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[老年人孤独感与抑郁之间关系的面板模型]

[A panel model of the relationships between loneliness and depression in older adults].

作者信息

Sirigu Susanna, Tomas José M, Enrique Sara, Georgieva Sylvia, Sancho Patricia

机构信息

Departamento de Metodología y de las Ciencias del Comportamiento, Facultad de Psicología y Logopedia, Universitat de València, Valencia, España.

Departamento de Psicología Evolutiva y de la Educación, Facultad de Psicología y Logopedia, Universitat de València, Valencia, España.

出版信息

Rev Esp Geriatr Gerontol. 2025 May-Jun;60(3):101572. doi: 10.1016/j.regg.2024.101572. Epub 2024 Dec 17.

Abstract

ANTECEDENTS AND OBJECTIVE

The declining birth rate and increasing life expectancy have led to an aging population, causing challenges at the economic, social and healthcare levels. Ensuring and maintaining high levels of well-being and mental health in older adults is crucial for successful aging. Given that previous literature indicates that perceived loneliness and depressive symptoms constitute significant obstacles to their quality of life, the aim of this study is to examine how perceived loneliness and depression intertwined in community-dwelling older adults over time.

METHODOLOGY

For this purpose, we conducted a longitudinal research study with a total of 46,317 European older adults (57.40% women), using the SHARE database (Survey of Health, Ageing and Retirement in Europe), at waves 6, 7, and 8, spanning a recent four-year period from 2016 to 2020. Several cross-lagged panel models were estimated using the structural equation modeling package Mplus.

RESULTS

The results show that loneliness and depression are bidirectionally related, which is difficult to combat because of their feedback and stability over time.

CONCLUSIONS

We discuss the practical implications of these findings concerning the potential double-edged sword of these reciprocal relationships on treatment and preventive interventions, as well as the study's limitations and future research directions.

摘要

背景与目的

出生率下降和预期寿命增加导致人口老龄化,在经济、社会和医疗保健层面带来挑战。确保并维持老年人的高水平幸福感和心理健康对于成功老龄化至关重要。鉴于先前文献表明,感知到的孤独感和抑郁症状是影响其生活质量的重大障碍,本研究旨在探讨随着时间推移,社区居住的老年人中感知到的孤独感和抑郁是如何相互交织的。

方法

为此,我们使用欧洲健康、老龄化与退休调查(SHARE)数据库,对总共46317名欧洲老年人(女性占57.40%)进行了一项纵向研究,研究时间跨度为2016年至2020年这一最近的四年期间,数据来自第6、7和8轮调查。使用结构方程建模软件Mplus估计了几个交叉滞后面板模型。

结果

结果表明,孤独感和抑郁是双向关联的,由于它们随时间的反馈和稳定性,很难应对。

结论

我们讨论了这些发现对于这些相互关系在治疗和预防干预方面可能的双刃剑效应的实际意义,以及该研究的局限性和未来研究方向。

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