Department of Psychiatry, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France; Faculté de Médecine, Université Paris Descartes, Sorbonne Paris Cité, Paris, France.
Department of Psychiatry, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France; Faculté de Médecine, Université Paris Descartes, Sorbonne Paris Cité, Paris, France; Centre Psychiatrie et Neurosciences, INSERM, U894, Paris, France.
Am J Geriatr Psychiatry. 2015 Sep;23(9):941-9. doi: 10.1016/j.jagp.2014.12.004. Epub 2014 Dec 9.
Previous studies have suggested a positive effect of retirement on depressive symptoms. The present study took advantage of the large-scale, prospective Gaz et Electricité (GAZEL) cohort to examine whether personality could influence this effect.
Depressive symptoms were assessed in 1993, 1996, 1999, 2002, 2005, and 2008 with the Center for Epidemiologic Studies Depression Scale (CES-D). Among the participants for which changes in depressive symptoms after retirement could be computed, 9,755 had completed the Buss and Durkee Hostility Inventory and the Bortner Type A Rating Scale in 1993. Covariates included age, gender, occupational grade, history of sickness absences for depression, and alcohol consumption. The effect of hostility and type A personality on changes in depressive symptoms after retirement were assessed with general linear models.
Adjusting for all covariates, higher scores of total (p <0.001; η(2) = 0.017), cognitive (p <0.001; η(2) = 0.021), and behavioral hostility (p <0.001; η(2) = 0.004) as well as type A personality (p <0.001; η(2) = 0.002) were each associated with a smaller improvement of depressive symptoms after retirement. Regarding hostility subscales, only the association with cognitive hostility remained significant (p <0.001; η(2) = 0.018) when both were simultaneously entered in the model. Among participants meeting the CES-D threshold of clinical depression before retirement, those in the lowest quartile of cognitive hostility were two times more likely than those in the highest to fall short of this threshold after retirement (odds ratio: 1.99; 95% confidence interval: 1.54-2.58).
Individuals with high levels of cognitive hostility display less improvement of depressive symptoms after retirement.
先前的研究表明退休对抑郁症状有积极影响。本研究利用大规模的前瞻性 Gaz et Electricité (GAZEL) 队列研究,考察人格是否会影响这种效应。
1993 年、1996 年、1999 年、2002 年、2005 年和 2008 年采用中心流行病学研究抑郁量表(CES-D)评估抑郁症状。在可以计算退休后抑郁症状变化的参与者中,有 9755 人在 1993 年完成了 Buss 和 Durkee 敌意量表和 Bortner 型 A 评分量表。协变量包括年龄、性别、职业等级、因抑郁请病假的病史和饮酒量。采用一般线性模型评估敌意和 A 型人格对退休后抑郁症状变化的影响。
调整所有协变量后,总分(p<0.001;η(2) = 0.017)、认知(p<0.001;η(2) = 0.021)和行为敌意(p<0.001;η(2) = 0.004)以及 A 型人格(p<0.001;η(2) = 0.002)得分较高者,退休后抑郁症状改善较小。关于敌意亚量表,只有认知敌意与抑郁症状的关联在同时进入模型时仍然显著(p<0.001;η(2) = 0.018)。在退休前达到 CES-D 临床抑郁标准的参与者中,认知敌意最低四分位数的人在退休后达到这一标准的可能性比最高四分位数的人低两倍(优势比:1.99;95%置信区间:1.54-2.58)。
认知敌意水平较高的个体在退休后抑郁症状改善较少。