Factors correlated with the Mental Health of the Elderly People living in the Okinawan Traditional Community(Symposium : Psychosomatic Medicine towards Health Promotion)

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  • Yokota Takao
    Department of Mental Health Nursing, Faculty of Medicine, University of the Ryukyus
  • Ishizu Hiroshi
    Department of Mental Health, University of the Ryukyus
  • Takaesu Natsuko
    Department of Mental Health Nursing, Faculty of Medicine, University of the Ryukyus
  • Akamine Yoriko
    Department of Adult and Elderly Nursing, University of the Ryukyus
  • Kakinohana Shige
    Department of Fundamentals of Nursing, University of the Ryukyus
  • Sawada Shigenobu
    Department of Mental Health, University of the Ryukyus
  • Feng Yu
    Department of Mental Health, University of the Ryukyus
  • Moriyama Koji
    Department of Mental Health, University of the Ryukyus : Community Nursing, Faculty of Nursing, Fukuoka Prefectural University

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Other Title
  • 沖縄の伝続的地域特性と地域高齢者のメンタルヘルスに及ぼす要因についての検討(シンポジウム : ヘルスプロモーションの心身医学)(2003年/第44回日本心身医学会総会/沖縄)
  • 沖縄の伝統的地域特性と地域高齢者のメンタルヘルスに及ぼす要因についての検討
  • オキナワ ノ デントウテキ チイキ トクセイ ト チイキ コウレイシャ ノ メンタルヘルス ニ オヨボス ヨウイン ニ ツイテ ノ ケントウ

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Abstract

The purpose of this research was to examine the local elderly people's mental health and its relating factors based on the local characteristics of Okinawa. At first, the factors relevant to self-esteem were examined for the elderly peoples aged 65 years and over residing in the Tairagawa area of Gushikawa city located in the central part of Okinawa. As a result, good health and economic conditions, life satisfaction, and subjective well-being all showed significantly high self-esteem scores for both males and females. Moreover, self-esteem scores were significantly higher for those who were depended upon in the community during traditional events or local festivals. The factors relevant to self-efficacy were examined for 162 residents '65 years or older aged in Nakagusuku village, located in central part of Okinawa. Self-efficacy showed a significant positive correlation with subjective well-being and the social role of daily activities. In an analysis by gender, self-efficacy showed a significant positive correlation with the participation in local traditional events and festivals for males. In females, it showed a significant positive correlation with economic conditions. When examined the relation to depressive tendencies, the Center for Epidemiological Studies Depression Scale (CES-D) was used to evaluate 610 peoples aged 80 years and over in Nakagusuku village. The CES-D score showed a significantly low value for those with high rates of interaction with neighbors (to include family), high levels of physical independence and subjective well-being, lower levels of health anxiety, and higher levels healthy consciousness. The CES-D score showed a significant negative correlation with the self-esteem score, the extent of subjective daily life and interest in society, and the degree of social participation. It can be derived from the above results, that the mental health of elderly people is related to various factors such as physical and psychological health conditions and social roles and activities. In addition, the possibility of traditional Okinawan events and festivals influencing an elderly people's QOL (quality of life) is also suggested.

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