社区居住的老年人中衰弱与抑郁之间的关系随年龄变化的差异。
Age differences in the relationship between frailty and depression among community-dwelling older adults.
机构信息
School of Nursing, Peking University, 100191 Beijing, China.
School of Nursing, Shandong University, Jinan, China.
出版信息
Geriatr Nurs. 2020 Jul-Aug;41(4):485-489. doi: 10.1016/j.gerinurse.2020.01.021. Epub 2020 Feb 20.
OBJECTIVE
This study aims to examine age differences in the relationship between frailty and depression among older adults METHODS: A total of 1789 community-dwelling older adults were recruited from eastern China. Physical frailty and depressive symptoms were assessed using the Frailty Phenotype and the 5-item Geriatric Depression Scale, respectively.
RESULTS
The hierarchical multiple linear regression analysis revealed that frailty was significantly related to depressive symptoms (β = 0.272, P < 0.001) and there was a significant interaction between age and frailty (β = -0.703, P < 0.001). The Johnson-Neyman plot revealed that the relationship between frailty and depressive symptoms became weaker as people aged.
CONCLUSIONS
Frailty is more likely to cause depressive symptoms among the young-old than among the old-old, reflecting the age-related positivity effect. This highlights that interventions on emotional regulation should particularly target the young-old to reduce the effect of frailty on depression.
目的
本研究旨在探讨老年人衰弱与抑郁之间的关系随年龄的变化。
方法
本研究共招募了来自中国东部的 1789 名社区居住的老年人。采用衰弱表型和 5 项老年抑郁量表分别评估身体衰弱和抑郁症状。
结果
分层多元线性回归分析表明，衰弱与抑郁症状显著相关（β=0.272，P<0.001），年龄与衰弱之间存在显著交互作用（β=-0.703，P<0.001）。Johnson-Neyman 图表明，随着年龄的增长，衰弱与抑郁症状之间的关系逐渐减弱。
结论
衰弱在老年人群中比在老老年人群中更易导致抑郁症状，反映了年龄相关的正性效应。这表明，情绪调节干预措施应特别针对年轻老年人，以减轻衰弱对抑郁的影响。
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