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晚年宠物饲养、焦虑与抑郁症状之间的关系:倾向得分匹配分析

The Relation Between Pet Ownership, Anxiety, and Depressive Symptoms in Late Life: Propensity Score Matched Analyses.

作者信息

Bolstad Courtney J, Porter Ben, Brown Cynthia J, Kennedy Richard E, Nadorff Michael R

机构信息

Department of Psychology, Mississippi State University, Mississippi, USA.

Social Science Research Center, Mississippi State University, Mississippi, USA.

出版信息

Anthrozoos. 2021;34(5):671-684. doi: 10.1080/08927936.2021.1926707. Epub 2021 Jun 1.

Abstract

The purpose of this study was to explore the differences in anxiety and depressive symptoms between older adult pet owners and non-pet owners after accounting for various correlates. Research findings on the anxiety-relieving and antidepressant effects of late-life pet ownership are mixed and limited. This may be due in part to various characteristics that impact the likelihood of owning a pet. Propensity score matching was used to pair 169 pet owners with 169 non-pet owners aged 70 to 91 years who participated in the University of Alabama at Birmingham Study of Aging. One set of propensity scores was created using age, sex, race, rurality, marital status, and income, as well as self-reported health, difficulty with activities of daily living, and difficulty with instrumental activities of daily living. A second set of scores was created using age, sex, race, rurality, marital status, and income. Multiple linear regression analyses were then used to explore the relation between pet ownership status and anxiety or depressive symptoms, controlling for the other symptoms. Pet ownership was significantly associated with lower self-reported anxiety symptoms (β = -0.14) but not depressive symptoms (β = -0.03) in the data matched without health variables. When propensity score matching included health variables, pet ownership was related to neither symptoms of anxiety (β = -0.08) nor depression (β = 0.05). These results suggest that owning a pet in later life is related to fewer anxiety symptoms, over and above the impact of depressive symptoms, even after accounting for various demographic and economic covariates. However, general and functional health appear to be critical to this relation, but the direction of this relation could not be determined from our analyses (i.e., it is not clear whether the relation between pet ownership and anxiety symptoms is confounded by, mediates, or is mediated by health). This study is the first large-scale analysis to find a significant relation between pet ownership and fewer anxiety symptoms in older adults.

摘要

本研究的目的是在考虑各种相关因素后,探讨老年宠物主人和非宠物主人在焦虑和抑郁症状方面的差异。关于晚年养宠物对缓解焦虑和抗抑郁作用的研究结果参差不齐且有限。这可能部分归因于影响养宠物可能性的各种特征。倾向得分匹配法用于将169名宠物主人与169名年龄在70至91岁之间、参与阿拉巴马大学伯明翰分校衰老研究的非宠物主人进行配对。使用年龄、性别、种族、农村居住情况、婚姻状况、收入以及自我报告的健康状况、日常生活活动困难程度和工具性日常生活活动困难程度创建了一组倾向得分。使用年龄、性别、种族、农村居住情况、婚姻状况和收入创建了第二组得分。然后进行多元线性回归分析,以探讨宠物饲养状况与焦虑或抑郁症状之间的关系,并控制其他症状。在不包含健康变量的数据匹配中,宠物饲养与较低的自我报告焦虑症状显著相关(β = -0.14),但与抑郁症状无关(β = -0.03)。当倾向得分匹配包含健康变量时,宠物饲养与焦虑症状(β = -0.08)和抑郁症状(β = 0.05)均无关。这些结果表明,即使在考虑了各种人口统计学和经济协变量之后,晚年养宠物除了对抑郁症状有影响外,还与较少的焦虑症状有关。然而,总体健康和功能健康似乎对这种关系至关重要,但我们的分析无法确定这种关系的方向(即不清楚宠物饲养与焦虑症状之间的关系是由健康因素混淆、介导还是被健康因素介导)。本研究是首次大规模分析发现宠物饲养与老年人较少焦虑症状之间存在显著关系。

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