Correlates of depression in self-neglecting older adults: A cross-sectional study examining the role of alcohol abuse and pain in increasing vulnerability.
Correlates of depression in self-neglecting older adults: A cross-sectional study examining the role of alcohol abuse and pain in increasing vulnerability.
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DOI：
10.1080/08946566.2015.1136252
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发表时间：
2016
影响因子：
1.9
通讯作者：
Burnett J
中科院分区：
文献类型：
--
作者：
Hansen MC;Flores DV;Coverdale J;Burnett J
老年人的自我忽视导致发病率和死亡率增加。抑郁症与自我忽视密切相关，如果不加以治疗，将严重复杂化对健康和功能结果的管理。该研究旨在确定与抑郁症相关的因素，为服务招募和保留方法提供信息，以改善长期结果。样本包括城市社区居住的老年人（n=96）， 65岁及以上的成年人保护服务证实了自我忽视。所有参与者都完成了一系列关于健康和心理健康功能的经过验证的认知、功能和自我报告的人口统计和临床测量。使用多变量逻辑回归进行的二次数据分析显示，酒精滥用阳性筛查、低自我评价健康和高自我报告疼痛与高自我报告抑郁的几率显著相关。需要进一步的研究来了解这些相关因素与抑郁症之间的时间性，并为自我忽视的老年人提供预防和干预措施。
Self-neglect among older adults results in increased morbidity and mortality rates. Depression is strongly linked to self-neglect and when untreated severely complicates management of health and functional outcomes. The study aims to identify factors correlated with depression to inform approaches to service recruitment and retention that improve long-term outcomes. The sample included urban community-dwelling older adults (n=96), 65-years of age and older with Adult Protective Services substantiated self-neglect. All participants completed a range of validated cognitive, functional and self-report demographic and clinical measures around health and mental health functioning. A secondary data analysis using multivariable logistic regression revealed that a positive screen for alcohol abuse, low self-rated health, and higher self-reported pain were associated with significantly higher odds of self-reported depression. Further research is needed to understand the temporality between these correlates and depression and to inform prevention and intervention practices for self-neglecting older adults.