印尼残疾老年人抑郁症的预测因素
The Maria M Widagdo1, Bernadeta D Widyaningsih2, Setywanty Layuklinggi1
1Department of Public Health, Faculty of Medicine, Duta Wacana Christian University, Yogyakarta, Indonesia.
Journal of family & community medicine
|September 7, 2023
概括
在残疾老年人中,当他们保持日常活动的独立性并且已婚时,抑郁症的可能性较小. 相反,在年龄较大时获得残疾会增加抑郁症的风险.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 抑郁症是老年人,特别是残疾人中严重的心理健康问题.
- 在这个人口群体中确定抑郁症的预测因素对于有针对性的干预措施至关重要.
研究的目的:
- 确定预测残疾老年人 (60岁以上) 抑郁症的变量.
- 了解功能独立,婚姻状况,残疾发病年龄和抑郁风险之间的关系.
主要方法:
- 进行了一项涉及115名社区居住的残疾老年人的横截面研究.
- 通过采访收集的数据,使用调查问卷评估人口统计,认知功能 (MMSE),残疾 (WG-SS),日常生活活动 (ADL,IADL) 和抑郁症 (GDS-30).
- 使用多变量和多项逻辑回归分析来确定显著的预测因素和赔率比率.
主要成果:
- 在日常生活活动中更高的独立性 (ADL) 与轻度和重度抑郁症的风险较低有关 (OR = 0.639和0.589,分别).
- 结婚是一个重要的保护因素;未婚个人患轻度 (OR = 3.203) 和重度抑郁症 (OR = 29.119) 的风险要高得多.
- 在残疾开始时的年龄增加与轻度 (OR = 1.025) 和严重抑郁症 (OR = 1.053) 的风险增加相关.
结论:
- 在日常生活活动中的独立性 (ADL) 是残疾老年人抑郁症的负面预测因素.
- 婚姻状况是一个重要的因素,已婚人士患抑郁症的可能性较低.
- 在年轻时体验残疾似乎是防止晚年抑郁症的保护因素.
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