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The elderly living in single-person households in South Korea: a latent profile analysis of self-esteem, life satisfaction, and depression

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Abstract

Objectives

Elderly living alone in South Korea report higher rates of psychological distress compared to the population at large. Using a person-centered approach, the aim of the present study was to identify the latent profiles of South Korean elderly living alone based on self-esteem, life satisfaction, and depression.

Method

Latent profile analysis (LPA) was conducted based on data of 1545 older age individuals living alone. In addition, we examined significant factors that differentiate the observed profiles using multinomial logistic regression analysis.

Results

We identified five profiles: “extremely depressed (n = 44, 2.9%),” “severely depressed (n = 169, 10.9%),” “mildly depressed (n = 529, 34.2%),” “low life satisfaction (n = 128, 8.3%),” and “positive adaptation (n = 675, 43.7%).” In addition, results of multinomial logistic regression analysis indicated that males (OR: 1.69; 95% CI: 1.02–2.81), and elderly with lower income (OR: 0.86; 95% CI: 0.81–0.91), lower level of physical health (OR: 0.43; 95% CI: 0.33–0.57), and lower social relationship satisfaction (OR: 0.25; 95% CI: 0.18–0.35) were more likely to fall in the “low life satisfaction” rather than the “positive adaptation” profile. In addition, being female (OR: 0.48; 95% CI: 0.30–0.79), of older age (OR: 1.04; 95% CI: 1.01–.1.07), and higher income (OR: 1.14; 95% CI: 1.08–1.20) were related to classification in the “mildly depressed” rather than the “low life satisfaction” profile. The “severely depressed” group was differentiated by older age (OR: 1.05; 95% CI: 1.01–1.08), lower level of physical health (OR: 0.49; 95% CI: 0.34–0.71), and lower satisfaction with social relationship (OR: 0.54; 95% CI: 0.38–0.76).

Conclusion

The results highlight the need for welfare policies that secure income and physical health in elderly living alone to enhance their quality of life. Furthermore, interventions that aim to maintain social networks are tantamount in order to prevent isolation in the elderly living alone.

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References

  1. Kim, Y., Lee, C., Namgoung, S., & Kim, H. (2011). A study on the social networks effectiveness to prevent the lonely death of the elderly who live alone. Korean Journal of Social Science, 50(2), 143–169.

    Google Scholar 

  2. Choi, S. H., Cho, B. C., & Jeon, S. H. (2017). Prevention of and countermeasures to dying alone: A self-deterministic perspective. Journal of Korean Studies, 62, 403–436. https://doi.org/10.17790/kors.2017.62.403.

    Article  Google Scholar 

  3. Kim, H. (2014). Comparison of prevalence of depression and its risk factors among the elderly female and male living alone in Korea. Journal of the Korean Data Analysis, 40(1), 13–27.

    CAS  Google Scholar 

  4. Bhar, S., Ghahramanlou-Holloway, M., Brown, G., & Beck, A. T. (2008). Self-esteem and suicide ideation in psychiatric outpatients. Suicide and Life-threatening Behavior, 38(5), 511–516. https://doi.org/10.1521/suli.2008.38.5.511.

    Article  PubMed  Google Scholar 

  5. Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75. https://doi.org/10.1207/s15327752jpa4901_13.

    Article  CAS  PubMed  Google Scholar 

  6. Keyes, C. L. M. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73(3), 539–548 http://dx.doi.org.access.yonsei.ac.kr:8080/10.1037/0022-006X.73.3.539.

    Article  Google Scholar 

  7. Kang, E., & Lee, M. (2016). Single-person households in South Korea and their policy implications. Health and Social Welfare Forum, 234, 47–56.

    Google Scholar 

  8. Cole, M. G., & Dendukuri, N. (2003). Risk factors for depression among elderly community subjects: A systematic review and meta-analysis. American Journal of Psychiatry, 160(6), 1147–1156. https://doi.org/10.1176/appi.ajp.160.6.1147.

    Article  Google Scholar 

  9. Kim, H., & Seo, H. (2010). The effect of self-efficacy on the depression of lonely frail elders. Journal of Welfare for the Aged, 48, 59–82.

    Google Scholar 

  10. Kim, H., & Choi, Y. (2011). Factors affecting depression in elderly vulnerable people living alone. Journal of Korean Academy of Community Health Nursing, 22(4), 355–364. https://doi.org/10.12799/jkachn.2011.22.4.355.

    Article  Google Scholar 

  11. Smith, K. J., & Victor, C. (2018). Typologies of loneliness, living alone and social isolation, and their associations with physical and mental health. Ageing and Society, 39(8), 1709–1730. https://doi.org/10.1017/S0144686X18000132.

    Article  Google Scholar 

  12. Rho, B., & Mo, S. (2007). The effect of levels and dimensions of social support on geriatric depression. Journal of the Korean Gerontological Society, 27(1), 53–69.

    Google Scholar 

  13. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1(3), 385–401. https://doi.org/10.1177/014662167700100306.

    Article  Google Scholar 

  14. Rosenberg, M. (1965). Society and the adolescent self-image. Princeton: Princeton University Press. https://doi.org/10.1515/9781400876136.

    Book  Google Scholar 

  15. Jon, B. (1974). Self-esteem: A test of its measurability. A Collection of Treatises of Yonsei, 11(1), 107–130.

    Google Scholar 

  16. Chon, K., Choi, S., & Yang, B. (2001). Integrated adaptation of CES-D in Korea. The Korean Journal of Health Psychology, 6(1), 59–76.

    Google Scholar 

  17. Kohout, F. J., Berkman, L. F., Evans, D. A., & Cornoni-Huntley, J. (1993). Two shorter forms of the CES-D depression symptoms index. Journal of Aging and Health, 5(2), 179–193. https://doi.org/10.1177/089826439300500202.

    Article  CAS  PubMed  Google Scholar 

  18. Muthén, B. (2004). Latent variable analysis: Growth mixture modeling and related techniques for longitudinal data. In D. Kaplan (Ed.), Handbook of quantitative methodology for the social sciences (pp. 346–369). New York: Sage. https://doi.org/10.4135/9781412986311.n19.

    Chapter  Google Scholar 

  19. Fugl-Meyer, A. R., Melin, R., & Fugl-Meyer, K. S. (2002). Life satisfaction in 18-to 64-year-old Swedes: In relation to gender, age, partner and immigrant status. Journal of Rehabilitation Medicine, 34(5), 239–246. https://doi.org/10.1080/165019702760279242.

    Article  PubMed  Google Scholar 

  20. Diener, E., Inglehart, R., & Tay, L. (2013). Theory and validity of life satisfaction scales. Social Indicators Research, 112(3), 497–527. https://doi.org/10.1007/s11205-012-0076-y.

    Article  Google Scholar 

  21. Chung, M. (2005). Age differences in satisfaction with life. The Korean Journal of Developmental Psychology, 18(4), 87–108.

    Google Scholar 

  22. Song, M. Y. (2008). Poverty of the elderly women in Korean: Focusing on gender sensitive and social exclusion perspectives. Korean Journal of Research in Gerontology, 17, 49–72.

    Google Scholar 

  23. Han, S., & Lee, B. (2012). Effectiveness of a character strengths-based positive psychotherapy on depression, life satisfaction, and quality of life among the depressed elderly. Journal of Korean Clinical Psychology, 31(4), 971–992. https://doi.org/10.15842/kjcp.2012.31.4.006.

    Article  Google Scholar 

  24. Hong, J., Lee, D., Ham, B., Lee, S., Sung, S., Yoon, T., & Kin, S. (2017). The survey of mental disorders in Korea. Seoul: Ministry of Health and Welfare.

    Google Scholar 

  25. Thoits, P. A. (2011). Mechanisms linking social ties and support to physical and mental health. Journal of Health and Social Behavior, 52(2), 145–161. https://doi.org/10.1177/0022146510395592.

    Article  PubMed  Google Scholar 

  26. Djernes, J. K. (2006). Prevalence and predictors of depression in populations of elderly: A review. Acta Psychiatrica Scandinavica, 113(5), 372–387. https://doi.org/10.1111/j.1600-0447.2006.00770.x.

    Article  CAS  PubMed  Google Scholar 

  27. Nolen-Hoeksema, S. (2001). Gender differences in depression. Current Directions in Psychological Science, 10(5), 173–176. https://doi.org/10.1111/1467-8721.00142.

    Article  Google Scholar 

  28. Lee, Y., Shin, M., Kweon, S., Choi, S., Rhee, J., & Choi, J. (2008). Prevalence and correlates of depression among the elderly in and urban community. Journal of Agricultural Medicine and Community Health, 33(3), 303–315. https://doi.org/10.5393/JAMCH.2008.33.3.303.

    Article  Google Scholar 

  29. Parker, G., & Brotchie, H. (2010). Gender differences in depression. International Review of Psychiatry, 22(5), 429–436. https://doi.org/10.3109/09540261.2010.492391.

    Article  PubMed  Google Scholar 

  30. Hosseinpoor, A. R., Williams, J. S., Amin, A., De Carvalho, I. A., Beard, J., Boerma, T., & Chatterji, S. (2012). Social determinants of self-reported health in women and men: Understanding the role of gender in population health. PLoS One, 7(4), e34799. https://doi.org/10.1371/journal.pone.0034799.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  31. Pinquart, M., & Sörensen, S. (2001). Gender differences in self-concept and psychological well-being in old age: A meta-analysis. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 56(4), 195–213. https://doi.org/10.1093/geronb/56.4.P195.

    Article  Google Scholar 

  32. Büchtemann, D., Luppa, M., Bramesfeld, A., & Riedel-Heller, S. (2012). Incidence of late-life depression: A systematic review. Journal of Affective Disorders, 142(1–3), 172–179. https://doi.org/10.1016/j.jad.2012.05.010.

    Article  PubMed  Google Scholar 

  33. Blazer, D. G. (2003). Depression in late life: Review and commentary. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(3), 249–265. https://doi.org/10.1093/gerona/58.3.M249.

    Article  Google Scholar 

  34. Kim, Y., & Suh, K. (2002). Living arrangement, satisfaction with living, and depression among the Korean elderly. Korean Journal of Gerontological Social Welfare, 18, 273–290.

    Google Scholar 

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Funding

This work was supported by the Yonsei University Research Grant of 2020.

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Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation and data analysis were performed by Jeong Hoon Park. The first draft of the manuscript was written by Jeong Hoon Park and Sung Min and review and editing was conducted by Yookyung Eoh and Soo Hyun Park. Funding was acquired by Soo Hyun Park. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Soo Hyun Park Ph.D..

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The authors declare that they have no conflict of interest.

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Ethical approval was obtained from the Institutional Review Board, Yonsei University (7001988-201807-HR-425-01E) and it is certified that the study was performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

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Park, J.H., Min, S., Eoh, Y. et al. The elderly living in single-person households in South Korea: a latent profile analysis of self-esteem, life satisfaction, and depression. Qual Life Res 30, 1083–1092 (2021). https://doi.org/10.1007/s11136-020-02693-1

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