Passive coping response to depressive symptoms among low-income homebound older adults: Does it affect depression severity and treatment outcome?
Passive coping response to depressive symptoms among low-income homebound older adults: Does it affect depression severity and treatment outcome?
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DOI：
10.1016/j.brat.2012.07.003
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发表时间：
2012-11-01
影响因子：
4.1
通讯作者：
Bruce, Martha L.
中科院分区：
文献类型：
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作者：
Choi, Namkee G.;Hegel, Mark T.;Bruce, Martha L.
由于居家状态、缺乏经济资源和/或其他生活需求，很大一部分抑郁、低收入居家老年人患有抑郁症。由于获得心理治疗的机会有限，这些老年人中的大多数可以自我管理抑郁症状。本研究的目的是检验 (1) 居家老年人对抑郁情绪的应对反应与其基线时抑郁症状严重程度之间的关系 (n = 121)，以及 (2) 被动应对反应对参与问题解决治疗（PST：面对面或远程医疗服务）与 12 周和 24 周随访时抑郁症状之间关系的调节作用。控制人口和残疾特征的影响后，认知被动应对与基线抑郁症状显着相关，而行为被动应对则不然。在混合效应回归分析中，基线认知被动应对反应的主效应也显着，但应对模式与群体之间的交互作用并不显着。结果表明，认知被动应对者可能与其他 PST 参与者一样从 PST 中受益。进一步的研究需要检验抑郁症状的应对反应对 PST 和其他心理社会干预措施对晚年抑郁症治疗效果的调节作用。 (C) 2012 Elsevier Ltd. 保留所有权利。
Due to their homebound state, lack of financial resources, and/or other life demands, a significant proportion of depressed, low-income homebound older adults experience depression. Because of their limited access to psychotherapy, most of these older adults self-manage their depressive symptoms. The purposes of this study were to examine (1) the relationship between homebound older adults' coping responses to depressed mood and the severity of their depressive symptoms at baseline (n = 121), and (2) the moderating effect of passive coping responses on the relationship between participation in problem-solving therapy (PST: in-person or telehealth delivery) and depressive symptoms at 12- and 24-week follow-ups. Controlling for the effects of demographic and disability characteristics, cognitive passive coping was significantly associated with baseline depressive symptoms, while behavioral passive coping was not. The main effect of baseline cognitive passive coping response was also significant in mixed-effects regression analysis, but the interaction between coping pattern and group was not significant. The results point to a possibility that cognitive passive copers may have benefited as much from PST as the rest of the PST participants. Further research needs to examine the moderating effect of coping responses to depressive symptoms on treatment efficacy of PST and other psychosocial interventions for late-life depression. (C) 2012 Elsevier Ltd. All rights reserved.