Social productivity and depressive symptoms in early old age–results from the GAZEL study

Social productivity and depressive symptoms in early old age–results from the GAZEL study
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早年的社会生产力和抑郁症状——来自 GAZEL 研究的结果

DOI:
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发表时间:
2008
影响因子:
3.4
通讯作者:
Johanes Siegrist
Johanes Siegrist
中科院分区:
医学2区
文献类型:
--
作者:
M. Wahrendorf;C. Ribet;M. Zins;Johanes Siegrist

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目的:我们测试协会的频率进行三种类型的社会生产活动(志愿工作,非正式的帮助和照顾一个人)与老年人的抑郁症状。抑郁症状是否与所有三种类型的频率负相关,或者更确切地说,与那些以高度自主和感知控制为特征的活动的频率负相关?研究方法:有关社交活动和表现频率的数据是在2005年法国GAZEL队列研究的年度随访框架中收集的。抑郁症状用CES-D量表测量。通过生活质量测量(CASP-19)的两个项目评估感知控制。共有14477名52-66岁的受访者完成了标准化问卷。计算线性回归模型,调整重要的混杂因素,包括前一年评估的自测健康。结果如下:在具有高度自主性的活动(特别是志愿工作)中,观察到频率与抑郁症状的负相关,而在具有低自主性的活动类型(照顾一个人)中发现了相反的效果。知觉控制部分介导的活动频率与抑郁症状的关联。结论:在老年早期经常进行社会生产可能有助于幸福的程度,自主权和感知控制。
Objectives: We test associations of frequency of performing three types of socially productive activities (voluntary work, informal help and caring for a person) with depressive symptoms in older people. Are depressive symptoms negatively associated with frequency in all three types or rather in those activities that are characterized by a high degree of autonomy and perceived control? Methods: Data on social activities and frequency of performance were collected in the frame of the annual follow-up of the French GAZEL cohort study in 2005. Depressive symptoms were measured by the CES-D scale. Perceived control was assessed by two items of a quality of life measure (CASP-19). Total of 14477 respondents aged 52–66 years completed a standardized questionnaire. Linear regression models were calculated adjusting for important confounders including self-rated health assessed during the previous year. Results: In activities characterized by high autonomy (in particular voluntary work) a negative association of frequency with depressive symptoms was observed, whereas the reverse effect was found in the type of activity with low autonomy (care for a person). Perceived control mediated in part the association of frequency of activity with depressive symptoms. Conclusion: Being often socially productive in early old age may contribute to well-being to the extent that autonomy and perceived control are given.
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