Hill Robert D, Gallagher Dolores, Thompson Larry W, Ishida Ted
U Utah, Salt Lake City.
Psychol Aging. 1988 Sep;3(3):230-232. doi: 10.1037/0882-7974.3.3.230.
Suicidal ideation in the elderly has been related to depression, changes in health, and anticipation of a limited future. The present study examined the Hopelessness Scale (HS) and its relation to these factors in a depressed geriatric population. A total of 120 elderly outpatients, who had applied to receive psychotherapy for depression, completed the HS, Beck Depression Inventory (BDI), health ratings, and the Schedule for Affective Disorder and Schizophrenia (SADS) at intake. The HS was found to be internally consistent, and a principal components analysis revealed three distinct factors that were related to hope, feelings of giving up, and future planning. The HS, BDI, and health ratings were predictive of suicidal ideation as measured by specific items in the SADS. The relation among suicidal ideation hopelessness, depression, and health perceptions for the depressed aged are discussed.
老年人的自杀意念与抑郁症、健康状况变化以及对有限未来的预期有关。本研究考察了绝望量表(HS)及其与老年抑郁症患者这些因素的关系。共有120名申请接受抑郁症心理治疗的老年门诊患者在初诊时完成了HS、贝克抑郁量表(BDI)、健康评分以及情感障碍和精神分裂症问卷(SADS)。结果发现HS具有内部一致性,主成分分析揭示了与希望、放弃感和未来规划相关的三个不同因素。HS、BDI和健康评分可预测SADS中特定项目所测量的自杀意念。文中讨论了老年抑郁症患者自杀意念、绝望、抑郁和健康认知之间的关系。