Skip Navigation
Skip to contents

J Korean Acad Nurs : Journal of Korean Academy of Nursing

OPEN ACCESS

Articles

Page Path
HOME > J Korean Acad Nurs > Volume 43(2); 2013 > Article
Original Article
Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis
Suk Jeong Ko, Sung Hee Shin
Journal of Korean Academy of Nursing 2013;43(2):276-286.
DOI: https://doi.org/10.4040/jkan.2013.43.2.276
Published online: April 30, 2013

1College of Nursing Science, Kyung Hee University, Seoul, Korea.

2College of Nursing Science, East-West Research Institute, Kyung Hee University, Seoul, Korea.

Address reprint requests to: Shin, Sung Hee. College of Nursing Science, Kyung Hee University, 1 Hoegi-dong, Dongdaemun-gu, Seoul 130-701, Korea. Tel: +82-2-961-0917, FAX: +82-2-961-9398, sunghshin@khu.ac.kr
• Received: August 13, 2012   • Accepted: January 24, 2013

© 2013 Korean Society of Nursing Science

  • 97 Views
  • 2 Download
  • 17 Crossref
  • 16 Scopus
prev next
  • Purpose
    This study was done to examine actor and partner effect of dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
  • Methods
    Participants were 115 couples aged 60 years or over who met eligibility criteria. All measures were self-administered. Data were analyzed using SPSS 18.0 and AMOS 18.0 program.
  • Results
    Dementia knowledge in elderly couples showed actor and partner effect on dementia preventive behavior. Self-efficacy in the wife did not have direct effects on dementia preventive behavior, but showed indirect effects through dementia knowledge. Self-efficacy in the husband showed direct effects on dementia preventive behavior and indirect effects through dementia knowledge. Wife's depression had direct actor effect on dementia preventive behavior and indirect effect through self-efficacy and dementia knowledge. Husband's depression did not have direct actor effect on dementia preventive behavior, but indirect effect through self-efficacy and dementia knowledge. Effect size of wives' dementia knowledge, self-efficacy and depression on dementia preventive behavior was larger than that of husbands'. Dementia preventive behavior, dementia knowledge and depression had a mutual effect.
  • Conclusion
    Results indicate that to promote dementia preventive activity in elderly couples, programs should be conducted for both of the couple, but focused differently for wife and husband.
  • 1. Ayotte BJ, Yang FM, Jones RN. Physical health and depression: A dyadic study of chronic health conditions and depressive symptomatology in older adult couples. J Gerontol B Psychol Sci Soc Sci. 2010;65(4):438–448. http://dx.doi.org/10.1093/geronb/gbq033.PubMed
  • 2. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.ArticlePubMed
  • 3. Burgener S, Twigg P. Relationships among caregiver factors and quality of life in care recipients with irreversible dementia. Alzheimer Dis Assoc Disord. 2002;16(2):88–102.ArticlePubMed
  • 4. Cho HO. A study on public's knowledge of and attitude towards dementia. 1999;Seoul, Hanyang University. Unpublished master's thesis.
  • 5. Cho MJ. The prevalence and risk factors of dementia in the Korean elderly. Health Welf Policy Forum. 2009;156:43–48.
  • 6. Cohen J. Statistical power analysis for the behavioral sciences. 1988;2nd ed. Hillsdale, NJ, Lawrence Erlbaum Associates.
  • 7. Cook WL, Kenny DA. The actor-partner interdependence model: A model of bidirectional effects in developmental studies. Int J Behav Dev. 2005;29(2):101–109. http://dx.doi.org/10.1080/01650250444000405.ArticlePDF
  • 8. Hong SH. The criteria for selecting appropriate fit indices in structural equation modeling and their rationales. Korean J Clin Psychol. 2000;19(1):161–177.
  • 9. Joo AR, Park SH. The relationship between cognitive function and depression in elderly people in rural areas. J Korean Gerontol Nurs. 2004;6(1):27–37.
  • 10. Jung IK, Kwak DI, Shin DK, Lee MS, Lee HS, Kim JY. A reliability and validity study of geriatric depression scale. J Korean Neuropsychiatr Assoc. 1997;36(1):103–112.
  • 11. Kang HW, Kim JT. The effect of perceived social support and self-efficiency on health promoting behavior of the elderly. J Leis Recreat Stud. 2009;33(3):57–68.
  • 12. Kenny DA. Models of non-independence in dyadic research. J Soc Pers Relat. 1996;13(2):279–294. http://dx.doi.org/10.1177/0265407596132007.ArticlePDF
  • 13. Kim SD, Kim YH. The effect of family resilience on the life satisfaction of the family caregivers of the elderly with the dementia. J Welf Aged. 2009;45:7–31.
  • 14. Kim SY. Depression in dementia. Dement Neurocognitive Disord. 2004;3(1):18–23.
  • 15. Kim SY, Seo YS. The relationships between stress, perceived marital support, and marital satisfaction: Testing actor and partner effects of stress and perceived marital support. Korean J Woman Psychol. 2010;15(2):189–213.Article
  • 16. Ko LK, Lewis MA. The role of giving and receiving emotional support on depressive symptomatology among older couples: An application of the actor-partner interdependence model. J Soc Pers Relat. 2011;28(1):83–99. http://dx.doi.org/10.1177/0265407510387888.PubMedPMC
  • 17. Lee GJ, Lee KL, Yang S, Jun WH. Quality of life and the associated factors in dementia. J Korean Acad Psychiatr Ment Health Nurs. 2008;17(3):273–280.ArticlePDF
  • 18. Lee YH. The study on relationship between perception for dementia and health promotion behavior among middle and old-aged people. 2011;Seoul, Hanyang University. Unpublished master's thesis.
  • 19. Lee YW, Woo SM, Kim OR, Lee SY, Im HB. Relationships between dementia knowledge, attitude, self-efficacy, and preventive behavior among low income middle-aged women. J Korean Acad Adult Nurs. 2009;21(6):617–627.
  • 20. Ministry of Health and Welfare Division of Senior Policy. Nationwide study on the prevalence of dementia in Korean elders (2008). 2008;04 13 Retrieved August 2, 2012. from http://www.mw.go.kr/front_new/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=031604&CONT_SEQ=264429&page=1.
  • 21. Oh HS. Health promotin g behaviors and quality of life of Korean women with arthritis. J Nurs Acad Soc. 1993;23(4):617–630.ArticlePDF
  • 22. Oh H, Seok SR. Health condition, burden of caring, and the quality of life among family members of the elderly with senile dementia. J Korean Acad Psychiatr Ment Health Nurs. 2009;18(2):157–166.ArticlePDF
  • 23. Park HS. A study on the relationship between depression, health promoting behavior, self-esteem, and optimism in middle-aged women. J Korean Acad Psychiatr Ment Health Nurs. 2002;11(3):352–362.ArticlePDF
  • 24. Park SJ, Kim HG. A study on the quality of life of elderly people with dementia and the environmental factor of facilities. J Korean Gerontol Soc. 2009;29(4):1361–1381.
  • 25. Sherer M, Maddux JE, Mercandante B, Prentice-Dunn S, Jacobs B, Rogers RW. The self-efficacy scale: Construction and validation. Psychol Rep. 1982;51(2):663–671. http://dx.doi.org/10.2466/pr0.1982.51.2.663.ArticlePDF
  • 26. Shin SJ, Lee WJ. The effect of husband's and wife's care-giving willingness for both his(her) parents and his(her) spouse's parents on his(her) couple's cohesion: Focusing on the actor and partner interdependence model. J Fam Relat. 2012;16(4):135–158.
  • 27. Sim MK, Park JM. A study on the physical health status, depression and health behaviors of the elderly. J Korean Community Nurs. 2004;15(3):438–449.
  • 28. Statistics Korea. 2010 population and housing census. 2011;10;Retrieved August 2, 2012. from http://census.go.kr/hcensus/ui/html/data/data_020_010_List.jsp?q_menu=4&q_sub=2.
  • 29. Suh GH, Kim JK, Yeon BK, Park SK, Yoo KY, Yang BK, et al. Prevalence and risk factors of dementia and depression in the elderly. J Korean Neuropsychiatr Assoc. 2000;39(5):809–824.
  • 30. Townsend AL, Miller B, Guo S. Depressive symptomatology in middle-aged and older married couples: A dyadic analysis. J Gerontol B Psychol Sci Soc Sci. 2001;56(6):S352–S364.ArticlePubMed
  • 31. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, et al. Development and validation of a geriatric depression screening scale: A preliminary report. J Psychiatr Res. 1982;17(1):37–49.ArticlePubMed
  • 32. Yu JY. Dementia preventive behavior, self-efficacy and cognitive funtion in elderly. 2011;Seoul, Ewha Womans University. Unpublished master's thesis.
  • 33. Yun MJ, Sohn AR. Factors that affect health promotion behavior for prevention of dementia. J Korea Sport Res. 2004;15(6):811–820.
Figure 1
Testing for hypothetical model: Effects of the dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
jkan-43-276-g001.jpg
Figure 2
Testing for modified model: Effects of the dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
jkan-43-276-g002.jpg
Table 1
General Characteristics of Participants (N=115)
jkan-43-276-i001.jpg
Table 2
Characteristics related to Dementia (N=115)
jkan-43-276-i002.jpg
Table 3
Differences in Variables between Wife and Husband (N=115)
jkan-43-276-i003.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Expanding the health belief model on dementia knowledge, fear, and preventive behaviors among older adults in Korea: a cross-sectional descriptive study
      Jeong Eui Yun, Suyoung Choi
      Journal of Korean Biological Nursing Science.2025; 27(1): 60.     CrossRef
    • Effects of the dual-task training program for Korean older adults with mild cognitive impairment in community
      Eunyoung Shin, Hyun Jin Roh, Sohyune Sok
      Geriatric Nursing.2024; 60: 5.     CrossRef
    • Determinants of Dementia-Preventive Behaviors: A Scoping Review Based on the PRECEDE Model
      So Im Ryu, Min Hye Lee, Yeon-Hwan Park
      Sage Open.2024;[Epub]     CrossRef
    • The relationship between dementia education and preventive behaviors: The mediation of fear and knowledge of dementia
      Jina Han
      Korean Journal of Health Education and Promotion.2023; 40(2): 55.     CrossRef
    • Factors associated dementia preventive behavior of older adults in a local community: Application of the information-motivation-behavioral skills model: A cross-sectional study
      Eun Hye Ha, Mi Yang Jeon
      Journal of Korean Gerontological Nursing.2023; 25(1): 34.     CrossRef
    • The development and evaluation of a self-efficacy enhancement program for older adults with mild cognitive impairment
      Jungeun Lee, Eunhee Cho, Heejung Kim, Kyung Hee Lee, Eosu Kim, Byoung Seok Ye
      Applied Nursing Research.2023; 73: 151726.     CrossRef
    • Development of the Korean Health Behavior for Dementia Prevention Scale for Older Adults
      Hyukjoon Kim, Moonjoo Oh, Hyangsuk Kwon, Seohee Jeong, Hyangsoon Cho, Hye Young Kim
      Journal of Korean Academy of Fundamentals of Nursing.2022; 29(3): 363.     CrossRef
    • Factors influencing dementia prevention behaviors in older Koreans enrolled in senior welfare centers
      Kyung-Choon Lim, Myoungsuk Kim, Hana Ko
      The Journal of Korean Academic Society of Nursing Education.2021; 27(1): 39.     CrossRef
    • Factors associated with Burden of Family Caregivers of Home-dwelling Elderly People with Dementia: A Systematic Review and Meta-analysis
      Eun Kyung Kim, Heeok Park
      Korean Journal of Adult Nursing.2019; 31(4): 351.     CrossRef
    • Actor and Partner Effects of Health Status, Marital Satisfaction and Self Efficacy on Retirement Preparation of Middle Aged Couples: Actor-Partner Interdependence Model Analysis
      Eun Hee Jung, Sung Hee Shin
      Journal of Korean Academy of Nursing.2018; 48(2): 154.     CrossRef
    • Testing the stress-buffering hypothesis of social support in couples coping with early-stage dementia
      Paul Gellert, Andreas Häusler, Ralf Suhr, Maryam Gholami, Michael Rapp, Adelheid Kuhlmey, Johanna Nordheim, Horacio Firmino
      PLOS ONE.2018; 13(1): e0189849.     CrossRef
    • Effects of a Memory and Visual-Motor Integration Program for Older Adults Based on Self-Efficacy Theory
      Eun-Hwi Kim, Soon-Rim Suh
      Journal of Korean Academy of Nursing.2017; 47(3): 431.     CrossRef
    • The Dementia Knowledge, Attitude and Preventive Behavior of the Elderly Lived in the Urban-Rural Complex City
      Koung-Me Kim, Young-Ok Yang
      Journal of the Korea Academia-Industrial cooperation Society.2016; 17(1): 485.     CrossRef
    • Psychometric Properties of the Alzheimer's Disease Knowledge Scale-Korean Version
      Eun Joo Kim, Ji-young Jung
      Journal of Korean Academy of Nursing.2015; 45(1): 107.     CrossRef
    • Dyadic Effects of Individual and Friend on Physical Activity in College Students
      Gwang Suk Kim, Chung Yul Lee, In Sook Kim, Tae Hwa Lee, Eunhee Cho, Hyeonkyeong Lee, Linda L. McCreary, Su Hee Kim
      Public Health Nursing.2015; 32(5): 430.     CrossRef
    • Does Pain Mediate or Moderate the Effect of Cognitive Impairment on Aggression in Nursing Home Residents with Dementia?
      Hyochol Ahn, Ann Horgas
      Asian Nursing Research.2014; 8(2): 105.     CrossRef
    • The Effects of Self-esteem and Family Stress on Depression of Middle-aged Couples: Analysis of Actor-Partner Interdependence Model
      Yu Jeong Yang, Sung Hee Shin
      Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(2): 60.     CrossRef

    • Cite
      CITE
      export Copy Download
      Close
      Download Citation
      Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

      Format:
      • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
      • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
      Include:
      • Citation for the content below
      Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis
      J Korean Acad Nurs. 2013;43(2):276-286.   Published online April 30, 2013
      Close
    • XML DownloadXML Download
    Figure
    • 0
    • 1
    We recommend
    Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis
    Image Image
    Figure 1 Testing for hypothetical model: Effects of the dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
    Figure 2 Testing for modified model: Effects of the dementia knowledge, self-efficacy and depression on dementia preventive behavior in elderly couples.
    Effects of Dementia Knowledge, Self-Efficacy and Depression on Dementia Preventive Behavior in Elderly Couples: Dyadic Data Analysis

    General Characteristics of Participants (N=115)

    Characteristics related to Dementia (N=115)

    Differences in Variables between Wife and Husband (N=115)

    Table 1 General Characteristics of Participants (N=115)

    Table 2 Characteristics related to Dementia (N=115)

    Table 3 Differences in Variables between Wife and Husband (N=115)


    J Korean Acad Nurs : Journal of Korean Academy of Nursing
    Close layer
    TOP