Optimism and depression as predictors of physical and mental health functioning: The normative aging study
Optimism and depression as predictors of physical and mental health functioning: The normative aging study
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DOI：
10.1007/bf02895776
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发表时间：
2000-03-01
影响因子：
3.8
通讯作者：
Sparrow, D
中科院分区：
文献类型：
--
作者：
Achat, H;Kawachi, I;Sparrow, D
在以前的研究中，性格乐观与更好的健康结果有关。我们试图在一组健康的中年和老年男性中研究性格乐观和抑郁症状与身心功能的独立关联。这项研究是在退伍军人管理局（VA）规范老化研究中的659名受试者中进行的。于1991年和1990年分别采用生活取向测验和流行病学中心抑郁量表（CES-D）测量了性格乐观和抑郁倾向。1992年，通过医学结局研究简表健康调查（SF-36）测量了因变量，功能和幸福感。在多变量回归模型中，乐观与较高水平的一般健康感知、活力和心理健康以及较低水平的身体疼痛相关，但与身体功能、社会功能或由于身体或情绪问题而导致的角色限制无关。抑郁性精神病与所有SF-36领域的功能水平降低相关。经多元回归模型相互校正后，乐观和抑郁的发现有统计学意义。乐观和抑郁是老年男性功能状态的独立预测因素。
Dispositional optimism has been linked in previous studies to better health outcomes. We sought to examine the independent associations of dispositional optimism and depressive symptoms with physical and mental functioning in a cohort of healthy middle-aged and older men. The study was conducted among 659 subjects in the Veterans Administration (VA) Normative Aging Study. Dispositional optimism and depressive symptomatology were measured in 1991 and 1990, respectively, by the Life Orientation Test and the Center for Epidemiologic Studies-Depression Scale (CES-D). The dependent variables, functioning and well-being, were measured in 1992 by the Medical Outcomes Study Short-Form Health Survey (SF-36). In multivariate regression models, optimism was associated with higher levels of general health perceptions, vitality, and mental health, and lower levels of bodily pain, but not to physical functioning, social functioning, or role limitations due to physical or emotional problems. Depressive symptomatology was associated with reduced levels of functioning across all SF-36 domains. The findings for optimism and depression were statistically significant after mutual adjustment in multivariate regression models. Optimism and depression are independent predictors of functional status among aging men.