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Record identifier : 566243
Personal Name - Primary Intelectual Responsibility : Hostetter, Christina Marie
Title and statement of responsibility : Subthreshold depressive symptoms in elders: A phenomenological exploration [Thesis]
Publication, Distribution,Etc. : The University of Texas Health Science Center at San Antonio, 2003
Language of the Item : eng
Dissertation of thesis details and type of degree : Ph.D
Body granting the degree : , The University of Texas Health Science Center at San Antonio
Summary or Abstract : vast amount of research has not been able to significantly improve either the detection or treatment of depressive symptoms in elders. A thorough literature search identified subthreshold depressive symptoms to be more common in elders than diagnostic symptoms. The inclusion of subthreshold symptoms along with depressive symptoms meeting diagnostic criteria has distorted research findings and interpretations. The inability to understand subthreshold symptoms has interfered with policy and program planning. Like all categories of depressive symptoms, subthreshold symptoms have not been validated or clearly defined. The purpose of this study is to identify the essential elements of subthreshold depressive symptoms in elders as they occur. The methodology used was that of hermeneutic phenomenology which seeks to examine lived experience without distortion from the researcher or the research process. The study question asked, What is the experience of elders living with subthreshold depressive symptoms? Ten elders living in a rural area were interviewed. The reflective analysis of transcribed tapes of interviews revealed eight essential themes of subthreshold depressive symptoms: feeling useless versus keeping busy, less energy and/or ability to motivate self, keeping to oneself, feelings come and go and are distractible, loneliness, sadness, sleep changes, and internal problem-solving conversation. One incidental theme, the aggravation of depressive feelings by chronic pain and/or decline in physical mobility, was also identified. Findings are compared to post-analysis literature and analyzed. Suggestions for practice based on the primary, secondary, and tertiary levels of primary care prevention of public health are proposed..
Topical Name Used as Subject : Geriatrics, Diagnostic, Depressive symptoms, EldersNursing, Gerontology, Psychotherapy, Mental depression, Older people
Information of biblio record : TL
 
 
 
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