Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults
Associations between Depressive Symptoms and Satisfaction with Meaningful Activities in Community-Dwelling Japanese Older Adults
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DOI：
10.3390/jcm9030795
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发表时间：
2020-03-01
影响因子：
3.9
通讯作者：
Tabira, Takayuki
中科院分区：
文献类型：
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作者：
Maruta, Michio;Makizako, Hyuma;Tabira, Takayuki
这项横断面研究的目的是调查个人满意度与他们发现有意义的抑郁症状的活动表现之间的关系。数据来自806名老年人(平均年龄74.9+/-6.3岁，女性=63.0%)，他们参加了基于社区的健康检查调查(Tarumizu Study 2018)。参与者使用职业选择决策辅助工具从95项活动中选择有意义的活动，并评估他们的满意度和表现。抑郁症状用15个条目的老年抑郁量表(GDS-15)进行评估，并由GDS-15得分=5来定义。按性别分别使用非线性Logistic回归分析来检验有意义的活动和抑郁症状的满意度和表现之间的关系。抑郁症状的发生率为15.8%。我们发现，在有抑郁症状的老年人和没有抑郁症状的老年人之间，无论是男性还是女性，有意义的活动选择都没有显著差异。在调整潜在的协变量后，男性(OR 0.52，95%CI 0.35-0.77)和女性(OR 0.67，95%CI 0.49-0.91)的满意度都与抑郁症状相关，但女性的表现有限(OR 0.87，95%CI 0.77-0.99)。我们的发现表明，无论活动类别如何，抑郁症状都与对有意义活动的满意度有关。
The aim of this cross-sectional study was to investigate relationships between individuals' ratings of satisfaction and performance of activities that they found meaningful and depressive symptoms. Data was obtained from 806 older adults (mean age 74.9 +/- 6.3 years, women = 63.0%) who participated in a community-based health check survey (Tarumizu Study 2018). Participants selected meaningful activities from 95 activities using the Aid for Decision-Making in Occupation Choice and evaluated their satisfaction and performance. Depressive symptoms were assessed using the 15-item Geriatric Depression Scale (GDS-15) and defined by a GDS-15 score of >= 5. Non-linear logistic regression analyses were used separately by gender to examine the association between satisfaction and performance of meaningful activities and depressive symptoms. The prevalence of depressive symptoms was 15.8%. We found no significant difference between meaningful activity choice between older adults with depressive symptoms and those without, in both men and women. After adjusting for potential covariates, satisfaction was associated with depressive symptoms in both men (OR 0.52, 95% CI 0.35-0.77) and women (OR 0.67, 95% CI 0.49-0.91), but performance was limited in women (OR 0.87, 95% CI 0.77-0.99). Our findings suggest that depressive symptoms are associated with satisfaction in meaningful activities regardless of activity categories.