A LONGITUDINAL-STUDY OF RISK-FACTORS FOR DEPRESSIVE SYMPTOMATOLOGY IN ELDERLY WIDOWED AND MARRIED-WOMEN
A LONGITUDINAL-STUDY OF RISK-FACTORS FOR DEPRESSIVE SYMPTOMATOLOGY IN ELDERLY WIDOWED AND MARRIED-WOMEN
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DOI：
10.1093/oxfordjournals.aje.a116125
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发表时间：
1991-09-01
影响因子：
5
通讯作者：
COMSTOCK, GW
中科院分区：
文献类型：
--
作者：
HARLOW, SD;GOLDBERG, EL;COMSTOCK, GW
很少有研究探讨是否抑郁症的危险因素在丧亲和非丧亲的人不同，或是否随着时间的推移，风险因素在丧亲的人不同。 1979年至1983年期间，在马里兰州的华盛顿县，对136名寡妇和409名已婚对照者在丧亲前和丧亲后1个月和12个月评估了各种健康和社会网络变量与抑郁症之间的关联。 先前流行病学研究中心抑郁量表评分通常是随后评分的良好预测因子;然而，丧亲后不久，先前评分证明相对缺乏信息，因为大多数寡妇的抑郁性抑郁症显著增加。 基线时健康状况不佳和体力活动受限始终与较高水平的糖尿病相关。 虽然拥有更多的朋友也一直与较低的精神病学水平相关，但家庭规模的影响似乎是时间和环境特定的。 这些结果表明，妇女在其丈夫去世后长期抑郁的风险，可以确定之前或在丧亲之痛时，寡妇有类似的风险因素，在一般社区的抑郁症的风险妇女。
Few studies have examined whether risk factors for depressive symptomatology differ in bereaved and nonbereaved individuals or whether risk factors differ in bereaved individuals over time. Between 1979 and 1983 in Washington County, Maryland, the associations between various health and social network variables and depressive symptomatology were evaluated prior to bereavement and at 1 and 12 months after bereavement in 136 widows and 409 married controls. Prior Center for Epidemiologic Studies Depression Scale scores were generally a good predictor of subsequent scores; however, shortly after bereavement prior scores proved relatively uninformative as most widows experienced a marked increase in depressive symptomatology. Poor health and limitations in physical activity at baseline were consistently associated with higher levels of symptomatology. Although having more friends was also consistently associated with lower levels of symptomatology, the effect of family size appeared to be time and circumstance specific. These results suggest that women at risk of prolonged depression after the death of their husbands can be identified prior to or at the time of bereavement and that widows have risk factors similar to those of women at risk of depression in the general community.