抑郁症状、抑郁症多维度表现与老年人虐待之间的关联：基于芝加哥市区老年人的横断面人群分析
Association Between Depressive Symptoms, Multiple Dimensions of Depression, and Elder Abuse: A Cross-Sectional, Population-Based Analysis of Older Adults in Urban Chicago.
作者信息
Roepke-Buehler Susan K, Simon Melissa, Dong XinQi
机构信息
Rush University, Chicago, IL, USA.
Northwestern University, Chicago, IL, USA.
出版信息
J Aging Health. 2015 Sep;27(6):1003-25. doi: 10.1177/0898264315571106. Epub 2015 Mar 24.
OBJECTIVE
Depression is conceptualized as both a risk factor for and a consequence of elder abuse; however, current research is equivocal. This study examined associations between elder abuse and dimensions of depressive symptoms in older adults.
METHOD
Participants were 10,419 older adults enrolled in theChicago Health and Aging Project (CHAP), a population-based study of older adults. Regression was used to determine the relationships between depressive symptoms, depression dimensions, and abuse variables.
RESULTS
Depressive symptoms were consistently associated with elder abuse. Participants in the highest tertile of depressive symptoms were twice as likely to have confirmed abuse with a perpetrator (odds ratio = 2.07, 95% confidence interval = [1.21, 3.52], p = .008). Elder abuse subtypes and depression dimensions were differentially associated.
DISCUSSION
These findings highlight the importance of routine depression screening in older adults as a component of abuse prevention and intervention. They also provide profiles of depressive symptoms that may more accurately characterize risk for specific types of abuse.
目的
抑郁症被认为既是虐待老人的一个风险因素，也是其后果；然而，目前的研究尚无定论。本研究探讨了虐待老人与老年人抑郁症状维度之间的关联。
方法
参与者为10419名参与芝加哥健康与老龄项目（CHAP）的老年人，该项目是一项基于人群的老年人研究。采用回归分析来确定抑郁症状、抑郁维度和虐待变量之间的关系。
结果
抑郁症状与虐待老人始终存在关联。抑郁症状处于最高三分位数的参与者被确认遭受施虐者虐待的可能性是其他人的两倍（优势比 = 2.07，95%置信区间 = [1.21, 3.52]，p = .008）。虐待老人的亚型与抑郁维度之间存在差异关联。
讨论
这些发现凸显了对老年人进行常规抑郁筛查作为预防和干预虐待行为一部分的重要性。它们还提供了抑郁症状的特征，这些特征可能更准确地表征特定类型虐待行为的风险。
Zotero 插件