DEPRESSIVE SYMPTOMS IN RELATION TO PHYSICAL HEALTH AND FUNCTIONING IN THE ELDERLY
DEPRESSIVE SYMPTOMS IN RELATION TO PHYSICAL HEALTH AND FUNCTIONING IN THE ELDERLY
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DOI：
10.1093/oxfordjournals.aje.a114408
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发表时间：
1986-09-01
影响因子：
5
通讯作者：
BRODY, JA
中科院分区：
文献类型：
--
作者：
BERKMAN, LF;BERKMAN, CS;BRODY, JA
1982 年，作为耶鲁大学健康与老龄化项目的一部分，对居住在康涅狄格州纽黑文市的 2,806 名非收容男性和女性老年群体进行了调查，研究了抑郁症状与功能障碍和慢性病之间的关联。目的是探索使用流行病学研究中心抑郁量表（CES-D）测量老年人抑郁症状时无效的几个潜在来源。作者特别担心，普遍存在的身体疾病和残疾可能会导致老年人报告许多躯体症状，这是大多数抑郁症状测量的主要组成部分，从而抬高他或她的 CES-D 分数。对于那些没有任何残疾的人来说，CES-D 的平均分数为 4.86，对于那些有严重功能障碍的人来说，平均 CES-D 分数为 13.51。然而，身体残疾与 CES-D 量表上的几乎所有项目都显着相关，而不仅仅是那些与躯体相关的项目。在包括年龄在内的多变量模型中添加功能障碍，大大削弱了年龄与抑郁症状之间的关联。对这个老年人样本的反应进行因子分析得出的结果与早期研究年轻人和中年成年人的研究人员报告的结果几乎相同。作者得出的结论是，老年人的身体残疾似乎并不是对 CES-D 量表有效性的主要威胁，并且应该严格调查身体和心理健康之间的密切联系。
The associations between depressive symptoms and functional disability and chronic conditions are examined in an elderly cohort of 2,806 noninstitutionalized men and women living in New Haven, Connecticut who were interviewed in 1982 as a part of the Yale Health and Aging Project. The aim is to explore several potential sources of invalidity in using the Center for Epidemiologic Studies Depression scale (CES-D) to measure depressive symptoms in elderly populations. In particular, the authors are concerned with the possibility that prevalent physical illnesses and disabilities may cause the older person to report many somatic complaints, a major component of most measures of depressive symptomatology, and thereby inflate his or her CES-D score. Mean CES-D scores are 4,86 for those without any disabilities and range to 13.51 for those with major functional disabilities. However, physical disability is significantly associated with virtually every item on the CES-D scale not just those somatically-oriented items. The addition of functional disability to a multivariate model including age substantially weakens the associations between age and depressive symptoms. A factor analysis of responses from this elderly sample produces results almost identical to those reported by earlier investigators who studied younger and middle-age adults. The authors conclude that physical disabilities among the elderly do not appear to be a major threat to the validity of the CES-D scale and that the strong associations between physical and mental health should be rigously investigated.