Parasuicidal behaviour and interpersonal problem solving performance in older adults
Parasuicidal behaviour and interpersonal problem solving performance in older adults
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DOI：
10.1348/014466502760387498
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发表时间：
2002-11-01
影响因子：
3.1
通讯作者：
Davidson, K
中科院分区：
文献类型：
--
作者：
Howat, S;Davidson, K
目标.为了验证这一假设，即最近一次自杀事件的老年人的人际问题解决能力比抑郁症患者和社区对照组差。本研究采用横断面研究设计，评估老年拟自杀患者、抑郁症患者和社区对照组在人际问题解决能力上的差异。一个现有的人际问题解决的结果措施，手段和解决问题（MEPS）的程序，进行了修改，以使其更适合老年人。然后对18名在过去14天内发生过自杀事件的老年人，18名正在接受临床抑郁症治疗的老年人和22名参加社区团体的老年人进行了管理。比较两组在MEPS上的表现。当抑郁水平被控制，parasuicidal患者在产生相关的手段，达到给定的结果，人际关系的问题比社区控制较差。在相关性得分方面，准自杀组和抑郁组之间没有差异。在其他MEPS结果变量方面，两组之间没有显著差异。老年人的自杀倾向与人际问题解决能力的不足有关，这不能完全用抑郁症来解释。需要进一步调查的人际问题解决有关的parasuicide和抑郁症的老年人，也许使用人际问题解决的过程措施，以澄清困难的性质。改良的MEPS是老年人可以接受的，并且可以容易地管理。
Objectives. To test the hypothesis that interpersonal problem-solving performance in older adults with a recent episode of parasuicide is poorer than that of depressed patients and community controls.Design. A cross-sectional design was used to assess differences between older parasuicidal patients, depressed patients, and community controls in interpersonal problem solving performance.Method. An existing outcome measure of interpersonal problem-solving, the Means End Problem-Solving (MEPS) procedure, was modified in order to make it more suitable for older adults. It was then administered to 18 older adults with an episode of parasuicide in the previous 14 days, 18 older adults who were being treated for clinical depression, and 22 older adults attending community groups. Comparisons between the groups in terms of performance on the MEPS were made.Results. When level of depression was controlled for, parasuicidal patients were poorer at generating relevant means of reaching given outcomes to interpersonal problems than community controls. There was no difference between the parasuicidal and depressed groups in terms of relevancy scores. There were no significant differences between groups in terms of other MEPS outcome variables.Conclusions. Parasuicide in older adults is related to a deficit in interpersonal problem solving performance that cannot be completely explained in terms of depression. Further investigation of interpersonal problem-solving in relation to parasuicide and depression in older adults is required, perhaps using process measures of interpersonal problem solving to clarify the nature of the difficulties. The modified MEPS is acceptable to older adults and can be easily administered.