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中国における高齢者の日常生活活動とうつ病症状の関連性:全国的に代表的な横断調査

Xinyi Zuo1, Yifang Chen2

  • 1School of Social Work, University of Michigan, MI, Ann Arbor, Michigan, 48109, USA. xinyizuo@umich.edu.

BMC psychology
|August 30, 2025
PubMed
まとめ

日常生活における基本的および道具的活動の制限 (BADLとIADL) は,中国人の高齢者のうつ病と関連しています. BADL/IADLの制限がある農村の高齢者は,より高いうつ病のリスクに直面し,ターゲットを絞った介入が必要になります.

キーワード:
ADL障害BADL/IADLチャールズ中国鬱病の症状機能的制限高齢者都市部と農村部の高齢者

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科学分野:

  • ゲロントロジー
  • 公衆衛生
  • メンタルヘルスの研究

背景:

  • 日常生活の活動障害 (ADL) は,高齢者の心理的健康に悪影響を及ぼします.
  • ADLは,日常生活の基本活動 (BADL) と日常生活の道具活動 (IADL) に分類されています.
  • ADLの制限とうつ病の症状の関連性を理解することは,高齢者のケアにおいて極めて重要です.

研究 の 目的:

  • 中国の高齢者におけるBADLとIADLの制限とうつ病症状の関連性を調べる.
  • BADL,IADL,および個人および地方レベルのうつ病リスクとの関係を調査する.
  • 農村部と都市部におけるこれらの関係を検証する.

主な方法:

  • 中国保健・退職長期研究 (CHARLS 2020) の全国的に代表的な横断データを使用した.
  • 多段階の確率対サイズ (PPS) のサンプリング技術を使用した.
  • 流行病学研究センターの10項目のうつ病スケール (CES-D 10) を用いてうつ病リスクを評価し,キ2テストとバイナリロジスティック回帰を用いて関連性を分析した.

主要な成果:

  • 60歳以上の参加者の27. 5%と25. 7%がBADLとIADLに制限がありました.
  • 限られたBADLとIADLは,うつ病のリスクの高さ (OR > 1. 775,P < . 001) と有意に関連していました.
  • BADLとIADLを制限する障害は,中国の田舎の高齢者のうつ病症状とより強く関連していました.

結論:

  • 中国人の高齢者において,BADL,IADLの制限とうつ病との間に重要な関連性がある.
  • 限られたBADLとIADLは高齢者のうつ病の重要な指標です.
  • 弱い高齢者のうつ病のリスクを軽減するために 標的を絞った農村での介入は不可欠です