Process of Recovery from Depression in Older Adults with Chronic Diseases
Keywords:
Recovery Process, Depression, Older Adults with Chronic DiseaseAbstract
This grounded theory study aimed to explore the depression’s recovery process in older adults with chronic diseases. Theoretical sampling procedures were employed to recruit a total of 10 chronically ill older adults who had been diagnosed and treated with depression, and their 21 significant persons. Participants were selected by a purposive sampling method based on the inclusion criteria and guided by the discovered clues. Data were collect by in-depth interview by semi-structured in-depth interviews as well as audio records. Constant comparative analysis was conducted through open, axial, and selective coding procedures.
The results of the study found that depression’s recovery process in older adults with chronic disease involved 3 stages. The first stage consisted in recognizing abnormal symptoms and accepting treatment for diagnosed depression as factors that helped the older adults with chronic diseases. The second stage was coping with depression, characterized by a commitment to treatment regimens, emotional attachment, and creating social interactions. The final stage was a quest for psychological safety and empowerment, which was the phase that older adults with chronic disease in this study felt more pleasure and happiness into. Two factors that helped older adults with NCDs facing with depression at this stage of psychological resilience were having hope and being able to feel psychological well-being.
Therefore, the awareness and understanding of the recovery process from depression in elderly patients with chronic diseases can serve as a guideline for healthcare professionals to provide proactive treatment to patients. It is likely to encourage elderly individuals with chronic illnesses to seek mental health care at an early stage, helping to reduce the risk of severe mental health problems and chronic diseases.
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