Colantonio A, Kasl S V, Ostfeld A M, Berkman L F
Anesthesiology and Critical Care Medicine, University of Pittsburgh.
J Gerontol. 1993 Sep;48(5):S261-8. doi: 10.1093/geronj/48.5.s261.
The influence of premorbid psychosocial factors on physical function and institutionalization 6 weeks after hospital discharge was studied in elderly stroke patients. The predictor variables of interest were social networks, availability of social support, pre-stroke depression (CES-D), and religiousness. The data were obtained from a prospective longitudinal study based on 2,812 noninstitutionalized individuals aged 65 years and older living in New Haven, Connecticut. Incident stroke cases from this study were followed for post-stroke outcomes. Results from 87 survivors indicated that larger social networks were associated with fewer limitations in physical function, controlling for relevant health and sociodemographic conditions. Larger networks were also associated with a lower risk of institutionalization (p < .05). None of the other psychosocial factors assessed appeared to be related to these outcomes.
对老年中风患者出院6周后病前社会心理因素对身体功能和机构化的影响进行了研究。感兴趣的预测变量包括社交网络、社会支持的可获得性、中风前抑郁（流调中心抑郁量表）和宗教信仰。数据来自一项基于康涅狄格州纽黑文市2812名65岁及以上非机构化个体的前瞻性纵向研究。对该研究中的中风病例进行随访以观察中风后的结局。87名幸存者的结果表明，在控制了相关健康和社会人口统计学状况后，更大的社交网络与身体功能受限较少有关。更大的社交网络也与机构化风险较低有关（p < 0.05）。所评估的其他社会心理因素似乎均与这些结局无关。
