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结构方程模型解释伊朗老年人代际关系与抑郁症状之间的关系及其在社会隔离中介作用。

Structural equation modeling to explain the relationship between intergenerational relationships and depressive symptoms with the mediation of social isolation in the Iranian older adults.

机构信息

School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Aging Ment Health. 2024 Dec;28(12):1608-1616. doi: 10.1080/13607863.2024.2372067. Epub 2024 Jul 1.

Abstract

OBJECTIVES

There is ample evidence of the significant role of social isolation and reduced intergenerational relationships in the emergence of various problems and diseases, including depression. Therefore, the present study aims to investigate the relationship between intergenerational relationships, social isolation, and depression in the older adult population of Maku, Iran, in 2022.

METHODS

The present study was a correlational study conducted on 407 older adult individuals in Maku. The sampling method was systematic random sampling. The inclusion criteria were age 60 and above, ability to communicate, no cognitive impairment, no experience of stressful events or incidents in the past six months, and incomplete questionnaire response as the exclusion criterion. The data were collected using the Shokoohi Intergenerational Relationships Questionnaire, Lubben Social Network Scale (LSNS), and Geriatric Depression Scale (GDS-15). The data were analyzed using SPSS16 software and descriptive statistics tests (percentage, frequency, mean, standard deviation, and confidence interval), Pearson correlation coefficient, and structural equation modeling using EQS6.4 software.

RESULTS

Intergenerational relationships had a direct negative correlation with depressive symptoms in the older adult population ( = -0.18,  < 0.001), and social isolation was indirectly negatively correlated with depressive symptoms in the older adult population ( = -0.15,  < 0.001).

CONCLUSION

Considering that older adults who maintain solid intergenerational ties with their children often encounter less social isolation and display fewer signs of depression, it is crucial to devise suitable strategies to strengthen these relationships and foster social interaction in their later years.

摘要

目的

有大量证据表明,社会隔离和代际关系减少会导致各种问题和疾病的出现,包括抑郁症。因此,本研究旨在探讨 2022 年伊朗马库老年人群中代际关系、社会隔离与抑郁之间的关系。

方法

本研究是一项在马库进行的 407 名老年人的相关性研究。抽样方法为系统随机抽样。纳入标准为年龄 60 岁及以上、能够交流、无认知障碍、过去六个月内无应激事件或事件经历、以及问卷回答不完整。使用 Shokoohi 代际关系问卷、Lubben 社会网络量表(LSNS)和老年抑郁量表(GDS-15)收集数据。使用 SPSS16 软件和描述性统计检验(百分比、频率、均值、标准差和置信区间)、Pearson 相关系数以及 EQS6.4 软件的结构方程建模分析数据。

结果

代际关系与老年人群的抑郁症状呈直接负相关( = -0.18,<0.001),社会隔离与老年人群的抑郁症状呈间接负相关( = -0.15,<0.001)。

结论

考虑到与子女保持牢固代际关系的老年人往往较少受到社会隔离的影响,抑郁症状也较少,因此制定适当的策略来加强这些关系并促进他们晚年的社会互动至关重要。

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