Sadness in older persons: 13-year follow-up of a community sample in Baltimore, Maryland
Sadness in older persons: 13-year follow-up of a community sample in Baltimore, Maryland
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DOI：
10.1017/s0033291798008083
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发表时间：
1999-03-01
影响因子：
6.9
通讯作者：
Anthony, JC
中科院分区：
文献类型：
--
作者：
Gallo, JJ;Rabins, PV;Anthony, JC
背景我们之前的心理测量工作表明，1981年在一项社区调查中采访的老年人比年轻人报告焦虑的可能性要小。我们假设，这也将是真正的老年人采访13年后。这项研究是一项基于人口的13年跟踪调查，对象是1981年居住在东巴尔的摩的社区居民成年人。受试者是巴尔的摩流行病学流域计划的持续参与者。在排除了1981年首次访谈时年龄在65岁及以上的269名成年人后，仍有1651名成年人（347名年龄在65岁及以上，1304名随访时年龄在30 - 64岁）。我们应用结构方程与测量模型的二分数据（MIMIC-多指标，多原因-模型）比较随访时65岁及以上的成年人与年轻人之间的症状，与构成重度抑郁症诊断标准的9个症状组相关，调整了几个潜在影响特征（即性别、自我报告的种族、教育程度、认知障碍、婚姻状况和就业情况）。老年人不太可能赞同悲伤，直接效应系数为-0.335（95%置信区间-0.643，-0.027）。调整几个潜在影响因素后，年龄的直接影响基本不变（-0.298（95%CI-0.602，0.006））。与1981年的老年人一样，1994年的老年人比年轻人更不可能赞同悲伤。这一发现表明，但不是格罗夫，在报告抑郁症观察到的年龄差异并不反映队列效应。
Background. Our prior psychometric work suggested that older adults interviewed in 1981 in a community survey were less likely than younger adults to report dysphoria. We hypothesized that this would also be true of older adults interviewed 13 years later.Methods. This study is a population-based 13-year follow-up survey of community-dwelling adults living in East Baltimore in 1981. Subjects were the continuing participants of the Baltimore Epidemiologic Catchment Area Program. After excluding 269 adults who were 65 years of age and older at initial interview in 1981, 1651 adults remained (347 aged 65 years and older and 1304 who were 30-64 years-old at follow-up). We applied structural equations with a measurement model for dichotomous data (the MIMIC - multiple indicators, multiple causes - model) to compare symptoms between adults who were 65 years and older at follow-up with younger adults, in relation to the nine symptom groups comprising the diagnostic criteria for major depression, adjusting for several potentially influential characteristics (namely, gender, self-reported ethnicity, educational attainment, cognitive impairment, marital status and employment).Results. Older adults were less likely to endorse sadness as evidenced by a direct effect coefficient of -0.335 (95% Confidence Interval -0.643, -0.027). lifter adjusting for several potentially influential characteristics, the direct effect of age was substantially unchanged (-0.298 (95 % CI -0.602, 0.006)).Conclusions. Older adults in 1994, like older adults in 1981, were less likely to endorse sadness than younger persons. This finding suggests, but does not grove, that the observed age difference in reporting depression does not reflect a cohort effect.