Tsuboi Satomi, Fukukawa Yasuyuki, Niino Naoakira, Ando Fujiko, Shimokata Hiroshi
Department of Epidemiology, the National Institute for Longevity Sciences, Gengo, Morioka-cho, Obu 474-8522.
Shinrigaku Kenkyu. 2004 Jun;75(2):101-8. doi: 10.4992/jjpsy.75.101.
This study was conducted to identify factors associated with depressive symptoms among males and females in two age groups; the middle-aged (40-59 years) and elderly (60-79 years). Subjects were 2211 community-dwelling people (1115 males and 1096 females). Depressive symptoms were estimated by Center for Epidemiologic Studies Depression Scale (CES-D). Marital status, self-rated health, activities of daily living, age awareness, locus of control, and social support were assessed using self-administered questionnaires and interviews. In all groups, poor subjective health and external locus of control showed significant positive association with depressive symptoms. Age awareness was associated with depressive symptoms in female groups. Impairment of instrumental activities of daily living and lower social support were associated with depressive symptoms in the elderly groups. The findings suggested that there might be age and gender differences in the impact of factors associated with depressive symptoms.
本研究旨在确定两个年龄组(中年组[40 - 59岁]和老年组[60 - 79岁])男性和女性中与抑郁症状相关的因素。研究对象为2211名社区居民(1115名男性和1096名女性)。采用流行病学研究中心抑郁量表(CES - D)评估抑郁症状。通过自填问卷和访谈评估婚姻状况、自评健康状况、日常生活活动能力、年龄认知、控制点和社会支持。在所有组中,主观健康状况差和外部控制点与抑郁症状呈显著正相关。年龄认知与女性组的抑郁症状相关。老年组中,工具性日常生活活动能力受损和社会支持较低与抑郁症状相关。研究结果表明,与抑郁症状相关的因素的影响可能存在年龄和性别差异。