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就业及爱好与抑郁症状的关联:一项横断面研究。

Association of employment and hobbies with depressive symptoms: A cross-sectional study.

作者信息

Fujii Kazuya, Harada Kenji, Kurita Satoshi, Morikawa Masanori, Nishijima Chiharu, Kakita Daisuke, Tsutsumimoto Kota, Shimada Hiroyuki

机构信息

Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.

Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu, Aichi, Japan.

出版信息

J Psychiatr Res. 2025 Mar;183:100-105. doi: 10.1016/j.jpsychires.2025.02.001. Epub 2025 Feb 4.

Abstract

OBJECTIVE

Investigations on the effect of employment on mental health in older adults have been limited; however, the impact of hobbies on mental health is evident. Moreover, the association between the combination of these activities and the development of depressive symptoms later in life remains unclear. We examined the association of the combination of employment and hobbies with depressive symptoms.

METHODS

The participants were 4440 older adults from a cohort study conducted in Japan (mean age: 71.9 ± 5.4 years). Employment status and participation in hobbies were assessed along with depressive symptoms. Employment status was defined as full-time (≥35 h/week), long part-time (20-34 h/week), short part-time (<20 h/week) or not working. Participants were categorized into eight groups based on different combinations of work status and whether they participated in hobbies. Depressive symptoms were evaluated using the Geriatric Depression Scale, with a score ≥6 defined as having depressive symptoms. A binary logistic regression analysis was conducted to examine the association of the combined engagement in employment and hobbies with depressive symptoms.

RESULTS

Full-time work and hobbies were independently associated with lower odds ratios for depressive symptoms. The combination of employment and hobbies was associated with lower odds ratios for depressive symptoms than employment or hobbies alone. Engaging in part-time work and hobbies had the lowest odds ratio for depressive symptoms of all assessed categories.

CONCLUSION

Policymakers should consider funding public mental health education campaigns to promote engagement in employment and hobbies.

摘要

目的

关于就业对老年人心理健康影响的研究有限;然而,爱好对心理健康的影响是明显的。此外,这些活动的组合与晚年抑郁症状发展之间的关联仍不明确。我们研究了就业与爱好的组合与抑郁症状之间的关联。

方法

参与者为来自日本一项队列研究的4440名老年人(平均年龄:71.9±5.4岁)。评估了就业状况、参与爱好情况以及抑郁症状。就业状况定义为全职(≥35小时/周)、长期兼职(20 - 34小时/周)、短期兼职(<20小时/周)或未工作。参与者根据工作状态和是否参与爱好的不同组合被分为八组。使用老年抑郁量表评估抑郁症状,得分≥6被定义为有抑郁症状。进行二元逻辑回归分析以研究就业与爱好的联合参与与抑郁症状之间的关联。

结果

全职工作和爱好分别与较低的抑郁症状比值比相关。就业与爱好的组合与抑郁症状的比值比低于单独的就业或爱好。在所有评估类别中,从事兼职工作和爱好的抑郁症状比值比最低。

结论

政策制定者应考虑资助公共心理健康教育活动,以促进参与就业和爱好。

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