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通过应激性生活事件和应对策略预测老年人的抑郁症。

Predicting depression among the elderly by stressful life events and coping strategies.

作者信息

Saadati Hemin, Froughan Mahshid, Azkhosh Manouchehr, Bahmani Bahman, Khanjani Mohammad Saeed

机构信息

Department of Counseling, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Department of Gerontology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

出版信息

J Family Med Prim Care. 2021 Dec;10(12):4542-4547. doi: 10.4103/jfmpc.jfmpc_881_21. Epub 2021 Dec 27.

Abstract

BACKGROUND AND AIM

Aging is a stage during which stressful events occur frequently. The method of coping with this stress can play an important role in an elderly's mental health. The present study aimed at investigating the role of coping strategies in stressful life events associated with depression.

METHOD

The present study was a correlational one conducted by structural equation analysis. As many as 841 elderly people were selected from the general population by adopting a cluster sampling method. Beck's Depression Inventory as well as strategies of coping with stress and stressful events were applied.

RESULTS

The model test, analyzed by AMOS by using path analysis, indicated that age is positively associated with stressful life events and depression. The "stressful life events" variable is directly and indirectly associated with depression. The emotion-focused coping strategies were positively associated with depression, and problem-focused coping strategies were negatively associated with depression.

CONCLUSION

As an individual grows older and experiences stressful life events, his/her depression increases. Elderly people with problem-focused coping strategies are likely to experience less depression.

摘要

背景与目的

衰老阶段压力事件频发。应对此类压力的方式对老年人心理健康至关重要。本研究旨在探究应对策略在与抑郁相关的压力性生活事件中的作用。

方法

本研究采用结构方程分析进行相关性研究。通过整群抽样法从普通人群中选取了841名老年人。采用了贝克抑郁量表以及应对压力和压力性生活事件的策略。

结果

使用AMOS通过路径分析进行的模型检验表明,年龄与压力性生活事件及抑郁呈正相关。“压力性生活事件”变量与抑郁直接和间接相关。以情绪为中心的应对策略与抑郁呈正相关,以问题为中心的应对策略与抑郁呈负相关。

结论

随着个体年龄增长并经历压力性生活事件,其抑郁程度会增加。采用以问题为中心应对策略的老年人可能较少经历抑郁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd7f/8884286/b53d14cebbc7/JFMPC-10-4542-g003.jpg

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