examination. This study utilizes the 1st to 6th data of Korean Longitudinal Study of Aging(KLoSA), which was conducted by the Korea Employment Information Service. The study was conducted on older adults who responded that they have one of the chronic diseases in the Year1. This study is conducted on 2,714 older adults with at least one chronic disease and latent growth model analysis was used to handle the purpose of this research. The major research results are as follows. First, the depression of chronic disease patients ecreases as time passes and the higher the recognition of one’s depression in initial score, than the slower the depression decreases as time passes. Second, chronic disease patients tend to be more negative on their self-assessed health condition of chronic disease as time elapses. Those who recognized their self-assessed health condition as bad in the initial score, the negative recognition on their self-assessed health condition improves relatively slowly. Third, the more positive thoughts on the self-assessed health condition as time passes, the more rapidly decrease depression. Fourth, the more medical examination, the slower decrease in the negative recognition on the self-assessed health condition. This study intend to confirm the relationship between psychological well being and medical examination of patients with chronic diseases based on longitudinal approach, and to provide the foundation for establishing policies to improve the psychological well being of chronic disease patients.