Haugan Gørill, Innstrand Siw Tone
Research Centre for Health Promotion and Resources HiST/NTNU, Faculty of Nursing, Sør-Trøndelag University College, 7004 Trondheim, Norway.
ISRN Psychiatry. 2012 Jun 3;2012:301325. doi: 10.5402/2012/301325. Print 2012.
Aims. This study's aim was to test the effects of self-transcendence on depression among cognitively intact nursing home patients. Background. Depression is considered the most frequent mental disorder among the elderly population. Specifically, the depression rate among nursing home patients is three to four times higher than that among community-dwelling elderly. Therefore, finding new and alternative ways to prevent and decrease depression is of great importance for nursing home patients' well-being. Self-transcendence is related to spiritual as well as nonspiritual factors, and it is described as a correlate and resource for well-being among vulnerable populations and at the end of life. Methods. A two-factor construct of the self-transcendence scale (interpersonal and intrapersonal) and the hospital anxiety and depression scale (HADS) was applied. A sample of 202 cognitively intact nursing home patients in central Norway was selected to respond to the questionnaires in 2008/2009. Results. A hypothesized SEM model demonstrated significant direct relationships and total effects of self-transcendence on depression. Conclusion and Implication for Practice. Facilitating patients' self-transcendence, both interpersonally and intrapersonally, might decrease depression among cognitively intact nursing home patients.
目的。本研究旨在测试自我超越对认知功能正常的养老院患者抑郁的影响。背景。抑郁症被认为是老年人群中最常见的精神障碍。具体而言，养老院患者的抑郁率比社区居住的老年人高出三到四倍。因此，寻找新的和替代方法来预防和减轻抑郁对养老院患者的幸福感至关重要。自我超越与精神因素以及非精神因素相关，它被描述为弱势群体和生命末期幸福感的一个相关因素和资源。方法。应用自我超越量表（人际和个人内）和医院焦虑抑郁量表（HADS）的双因素结构。2008年/2009年选取了挪威中部202名认知功能正常的养老院患者样本回答问卷。结果。一个假设的结构方程模型显示自我超越对抑郁有显著的直接关系和总体影响。结论及对实践的启示。在人际和个人内促进患者的自我超越可能会降低认知功能正常的养老院患者的抑郁。
