THE RELATIONSHIP BETWEEN CHRONIC ILLNESS AND DEPRESSION IN A COMMUNITY OF URBAN BLACK ELDERLY PERSONS

THE RELATIONSHIP BETWEEN CHRONIC ILLNESS AND DEPRESSION IN A COMMUNITY OF URBAN BLACK ELDERLY PERSONS
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DOI:
10.1093/geronb/50b.2.s119
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发表时间:
1995-03-01
影响因子:
6.2
通讯作者:
HAMMBAUGH, VP
HAMMBAUGH, VP
中科院分区:
医学1区
文献类型:
--
作者:
BAZARGAN, M;HAMMBAUGH, VP

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老年人抑郁症与慢性疾病之间的关系经常被调查,然而,在控制各种社会心理因素影响的同时,个体慢性疾病的影响仍未得到很好的理解。在黑人老年人中尤其如此。在一项横断面研究中,对居住在路易斯安那州新奥尔良市的1,022名城市黑人老年人进行了慢性疾病和心理社会变量对抑郁症的影响调查。在那些经济困难、生活压力大、自我认知较低、朋友支持较少和工具支持较少的人群中,抑郁程度最高。多元回归分析表明,在报告有肾脏、视力和/或循环系统问题的老年人中,抑郁症发生率最高。这些发现表明,老年人可能认为这三种疾病比其他慢性疾病更使人衰弱。
The relationship between depression and chronic illness among the elderly population has often been investigated However, the impact of individual chronic illnesses while controlling for the impact of various psychosocial factors is still not well understood. This is particularly true among Black elderly persons. In a cross-sectional study, the impact of selected chronic illnesses and psychosocial variables on depression was investigated among 1,022 Black urban elderly persons who reside in New Orleans, Louisiana. Depression was greatest among those with more financial difficulties, more stressful life events, lower self-perceptions, less support from friends, and less instrumental support. Multiple regression analysis determined,that depression was greatest among elderly persons who reported kidney, vision, and/or circulation problems. These findings suggest that elderly persons may perceive these three illnesses as more debilitating than other chronic illnesses.