지역사회 고위험 우울노인의 집단인지행동프로그램이 노인의 외로움, 우울 및 자살사고에 미치는 효과

Effect of cognitive behavior group intervention in loneliness, depression and suicidal ideation among the community-dwelling older adults with a high risk of depression

Purpose : the purpose of this study was to determine the effect of cognitive behavior group intervention on loneliness, depression, and suicidal ideation among community-dwelling older adults with a high risk of depression. Methods : A quasi-experimental research with nonequivalent control group pre-posttest design was employed. Twenty-seven older adults were recruited from community mental health welfare center for the intervention group, and 23 older adults participated for the control group. The intervention consisted of 10 sessions with cognitive behavior group discussion once a week. Instruments were Loneliness Scale, Geriatric Depression Scale, and Suicidal Ideation Scale. Analysis of covariance(ANCOVA) was used to adjust for baseline measures of the mean group difference. Results : The results showed that there was a statistically significant difference of loneliness( F＝6.15, p＝.017), and depression(F＝12.87, p＝.001) between the intervention and control group when controlling for the covariate. However, there was no significant differences in post adjusted suicidal ideation(F＝ 3.56, p＝.065) between intervention and control group. Conclusion : The findings suggest the need to modify and to use the cognitive behavior intervention for older adults with a high risk of depression at the community- based setting.