This descriptive study investigated the relationship between both demographic characteristics and type of health care setting and elderly people's attributions for control, functional status, mood, type of helplessness, and perception of self-efficacy. Results of the study demonstrate that elderly people in long-term care settings are more vulnerable to experiencing learned helplessness and depression than elderly people in acute or rehabilitation settings. The findings indicate that the critical period for the development of learned helplessness and depression is for subjects with a length of stay of 7 weeks to 6 months. The study supports other research which concludes that depression in elderly people is better explained by the original learned helplessness theory rather than being related to attributions about the cause of loss of control.

1. Nurses described learned helplessness solely in terms of residents not performing the daily activities they were capable of. 2. The relatively strong correlation between the learned helplessness subscale of the MDI and the Beck Depression Inventory suggests that learned helplessness can be maladaptive and dysfunctional. 3. Analysis of attributional style found that personal, stable, and global attributions for negative events were closely associated with LH scores and self-reported depressive symptomatology in this sample. 4. Residents, except in the areas of meals and privacy, generally reported satisfaction with the amount of control they had in their treatment setting.

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