Changes in driving patterns and worsening depressive symptoms among older adults
Changes in driving patterns and worsening depressive symptoms among older adults
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DOI：
10.1093/geronb/56.6.s343
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发表时间：
2001-11-01
影响因子：
6.2
通讯作者：
Herzog, AR
中科院分区：
文献类型：
--
作者：
Fonda, SJ;Wallace, RB;Herzog, AR
目标.本研究探讨了驾驶模式的变化-驾驶停止和减少-是否对美国老年人的抑郁症状有负面影响，以及这些影响是否会减轻配偶驾驶的人。该项目使用了来自3波最古老的资产和健康动态（AHEAD）研究的数据。使用流行病学中心的简化抑郁量表评估抑郁症状，使用2个模型，该项目研究了波I和波2之间发生的驾驶停止和减少如何导致波2和波3之间抑郁症状的增加。第一个模型包括整个样本（N = 5，239）。第二个模型仅关注驾驶员（n = 3，543）。第三个模型在分析中增加了交互作用项，以考虑停止驾驶但配偶驾驶的受访者是否更少患抑郁症的风险。停止驾驶的受访者有更大的风险恶化抑郁症状。在研究开始前限制驾驶距离的司机也有更大的抑郁症状恶化的风险，但似乎比完全停止驾驶的受访者要少。对于停止驾驶的受访者，有配偶可以驾驶他们并没有减轻恶化的风险。驾驶模式的改变可能对老年人的抑郁症状有害。协助老年人的举措应侧重于帮助他们保持驾驶技能的战略，使他们为可能从驾驶员过渡到前驾驶员做好准备。并确保他们在即将发生重大变化时能够获得心理健康治疗。
Objectives. This study examined whether changes in driving patterns-driving cessation and reduction-have negative consequences for the depressive symptoms of older Americans and whether these consequences are mitigated for people with a spouse who drives.Methods. The project used data from 3 waves of the Asset and Health Dynamics Among the Oldest Old (AHEAD) study. Depressive symptoms were assessed with an abbreviated Center for Epidemiologic Studies-Depression scale, Using 2 models, the project examined how driving cessation and reduction that occurred between Waves I and 2 contributed to increases in depressive symptoms between Waves 2 and 3. The first model included the entire sample (N = 5,239). and the second model focused on drivers only (n = 3,543). A third model added interaction terms to the analysis to consider whether respondents who stopped driving but had a spouse who drove were less at risk of worsening depressive symptoms.Results. Respondents who stopped driving had greater risk of worsening depressive symptoms. Drivers who restricted their driving distances before the study began also had greater risk of worsening depressive symptoms, but seemingly less so than the respondents who stopped driving altogether. For respondents who stopped driving, having a spouse available to drive them did not mitigate the risk of worsening symptoms.Discussion. Changes in driving patterns can be deleterious for older people's depressive symptoms. Initiatives for assisting older people should focus on strategies that help them retain driving skills, that prepare them for the possible transition from driver to ex-driver. and that ensure that they have access to mental health therapies if driving changes are imminent.