Technology Research for Independent Living Centre, St. James's Hospital, Dublin, Ireland.
Aging Ment Health. 2012;16(2):199-207. doi: 10.1080/13607863.2011.604024. Epub 2011 Aug 23.
To explore the key components representative of measures of psychosocial functioning with a focus on identifying the constituents of psychological distress in an Irish sample of community-dwelling older adults and to examine the relationship between these components and health outcomes such as frailty.
Cross-sectional observational study at the Technology Research for Independent Living (TRIL) Clinic, a comprehensive geriatric assessment facility in St. James's Hospital, Dublin. In this study, 579 participants were given eight primary assessments (Centre for Epidemiological Studies of Depression, Geriatric Adverse Life Events Scale, Pittsburgh Sleep Quality Index, De Jong-Gierveld Scale, Practitioner Assessment of Network Type, Eysenck Personality Inventory, Hospital Anxiety and Depression Scale, Lubben Social Network Scale) and a broad range of health and demographic secondary assessments. Principal factor analysis identified the core components relating to psychosocial functioning. Following this, the regression factors of these components were correlated with health outcomes.
The first of three components identified accounted for 9.08% of the variance and related to a core internal component of psychological distress. The two other components related to external and physiological functioning, specifically social support networks and sleep. Spearman's Rho correlations indicated significant associations of walking speed, age, Berg Balance Scale and living alone with all three components. Additionally, the core component of psychological distress significantly correlated with the Fried Frailty Index, illness co-morbidity, ADL, IADL and nutrition.
These results characterise the variation in psychosocial functioning in older adults and identifies psychological distress as a core facet of psychosocial functioning which has associations with frailty.
探索以识别爱尔兰社区居住的老年人群体中心理困扰的构成要素为重点的心理社会功能测量的关键组成部分，并研究这些组成部分与健康结果（如脆弱）之间的关系。
横断面观察性研究在都柏林圣詹姆斯医院的综合老年评估设施 Technology Research for Independent Living（TRIL）诊所进行。在这项研究中，579 名参与者接受了八项主要评估（流行病学研究中心抑郁量表、老年不良生活事件量表、匹兹堡睡眠质量指数、De Jong-Gierveld 量表、从业者评估网络类型、艾森克人格问卷、医院焦虑和抑郁量表、Lubben 社会网络量表）和广泛的健康和人口统计学二级评估。主成分分析确定了与心理社会功能相关的核心成分。在此之后，这些成分的回归因子与健康结果相关。
确定的三个成分中的第一个成分占 9.08%，与心理困扰的核心内在成分有关。另外两个成分与外部和生理功能有关，特别是社会支持网络和睡眠。Spearman Rho 相关性表明，所有三个成分与行走速度、年龄、伯格平衡量表和独居均有显著关联。此外，心理困扰的核心成分与 Fried 脆弱指数、疾病共病、ADL、IADL 和营养显著相关。
这些结果描述了老年人心理社会功能的变化，并确定心理困扰是心理社会功能的核心方面，与脆弱性有关。
