The association between hope and mortality in homebound elders.
The association between hope and mortality in homebound elders.
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DOI：
10.1002/gps.4676
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发表时间：
2017-12
影响因子：
4
通讯作者：
Mwamburi M
中科院分区：
文献类型：
--
作者：
Zhu AQ;Kivork C;Vu L;Chivukula M;Piechniczek-Buczek J;Qiu WQ;Mwamburi M
尽管死亡率和抑郁率很高，但对抑郁症状，特别是抑郁感如何影响居家老年人的死亡率的了解有限。我们对来自1034名60岁及以上成年人的社区样本的数据进行了二次分析。采用流行病学研究中心抑郁量表评估基线时的情绪症状和抑郁感。在8年随访期内收集死亡数据。方差分析和卡方被用来比较的临床条件之间的群体的个人感到希望总是，有时，很少。Logistic回归分析被用来探讨对未来的忧虑和死亡率之间的关系作为一个结果。在8年的随访期内，感觉希望的频率与死亡率相关，而其他个体抑郁症状与死亡率无关。总有希望、有时有希望和很少有希望者的死亡率分别为21.6%、26.4%和35.7%（P = 0.002）。Logistic回归也证实，在调整年龄和医疗条件后，很少感到有希望的人在8年随访期内的死亡几率高于那些总是感到有希望的人（OR = 1.74，CI = 1.14-2.65）。基线健康状况可预测社区居家老年人的死亡结局。识别老年人中患有绝望抑郁症的个体并提供早期干预可能会降低死亡率。
Despite high rates of mortality and depression, there is limited knowledge of how depressive symptoms, especially feeling of hopefulness, affect mortality in the homebound elderly. We conducted a secondary analysis of data from a community sample of 1034 adults, age 60 years and older. The Center for Epidemiologic Studies Depression Scale was used to evaluate the mood symptoms and feeling of hopefulness at baseline. The death data were collected within an 8-year follow-up period. Analysis of variance and Chi-square were used to compare the clinical conditions among the groups of individuals who feel hopeful always, sometimes, and rarely. Logistic regression was used to explore the association between the hopefulness about the future and mortality as an outcome. In the 8-year follow-up period, frequency of feeling hopeful, but not other individual depressive symptoms, was associated with mortality rate. The mortality rate among those who always, sometimes, and rarely felt hopeful were 21.6%, 26.4%, and 35.7%, respectively (P = 0.002). Logistic regression also confirmed that individuals who rarely feel hopeful had higher odds of decease within the 8-year follow-up period than those who always felt hopeful (OR = 1.74, CI = 1.14–2.65) after adjusting for age and medical conditions. Baseline hopefulness predicts mortality outcome among the homebound elderly in the community. Identifying individuals who are depressed with hopelessness in the elderly and providing early intervention may improve the mortality rate.
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影响因子：
3.4
作者：
Choi, Namkee G.;McDougall, Graham J.
通讯作者：
McDougall, Graham J.
影响因子：
2.2
作者：
Miller, DL;Manne, SL;Dougherty, J
通讯作者：
Dougherty, J
影响因子：
39.2
作者：
ENGEL, GL
通讯作者：
ENGEL, GL
影响因子：
10.6
作者：
LaghrissiThode, F;Wagner, WR;Finkel, MS
通讯作者：
Finkel, MS
DOI：
10.1097/00008483-200605000-00007
发表时间：
2006-05-01
期刊：
Journal of cardiopulmonary rehabilitation
影响因子：
--
作者：
Dunn, Susan L;Corser, William;Holmes-Rovner, Margaret
通讯作者：
Holmes-Rovner, Margaret