The Open UniversitySkip to content
 

The role of autonomy in explaining mental ill-health and depression among older people in long-term care settings.

Boyle, Geraldine (2005). The role of autonomy in explaining mental ill-health and depression among older people in long-term care settings. Ageing & Society, 25(5) . 731-748.

DOI (Digital Object Identifier) Link: https://doi.org/10.1017/S0144686X05003703
Google Scholar: Look up in Google Scholar

Abstract

This paper examines the extent of mental ill-health and probable depression among older people in long-term care. It presents selected findings from a study in Greater Belfast, Northern Ireland, that compared the quality of life, autonomy and mental health of older people living in nursing and residential homes with those of older people living in private households who were receiving domiciliary care. Structured interviews were conducted with 214 residents in institutions and 44 older people receiving domiciliary care. The study found that those in private households were more severely physically-impaired and had a higher level of mental ill-health than the residents of institutional homes. It is suggested, however, that the mental ill-health effects were associated less with physical impairments than with the restrictions placed on the older person's decisional autonomy, and that long-term care environments that constrain the older person's autonomy contribute to the development of depression. Although the UK National Service Framework for Older People specified that those with depression should be given treatment and support, priority should also be given to preventing the depression associated with living in long-term care settings.

Item Type: Journal Item
Copyright Holders: 2005 Cambridge University Press
ISSN: 1469-1779
Keywords: hopelessness; depression; disability; autonomy; long-term care
Academic Unit/School: Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care > Nursing
Faculty of Wellbeing, Education and Language Studies (WELS) > Health, Wellbeing and Social Care
Faculty of Wellbeing, Education and Language Studies (WELS)
Item ID: 40998
Depositing User: Geraldine Boyle
Date Deposited: 01 Oct 2014 10:50
Last Modified: 07 Dec 2018 10:25
URI: http://oro.open.ac.uk/id/eprint/40998
Share this page:

Metrics

Altmetrics from Altmetric

Citations from Dimensions

Actions (login may be required)

Policies | Disclaimer

© The Open University   contact the OU