Comparison of depressive symptoms between homebound older adults and ambulatory older adults
Comparison of depressive symptoms between homebound older adults and ambulatory older adults
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DOI：
10.1080/13607860600844614
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发表时间：
2007-01-01
影响因子：
3.4
通讯作者：
McDougall, Graham J.
中科院分区：
文献类型：
--
作者：
Choi, Namkee G.;McDougall, Graham J.
由于慢性病和功能限制造成的社会孤立，居家的老年人比行动能力正常的同龄人更容易患抑郁症。在这项研究中，我们比较了81名60岁及以上的低收入家庭老年人与130名参加老年中心的流动同龄人的抑郁症状，抑郁风险和保护因素，以及自我报告的应对策略。即使控制了社会人口统计、健康问题和其他生活压力因素，与参加老年中心相比，呆在家里与更高的抑郁症状显著相关。然而，当回归模型中加入应对资源，特别是社会支持和参与频繁的体育锻炼时，回家状态不再是一个显著因素，这表明应对资源缓冲了回家状态对抑郁症状的影响。就自我报告的应对策略而言，即使在抑郁的受访者中，也只有一小部分人寻求专业帮助，而且这在很大程度上仅限于咨询他们的常规医生和社会工作者，他们可能没有接受过心理健康干预方面的专业培训。
Due to the social isolation imposed by chronic illness and functional limitations, homebound older adults are more vulnerable to depression than their mobility-unimpaired peers. In this study, we compared 81 low-income homebound older adults, aged 60 and older, with their 130 ambulatory peers who attended senior centers, with respect to their depressive symptoms, depression risk and protective factors, and self-reported coping strategies. Even controlling for sociodemographics, health problems, and other life stressors, being homebound, as opposed to participating in senior centers, was significantly associated with higher depressive symptoms. However, when the coping resources-social support and engagement in frequent physical exercise, in particular-were added to the regression model, the homebound state was no longer a significant factor, showing that the coping resources buffered the effect of the homebound state on depressive symptoms. In terms of self-reported coping strategies, even among the depressed respondents, only a small proportion sought professional help, and that was largely limited to consulting their regular physician and social workers, who may not have had professional training in mental health interventions.