本研究考察了老年抑郁的预测因素。采用老年抑郁量表简版、一般自我效能感问卷、一般疏离感问卷、行为抑制/激活问卷、心理弹性量表、社会支持量表及自编的一般情况调查问卷,对830名60岁及以上的老年人进行调查。结果表明:(1)老年抑郁情况在其所居住的社区类型、婚姻状况、文化程度、经济状况、自感身体健康状况、有无慢性病等人口学特征上存在显著差异;(2)老年抑郁与疏离感、自我效能感、行为抑制系统、行为激活系统-愉悦、心理弹性及社会支持等存在显著相关;(3)自评健康状况、身体锻炼情况、经济状况、疏离感、自我效能感、行为抑制系统可显著预测老年抑郁,联合解释变异量为35。8%。
<<The aim of this study is to explore the influencing factors of geriatric depression,as well as protective and predictive factors. With random sampling method,830 subjects aged 60 years and above were chosen in Sichuan Province. The questionnaires included Geriatric Depression Scale Short-form(GDS-15),General Alienation Scale(GAS),General Self-Efficacy Scale(GSES),Connor-Davidson Resilience Scale(CD-RISC),Behavioral Inhibition/Activation System Scale(BIS/BAS Scale),Social Support Rate Scale(SSRS)and general condition scale designed by ourselves. Subjects answered the questionnaires according to their own situation while the trained staff reading items for them one by one. It was found that the depression score were significant difference on different Social and demographic factors,such as various living community type,marital status,educated levels,economic status,self-perceived physical health status,physical exercise,family relationship,chronic disease and stress events over the past year. Factors such as age,gender,religious faith and house conditions have no significant effects on depression. Depression was significantly correlated with alienation,self-efficiency,behavioral inhibition systems,behavioral activation systems,resilience and its three sub-factors,and social support. A stepwise multiple regression analysis showed that self-perceived physical health status,physical exercise,economic status,alienation,self-efficiency,behavioral inhibition systems could significantly predict depression and 35.8% variation was explained. Geriatric depression were influenced by three factors:society environment factor,psychological factor and physiological factor. The important predict factors of depression include physiological factors,such as self-perceived physical health status,physical exercise,psychological factors,such as alienation,self-efficiency,behavioral inhibition systems,and social factors,such as economic status.
<<