高龄老人的压力与抑郁：一项纵向分析。
Stress and Depression Among the Oldest-Old: A Longitudinal Analysis.
作者信息
Jeon Hae-Sook, Dunkle Ruth E
出版信息
Res Aging. 2009;31(6):661-687. doi: 10.1177/0164027509343541.
Abstract
Stress and psychosocial resources play a crucial role in late-life depression. While most studies focus on predominantly those who are young-old, this study used a sample aged 85 and older. The authors' study aims to examine three research questions: (1) What are the trajectories of depression and its associated factors such as types of stress and psychosocial resources among the oldest-old? (2) What are the longitudinal relationships among the changes in stress, psychosocial resources, and depressive symptoms? (3) Are the effects of the changes in stress on depression trajectory mediated by changes in psychosocial resources? The study used a convenience sample of 193 community-dwelling elders aged 85 and older with four interviews every six months from 1986 to 1988. Using multilevel modeling analyses, longitudinal results showed that changes in positive life events, daily hassles (worries), and mastery were significantly associated with changes in late-life depression among the oldest-old.
摘要
压力和心理社会资源在老年期抑郁症中起着至关重要的作用。虽然大多数研究主要关注年轻老年人，但本研究使用的样本年龄在85岁及以上。作者的研究旨在探讨三个研究问题：（1）在最年长的老年人中，抑郁症的轨迹及其相关因素（如压力类型和心理社会资源）是什么？（2）压力、心理社会资源和抑郁症状变化之间的纵向关系是什么？（3）压力变化对抑郁症轨迹的影响是否由心理社会资源的变化介导？该研究采用便利抽样法，选取了193名年龄在85岁及以上的社区居住老年人，他们在1986年至1988年期间每六个月接受一次四次访谈。通过多层次建模分析，纵向结果表明，积极生活事件、日常烦恼（担忧）和掌控感的变化与最年长老年人的老年期抑郁症变化显著相关。
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