Increased frequency of participation in civic associations and reduced depressive symptoms: Prospective study of older Japanese survivors of the Great Eastern Japan Earthquake.
Increased frequency of participation in civic associations and reduced depressive symptoms: Prospective study of older Japanese survivors of the Great Eastern Japan Earthquake.
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DOI：
10.1016/j.socscimed.2021.113827
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发表时间：
2021-05
影响因子：
5.4
通讯作者：
Kondo, Katsunori
中科院分区：
文献类型：
--
作者：
Zhang, Wen;Tsuji, Taishi;Yokoyama, Meiko;Ide, Kazushige;Aida, Jun;Kawachi, Ichiro;Kondo, Katsunori
关键词：
很少有研究调查参与公民协会的变化是否可以减轻老年灾难幸存者的抑郁症状。我们前瞻性地研究了2011年东日本大地震中老年幸存者参与公民协会的变化与抑郁症状变化之间的关系。我们分析了以3，567名65岁及以上的受访者为对象的灾前和灾后参与公民协会和抑郁症状的调查数据。使用15项老年抑郁量表（GDS）作为2010年和2013年的连续变量评估这些症状的变化。我们调查了四种类型的公民协会：体育，业余爱好，志愿团体和老年人俱乐部。通过从2013年测量的参与频率中减去2010年测量的参与频率来计算参与率的变化。应用95%置信区间，我们使用线性回归模型插补估计年龄和性别调整和多变量调整的标准化系数。在灾前和灾后期间，幸存者的GDS得分平均增加了0.13分。各组受访者参与频率的平均变化分别为+0.36天/年、-5.63天/年、+0.51天和-1.45天/年。参与运动和爱好小组的频率增加与GDS评分的变化呈负相关（分别为B=-0.003，Cohen's f2 =0.10，P=0.01和B=-0.002，Cohen's f2 =0.08，P=0.04）。这些协会并不因灾害造成的住房损坏的经历而有所不同。此外，我们没有观察到志愿团体或老年人俱乐部的参与频率的变化与多变量调整后的GDS评分变化之间的显着关联。老年人灾后的抑郁症状可以通过增加参加体育和爱好团体的频率来减轻;然而，公民参与并没有减轻灾害经历对心理健康的不利影响。
Few studies have examined whether changes in participation in civic associations can mitigate depressive symptoms among older disaster survivors. We examined prospectively the association between changes in participation in civic associations and changes in depressive symptoms among older survivors of the 2011 Great Eastern Japan Earthquake. We analyzed questionnaire-based survey data on pre- and post-disaster participation in civic associations and depressive symptoms compiled for 3,567 respondents aged 65 years and above. Changes in these symptoms were assessed using a 15-item Geriatric Depression Scale (GDS) as a continuous variable for 2010 and 2013. We investigated four types of civic associations: sports, hobby, voluntary groups, and senior citizens’ clubs. Changes in participation were calculated by subtracting the participation frequency measured in 2010 from that measured in 2013. Applying 95% confidence intervals, we used linear regression models with imputation to estimate the age- and sex-adjusted and multivariate-adjusted standardized coefficients. The survivors’ GDS scores increased by 0.13 points on average between the pre-disaster and post-disaster periods. Average changes in the participation frequencies of respondents in each group were respectively +0.36 days/year, −5.63 days/year, +0.51 days/year, and −1.45 days/year. Increased frequencies of participation in the sports and hobby groups were inversely associated with changes in GDS scores (B=−0.003, Cohen’s f2 =0.10, P=0.01 and B=−0.002, Cohen’s f2 =0.08, P=0.04, respectively). The associations did not differ depending on the experience of housing damage caused by the disaster. In addition, we did not observe a significant association between changes in participation frequencies for voluntary groups or senior citizens’ clubs and changes in GDS scores after multivariable adjustment. Depressive symptoms of older adults post-disaster may be mitigated through increased frequency of participation in sports and hobby groups; yet, civic participation did not mitigate the adverse impact of disaster experiences on mental health.
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影响因子：
4.4
作者：
Horikoshi N;Iwasa H;Kawakami N;Suzuki Y;Yasumura S
通讯作者：
Yasumura S
影响因子：
4.7
作者：
Kondo K
通讯作者：
Kondo K
影响因子：
--
作者：
Lyness, JM;Noel, TK;Caine, ED
通讯作者：
Caine, ED
DOI：
10.1249/mss.0b013e3181c3adaa
发表时间：
2010-05-01
期刊：
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE
影响因子：
--
作者：
Eime, Rochelle M.;Harvey, Jack T.;Payne, Warren R.
通讯作者：
Payne, Warren R.
影响因子：
4.6
作者：
Kanamori S;Takamiya T;Inoue S;Kai Y;Kawachi I;Kondo K
通讯作者：
Kondo K