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心理韧性调节了感知压力对社区居住老年人晚年抑郁的影响。

Psychological Resilience Moderates the Effect of Perceived Stress on Late-Life Depression in Community-Dwelling Older Adults.

作者信息

da Silva-Sauer Leandro, Lima Thiago Regis Gouveia, da Fonsêca Égina Karoline Gonçalves, de la Torre-Luque Alejandro, Yu Xiaoqian, Fernández-Calvo Bernardino

机构信息

Department of Psychology, Federal University of Paraiba, João Pessoa, Brazil.

Center for Biomedical Research in Mental Health (CIBERSAM), Department of Legal Medicine, Psychiatry and Pathology, Complutense University of Madrid, Madrid, Spain.

出版信息

Trends Psychol. 2021;29(4):670-683. doi: 10.1007/s43076-021-00073-3. Epub 2021 Apr 6.

DOI:10.1007/s43076-021-00073-3
PMID:40477228
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8023784/
Abstract

Depression is a disabling mental condition that reduces the quality of life regardless of age and circumstances. Late-life depression may be especially impairing due to its relationship with poor physical and mental health. Repeated or prolonged exposures to stressful events deserve a particular interest among late-life depression risk factors. One factor that may help to cope with these stressful situations is the resilience. The objective of the study was to examine the moderating effect of resilience on the relationship between perceived stress (PS) and depression. A total of 1020 community-dwelling older adults aged from 60 to 101 years ( = 68.5, = 6.99) completed the Perceived Stress Scale, Hospital Anxiety and Depression Scale, and Brief Resilience Scale. A moderation effect has been tested using PROCESS for SPSS. Depressive symptomatology was positively related to PS ( = .598; < .001) and inversely related to resilience ( = - .444; < .001). Moreover, the negative impact of PS on depressive symptoms was buffered for individuals with higher resilience ( = - .014; < .001). The resilience could be an adaptive strategy to cope with stress and reduce depression in community-dwelling older adults.

摘要

抑郁症是一种使人衰弱的精神疾病,无论年龄和环境如何,都会降低生活质量。老年期抑郁症因其与身心健康不佳的关系,可能尤其具有损害性。在老年期抑郁症的风险因素中,反复或长期暴露于压力事件值得特别关注。一个可能有助于应对这些压力情况的因素是心理韧性。本研究的目的是检验心理韧性对感知压力(PS)与抑郁症之间关系的调节作用。共有1020名年龄在60至101岁之间(平均年龄=68.5岁,标准差=6.99岁)的社区居住老年人完成了感知压力量表、医院焦虑抑郁量表和简易心理韧性量表。使用SPSS的PROCESS程序检验了调节效应。抑郁症状与PS呈正相关(β=.598;p<.001),与心理韧性呈负相关(β=-.444;p<.001)。此外,对于心理韧性较高的个体,PS对抑郁症状的负面影响得到了缓冲(β=-.014;p<.001)。心理韧性可能是社区居住老年人应对压力和减轻抑郁的一种适应性策略。

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Trait resilience and mental health in older adults: A meta-analytic review.特质韧性与老年人心理健康:元分析综述。
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The resilience framework as a strategy to combat stress-related disorders.作为应对与压力相关疾病的一种策略的复原力框架。
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Psychobiological factors of resilience and depression in late life.晚年的韧性和抑郁的心理生物学因素。
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Relationship between resilience and stress: Perceived stress, stressful life events, HPA axis response during a stressful task and hair cortisol.韧性与压力的关系:压力知觉、压力生活事件、应激任务期间的 HPA 轴反应和头发皮质醇。
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