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The purpose of the study was to examine the relationships between cognitive and functional impairment and depression in terms of Lazarus and Folkmans theoretical perspective. We analyzed the responses of 208 older adults residing in the special elderly nursing homes and/or the health care facilities for the elderly. The results of our statistical analyses was as follows: (1) The exploratory factor analyses for two stress-appraisal scales of cognitive and functional impairment provided one-factor solution, respectively. The confirmatory factor analyses indicated the each one-factor measurement model yielded adequate indices of fit. It is evidence for their construct validity and unidimensionality. (2) Our path analytic model using structural equation modeling demonstrated that indirect effects of the cognitive and functional impairment on the depression through an increase in the stress-appraisals of their impairment. Significant direct effects of both cognitive and functional impairment on the depression were not found. These results indicate that stress-appraisals of cognitive and functional impairment play an important role in mediating the relationship between cognitive and functional impairment as a stressor, and depression as a stress response. Therefore, it is necessary to concern stress-appraisals of cognitive and functional impairment in designing and establishing an effective mental health care system for institutional older residents.

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UCI(KEPA) : I410-ECN-0101-2018-338-001981302