将抑郁,焦虑,压力和孤独与5年身体功能下降和虚弱的关系
Anabella Pinton1, Kristen Wroblewski2, L Philip Schumm2
1University of Chicago, Biological Sciences Collegiate Division, Chicago, IL, USA.
Archives of gerontology and geriatrics
|September 30, 2023
概括
在老年人中,抑郁和感知压力与身体功能下降和五年内脆弱性增加有关. 这些心理健康症状显著影响了移动性和整体身体健康轨迹.
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:
- 众所周知,抑郁症会影响老年人的身体功能和虚弱.
- 其他心理健康症状,如焦虑,压力和孤独,对这些身体结果的影响仍然不太清楚.
研究的目的:
- 为了研究抑郁症,感知压力,孤独和焦虑对身体功能和虚弱轨迹的纵向影响,在5年的时间内在老年人中.
- 为了确定哪些心理健康症状对身体衰退和虚弱的进展产生最重要的影响.
主要方法:
- 利用了国家社会生活,健康和衰老项目 (NSHAP) 的数据,这是一个全国代表性的研究.
- 分析了2010-11年的心理健康症状数据 (焦虑,感知压力,抑郁,孤独),以及2015-16年的身体功能 (3米步行时间,5次椅子站) 和脆弱度.
- 采用回归模型,根据基线物理功能,人口统计和并发症进行调整.
主要成果:
- 增加的抑郁和感知压力得分与较慢的5年步行时间和椅子站时间显著相关.
- 抑郁症得分每增加1分,预测在5年内脆弱性恶化的可能性更高.
- 抑郁症与步行时间和椅子站的显著关联,即使在同时分析所有四种心理健康症状时也持续存在.
结论:
- 较高水平的抑郁,以及在较小程度上感知到的压力,与老年人的加速身体功能下降和脆弱性增加有关.
- 这些发现强调了心理健康在维持老龄人口身体健康方面的关键作用.
- 进一步的研究是有必要的,以阐明潜在的机制,并制定有针对性的干预措施.
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