Bjørkløf Guro Hanevold, Engedal Knut, Selbæk Geir, Maia Deborah Bezerra, Coutinho Evandro Silvia Freire, Helvik Anne-Sofie
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.
Aging Ment Health. 2016 Aug;20(8):831-9. doi: 10.1080/13607863.2015.1040722. Epub 2015 May 8.
To compare locus of control and coping strategies in older persons with and without depression.
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.
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.
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.
比较有抑郁和无抑郁的老年人的控制点及应对策略。
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。
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。
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。
