Chou K L, Chi I
Department of Social Work and Social Administration, The University of Hong Kong.
Int J Aging Hum Dev. 2000;51(4):275-93. doi: 10.2190/VNJC-TQ4W-6T3R-6V9K.
Depression is quite common among the elderly members of Hong Kong Chinese society. This study examined the impact of a series of common stressful life events (SLEs) on changes in depressive symptoms among the older people. The respondents were 260 people aged seventy years or older from a longitudinal study of a representative community sample of the elderly population in Hong Kong. Using multiple regression models, the authors found that, of eight SLEs examined, only widowhood was associated with depressive symptoms three years later, even after controlling sociodemographic, physical health status, and social support variables were applied. In addition, the SLE influenced the depression differently for men and women, as we found that the death of a spouse was associated with increased in depressive symptoms among elder women, and the moving out of children was associated with a decrease in depressive symptoms among old men. Finally, we also found a close relationship between number of SLEs and depression.
抑郁症在香港华人社会的老年群体中相当普遍。本研究考察了一系列常见生活应激事件(SLEs)对老年人抑郁症状变化的影响。研究对象是来自香港老年人口代表性社区样本纵向研究的260名70岁及以上的老人。作者使用多元回归模型发现,在所考察的8种生活应激事件中,即使在控制了社会人口统计学、身体健康状况和社会支持变量之后,只有丧偶与三年后的抑郁症状相关。此外,生活应激事件对男性和女性抑郁症的影响有所不同,因为我们发现配偶死亡与老年女性抑郁症状增加相关,而子女搬离与老年男性抑郁症状减少相关。最后,我们还发现生活应激事件的数量与抑郁症之间存在密切关系。