Scheidt R J, Windley P G
J Gerontol. 1983 Jul;38(4):472-9. doi: 10.1093/geronj/38.4.472.
This study describes the development of an expanded ecological model of rural mental health and examines its efficacy for explaining the mental health status of 358 male and 631 female (aged 65 years or older) residents of 18 small Kansas communities. Utilizing standard structured interview data, a holdout sample strategy was used to test the impact of environmental (ecological/architectural, psychosocial), well-being (activity, security, housing satisfaction, social contact), and demographic dimensions upon composite mental health scores. Tests of the model for each sex showed that different sex-specific "causal" dynamics explained similar proportions of variation in mental health for both males and females (26.4, 27.4%, respectively). Overall, a less complex model of mental health is indicated for men than for women. The relevance of the model for conceptual, empirical, and interventive pursuits is discussed.
本研究描述了一种扩展的农村心理健康生态模型的发展，并检验了其对堪萨斯州18个小社区中358名男性和631名女性（65岁及以上）居民心理健康状况的解释效力。利用标准结构化访谈数据，采用留存样本策略来测试环境（生态/建筑、心理社会）、幸福感（活动、安全、住房满意度、社会接触）和人口统计学维度对综合心理健康得分的影响。对每种性别的模型测试表明，不同的性别特异性“因果”动态解释了男性和女性心理健康变化的相似比例（分别为26.4%、27.4%）。总体而言，男性的心理健康模型比女性的更简单。讨论了该模型在概念、实证和干预研究方面的相关性。
