Self-rated health and mental health among older incarcerated males.

Self-rated health and mental health among older incarcerated males.
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老年男性的自我评价健康和心理健康。

DOI:
10.1080/13607863.2020.1795621
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发表时间:
2021-11
影响因子:
3.4
通讯作者:
Barry LC
Barry LC
中科院分区:
医学2区
文献类型:
--
作者:
Vogel CE;Molinari V;Andel R;Barry LC

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老年囚犯是美国惩教系统中快速增长的人口,有相当大的心理健康需求。本研究探讨了生活价值感和生活意义感在自评健康(SRH)与抑郁、焦虑之间的中介作用。对来自Aging INSIDE研究的222名老年在押男性样本进行了中介分析,该研究涉及康涅狄格州的8个惩教机构(M = 56.2, SD = 6.0,范围= 50 - 79岁)。使用PHQ-9和GAD-7评估抑郁和焦虑的结果。使用老年自杀意念量表(GSIS)的子量表测量生活的感知价值和意义。较高的SRH与较低的抑郁和焦虑有关。生活中更多的感知价值和意义与更好的SRH和更低的抑郁和焦虑有关。有证据表明,生活中的感知价值和意义介导了srh抑郁(β = - 0.86; 95% CI = - 1.32 - - 0.48; β= - 0.48)。46, 95% CI = - 0.82 - - 0.17)和srh -焦虑(β = - 0.71; 95% CI = - 1.08 - - 0.39; β = - 0.34, 95% CI = - 0.65 - - 0.10)之间的关系。性生殖健康对老年囚犯的抑郁和焦虑有直接和间接的影响,通过感知生活的价值和意义来起作用。评估性生殖健康和关注维持其自我价值和意义的方法可能有助于促进和维持良好的心理健康。
Older incarcerated persons are a rapidly growing population within the U.S. correctional system with considerable mental health needs. This study evaluated the role of perceived worth and meaningfulness in life as mediators in the relationship between self-rated health (SRH) and depression and anxiety. Mediation analyses were conducted on a sample of 222 older incarcerated males from the Aging INSIDE study involving eight correctional facilities in Connecticut (M = 56.2, SD = 6.0, range = 50 – 79 years). The outcomes, depression and anxiety, were assessed using the PHQ-9 and GAD-7. Perceived worth and meaningfulness in life were measured using subscales of the Geriatric Suicidal Ideation Scale (GSIS). Greater SRH was associated with lower depression and anxiety. More perceived worth and meaningfulness in life were associated with better SRH and lower depression and anxiety. There is evidence of perceived worth and meaningfulness in life mediating the SRH-depression (β = −0.86; 95% CI = −1.32 - −0.48; β= −.46, 95% CI = −0.82 - −0.17, respectively) and SRH-anxiety (β = −0.71; 95% CI = −1.08 - −0.39; β = −0.34, 95% CI = −0.65 - −0.10) relationships. SRH has both direct and indirect effects on depression and anxiety, by working through perceived worth and meaningfulness in life, in older incarcerated males. Assessing SRH and focusing on ways to maintain their self-worth and meaning may be instrumental in promoting and sustaining good mental health.
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发表时间: 1986-12-01
影响因子: 7.6
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