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老年居民抑郁与情绪调节策略的相关性研究

[Study on the correlation between depression and emotion regulation strategies in the elderly residents].

作者信息

Niu J M, Kong F Z, Zhang Y T, Shang Y X

机构信息

Department of Public Health and Management, Ningxia Medical University, Yinchuan 750004, China.

Shanxi Provincial Center for Disease Control and Prevention, Taiyuan 030012, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Dec 10;38(12):1611-1615. doi: 10.3760/cma.j.issn.0254-6450.2017.12.005.

Abstract

To explore the cross-sectional study of depressive and emotional regulation strategies of elderly residents in Yinchuan and their relationship. A total number of 1 043 elderly cases, including 505 from 5 nursing institutions and 538 from 5 communities in Yinchuan city were chosen, from March to May, 2016. Depression survey using the Geriatric Depression Scale (GDS), emotional adjustment strategies were conducted using the Gross Emotional Regulatory Questionnaire and the Rumination Scale. The overall incidence rate of depression among the elderly residents appeared as 32.0%, with 35.5% in the communities and 28.3% in the nursing homes and the difference was statistically significant ((2)=6.187, <0.05). There was no significant difference in the incidence of depression among the elderly and the aged in the community ((2)=0.066, =0.798) by the trend analysis method. The score of GDS for the 1 043 elderly was (9.1±5.7) points. The scores on cognitive reappraisal in emotional adjustment strategies and on expression inhibition were (26.7±8.0) and (16.3±6.6) points respectively. The score of the rumination was (34.5±11.7) points. There were significant differences in cognitive reappraisal scores on different sex, hobbies and physical exercise (all <0.05) among the elderly. There were significant differences in rumination scores among the elderly with different age, marital status, cultural level, interest (all <0.05) and in the scores of expression inhibition among the elderly with different levels of education and income (all <0.05). There appeared a negative correlation between the depression scores and cognitive reappraisal (=-0.400, <0.01) but a positive correlation between the scores of depression and rumination (=0.652, <0.01). The incidence of depression identified in the elderly residents appeared high and was associated with emotional adjustment strategies, in Yinchuan city.

摘要

探讨银川市老年居民抑郁与情绪调节策略的横断面研究及其关系。2016年3月至5月,选取了1043例老年病例,其中505例来自银川市5家护理机构,538例来自5个社区。采用老年抑郁量表(GDS)进行抑郁调查,使用情绪调节问卷和沉思量表进行情绪调节策略调查。老年居民抑郁总发生率为32.0%,社区为35.5%,养老院为28.3%,差异有统计学意义(χ²=6.187,P<0.05)。采用趋势分析方法,社区老年人与高龄老年人抑郁发生率差异无统计学意义(χ²=0.066,P=0.798)。1043例老年人GDS评分为(9.1±5.7)分。情绪调节策略中认知重评得分和表达抑制得分分别为(26.7±8.0)分和(16.3±6.6)分。沉思得分是(34.5±11.7)分。老年人不同性别、爱好和体育锻炼的认知重评得分差异有统计学意义(均P<0.05)。不同年龄、婚姻状况、文化程度及兴趣的老年人沉思得分差异有统计学意义(均P<0.05),不同文化程度和收入水平老年人的表达抑制得分差异有统计学意义(均P<0.05)。抑郁得分与认知重评呈负相关(r=-0.400,P<0.01), 与沉思呈正相关(r=0.652, P<0.01)。银川市老年居民抑郁发生率较高,且与情绪调节策略有关。

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