Trajectory of depression symptoms and related factors in later life - A population based study
Trajectory of depression symptoms and related factors in later life - A population based study
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DOI：
10.1016/j.jad.2011.04.048
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发表时间：
2011-10-01
影响因子：
6.6
通讯作者：
Wang, Lee
中科院分区：
文献类型：
--
作者：
Huang, Jui-Fang;Wong, Ruey-Hong;Wang, Lee
背景资料：许多关于老年抑郁症的研究探讨了抑郁症与其相关因素之间的关系，但没有观察到相关因素的发展如何随着时间的推移影响老年抑郁症。本研究旨在了解1993 - 2003年10年间，台湾地区老年人抑郁症状的上升轨迹，以及相关因素导致的抑郁症状在男性和女性之间是否存在异质性。方法：本研究使用“台湾地区老年人健康与生活状况调查”的数据。共有1017名60岁以上的台湾老年人完成了四个调查模块。本研究以台湾地区老年男性与女性为研究对象，运用潜在成长曲线模型与一般成长混合模型，探讨10年来台湾地区老年男性与女性忧郁症状的发展轨迹，并探讨忧郁症状的相关因素。我们还发现，在四波数据的老年男性和女性之间的抑郁症状的轨迹，结果是异质性的。男性抑郁症状的轨迹受自觉健康和残疾的影响;女性抑郁症状的轨迹受残疾和社会支持的影响。结论：这些研究结果表明，老年人的最终抑郁症状会与发展不同的抑郁相关因素的老年人不同。研究结果还突出了老年人抑郁症状的发展轨迹及其相关因素。(C)2011爱思唯尔有限公司版权所有。
Background: A number of studies of elderly depression have examined the association between depression and its related factors; however, they did not observe how the development of related factors influenced elderly depression over time. This study aims to understand the rising trajectory of depressive symptoms found in elderly male and female, and whether the causation of depression due to related factors would be heterogeneous between male and female over a decade from 1993 to 2003.Method: This study uses the data from the "Survey of Health and Living Status of the Elderly in Taiwan". A total of 1017 elderly Taiwanese, aged 60 and over, completed four survey modules. The latent growth curve model and general growth mixture model were used to identify the trajectories of depression symptoms, and to assess their related factors in the elderly male and female in Taiwan during the 10 year survey study.Result: The results showed that a rising trajectory of depressive symptoms came about for both Taiwan elderly male and female over ten years. We also found that in the trajectories of depressive symptoms between elderly male and female across four waves of data, the results were heterogeneous. The trajectory of depressive symptoms in males was affected by perceived health and disability; the trajectory of depressive symptoms in females was influenced by disability and social support.Conclusion: These findings demonstrated that the final depressive symptoms of the elderly would differ from the elderly with developmentally different depressive related factors. The findings also highlighted the developmental trajectories of depressive symptom in terms of their related factors in the elderly. (C) 2011 Elsevier B.V. All rights reserved.