Bamonti Patricia, Lombardi Sarah, Duberstein Paul R, King Deborah A, Van Orden Kimberly A
a Department of Psychology , West Virginia University , Morgantown , WV , USA.
b Department of Psychiatry , University of Rochester Medical Center , Rochester , NY , USA.
Aging Ment Health. 2016;20(5):494-9. doi: 10.1080/13607863.2015.1021752. Epub 2015 Mar 26.
This cross-sectional study examined whether spirituality moderates the association between depression symptom severity and meaning in life among treatment-seeking adults.
Participants were 55 adults (≥60 years of age) newly seeking outpatient mental health treatment for mood, anxiety, or adjustment disorders. Self-report questionnaires measured depression symptom severity (Patient Health Questionnaire-9), spirituality (Spirituality Transcendence Index), and meaning in life (Geriatric Suicide Ideation Scale-Meaning in Life subscale).
Results indicated a significant interaction between spirituality and depression symptom severity on meaning in life scores (β = .26, p = .02). A significant negative association between depression symptom severity and meaning in life was observed at lower but not the highest levels of spirituality.
In the presence of elevated depressive symptomatology, those participants who reported high levels of spirituality reported comparable levels of meaning in life to those without elevated depressive symptomatology. Assessment of older adult patients' spirituality can reveal ways that spiritual beliefs and practices can be can be incorporated into therapy to enhance meaning in life.
本横断面研究调查了在寻求治疗的成年人中，精神性是否调节了抑郁症状严重程度与生活意义之间的关联。
参与者为55名（年龄≥60岁）新寻求门诊心理健康治疗的成年人，他们患有情绪、焦虑或适应障碍。通过自我报告问卷测量抑郁症状严重程度（患者健康问卷-9）、精神性（精神超越指数）和生活意义（老年自杀意念量表-生活意义子量表）。
结果表明，精神性与抑郁症状严重程度在生活意义得分上存在显著交互作用（β = 0.26，p = 0.02）。在较低而非最高精神性水平上，观察到抑郁症状严重程度与生活意义之间存在显著负相关。
在抑郁症状升高的情况下，那些报告精神性水平高的参与者所报告的生活意义水平与未出现抑郁症状升高的参与者相当。对老年患者精神性的评估可以揭示将精神信仰和实践纳入治疗以增强生活意义的方法。
