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Strengths promoting the recovery process in older adults with depression

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  • Koji Tanaka

Abstract

Aims and objectives To clarify strengths for promoting the recovery process among older adults with depression in Japan. Background With the ageing of the global population, care and treatment of older adults with depression has been attracting increased attention around the world. It has become clear that the inner strength is inversely related to depression in older adults and that the use of inner strength is becoming a key concept in the context of caring for older adults with depression. Design Qualitative descriptive design. Methods Participant observation and narrative interviews were conducted individually with 12 older adults with depression in care‐based and daily life settings. The data obtained were subjected to thematic analysis using the narrative method to extract themes and subthemes. Results A total of three themes and 12 subthemes were elucidated. Strengths found to promote the recovery process in older adults with depression were (i) a sense of emotional connection, (ii) dialogue with life and (iii) discovery. Conclusions Strengths promoting the recovery process from a whole‐person perspective were clarified by conceptualising the experiences of older adults with depression with a strength orientation. A sense of emotional connection constituted a basis for promoting the recovery process. Dialogue with life and discovery were thought to represent the wisdom and spirituality found in the experience of old age and depression. Relevance to clinical practice While regarding the results of this study as basic knowledge, focusing on subjects’ individual narratives of illness and recovery will open the possibility of a strength‐oriented nursing practice for older adults with depression and lead to the provision of care that promotes recovery.

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  • Koji Tanaka, 2018. "Strengths promoting the recovery process in older adults with depression," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(15-16), pages 3032-3043, August.
    • Handle: RePEc:wly:jocnur:v:27:y:2018:i:15-16:p:3032-3043
    DOI: 10.1111/jocn.14359
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    1. Helen K. Black & Tracela White & Susan M. Hannum, 2007. "The Lived Experience of Depression in Elderly African American Women," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 62(6), pages 392-398.
    2. Li‐Ching Lu & Pei‐Ling Hsieh, 2013. "Frontline healthcare providers’ views of depression and its prevention in older adults," Journal of Clinical Nursing, John Wiley & Sons, vol. 22(11-12), pages 1663-1671, June.
    3. Susan Waterworth & Bruce Arroll & Deborah Raphael & John Parsons & Merryn Gott, 2015. "A qualitative study of nurses’ clinical experience in recognising low mood and depression in older patients with multiple long‐term conditions," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(17-18), pages 2562-2570, September.
    4. Anne Lise Holm & Elisabeth Severinsson, 2014. "Surviving depressive ill‐health: A qualitative systematic review of older persons' narratives," Nursing & Health Sciences, John Wiley & Sons, vol. 16(1), pages 131-140, March.
    5. Wen Zeng & Nicola North & Bridie Kent, 2012. "A framework to understand depression among older persons," Journal of Clinical Nursing, John Wiley & Sons, vol. 21(17‐18), pages 2399-2409, September.
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    Cited by:

    1. Koji Tanaka, 2020. "Depression‐linked beliefs in older adults with depression," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(1-2), pages 228-239, January.
    2. Kerstin Viglund & Birgitta Olofsson & Berit Lundman & Astrid Norberg & Hugo Lövheim, 2022. "Relationships among inner strength, health and function, well-being, and negative life events in old people: a longitudinal study," European Journal of Ageing, Springer, vol. 19(3), pages 545-554, September.

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