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生活意义与抑郁症状:针对居住在养老院和社区的老年人的以人为本的方法

Meaning in Life and depressive symptoms: a person-oriented approach in residential and community-dwelling older adults.

作者信息

Van der Heyden Karen, Dezutter Jessie, Beyers Wim

机构信息

a Department of Psychology, Research Group Clinical Psychology , University of Leuven, KU Leuven , Leuven , Belgium.

出版信息

Aging Ment Health. 2015;19(12):1063-70. doi: 10.1080/13607863.2014.995589. Epub 2015 Jan 2.

Abstract

OBJECTIVES

In current society, an increasing population of older adults and a high prevalence of depressive symptoms in late life is noticeable. A possible protective resource is 'Meaning in Life'. The objective of this study is to identify from a person-oriented view (a) Meaning in Life-profiles, based on Presence of Meaning and Search for Meaning dimensions, and (b) their associations with depressive symptoms.

METHODS

A sample of 205 residential older adults (M = 83.20 years, SD = 7.26) and 280 community-dwelling older adults (M = 75.98 years, SD = 4.76) completed questionnaires of Meaning in Life and depressive symptoms. First, cluster analyses examined potential Meaning in Life-profiles. Second, analyses of variance tested associations between these distinct profiles and depressive symptoms.

RESULTS

In both samples, three distinguishable profiles emerged, a 'Low Presence Low Search', a 'High Presence High Search' and a 'High Presence Low Search'. Furthermore, older adults with a High Presence Low Search profile witnessed less depressive symptoms, compared to those with a Low Presence Low Search profile. Residential older adults within the High Presence High Search cluster scored in-between the two other clusters for depressive symptoms. However, community-dwelling older adults within this cluster reported similar levels of depressive symptoms as the High Presence Low Search group.

CONCLUSION

Similar Meaning in Life-profiles were detected in residential as well as community-dwelling older adults. In both samples, older adults with a High Presence Low Search profile reported less depressive feelings, pointing to the importance of spontaneously experiencing Meaning in Life in this life stage.

摘要

目标

在当今社会,老年人口不断增加,晚年抑郁症状的高患病率显著。一种可能的保护资源是“生活意义”。本研究的目的是从以人为本的视角识别:(a)基于生活意义的存在维度和对生活意义的探寻维度的生活意义概况,以及(b)它们与抑郁症状的关联。

方法

对205名居住型老年人(M = 83.20岁,SD = 7.26)和280名社区居住型老年人(M = 75.98岁,SD = 4.76)进行抽样,他们完成了生活意义和抑郁症状的问卷调查。首先,聚类分析检验潜在的生活意义概况。其次,方差分析测试这些不同概况与抑郁症状之间的关联。

结果

在两个样本中,都出现了三种可区分的概况,即“低存在低探寻”、“高存在高探寻”和“高存在低探寻”。此外,与“低存在低探寻”概况的老年人相比,“高存在低探寻”概况的老年人抑郁症状较少。居住型老年人中“高存在高探寻”聚类的抑郁症状得分介于其他两个聚类之间。然而,该聚类中的社区居住型老年人报告的抑郁症状水平与“高存在低探寻”组相似。

结论

在居住型和社区居住型老年人中都检测到了相似的生活意义概况。在两个样本中,“高存在低探寻”概况的老年人报告的抑郁情绪较少,这表明在这个生命阶段自发体验生活意义的重要性。

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