McDonnall Michele Capella
Res Aging. 2011 May;33(3):234-255. doi: 10.1177/0164027511399106.
The purpose of this study was to evaluate the ability of three productive activities (paid employment, volunteer work, and informal helping) to mitigate the negative effects of dual sensory loss (DSL) on depressive symptoms among older adults. Multilevel modeling was used to analyze longitudinal data from the nationally representative Health and Retirement Study. The sample consisted of 2,688 persons: 1,380 who developed DSL during the study and 1,308 who did not. Although participation in each of the productive activities was associated with fewer depressive symptoms for older adults with DSL, volunteering was also the only variable that moderated the relationship between DSL and depressive symptoms. Persons with a DSL who volunteered exhibited a larger decrease in depressive symptoms compared to persons without sensory loss who volunteered. A volunteer intervention for older adults with DSL may be a viable option to help reduce depression in this population.
本研究的目的是评估三种生产性活动(有偿工作、志愿工作和非正式帮助)减轻老年人双重感官丧失(DSL)对抑郁症状负面影响的能力。采用多层次模型分析来自具有全国代表性的健康与退休研究的纵向数据。样本包括2688人:1380人在研究期间出现了DSL,1308人未出现。虽然参与每项生产性活动都与患有DSL的老年人抑郁症状较少有关,但志愿工作也是调节DSL与抑郁症状之间关系的唯一变量。与没有感官丧失的志愿者相比,患有DSL的志愿者抑郁症状下降幅度更大。针对患有DSL的老年人进行志愿干预可能是帮助减少该人群抑郁症的一个可行选择。