The role of perceived control in explaining depressive symptoms associated with driving cessation in a longitudinal study.

The role of perceived control in explaining depressive symptoms associated with driving cessation in a longitudinal study.
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纵向研究中感知控制在解释与停止驾驶相关的抑郁症状中的作用。

DOI:
10.1093/geront/47.2.215
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发表时间:
2007
期刊:
The Gerontologist
影响因子:
--
通讯作者:
Andrews,GaryR
Andrews,GaryR
中科院分区:
--
文献类型:
--
作者:
Windsor,TimothyD;Anstey,KaarinJ;Butterworth,Peter;Luszcz,MaryA;Andrews,GaryR

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目的:这篇文章的目的是在以人群为基础的老年人样本中,调查控制信念在调节戒车和抑郁症状变化之间的关系中的作用。设计和方法:我们报告了一项基于社区的前瞻性队列研究的结果,该研究包括1992年和1994年收集的两波数据。参与者包括700名70岁及以上的男性和女性,包括647名司机和53名参与者,他们在基线(1992年)和后续行动(1994年)之间停止驾驶。参与者参与了包括驾驶状况、社会人口学特征、自我评估的健康、感觉功能、抑郁症状(通过流行病学研究中心-抑郁量表)和对控制的期望的评估。使用多水平一般线性模型,我们检验了驾驶状态、控制期望和相关协变量在多大程度上解释了基线和随访期间抑郁症状评分的变化。结果:从基线到随访,停止驾驶与抑郁症状的增加有关。停止驾驶的司机的抑郁症状得分高于继续驾驶的司机,部分原因是停止驾驶的司机的控制感相应下降,而司机的控制信念增加。意义:旨在促进个人代理和相关控制信念维持的干预措施可以保护人们免受停车带来的负面心理影响。
Purpose:The purpose of this article was to investigate the role of control beliefs in mediating the relationship between driving cessation and change in depressive symptoms in a population-based sample of older adults.Design and Methods:We report results from a prospective, community-based cohort study that included two waves of data collected in 1992 and 1994. Participants consisted of 700 men and women aged 70 and older, including 647 drivers and 53 participants who ceased driving between baseline (1992) and follow-up (1994). Participants took part in interviews that included assessments of driving status, sociodemographic characteristics, self-rated health, sensory function, depressive symptoms (through the Center for Epidemiologic Studies–Depression scale), and expectancy of control. Using multilevel general linear models, we examined the extent to which driving status, expectancy of control, and relevant covariates explained change in depressive-symptom scores between baseline and follow-up.&!ensp;Results:Driving cessation was associated with an increase in depressive symptoms from baseline to follow-up. The higher depressive-symptom scores of ceased drivers relative to those of individuals who remained drivers at both waves was partly explained by a corresponding decrease in the sense of control among ceased drivers, and increased control beliefs among drivers.Implications:Interventions aimed at promoting the maintenance of personal agency and associated control beliefs could be protective against the negative psychological concomitants of driving cessation.
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