Department of Psychology, Texas Tech University, Lubbock, USA.
Aging Ment Health. 2012;16(3):281-7. doi: 10.1080/13607863.2011.598847. Epub 2011 Jul 25.
The purpose of this study was to examine the relation between functional impairment, self-rated health, and depressive symptoms. Independently, self-rated health and functional impairment each contribute to depressive symptoms; however, it remains unknown how these variables are related to depression in combination. It was hypothesized that self-rated health would moderate the relation between functional impairment and depressive symptoms in a sample of older adults.
A community sample of adults aged 60 and above was recruited from primary care clinics (n = 106); 98 of these participants had usable data. Participants completed self-report questionnaires that assessed depressive symptoms, functional impairment, and self-rated physical health.
Self-rated health moderated the relation between functional impairment and depressive symptoms. For participants with poor self-rated health, greater functional impairment was associated with greater depressive symptoms.
It appears that patient perceptions of health may be protective against depressive symptoms for those with functional impairment.
本研究旨在探讨功能障碍、自我报告健康状况和抑郁症状之间的关系。自我报告健康状况和功能障碍各自对抑郁症状有贡献；然而，目前尚不清楚这些变量如何结合起来与抑郁相关。研究假设自我报告健康状况会调节老年人样本中功能障碍和抑郁症状之间的关系。
从初级保健诊所招募了年龄在 60 岁及以上的成年人社区样本（n=106）；其中 98 名参与者有可用数据。参与者完成了自我报告问卷，评估抑郁症状、功能障碍和自我报告的身体健康状况。
自我报告健康状况调节了功能障碍和抑郁症状之间的关系。对于自我报告健康状况较差的参与者，功能障碍越严重，抑郁症状越严重。
对于有功能障碍的患者，患者对健康的感知似乎可以预防抑郁症状。
