HPRHealth Psychology ResearchTBA2420-8124Health Psychology Research10.4081/hpr.2018.7577GeneralRisk for depression affects older people’s possibilities to exercise  self-determination in using time, social relationships and living life  as one wants: A cross-sectional study with frail older people https://healthpr.org/journal/HPR/6/1/10.4081/hpr.2018.7577HammarIsabelle Ottenvall,BerglundHelene,Dahlin-IvanoffSynneve,FaronbiJoel,GustafssonSusanne2018612018-07-31Exercising self-determination in daily life is highly valued by older people. However, being in the hands of other people may challenge the older people’s possibilities to exercise self-determi nation in their daily life. Among frail older people living in Sweden, risk for depression is highly predominant. There is a knowledge gap regarding if, and how having a risk of depression affects older people’s self-determination. The objective was, therefore, to explore if, and in that case how, frail older people’s self-determination is affected by the risk of depression. In this cross-sectional, secondary data analysis, with 161 community dwelling frail older people, simple logistic regression models were performed to explore the association between self-determination,the risk of depression and demographic variables. The findings showed that risk for depression and reduced self-determination were significantly associated in the dimensions: use of time (P=0.020), social relationship (P=0.003), help and support others (P=0.033), and the overall self-determination item (P=0.000). Risk for depression significantly affected self-determination in use of time (OR=3.04, P=0.014), social relationship (OR=2.53, P=0.011), and overall self-determination (OR=6.17, P=0.000). This point out an increased need of strengthening healthcare pro fessionals’ perspectives, and attitudes towards a self-determined, friendly, and person-centred dialogue.Aged, decision-making, depression, person-centredness

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