Type of Document Dissertation Author Deshotels, Tina Hebert Author's Email Address email@example.com URN etd-07082004-093625 Title Engaging a Debate: An Exploration of Depression, Engagement, Stress and Gender in the Nursing Home Degree Doctor of Philosophy Department Sociology, Department of Advisory Committee
Advisor Name Title Jill Quadagno Committee Chair Keywords
Date of Defense 2004-05-21 Availability unrestricted AbstractDoes engagement impact depression? Five aspects of engagement (an index of social engagement (SEI) “activity time,” “identification with past roles,” “reduced engagement,” and “contact with family and friends”) were used to determine if theories of engagement explain depression in the nursing home. Activity theory suggests high levels of engagement should be related to lower levels of depression. In contrast, as engagement theory suggests high levels of engagement should be related to higher levels of depression. Data from U.S. nursing home residents (n=6,468) were utilized to examine the relationship between engagement and depression to show that neither theory is fully supported across all aspects of engagement. Rather, support was found for exploring a new theory of “stressful aging” in explaining depression in the nursing home. Specifically, results show that stress in the form of negative interactions (“conflict”) and “pain” frequency are better explanations for depression in the nursing home.
In addition, the distribution of depression was explored. There has been a notable lack of research on the distribution of depression among the nursing home elderly. Rather, we often assume it is the same in the nursing home as it is in the community. My results show that this is not a safe assumption. Findings suggest that that the nursing home is a unique setting and that it is important to test the relationship between variables of interest rather than assume that it is the same as in the community.
Finally, results also show that it is important to consider gender in understanding how engagement impacts depression in the nursing home. Gender differences would have obscured the relationship between engagement and depression if not included.
The results confirm that rather than assume that research on the community dwelling aged is transferable to the nursing home setting, research should be conducted on the nursing home elderly as a separate and unique population.
Filename Size Approximate Download Time (Hours:Minutes:Seconds)
28.8 Modem 56K Modem ISDN (64 Kb) ISDN (128 Kb) Higher-speed Access Deshotelsdissertationb.pdf 1.42 Mb 00:06:35 00:03:23 00:02:57 00:01:28 00:00:07