Factor Inwentash Faculty of Social Work, University of Toronto, Ontario, Canada.
J Aging Health. 2020 Jun/Jul;32(5-6):308-316. doi: 10.1177/0898264318822228. Epub 2019 Jan 9.
The objective of this study is to estimate the prevalence of, and factors associated with, complete mental health (CMH) among stroke survivors aged 50+ years. Bivariate and logistic regression analyses of nationally representative data from the 2012 Canadian Community Health Survey-Mental Health of 11,157 older adults aged 50+ years (300 stroke survivors). CMH included all of these elements: (a) absence of any past-year mental illness (measured by the World Health Organization version of the Composite International Diagnostic Interview [WHO-CIDI] scales), (b) almost daily happiness or satisfaction, and (c) psychological and social well-being. Two thirds of the stroke survivors (68%) were in CMH. Among stroke survivors, the odds of CMH were higher among those with at least one confidant (odds ratio [OR] = 4.34; 95% confidence interval [CI] = [1.52, 12.41]), those without disabling chronic pain (OR = 2.34; 95% CI = [1.24, 4.41]), and those without a history of childhood maltreatment (OR = 2.10; 95% CI = [1.09, 4.05]), depression (OR = 3.83; 95% CI = [1.10, 13.37]), or generalized anxiety disorders (OR = 3.42; 95% CI = [1.19, 9.79]). These findings provide encouraging information for stroke survivors.
本研究旨在估计 50 岁及以上脑卒中幸存者完全心理健康（CMH）的患病率及其相关因素。对来自 2012 年加拿大社区健康调查-心理健康的 11157 名 50 岁及以上老年人（300 名脑卒中幸存者）的全国代表性数据进行了双变量和逻辑回归分析。CMH 包括以下所有要素：（a）过去一年无任何精神疾病（通过世界卫生组织复合国际诊断访谈（WHO-CIDI）量表衡量），（b）几乎每天都感到幸福或满足，以及（c）心理和社会幸福感。三分之二的脑卒中幸存者（68%）处于 CMH 状态。在脑卒中幸存者中，与至少有一个知己的人相比，CMH 的可能性更高（优势比 [OR] = 4.34；95%置信区间 [CI] = [1.52, 12.41]），与无残疾慢性疼痛的人相比（OR = 2.34；95% CI = [1.24, 4.41]），与无儿童期虐待史的人相比（OR = 2.10；95% CI = [1.09, 4.05]），与抑郁症（OR = 3.83；95% CI = [1.10, 13.37]）或广泛性焦虑症（OR = 3.42；95% CI = [1.19, 9.79]）的人相比，CMH 的可能性更高。这些发现为脑卒中幸存者提供了令人鼓舞的信息。
