Chen Wenling, Okumiya Kiyohito, Wada Taizo, Sakamoto Ryota, Imai Hissei, Ishimoto Yasuko, Kimura Yumi, Fukutomi Eriko, Fujisawa Michiko, Shih Hsin-I, Chang Chia-Ming, Matsubayashi Kozo
Department of Field Medicine,School of Public Health,Kyoto University,Kyoto,Japan.
Center for Southeast Asian Studies,Kyoto University,Kyoto,Japan.
Int Psychogeriatr. 2015 Nov;27(11):1903-11. doi: 10.1017/S1041610214002907. Epub 2015 Mar 25.
Previous studies have found that social cohesion and trust (SCT) were associated with psychological well-being and physical health. In this study, we investigated the associations between SCT and mental and physical health among community-dwelling elderly in a town in southern Taiwan.
The study population consisted of 149 community-dwelling elderly aged 65 years and older (68 men, 81 women; mean age, 75.4 ± 6.1 years) residing in the town of Dashe in southern Taiwan. Activities of daily living (ADL), SCT, depression, subjective quality of life (QOL), current medical status, past medical history, and health behaviors were assessed in face-to-face interviews. Objective neurobehavioral functions were assessed using the timed up & go (TUG) test, functional reach test, and handgrip test.
Scores for ADL and Geriatric Depression Scale (GDS) were significantly correlated with SCT, and SCT was significantly correlated with all subjective QOL items. In addition, a strong correlation was observed between SCT and relationship with friends. Values for SCT (median ≥ 20) were significantly associated with both subjective sense of health (median ≥ 68) and subjective happiness (median ≥ 73) after adjusting for age, sex, and ADL.
SCT is an important variable that influences self-rated health and happiness, independently of ADL, age, and sex. When assessing geriatric psychological function, SCT should be examined more carefully, given its association with subjective sense of health and happiness, depression, and physical function.
先前的研究发现，社会凝聚力和信任（SCT）与心理健康和身体健康相关。在本研究中，我们调查了台湾南部一个城镇中社区居住老年人的SCT与心理和身体健康之间的关联。
研究人群包括居住在台湾南部大社镇的149名65岁及以上的社区居住老年人（68名男性，81名女性；平均年龄75.4±6.1岁）。通过面对面访谈评估日常生活活动（ADL）、SCT、抑郁、主观生活质量（QOL）、当前医疗状况、既往病史和健康行为。使用计时起立行走（TUG）测试、功能性伸展测试和握力测试评估客观神经行为功能。
ADL分数和老年抑郁量表（GDS）与SCT显著相关，且SCT与所有主观QOL项目显著相关。此外，观察到SCT与朋友关系之间存在强相关性。在调整年龄、性别和ADL后，SCT值（中位数≥20）与主观健康感（中位数≥68）和主观幸福感（中位数≥73）均显著相关。
SCT是一个重要变量，独立于ADL、年龄和性别影响自评健康和幸福感。鉴于SCT与主观健康感和幸福感、抑郁及身体功能的关联，在评估老年心理功能时应更仔细地检查SCT。
