Financial Strain and Symptoms of Depression in a Community Sample of Elderly Men and Women

Financial Strain and Symptoms of Depression in a Community Sample of Elderly Men and Women
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老年男性和女性社区样本的经济压力和抑郁症状

DOI:
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发表时间:
1994
期刊:
影响因子:
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通讯作者:
S. Kasl
S. Kasl
中科院分区:
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文献类型:
--
作者:
C. F. Mendes de Leon;S. Rapp;S. Kasl

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对许多上了年纪的美国人来说,管理经济资源是一项相当大的挑战,往往会导致长期的财务压力。本研究考察了经济压力对痛苦的一个领域的影响:抑郁症状。数据来自对一个具有代表性的社区样本的纵向研究,该样本来自一个种族和社会经济多样化的老年人口。在多变量分析中,根据流行病学研究中心抑郁量表(CES-D)在男性和女性中测量,经济压力与并发抑郁症密切相关。此外,经济压力与3年内CES-D分数的增加有关,但仅限于男性。同样,仅在男性中,情感支持缓解了经济压力的不利影响,而身体健康状况不佳则加重了经济压力对抑郁症状的影响。这些发现提供了进一步的证据,证明经济压力与老年人的心理困扰有关,尤其是男性,而对这些男性来说,这种影响会被社会支持和身体健康所改变。
For many older Americans, managing economic resources is a considerable challenge, often resulting in chronic financial strain. This study examines the impact of financial strain on one domain of distress: symptoms of depression. Data came from a longitudinal study of a representative community sample of an ethnically and socioeconomically diverse elderly population. In multivariate analysis, financial strain was strongly associated with concurrent depression as measured by the Center for Epidemiologic Studies-Depression Scale (CES-D) among men and women. In addition, financial strain was associated with increases in CES-D scores over a 3-year period, but only among men. Again among men only, emotional support buffered the adverse effect of financial strain, whereas poor physical health aggravated its effect on depressive symptoms. These findings provide further evidence that financial strain is related to psychological distress in the elderly, particularly in men, and that in these men, this effect is modified by social support and physical health.
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