Badger T A, Collins-Joyce P
University of Arizona, USA.
Clin Nurs Res. 2000 Aug;9(3):238-55; discussion 256-9. doi: 10.1177/10547730022158564.
The purpose of this study was twofold: to examine the differences between two groups of older adults (depressed, nondepressed) for physical health impairment, psychosocial resources, and functional abilities, and to describe the impact of depression, physical health impairment, and psychosocial resources on functional ability. Seventy-eight community-dwelling older adults, age 60 to 75 years, were divided into two groups based on their depression scores. Depressed and nondepressed participants were not significantly different for demographic and illness characteristics, except for income. Depressed participants reported greater physical health impairment, decreased social resources, diminished feelings of economic well-being, and decreased functional abilities when compared to nondepressed participants. Mastery, physical health impairment, and social support were significant predictor variables of functional ability. Mastery was a particularly salient psychological resource for total functional abilities and interventions should be targeted to increasing mastery in older adults.
一是检验两组老年人（抑郁组、非抑郁组）在身体健康损害、心理社会资源和功能能力方面的差异；二是描述抑郁、身体健康损害和心理社会资源对功能能力的影响。78名年龄在60至75岁之间的社区居住老年人根据其抑郁得分被分为两组。抑郁组和非抑郁组参与者在人口统计学和疾病特征方面无显著差异，但收入除外。与非抑郁组参与者相比，抑郁组参与者报告有更严重的身体健康损害、社会资源减少、经济幸福感降低以及功能能力下降。掌控感、身体健康损害和社会支持是功能能力的显著预测变量。掌控感是影响整体功能能力的一项尤为重要的心理资源，干预措施应旨在提高老年人的掌控感。
