Disability in prison activities of daily living and likelihood of depression and suicidal ideation in older prisoners.
Disability in prison activities of daily living and likelihood of depression and suicidal ideation in older prisoners.
复制标题
在日常生活的监狱活动和抑郁症和自杀念头的可能性中的残疾。
DOI：
10.1002/gps.4578
复制
发表时间：
2017-10
影响因子：
4
通讯作者：
Conwell Y
中科院分区：
文献类型：
--
作者：
Barry LC;Wakefield DB;Trestman RL;Conwell Y
该研究的目的是确定监狱特有的日常生活活动障碍，即监狱日常生活活动 (PADL)，是否与老年囚犯的抑郁症和自杀意念 (SI) 的严重程度相关，而老年囚犯是一个快速增长的高自杀风险群体。使用年龄 ≥ 50 岁囚犯研究数据进行横断面设计 (N = 167)。在 9 项医师健康问卷 (PHQ-9) 中，抑郁症的得分≥15。 SI 严重程度使用老年自杀意念量表 (GSIS) 进行评估。如果参与者报告以下任何一项“非常困难”或“不能做”，则被视为患有 PADL 残疾：趴在地板上等待警报、爬上/爬下上铺、听到命令、戴着手铐行走、排队领取药物以及步行去吃饭。通过双变量检验以及多变量逻辑回归和线性回归模型检查关联性，并测试交互项性别 × PADL 残疾。 PADL 障碍与抑郁症和 SI 严重程度相关。性别对抑郁症或 SI 没有主要影响，但 PADL 残疾与抑郁症之间的关联在男性老年囚犯中比在女性老年囚犯中明显更强。识别难以执行 PADL 的老年囚犯可能有助于区分也可能患有抑郁症或经历更严重 SI 的囚犯。此外，PADL 残疾与抑郁症之间的关联在老年男性囚犯中可能尤其明显。由于因果推论受到横截面设计的限制，因此需要进行纵向研究。
The study objective was to determine if disability in activities of daily living specific to prison, prison activities of daily living (PADLs), is associated with depression and severity of suicidal ideation (SI) in older prisoners, a rapidly growing population at high risk of suicide. Cross-sectional design using data from a study of prisoners age ≥50 years (N = 167). Depression was operationalized as a score of ≥15 on the 9-item Physician Health Questionnaire (PHQ-9). SI severity was assessed using the Geriatric Suicide Ideation Scale (GSIS). Participants were considered to have PADL disability if they reported any of the following as “very difficult” or “cannot do:” dropping to the floor for alarms, climbing on/off the top bunk, hearing orders, walking while wearing handcuffs, standing in line for medications, and walking to chow. Associations were examined with bivariate tests and with multivariable logistic and linear regression models, and the interaction term gender × PADL disability was tested. PADL disability was associated with depression and SI severity. There was no main effect of gender on either depression or SI, yet the association between PADL disability and depression was considerably stronger in male than in female older prisoners. Identifying older prisoners who have difficulty performing PADLs may help distinguish prisoners who may also be likely to be depressed or experience more severe SI. Furthermore, the association between PADL disability and depression may be particularly salient in older male prisoners. Longitudinal studies are needed as causal inferences are limited by the cross-sectional design.
登录
查看更多内容
影响因子：
5.7
作者：
Bookwala, Jamila;Lawson, Brendan
通讯作者：
Lawson, Brendan
影响因子：
6.3
作者：
Ahalt, Cyrus;Trestman, Robert L.;Williams, Brie A.
通讯作者：
Williams, Brie A.
影响因子：
12.7
作者：
Binswanger IA;Merrill JO;Krueger PM;White MC;Booth RE;Elmore JG
通讯作者：
Elmore JG
影响因子：
--
作者：
Barry, Lisa C.;Allore, Heather G.;Gill, Thomas M.
通讯作者：
Gill, Thomas M.
DOI：
10.1046/j.1532-5415.2002.50403.x
发表时间：
2002-09-01
影响因子：
6.3
作者：
Gill, TM;Hardy, SE;Williams, CS
通讯作者：
Williams, CS