Lim May Li, Lim Donovan, Gwee Xinyi, Nyunt Ma Shwe Zin, Kumar Rajeev, Ng Tze Pin
a Department of Psychological Medicine , National University of Singapore , Singapore.
Aging Ment Health. 2015;19(11):1005-14. doi: 10.1080/13607863.2014.995591. Epub 2015 Jan 6.
The association between exposure to stressful life events (SLEs) and late-life depression is well-documented. However, the role of resilience as a buffer against the adverse mental health effects of SLEs in late life has not been convincingly demonstrated. In this paper, the moderating effect of resilience in the relationship between SLEs and depressive symptomatology in older Chinese adults is investigated.
A population sample of 385 community-dwelling older Chinese adults aged ≥60 years responded to questionnaires on resilience (Connor-Davidson resilience scale), depressive symptomatology (Geriatric Depression Scale, GDS-15) and SLEs.
Increased numbers of SLEs (β = 0.343, p < .001) and lower levels of resilience (β = -0.137, p < 0.001) were significantly associated with higher levels of depressive symptomatology. There was a significant interaction of resilience and number of SLEs on depressive symptomatology (p = 0.003). The sense of personal competence and optimism was the principal underlying resilience dimension moderating the relationship for both the young-old (aged 60-69) and the old-old (aged 70 and above).
The finding of significant interaction supported the role of resilience in moderating the adverse effect of SLEs in terms of depressive symptoms among older Chinese adults.
生活应激事件(SLEs)暴露与晚年抑郁症之间的关联已有充分记录。然而,心理弹性作为抵御SLEs对晚年心理健康产生不利影响的缓冲因素,其作用尚未得到令人信服的证实。本文探讨心理弹性在中国老年人SLEs与抑郁症状关系中的调节作用。
选取385名年龄≥60岁的社区居住中国老年人作为样本,他们对关于心理弹性(Connor-Davidson心理弹性量表)、抑郁症状(老年抑郁量表,GDS-15)和SLEs的问卷进行了作答。
SLEs数量增加(β = 0.343,p <.001)以及心理弹性水平较低(β = -0.137,p < 0.001)与抑郁症状水平较高显著相关。心理弹性和SLEs数量在抑郁症状方面存在显著交互作用(p = 0.003)。个人能力感和乐观主义是调节年轻老年人(60 - 69岁)和年老老年人(70岁及以上)关系的主要潜在心理弹性维度。
显著交互作用的发现支持了心理弹性在调节SLEs对中国老年人抑郁症状不利影响方面的作用。