Exploring the Links between Depression, Integrity, and Hope in the Elderly
Exploring the Links between Depression, Integrity, and Hope in the Elderly
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探索老年人的抑郁、正直和希望之间的联系
DOI：
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发表时间：
2004
期刊：
影响因子：
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通讯作者：
C. Nekolaichuk
中科院分区：
文献类型：
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作者：
W. Chimich;C. Nekolaichuk
目的：探讨老年人抑郁、正直和希望之间的联系。方法：在这项试点研究中，我们招募了一个自愿样本的认知完整的老年患者接受精神科护理（n = 35）。招募来源包括住院老年精神科（n = 14），老年精神科日间计划（n = 6），和门诊老年精神科服务（n = 15）。参与者完成了一份旨在测量抑郁的问卷，根据老年抑郁量表简表（GDSSF）;完整性，根据连贯性量表简表（SOC-13）;和希望，根据希望差异-短（HDS）和希望数字评定量表（Hope NRS）。HDS由3个独立的分量表组成：个人精神，风险和真实关怀。我们使用描述性统计、t检验和皮尔逊相关系数分析数据。结果如下：无抑郁组（n = 17）与抑郁组（n = 18）相比，具有更强的一致性（SOC）（P < 0.01）、更高的希望（Hope-NRS，P <0.05）、更强的个人精神（HDS分量表，P < 0.05）和更强的冒险（HDS分量表，P < 0.01）。与抑郁症相关性最高的两个变量是SOC（r =-0.65，P < 0.01）和风险（HDS分量表，r =-0.62，P < 0.01）。结论：这些研究结果表明，抑郁症，完整性和希望是高度相关的老年人口，并可能影响掌握老化的发展任务。进一步的研究是必要的，以更好地了解这些复杂的经验，在晚年生活。
Objective: To explore the links between depression, integrity, and hope in the elderly. Method: For this pilot study, we recruited a voluntary sample of cognitively intact elderly patients receiving psychiatric care (n = 35). Recruitment sources included an inpatient geriatric psychiatry unit (n = 14), a geriatric psychiatry day program (n = 6), and an outpatient geriatric psychiatry service (n = 15). Participants completed a questionnaire designed to measure depression, acording to the Geriatric Depression Scale Short Form (GDSSF); integrity, according to the Sense of Coherence Scale-Short Form (SOC-13); and hope, according to the Hope Differential-Short (HDS) and the Hope Numerical Rating Scale (Hope-NRS). The HDS consists of 3 separate subscales: Personal Spirit, Risk, and Authentic Caring. We analyzed the data, using descriptive statistics, t tests, and Pearson correlations. Results: Patients with no depression (n = 17) showed a greater sense of coherence (SOC) (P < 0.01), higher levels of hope (Hope-NRS, P < 0.05), enhanced Personal Spirit (HDS subscale, P < 0.05), and greater risk taking (HDS subscale, P < 0.01) than did patients with depression (n = 18). The 2 variables that correlated most highly with depression were SOC (r = −0.65, P < 0.01) and Risk (HDS subscale, r = −0.62, P < 0.01). Conclusions: These findings suggest that depression, integrity, and hope are highly interrelated in the elderly population and may influence mastery of the developmental tasks of aging. Further research is warranted to better understand these complex experiences in late life.