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有抑郁和无抑郁老年人的控制点与应对策略

Locus of control and coping strategies in older persons with and without depression.

作者信息

Bjørkløf Guro Hanevold, Engedal Knut, Selbæk Geir, Maia Deborah Bezerra, Coutinho Evandro Silvia Freire, Helvik Anne-Sofie

机构信息

a Ageing and Health, Norwegian Centre for Research, Education and Service Development , Vestfold Hospital Trust , Tønsberg , Norway.

b Department for Mental Health Research and Development, Division for Mental health and Addiction , Vestre Viken Hospital Trust , Lier , Norway.

出版信息

Aging Ment Health. 2016 Aug;20(8):831-9. doi: 10.1080/13607863.2015.1040722. Epub 2015 May 8.

Abstract

OBJECTIVES

To compare locus of control and coping strategies in older persons with and without depression.

METHOD

This cross-sectional study included 144 depressed in-patients from seven psychogeriatric hospital units, and 106 community-dwelling older persons without depression. All participants were 60 years and older. Locus of control was assessed by a 17-items self-report questionnaire with six response categories. Coping strategies were assessed by a 26-items self-report questionnaire with five response categories. For analytical purposes, age (<75 years vs. ≥75 years), level of education (<10 years vs. ≥10 years) and general medical health (poor vs. not poor) were categorized.

RESULTS

In linear regression analysis, controlling for demographics, health, and social variables, the depressed in-patients showed a higher external locus of control orientation and a less frequent use of problem-focused coping strategies compared with the non-depressed group. No differences in use of emotion-focused strategies were found between the two groups.

CONCLUSION

Compared with the non-depressed old persons, the depressed hospitalized older persons were characterized by perceptions of less personal control, and less use of problem-focused strategies, what also might have brought positive alterations into their situation.

摘要

目的

比较有抑郁和无抑郁的老年人的控制点及应对策略。

方法

这项横断面研究纳入了来自七个老年精神病科住院单元的144名抑郁住院患者,以及106名无抑郁的社区居住老年人。所有参与者年龄均在60岁及以上。控制点通过一份有17个项目的自填问卷进行评估,该问卷有六个回答类别。应对策略通过一份有26个项目的自填问卷进行评估,该问卷有五个回答类别。为了分析目的,将年龄(<75岁与≥75岁)、教育程度(<10年与≥10年)和一般医疗健康状况(差与不差)进行了分类。

结果

在控制了人口统计学、健康和社会变量的线性回归分析中,与非抑郁组相比,抑郁住院患者表现出更高的外部控制点取向,且较少使用以问题为中心的应对策略。两组在使用以情绪为中心的策略方面未发现差异。

结论

与非抑郁老年人相比,抑郁住院老年人的特点是感觉个人控制较少,且较少使用以问题为中心的策略,这也可能给他们的状况带来了积极变化。

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