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Need fulfillment, need importance, and depressive symptoms of residents over the first eight months of living in a nursing home
Author(s)Annette F J Custers, Antonius H J Cillessen, Gerben J Westerhof
Journal titleInternational Psychogeriatrics, vol 26, no 7, July 2014
PublisherCambridge University Press, July 2014
Pagespp 1161-1170
Sourcejournals.cambridge.org/ipg
KeywordsNursing homes ; Admission [care homes] ; Needs [elderly] ; Depression ; Adjustment ; Longitudinal surveys.
AnnotationBased on self-determination theory and adaptation theories, the study aim was to investigate the relationship between need fulfilment (of autonomy, relatedness, and competence), need importance and depressive symptoms during the first months of living in a nursing home. This was an eight-month longitudinal questionnaire study in which 75 persons newly admitted to units for physically frail residents participated at baseline. 23 longitudinal participants were remaining at the third and final measurement wave. The results show a main effect of need fulfilment and an interaction effect of need fulfilment and need importance on depressive symptoms over time. A prototypical plot shows that residents with low need fulfilment had higher initial levels of depressive symptoms that decreased modestly over time, regardless of their need importance. Residents with high need fulfilment had lower initial levels of depressive symptoms, but their trajectories differed for participants with low and high need importance. Residents with low need importance started with lower levels of depressive symptoms but remained stable over time, whereas residents with high need importance had more depressive symptoms at time 1 that decreased slightly over time. Generally these findings show that depressive symptoms do not change over time. However individual trajectories of depressive symptoms seem to depend on individual need fulfilment and need importance. The residents that consider need fulfilment to be highly important but experience low need fulfilment had higher initial levels of depressive symptoms that decreased modestly over time, although the level of depressive symptoms remained higher as compared to the other residents. (JL).
Accession NumberCPA-150529304 A
ClassmarkLHB: KW:QKH: IK: ENR: DR: 3J

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