The interactive role of chronic medical conditions and sleep disturbance in predicting depressive symptoms among Korean American older adults.
The interactive role of chronic medical conditions and sleep disturbance in predicting depressive symptoms among Korean American older adults.
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慢性医疗状况和睡眠障碍在预测韩裔美国老年人的抑郁症状方面的互动作用。
DOI：
10.1080/13607860903493366
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发表时间：
2011-03
影响因子：
3.4
通讯作者：
Chiriboga DA
中科院分区：
文献类型：
--
作者：
Jang Y;Shin J;Cho S;Kim G;Chiriboga DA
本研究考察了慢性医疗条件和睡眠障碍对抑郁症状的独立和相互作用。样本（N = 675）由居住在社区的韩裔美国老年人组成，这一群体被发现在抑郁症状方面特别高。用一系列预测因子估计抑郁症状的层次回归模型：(A)人口变量，包括移民史；(b)慢性疾病；(c)睡眠障碍；(d)慢性疾病与睡眠障碍之间的相互作用。在控制了人口统计学变量的影响后，慢性疾病和睡眠障碍被确定为抑郁症状的独立危险因素。此外，两者的相互作用显著，表明慢性疾病和睡眠障碍的共存与抑郁症状的高水平显著相关（β = 0.15, p < 0.01）。我们的研究结果呼吁人们注意患有慢性疾病的老年人的睡眠卫生，并建议医疗保健专业人员密切监测和评估睡眠质量。
This study examined the independent and interactive effects of chronic medical conditions and sleep disturbance on depressive symptomatology. The sample (N = 675) consisted of community-dwelling Korean American older adults, a group that has been found to be particularly high in depressive symptomatology. A hierarchical regression model of depressive symptoms was estimated with an array of predictors: (a) demographic variables, including immigration history, (b) chronic medical conditions, (c) sleep disturbance, and (d) an interaction between chronic medical conditions and sleep disturbance. After controlling for the effects of demographic variables, both chronic medical conditions and sleep disturbance were identified as independent risk factors for depressive symptoms. Moreover, their interaction was significant, indicating that the coexistence of chronic medical conditions and sleep disturbance was significantly associated with higher levels of depressive symptoms (β = 0.15, p < 0.01). Our findings call attention to sleep hygiene among older individuals with chronic medical conditions and recommend that sleep quality should be closely monitored and assessed by healthcare professionals.
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影响因子：
3.8
作者：
Lin, KM;Cheung, F
通讯作者：
Cheung, F
DOI：
10.1111/j.1532-5415.2007.01125.x
发表时间：
2007-04-01
影响因子：
6.3
作者：
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通讯作者：
Chiriboga, David A.
影响因子：
2.8
作者：
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通讯作者：
Joseph, Justine
影响因子：
1.9
作者：
KUO, WH
通讯作者：
KUO, WH
影响因子：
7
作者：
Harpole, LH;Williams, JW;Unützer, J
通讯作者：
Unützer, J