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The Relationship Between Self-Perceived Benefits From Singing and Quality of Life in Older Adults Aged Over 75 Years

75세 이상 노인이 지각하는 노래부르기의 혜택과 삶의 질

  • 한수진 (누스 예술심리치료센터)
  • Received : 2017.04.10
  • Accepted : 2017.05.25
  • Published : 2017.05.30

Abstract

The purpose of this study was to examine the relationship between self-perceived benefits from singing and the quality of life of older adults aged 75 years and older. A total of 231 older adults participated in this study with 141 of them living alone and 90 of them living with others. Each participant was instructed to complete the investigator-constructed questionnaire and the Quality of Life scale. The questionnaire consisted of 49 items on demographic information, involvement in leisure activities and singing-related experiences, and perceived benefits from singing. The results showed that the amount of involvement in leisure activities and the measured quality of life were found to differ between the two subgroups of older adults living with and without others. The number of older adults who had singing-related experiences was also differed between the groups. A positive correlation was found between the amount of self-perceived benefit from singing and quality of life. These results indicate that self-perceived benefits from singing could be an important factor for the quality of life of older adults. This study supports the potential benefits of incorporating singing as an active leisure activity into interventions for older adults, expanding the research that has been extensively based on listening-based interventions. Also, it presents clinical implications for how singing interventions and programs could be designed and suggested to support this population to better cope with their life issues and enhance the quality of life.

본 연구는 75세 이상 노인의 노래부르기 실태 조사 및 지각하는 노래부르기 혜택과 삶의 질간의 관계를 알아보고자 실시되었다. 본 연구의 대상자는 총 231명의 후기 노인으로, 이 중 90명은 타인과 함께 거주하는 일반노인, 141명은 혼자 거주하고 있는 독거노인이었다. 각 대상자는 연구자가 제작한 설문지 조사와 삶의 질 척도 검사에 참여하였다. 연구자가 제작한 설문지는 대상자의 인구사회학적 특성과 여가 수준, 노래부르기 관련 경험, 노래부르기의 혜택에 대한 인식 등을 묻는 총 49개 문항으로 구성되었다. 회수된 설문지 중 응답이 불충분한 설문지를 제외하고 총 231부를 분석한 결과, 여가 활동에 참여하는 수준과 지각된 삶의 질에 있어 일반노인과 독거노인 간 차이가 있는 것으로 나타났다. 노래부르기 관련 경험 유무에 있어서도 그룹 간 차이가 있었다. 또한 지각하는 노래부르기 혜택수준과 삶의 질 점수 간 정적 상관관계에 있는 것으로 나타났다. 이러한 결과는 노래부르기 경험에 어떠한 혜택이 있는지 인식하는 수준이 삶의 질에 있어 중요한 요인이 될 수 있음을 시사한다. 또한 노래부르기가 적극적인 여가 활동으로 활용될 수 있는 가능성을 뒷받침하여, 기존의 감상 활동에 초점이 맞추어졌던 노인을 위한 활동 영역이 확대될 수 있는 기초를 마련했다고 할 수 있다. 본 연구 결과는 노인 대상군이 삶의 질 향상을 위한 대처 전략으로써 활용할 수 있는 노래부르기 활동을 제안하는 데 있어 참고할 만한 기초 자료를 제시했다는 데 그 의의가 있다고 할 수 있다.

Keywords

References

  1. Anshel, A., & Kipper, D. A. (1988). The influence of group singing on trust and cooperation. Journal of Music Therapy, 25(3), 145-155. https://doi.org/10.1093/jmt/25.3.145
  2. Belgrave, M. (2011). The effect of a music therapy intergenerational program on children and older adults’ intergenerational interactions, cross-age attitudes, and older adults psychosocial well-being. Journal of Music Therapy, 48(4), 486-508. https://doi.org/10.1093/jmt/48.4.486
  3. Bruhn, H. (2002). Musical development of elderly people. Psychomusicology: A Journal of Research in Music Cognition, 18(1-2), 59-75. https://doi.org/10.1037/h0094051
  4. Chang, S. J. (2010). Structural and functional aspects of social network in old age, and the subjective quality of life: Focusing on the comparison according to age and gender(노년기 사회적 관계망의 구조적, 기능적 측면과 주관적 삶의 질의 관계). Social Science Research Review, 26(1), 75-100.
  5. Chen, S.-L., Lin, H.-C., & Jane, S.-W. (2009). Perceptions of group music therapy among elderly nursing home residents in Taiwan. Complementary Therapies in Medicine, 17(4), 190-195. https://doi.org/10.1016/j.ctim.2009.03.002
  6. Chong, H. J. (2015). Music therapy: Understanding and application(음악치료학의 이해와 적용) (2nd ed.). Seoul: Ewha Womans University Press.
  7. Clair, A. A., & Memmott, J. (2009). Therapeutic uses of music with older adults(노인음악치료). (노인음악치료연구회. trans.). Seoul: Sigmapress. (Original work published 2008).
  8. Clift, S., Hancox, G., Morrison, I., Hess, B., Kreutz, G., & Stewart, D. (2010). Choral singing and psychological wellbeing: Quantitative and qualitative findings from English choirs in a cross-national survey. Journal of Applied Arts and Health, 1(1), 19-34. https://doi.org/10.1386/jaah.1.1.19/1
  9. Davidson, J. W., McNamara, B., Rosenwax, L., Lange, A., Jenkins, S., & Lewin, G. (2014). Evaluating the potential of group singing to enhance the well-being of older people. Australasian Journal on Ageing, 33(2), 99-104. https://doi.org/10.1111/j.1741-6612.2012.00645.x
  10. Doh, H. S., Lee, H. S., Kim, S. H., Choi, M. K., Lee, S., & Kim, S. W. (2011). Human development and the family(인간발달과 가족). Paju: Gyomoon Publishers.
  11. Elefant, C., Baker, F. A., Lotan, M., Lagesen, S. K., & Skeie, G. O. (2012). The effect of group music therapy on mood, speech, and singing in individuals with Parkinson’s disease-A feasibility study. Journal of Music Therapy, 49(3), 278-302. https://doi.org/10.1093/jmt/49.3.278
  12. Eom, M. K. (2015). A study on the music therapy for functional recovery in elderly admitted to long-term nursing care center(장기요양기관 입소노인의 기능회복을 위한 음악프로그램 조사) (Unpublished master's thesis). Ewha Womans University, Seoul.
  13. Hallam, S., & Creech, A. (2016). Can active music making promote health and well-being in older citizens? Findings of the music for life project. London Journal of Primary Care, 8(2), 21-25. https://doi.org/10.1080/17571472.2016.1152099
  14. Hays, T., & Minichiello, V. (2005). The meaning of music in the lives of older people: A qualitative study. Psychology of Music, 33(4), 437-451. https://doi.org/10.1177/0305735605056160
  15. Hur, J. S. (2002). Determinants of leisure activities among urban elderly persons(도시노인의 여가활동에 영향을 미치는 요인들에 관한 연구). Journal of the Korean Gerontological Society, 22(2), 227-247
  16. Jeong, M. Y., & Sim, M. Y. (2009). A study on the quality of life for the elderly participating social welfare using facilities: Focused on the program’s participation, self-esteem and depression(이용시설 참여노인의 삶의 질에 영향을 미치는 요인: 프로그램 참여도, 자아존중감 및 우울을 중심으로). Journal of the Korean Gerontological Society, 29(4), 1539-1557.
  17. Jun, H. U., & Kim, S. J. (2011). Effects of respiration and oral motor training based on musical elements and singing on voice of healthy elderly(음악요소와 노래부르기를 활용한 호흡 및 구강훈련이 정상노인의 음성에 미치는 영향). The Journal of the Korea Contents Association, 11(10), 380-387. https://doi.org/10.5392/JKCA.2011.11.10.380
  18. Kim, B. K., Ha, Y. J., & Choi, S. S. (2014). A vertical study on the factors which are influenced on depression of the aged: Focusing on physical․psychological․social factor(노인의 우울에 영향을 미치는 요인들에 관한 종단적 연구). Journal of the Korean Gerontological Society, 34(1), 115-132.
  19. Kim, E. S., Lee, S. K., Yoon, H. J., Nam, H. M., Kim, K. H., & Kwon, G. H. (2014). Subjective health status and relative factors of old-old elderly of more than 75-year-old(75세 이상 후기노인의 주관적 건강상태와 관련요인). Journal of the Korea Academia-Industrial Cooperation Society, 15(7), 4279-4289. https://doi.org/10.5762/KAIS.2014.15.7.4279
  20. Kim, H. K., Lee, H. J., & Park, S. M. (2010). Factors influencing quality of life in elderly women living alone(여성독거노인의 삶의 질 영향 요인). Journal of the Korean Gerontological Society, 30(2), 279-292.
  21. Kim, H. K., & Sung, J. M. (2014). The longitudinal factors related to the depression of the Korean elderly: Comparison of younger-old and older-old(노년기 우울에 영향을 미치는 종단적 요인: 전기․후기 노인의 비교를 중심으로). Journal of Welfare for the Aged, 66, 427-449.
  22. Kim, H. R. (2012). Prevalence of depression and its correlates among young-old and old-old elderly people with poverty in Korean urban community(일 도시지역 국민기초생활보장 수급 대상 전기노인과 후기노인의 우울 유병률과 관련요인). Journal of the Korean Gerontological Society, 32(3), 941-954.
  23. Kim, J. Y., & Lee, J. M. (2010). Influences of elder education on life-satisfaction - Focused on the mediating effects of social support and self-esteem-(노인교육이 생활만족도에 미치는 영향-사회적 지지와 자아존중감의 영향력을 중심으로). Journal of Welfare for the Aged, 48, 7-30.
  24. Kim, K. H. (2001). A study of musical preferences of the elderly(노인의 음악선호도 조사 연구) (Unpublished master's thesis). Sookmyung Women's University, Seoul.
  25. Kim, M. H., & Min, K. H. (2004). Emotional experience and emotion regulation in old age(노년기 정서경험과 정서조절의 특징). Korean Journal of Psychology, 23(2), 1-21.
  26. Kim, M. R. (2006). The study of comparing the factors of affecting on the quality of life for young-old women and old-old women(전기, 후기 노인의 삶의 질 및 영향요인 비교연구). Korean Journal of Social Welfare, 58(2), 197-222.
  27. Kim, Y. B., & Lee, S. H. (2015). The depressive symptom and poverty in later life: Interaction effect between poverty and informal social relationships(노년기 우울증상과 빈곤). Journal of Digital Convergence, 13(12), 401-411. https://doi.org/10.14400/JDC.2015.13.12.401
  28. Ko, J. E., & Lee, S. H. (2012). A multilevel modeling of factors affecting depression among older Korean adults(노인우울에 영향을 미치는 요인에 대한 다층분석), Mental Health & Social Work, 40(1), 322-351.
  29. Ko, S. D., & Joe, S. H. (1997). A study on the analysis of factors affecting improvement of quality of life for the elderly(노인의 삶의 질 향상을 위한 요인 추출). Journal of the Korean Gerontological Society, 17(2), 17-36.
  30. Koelsch, S. (2014). Brain correlates of music-evoked emotions. Nature Reviews Neuroscience, 15(3), 170-180. https://doi.org/10.1038/nrn3666
  31. Lee, E. A. (2014). The study on the actual utilization of music for the depression of the elderly people(노인의 우울 수준에 따른 음악 활용 실태 연구) (Unpublished master's thesis). Ewha Womans University, Seoul.
  32. Lee, H. S., Kim, D. K., Ko, H. J., Ku, H. M., Kwon, E. J., & Kim, J. H. (2003). The standardization of Geriatric Quality of Life scale ( 노인 삶의 질척도 의 표준화), The Korean Journal of Clinical Psychology, 22(4), 859-881.
  33. McCullough-Brabson, E. (1981). An assessment of the musical needs and preferences of individuals 65 and over (Unpublished doctoral dissertation). The University of Arizona, Arizona.
  34. Moussard, A., Bigand, E., Belleville, S., & Peretz, I. (2014). Learning sung lyrics aids retention in normal ageing and Alzheimer’s disease. Neuropsychological Rehabilitation, 24(6), 894-917. https://doi.org/10.1080/09602011.2014.917982
  35. Nam, S. K., & Shim, O. S. (2011). A study on the influence factors on quality of life of elderly with chronic disease(만성질환노인의 삶의 질 영향요인 연구). Journal of Welfare for the Aged, 53, 239-259.
  36. Park, K. S., Hahn, D. W., & Lee, J. I. (2006). Social psychological predictors of sucessful aging in Korea(한국사회에서 건강하고 행복한 성공노화 노인들의 사회심리적 특성). The Korean Journal of Health Psychology, 11(3), 457-475.
  37. Sakano, K., Ryo, K., Tamaki, Y., Nakayama, R., Hasaka, A., Takahashi, A., ... Saito, I. (2014). Possible benefits of singing to the mental and physical condition of the elderly. BioPsychoSocial Medicine, 8, 11. https://doi.org/10.1186/1751-0759-8-11
  38. Skingley, A., Clift, S. M., Coulton, S. P., & Rodriguez, J. (2011). The effectiveness and cost-effectiveness of a participative community singing programme as a health promotion initiative for older people: Protocol for a randomised controlled trial. BMC Public Health, 11, 142. https://doi.org/10.1186/1471-2458-11-142
  39. Skingley, A., Martin, A., & Clift, S. (2016). The contribution of community singing groups to the well-being of older people: Participant perspectives from the United Kingdom. Journal of Applied Gerontology, 35(12), 1302-1324. https://doi.org/10.1177/0733464815577141
  40. Sohn, Y. J. (2013). The effect of suicidal ideation, self-esteem, and family life satisfaction on depression among the young-old, middle-old and old-old elderly Korean(초기고령, 중기 고령 및 초고령 한국노인들에 있어서 자살성 사고, 자존감, 가족 생활만족도가 우울증에 미치는 영향에 관한 연구). Health and Social Welfare Review, 33(4), 185-217. https://doi.org/10.15709/hswr.2013.33.4.185
  41. Suh, S. R., & Kim, M. (2014). Influencing factors on the health-related quality of life of older adults living alone(독거노인 건강관련 삶의 질의 영향 요인). Journal of Korean Gerontological Society, 34(4), 705-716.
  42. Yun, K. Y. (2008). A study on factors affecting quality of living in low income, alone-living elderly(저소득 독거노인의 삶의 질에 영향을 미치는 요인에 관한 연구) (Unpublished doctoral dissertation). Kukje Theological Seminary and University, Seoul.