关于中国中年和老年残疾人抑郁症发展轨迹的研究:基于基于群体的轨迹模型
Ruijia You1, Wenjie Li1, Linghao Ni1
1School of Public Health, Chongqing Medical University, Chongqing, 400016, China.
SSM - population health
|September 22, 2023
概括
在中国残疾成年人中,抑郁症状表现出各种长期模式. 需要有针对性的干预措施的关键群体包括具有功能限制,疼痛和健康状况不佳的农村妇女.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 中年和有残疾的老年人面临着抑郁症状的高风险.
- 关于中国残疾老年人中长期抑郁症状轨迹的研究有限.
研究的目的:
- 为了确定抑郁症状的不同发育轨迹.
- 确定影响中国中年和老年残疾人的这些发展轨迹的因素.
主要方法:
- 长度队列研究使用中国健康与退休长度研究 (CHARLS) 数据 (2011-2018).
- 基于组的轨迹建模 (GBTM) 应用于2053名参与者,这些参与者使用流行病学研究中心抑郁症量表 (CES-D10) 进行评估.
- 拉索回归和多变量逻辑回归用于预测选和因素分析.
主要成果:
- 确定了四种不同的抑郁症状轨迹:低,恶化,缓解和高症状组.
- 在轨道子组中观察到特征的显著差异.
- 易受抑郁症症状干预影响的弱势群体包括农村残疾妇女,她们有功能限制 (ADL/IADL),疼痛,自我报告的健康/记忆不佳,睡眠不足,缺乏社会支持.
结论:
- 在中国中年和老年残疾人的抑郁症状轨迹中存在异质性.
- 干预策略应考虑每个子组轨迹的独特特征.
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