Research Team for Social Participation and Community Health, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan.
Department of Human Studies, Bunkyo Gakuin University, Fujimino-shi, Japan.
Geriatr Gerontol Int. 2020 Apr;20(4):297-303. doi: 10.1111/ggi.13870. Epub 2020 Jan 28.
This study aimed to clarify the association between chronic stressors, stress coping and depressive tendencies among older adults.
We carried out a survey with 500 participants aged in their 70s, who were randomly selected from the basic resident register. Of these, 304 residents responded to the survey (60.8%).
Findings from a factor analysis and cluster analysis revealed five groups of chronic stressors: physical, economic and interpersonal stressor; physical and economic stressor; interpersonal stressor; physical stressor; and low stressor. The factor analysis revealed four factors of coping: cognitive coping, support-seeking, positive problem solving and escape-avoidance. Furthermore, a multiple logistic regression analysis showed that both physical, economic and interpersonal stressor, and physical and economic stressor had negative associations with depressive tendencies. With respect to stress coping, positive problem solving had a positive association with depressive tendencies, whereas escape-avoidance had a negative association with depressive tendencies.
For older individuals, the more complex the overlapping chronic stressors that are experienced, the higher the depressive tendencies. Furthermore, although older individuals selectively use various coping strategies, they do not alleviate the stress responses induced by chronic stressors. Geriatr Gerontol Int 2020; 20: 297-303.
本研究旨在阐明老年人慢性应激源、应对方式与抑郁倾向之间的关系。
我们对随机选自基本居民登记册的 500 名 70 多岁的参与者进行了一项调查。其中 304 名居民（60.8%）对调查做出了回应。
通过因子分析和聚类分析发现，慢性应激源有 5 组：生理、经济和人际关系应激源；生理和经济应激源；人际关系应激源；生理应激源；低应激源。因子分析揭示了 4 种应对方式：认知应对、寻求支持、积极解决问题和逃避回避。此外，多因素逻辑回归分析表明，生理、经济和人际关系应激源以及生理和经济应激源与抑郁倾向呈负相关。就应对方式而言，积极解决问题与抑郁倾向呈正相关，而逃避回避与抑郁倾向呈负相关。
对于老年人来说，经历的重叠慢性应激源越复杂，抑郁倾向就越高。此外，尽管老年人会选择性地使用各种应对策略，但这些策略并不能缓解慢性应激源引起的应激反应。老年医学与老年病学国际 2020；20：297-303。
