THE IMPACT OF DEPRESSIVE SYMPTOMATOLOGY ON PHYSICAL-DISABILITY - MACARTHUR STUDIES OF SUCCESSFUL AGING
THE IMPACT OF DEPRESSIVE SYMPTOMATOLOGY ON PHYSICAL-DISABILITY - MACARTHUR STUDIES OF SUCCESSFUL AGING
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DOI：
10.2105/ajph.84.11.1796
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发表时间：
1994-11-01
影响因子：
12.7
通讯作者：
BLAZER, DG
中科院分区：
文献类型：
--
作者：
BRUCE, ML;SEEMAN, TE;BLAZER, DG
目标。这些分析的目的是检验抑郁症状影响高功能老年人身体残疾发生风险的假设。方法。这些数据来自麦克阿瑟成功老龄化研究，这是一项基于社区的 70 至 79 岁高功能成年人队列，每 2.5 年进行两次评估。通过表现以及自我报告措施来评估身体和认知状态。结果。在性别分层逻辑回归模型中，根据基线社会人口学因素、身体健康状况和认知功能进行调整后，通过霍普金斯症状检查表的抑郁子量表测量的高度抑郁症状与男性和女性日常生活活动中残疾的发病风险增加相关。结论。与身体残疾是抑郁症潜在危险因素的证据相结合，这些发现表明抑郁症状和身体残疾都会引发身体和心理健康的螺旋式下降。鉴于日常生活活动功能对医疗服务的利用和生活质量的重要影响，预防或减轻抑郁症状应被视为干预的一个重要点。
Objectives. The purpose of these analyses was to test the hypothesis that depressive symptomatology affects the risk of onset of physical disability in high-functioning elderly adults.Methods. The data come from the MacArthur Study of Successful Aging, a community-based cohort of high-functioning adults aged 70 through 79 years who were assessed twice at a 2.5-year interval. Physical and cognitive status was assessed by performance as well as by self-report measures.Results. In gender-stratified logistic regression models, high depressive symptoms as measured by the depression subscale of the Hopkins Symptom Checklist were associated with an increased risk of onset of disability in activities of daily living for both men and women, adjusting for baseline sociodemographic factors, physical health status, and cognitive functioning.Conclusions. Joined with evidence that physical disability is a potential risk factor for depression, these findings suggest that both depressive symptoms and physical disability can initiate a spiralling decline in physical and psychological health. Given the important impact of activities-of-daily-living functioning on utilization of medical services and quality of life, prevention or reduction of depressive symptoms should be considered an important point of intervention.