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城乡地区孤独感和社会联系与老年抑郁症的关联:一项横断面研究。

Association of loneliness and social connectedness with geriatric depression in urban and rural areas: A cross-sectional study.

作者信息

Saha Asmita, Dinesh A John, Sudha V

机构信息

Department of Psychiatry, Aarupadai Veedu Medical College, Puducherry, India.

Department of Community Medicine, Aarupadai Veedu Medical College, Puducherry, India.

出版信息

J Family Med Prim Care. 2025 May;14(5):1651-1656. doi: 10.4103/jfmpc.jfmpc_1436_24. Epub 2025 May 31.

Abstract

BACKGROUND

Geriatric depression is increasingly concerning due to aging populations and its overlap with age-related diseases. Loneliness and social connection are key factors, but their impact on elderly mental health varies across different regions.

AIM

To investigate the association between loneliness, social connectedness, and geriatric depression among urban and rural elderly populations.

METHODS

A sample of 160 senior citizens, equally divided between urban and rural areas, aged 60 years or older, was selected for the study. Data were collected using validated questionnaires that assessed depression, social connection, and loneliness. Statistical analysis was performed using SPSS, employing Chi-square tests, independent sample t-tests, and descriptive statistics. A value of less than 0.05 was considered statistically significant.

RESULTS

The mean age of the participants was 68.68 years (SD 6.52), with 64.4% being female. The prevalence of geriatric depression varied significantly across demographic and geographic factors. Rural areas exhibited higher rates of severe depression (73.8%) compared to urban areas (59.9%, < 0.05). Illiteracy was associated with higher depression rates (78.9%) compared to literacy (21.1%, < 0.01). In addition, lower socioeconomic status was linked to increased depression severity ( < 0.001). A notable association was also observed between joint family structures and milder depression ( < 0.03).

CONCLUSION

The research emphasizes the need for targeted interventions to address loneliness, enhance social connections, and reduce depression among older adults, especially in remote areas. By understanding and addressing the complex factors affecting geriatric mental health, policymakers and healthcare providers can improve the well-being and quality of life for seniors. Further longitudinal studies are needed to explore these relationships and develop effective mental health interventions for aging populations.

摘要

背景

由于人口老龄化以及老年抑郁症与年龄相关疾病的重叠,老年抑郁症日益受到关注。孤独感和社会联系是关键因素,但其对老年人心理健康的影响在不同地区存在差异。

目的

调查城乡老年人群中孤独感、社会联系与老年抑郁症之间的关联。

方法

选取160名60岁及以上的老年人作为研究样本,城乡各半。使用经过验证的问卷收集数据,这些问卷评估了抑郁、社会联系和孤独感。使用SPSS进行统计分析,采用卡方检验、独立样本t检验和描述性统计。P值小于0.05被认为具有统计学意义。

结果

参与者的平均年龄为68.68岁(标准差6.52),女性占64.4%。老年抑郁症的患病率在人口统计学和地理因素方面存在显著差异。与城市地区(59.9%,P<0.05)相比,农村地区重度抑郁症的发生率更高(73.8%)。与识字者(21.1%,P<0.01)相比,文盲的抑郁症发生率更高(78.9%)。此外,社会经济地位较低与抑郁症严重程度增加有关(P<0.001)。在联合家庭结构与较轻抑郁症之间也观察到显著关联(P<0.03)。

结论

该研究强调需要采取针对性干预措施,以解决老年人的孤独感,加强社会联系,并减少抑郁症,特别是在偏远地区。通过了解和解决影响老年心理健康的复杂因素,政策制定者和医疗保健提供者可以改善老年人的幸福感和生活质量。需要进一步开展纵向研究来探索这些关系,并为老年人群制定有效的心理健康干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9803/12178509/9c89d0bc2c9f/JFMPC-14-1651-g001.jpg

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