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老年男性的孤独、健康与抑郁

Loneliness, health and depression in older males.

作者信息

Alpass F M, Neville S

机构信息

School of Psychology, Massey University, New Zealand.

出版信息

Aging Ment Health. 2003 May;7(3):212-6. doi: 10.1080/1360786031000101193.

Abstract

Loneliness and social isolation, particularly in the older adult, have been shown to influence psychosocial well-being. Loneliness has been related to chronic illness and self-rated health in older adults, and researchers suggest there is an important relationship between loneliness and psychological well-being in older adults particularly in the area of depression. This study investigated relationships between loneliness, health, and depression in 217 older men (> 65 years). Participants completed self-report measures of loneliness, social support, depression, and physical health. Regression analysis showed that a diagnosis of illness or disability was unrelated to depression, however self-reported health was associated with depression, with those reporting poorer health experiencing greater depression. Social support variables were unrelated to depression. The most significant relationship to depression was that of loneliness, with lonelier men reporting higher scores on the Geriatric Depression Scale (GDS). Although research suggests that depression is often a response to declining health and functional impairment in the older adult, the present findings suggest that social isolation may also influence the experience of depression. Age-related losses such as loss of professional identity, physical mobility and the inevitable loss of family and friends can affect a person's ability to maintain relationships and independence, which in turn may lead to a higher incidence of depressive symptoms.

摘要

孤独和社会隔离,尤其是在老年人中,已被证明会影响心理社会幸福感。孤独与老年人的慢性病和自评健康状况有关,研究人员认为,孤独与老年人的心理健康之间存在重要关系,尤其是在抑郁症方面。本研究调查了217名老年男性(>65岁)的孤独感、健康状况和抑郁症之间的关系。参与者完成了关于孤独感、社会支持、抑郁症和身体健康的自我报告测量。回归分析表明,疾病或残疾诊断与抑郁症无关,然而自评健康状况与抑郁症相关,报告健康状况较差的人抑郁程度更高。社会支持变量与抑郁症无关。与抑郁症最显著的关系是孤独感,孤独的男性在老年抑郁量表(GDS)上得分更高。尽管研究表明,抑郁症通常是老年人健康状况下降和功能障碍的一种反应,但目前的研究结果表明,社会隔离也可能影响抑郁症的体验。与年龄相关的损失,如职业身份的丧失、身体活动能力以及不可避免地失去家人和朋友,会影响一个人维持人际关系和独立性的能力,进而可能导致抑郁症状的发生率更高。

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