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老年人中抑郁、归属感与自杀意念的关联:复原力模型的适用性

The association of depression and sense of belonging with suicidal ideation among older adults: applicability of resiliency models.

作者信息

McLaren Suzanne, Gomez Rapson, Bailey Maria, Van Der Horst Renee K

机构信息

School of Behavioural & Sciences & Humanities, University of Ballarat, Australia.

出版信息

Suicide Life Threat Behav. 2007 Feb;37(1):89-102. doi: 10.1521/suli.2007.37.1.89.

DOI:10.1521/suli.2007.37.1.89
PMID:17397283
Abstract

Suicide among older people, especially men, is a significant problem. In this study the applicability of the compensatory, the risk-protective, the challenge, and the protective-protective models of resiliency for the prediction of suicidal ideation from depression (the risk factor) and sense of belonging to the community (the protective factor) was investigated. A total of 351 retired Australians (130 males and 221 females), with a mean age of 71.31 years (SD = 7.99), completed the Zung Depression Scale, the suicide subscale of the General Health Questionnaire, and the Sense of Belonging Instrument. When sense of belonging (psychological) was the protective factor, results indicated support for the risk-protective model for men and women, and for the compensatory model for women only. In contrast, when sense of belonging (antecedents) was the protective factor, support was evident for the compensatory model for men and women, and for the challenge model for women only. Results indicate that interventions should be developed to enhance sense of belonging among aging adults.

摘要

老年人自杀,尤其是男性自杀,是一个重大问题。在本研究中,调查了复原力的补偿模型、风险保护模型、挑战模型和保护-保护模型在从抑郁(风险因素)和社区归属感(保护因素)预测自杀意念方面的适用性。共有351名澳大利亚退休人员(130名男性和221名女性)参与,平均年龄为71.31岁(标准差=7.99),他们完成了zung抑郁量表、一般健康问卷的自杀分量表和归属感量表。当归属感(心理层面)作为保护因素时,结果表明支持男性和女性的风险保护模型,以及仅支持女性的补偿模型。相比之下,当归属感(先行因素)作为保护因素时,明显支持男性和女性的补偿模型,以及仅支持女性的挑战模型。结果表明,应制定干预措施以增强老年人的归属感。

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