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老年人共病抑郁和焦虑症状学:衰老自我刻板印象、孤独感以及与自我认知为负担相关的内疚感的作用。

Comorbid Depressive and Anxiety Symptomatology in Older Adults: The Role of Aging Self-Stereotypes, Loneliness, and Feelings of Guilt Associated with Self-Perception as a Burden.

作者信息

Pedroso-Chaparro María Del Sequeros, Cabrera Isabel, Márquez-González María, Ribeiro Óscar, Losada-Baltar Andrés

机构信息

Universidad Autónoma de Madrid (Spain).

Universidade de Aveiro (Portugal).

出版信息

Span J Psychol. 2023 Sep 29;26:e26. doi: 10.1017/SJP.2023.26.

DOI:10.1017/SJP.2023.26
PMID:37772769
Abstract

The main objective of this study was to analyze the differences between older adults' symptom profiles (subclinical, anxiety, depressive, and comorbid) in negative aging self-stereotypes, loneliness, and feelings of guilt associated with self-perception as a burden. Participants were 310 community-dwelling people aged 60 years and over. The sample was grouped into four symptom profiles of older adults: anxiety, depressive, comorbid anxiety-depression, and subclinical symptoms. We carried out multinomial logistic regression analyses to analyze the role of assessed variables in the explanation of the four symptom profiles. Older adults who reported a comorbid symptomatology presented higher negative aging self-stereotypes and feelings of loneliness than the other three profiles. Compared with the subclinical profile, older adults who reported clinical symptomatology (anxiety, depressive, and comorbid profile) presented higher feelings of guilt associated with self-perception as a burden. The findings of this study suggest potential associations that may contribute to understanding and treating comorbid anxiety and depressive symptoms in older adults.

摘要

本研究的主要目的是分析老年人在消极衰老自我刻板印象、孤独感以及与自我认知为负担相关的内疚感方面,不同症状类型(亚临床、焦虑、抑郁和共病)之间的差异。研究对象为310名年龄在60岁及以上的社区居民。样本被分为老年人的四种症状类型:焦虑、抑郁、共病焦虑 - 抑郁和亚临床症状。我们进行了多项逻辑回归分析,以分析评估变量在解释这四种症状类型中的作用。报告有共病症状的老年人比其他三种类型表现出更高的消极衰老自我刻板印象和孤独感。与亚临床类型相比,报告有临床症状(焦虑、抑郁和共病类型)的老年人在自我认知为负担方面表现出更高的内疚感。本研究结果表明了一些潜在关联,可能有助于理解和治疗老年人的共病焦虑和抑郁症状。

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