Personality, Evaluation and Clinical Psychology Department, School of Psychology, Complutense University of Madrid, Campus de Somosaguas, Ctra. de Húmera, s/n, 28223 Pozuelo de Alarcón, Madrid, Spain.
Int J Environ Res Public Health. 2020 Nov 17;17(22):8528. doi: 10.3390/ijerph17228528.
Except in the case of depression, there are few studies that analyze mental health variables related to quality of life (QoL) in people over 65 years of age. The objective of this study is to analyze the relationship between QoL and the following variables: sociodemographic and physical and mental health of people over 65 years of age. The sample was randomly selected and consists of men and women between 65 and 84 years of age ( = 555) from the Community of Madrid. Mental disorders were evaluated with the CIDI65+ interview and QoL with the WHOQoL-BREF scale. Means, ANOVA and multiple linear regression analyses were performed. Women have worse QoL than men and QoL worsens with age. The regression model for the dependent variable "WHOQoL BREF Scale" explains 41.43% of the variance ( = 0.413). The variables that have the greatest impact on QoL are as follows: a greater number of physical and psychological symptoms, experiencing financial difficulties and the presence of a psychological disorder, while continuing to work has a positive effect on QoL. Physical and mental disorders have a similar impact on QoL. The presence of a greater number of psychological symptoms (without necessarily fulfilling the criteria of a mental disorder) is a predictive variable of worse QoL. Mental health has a burden on the QoL of people over 65 years of age that is as powerful as physical health.
除了抑郁症,很少有研究分析 65 岁以上人群与生活质量(QoL)相关的心理健康变量。本研究旨在分析 QoL 与以下变量之间的关系:65 岁以上人群的社会人口学和身心健康。该样本是随机选择的,由马德里社区 65 至 84 岁的男女组成(n=555)。使用 CIDI65+访谈评估精神障碍,使用 WHOQoL-BREF 量表评估 QoL。进行了均值、方差分析和多元线性回归分析。女性的 QoL 比男性差,且 QoL 随年龄增长而恶化。因变量“WHOQoL BREF 量表”的回归模型解释了 41.43%的方差( = 0.413)。对 QoL 影响最大的变量如下:更多的身体和心理症状、经济困难和存在心理障碍,而继续工作对 QoL 有积极影响。身体和精神障碍对 QoL 的影响相似。更多的心理症状存在(不一定符合精神障碍的标准)是 QoL 较差的预测变量。心理健康对 65 岁以上人群的生活质量产生的负担与身体健康一样大。