Changes in Leisure Activities and Dimensions of Depressive Symptoms in Later Life: A 12-Year Follow-Up
Changes in Leisure Activities and Dimensions of Depressive Symptoms in Later Life: A 12-Year Follow-Up
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DOI：
10.1093/geront/gnu052
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发表时间：
2016-06-01
期刊：
影响因子：
5.7
通讯作者：
Chao, Shiau-Fang
中科院分区：
文献类型：
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作者：
Chao, Shiau-Fang
研究目的：虽然休闲活动有益于老年人的心理健康，但休闲活动的变化对抑郁症状维度的影响仍不清楚。这项调查研究了随访期间智力、社交和身体活动变化对抑郁症状四个维度的影响。设计和方法：随机效应模型采用了在台湾进行的全国性纵向研究的数据。该研究数据包括 12 年期间 2,660 名老年人的 6,942 项观察结果。 结果：结果表明，体力活动的变化会导致抑郁症状，这反映了后一波的积极影响。波浪之间社交活动的增加预示着随访时积极情绪的增加和人际困难分数的降低。波浪之间智力活动的增加并没有对抑郁症状的任何领域产生实质性影响。相比之下，波之间智力活动的下降预示着三个抑郁症状领域的得分较高，包括抑郁情绪、躯体症状和人际关系困难。 意义：参与各种活动比参与任何单一类型的活动更有利于老年人的心理健康。减少体力活动会降低积极影响，而负面影响则可以通过增加社交活动来平衡。此外，减少智力活动对抑郁症状的人际困难领域的影响可能会被增加的社交活动所抵消。
Purpose of Study: Although leisure activities benefit the mental health of the elderly population, the effect of changes in leisure activities on dimensions of depressive symptoms remains unclear. This investigation examined the influences of changes in intellectual, social, and physical activities between waves on four dimensions of depressive symptoms at follow-up.Design and Methods: Random effects modeling was utilized with data from a nationwide longitudinal study conducted in Taiwan. The study data comprised 6,942 observations from 2,660 older adults over a 12-year period.Results: The results suggested that changes in physical activities contributed to depressive symptoms which reflected positive affect in the later wave. Increased social activities between waves predicted higher positive affect and lower interpersonal difficulties scores at follow-up. Increased intellectual activities between waves did not substantially affect any domain of depressive symptoms. In contrast, declines in intellectual activities between waves predicted higher scores in three depressive symptoms domains, including depressed mood, somatic symptoms, and interpersonal difficulties.Implications: Engagement in a varied range of activities benefits mental health among elders more than participation in any single type of activity among elders. Reducing physical activities can lower positive affect, while the adverse effect may be balanced by increasing social activities. Also, the impact of decreasing intellectual activities on the interpersonal difficulties domain of depressive symptoms may be offset by increasing social activities.