Laboratory of Rural Psychological and Physical Health, Department of Psychology, East Tennessee State University, Johnson City, TN 37614, USA.
Br J Health Psychol. 2011 Nov;16(4):744-60. doi: 10.1111/j.2044-8287.2010.02012.x. Epub 2011 Jan 14.
We examined trait hopefulness and its component subscales of agency and pathways as potential moderators of the association between functional impairment and depressive symptoms, hypothesizing that hopefulness would buffer this association.
Cross-sectional, interview-based.
Older adult, primary care patients (N= 105; 62% female) completed measures of cognitive functioning, functional impairment, medical illness burden, trait hope, and depressive symptoms.
Functional impairment was significantly positively associated with depressive symptoms and dispositional hope total score moderated this relationship. Independently, the pathways subscale was a significant moderator and agency neared significance, yet their interaction was not significant.
Older adults with functional impairment appear to benefit from agency and pathways; either subcomponent alone or their additive effect can activate hopefulness. Facilitation of infrastructure (pathways), primarily, and self-efficacy (agency), secondarily, may be important strategies for reducing depressive symptoms in elderly patients with functional impairment.
我们研究了特质性希望及其能动性和途径两个分量表作为认知功能损伤与抑郁症状关联的潜在调节因素，假设希望能够缓冲这种关联。
基于访谈的横断面研究。
对老年、初级保健患者（N=105；62%为女性）进行认知功能、功能损伤、疾病负担、特质性希望和抑郁症状的评估。
功能损伤与抑郁症状显著正相关，特质性希望总分对此关系有调节作用。独立地，途径分量表是一个显著的调节因素，能动性接近显著，但它们的交互作用不显著。
有功能损伤的老年人似乎从能动性和途径中获益；这两个分量表单独或累积作用可以激活希望。促进基础设施（途径），主要是增强自我效能（能动性），可能是减少有功能损伤老年患者抑郁症状的重要策略。
