Saldivia Sandra, Aslan Joseph, Cova Félix, Bustos Claudio, Inostroza Carolina, Castillo-Carreño Anabel
Department of Psychiatry and Mental Health, Faculty of Medicine, Universidad de Concepción, Concepción, Chile.
Doctoral Program in Psychology, Universidad de Concepción, Concepción, Chile.
Front Psychiatry. 2023 Jun 27;14:1203590. doi: 10.3389/fpsyt.2023.1203590. eCollection 2023.
This study aims to describe the relationship between life satisfaction, positive affect, depression and anxiety symptoms with sociodemographic, psychosocial and clinical variables, and to identify the relative importance of these predictor groups.
We evaluated life satisfaction (SWLS), positive affect (PANAS), depressive (PHQ-9), and anxiety (GAI) symptoms and their association with sociodemographic, psychosocial and clinical variables in a multistage, random general population sample of fully functioning individuals aged 60-80 years from the Concepción province and Gran Santiago, Chile ( = 396). We performed weighted multiple regression analysis, considering the complex sample structure with age group, sex, and geographical area, complemented with general and conditional dominance analyses to estimate the relevance of the predictor groups.
We found significant associations with the geographical area, sex, age, education level, household members, having a partner, employment status, caregiver status, economic satisfaction, presence of chronic diseases, medication use, and alcohol use. Satisfaction with health was the most important predictor for positive affect ( < 0.001), depressive ( < 0.001), and anxiety ( < 0.001) symptoms, while alcohol use was the most significant predictor for life satisfaction ( < 0.001).
Simultaneously studying the positive and negative dimensions of wellbeing and mental health in older adults allows for a more comprehensive perspective on the challenges faced during this stage of life. This study accounts for previously unknown associations and contributes to the identification of common and specific predictors in both dimensions.
本研究旨在描述生活满意度、积极情绪、抑郁和焦虑症状与社会人口统计学、心理社会及临床变量之间的关系,并确定这些预测因素组的相对重要性。
我们在来自智利康塞普西翁省和大圣地亚哥的60 - 80岁功能完全正常的个体的多阶段随机总体样本(n = 396)中,评估了生活满意度(SWLS)、积极情绪(PANAS)、抑郁(PHQ - 9)和焦虑(GAI)症状及其与社会人口统计学、心理社会及临床变量的关联。我们进行了加权多元回归分析,考虑了年龄组、性别和地理区域的复杂样本结构,并辅以一般和条件优势分析以估计预测因素组的相关性。
我们发现这些症状与地理区域、性别、年龄、教育水平、家庭成员、有伴侣情况、就业状况、照料者状况、经济满意度、慢性病的存在、药物使用和酒精使用之间存在显著关联。对健康的满意度是积极情绪(p < 0.001)、抑郁(p < 0.001)和焦虑(p < 0.001)症状最重要的预测因素,而酒精使用是生活满意度最重要的预测因素(p < 0.001)。
同时研究老年人幸福感和心理健康的积极和消极维度,能够更全面地了解这一生命阶段所面临的挑战。本研究揭示了先前未知的关联,并有助于确定两个维度中共同和特定的预测因素。