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早年失去父亲或母亲预示着老年时会患抑郁症。

Early loss of mother or father predicts depression in old age.

作者信息

Kivelä S L, Luukinen H, Koski K, Viramo P, Pahkala K

机构信息

University of Oulu, Department of Public Health Science and General Practice, Oulu University Hospital, Finland.

出版信息

Int J Geriatr Psychiatry. 1998 Aug;13(8):527-30. doi: 10.1002/(sici)1099-1166(199808)13:8<527::aid-gps814>3.0.co;2-8.

Abstract

The independent predictive roles of early losses, personality traits, acute losses and long-term stress situations for the occurrence of depression in elderly Finns were described using a longitudinal design. The persons non-depressed in an epidemiological study in 1984-85 were interviewed in 1989-90 (N = 679) and the occurrence of depression was determined according to DSM III-criteria. Logistic regression models were used to assess the independent roles of the hypothesized factors as predictors. An early loss of the mother among men and an early loss of the father among women independently predicted the occurrence of depression in logistic regression models. Older age in men, and a higher number of symptoms, the occurrence of previous depression and not living alone in women were also independent predictors. In men, impaired functional abilities and poor self-perceived health tended to predict depression. In conclusion, the psychological trauma which develops upon the experience of an early parental loss contributes to the development of depression even in old age. The role of stressors in life as independent predictors of depression in old age was also ascertained.

摘要

采用纵向研究设计描述了早期丧失、人格特质、急性丧失和长期应激状况对芬兰老年人抑郁症发生的独立预测作用。在1984 - 1985年的一项流行病学研究中未患抑郁症的人群于1989 - 1990年接受了访谈(N = 679),并根据《精神疾病诊断与统计手册》第三版标准确定抑郁症的发生情况。采用逻辑回归模型评估假设因素作为预测因子的独立作用。在逻辑回归模型中,男性早年丧母和女性早年丧父可独立预测抑郁症的发生。男性年龄较大、女性症状较多、既往有抑郁症发作史以及非独居也是独立预测因子。在男性中,功能能力受损和自我感觉健康状况较差倾向于预测抑郁症。总之,早年父母丧失经历所产生的心理创伤即使在老年也会促使抑郁症的发生。还确定了生活中的应激源作为老年人抑郁症独立预测因子的作用。

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