Bazargan M, Hamm-Baugh V P
Charles R. Drew University of Medicine and Science, Los Angeles, USA.
J Gerontol B Psychol Sci Soc Sci. 1995 Mar;50(2):S119-27. doi: 10.1093/geronb/50b.2.s119.
The relationship between depression and chronic illness among the elderly population has often been investigated. However, the impact of individual chronic illnesses while controlling for the impact of various psychosocial factors is still not well understood. This is particularly true among Black elderly persons. In a cross-sectional study, the impact of selected chronic illnesses and psychosocial variables on depression was investigated among 1,022 Black urban elderly persons who reside in New Orleans, Louisiana. Depression was greatest among those with more financial difficulties, more stressful life events, lower self-perceptions, less support from friends, and less instrumental support. Multiple regression analysis determined that depression was greatest among elderly persons who reported kidney, vision, and/or circulation problems. These findings suggest that elderly persons may perceive these three illnesses as more debilitating than other chronic illnesses.
老年人群中抑郁症与慢性病之间的关系经常受到研究。然而，在控制各种社会心理因素影响的同时，个体慢性病的影响仍未得到充分理解。在黑人老年人中尤其如此。在一项横断面研究中，对居住在路易斯安那州新奥尔良市的1022名黑人城市老年人进行了调查，以研究特定慢性病和社会心理变量对抑郁症的影响。在那些经济困难更多、生活压力事件更多、自我认知较低、朋友支持较少和工具性支持较少的人群中，抑郁症最为严重。多元回归分析确定，报告有肾脏、视力和/或循环问题的老年人中抑郁症最为严重。这些发现表明，老年人可能认为这三种疾病比其他慢性病更具致残性。
