在中国老年人中,认知功能与终身自杀念头之间的关联:抑郁症的调解效应
Afei Qin1,2,3, Lingzhong Xu1,2,3, Fangfang Hu1,2,3
1Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250012, Shandong, China.
European geriatric medicine
|January 2, 2024
概括
抑郁症完全调解了老年人的认知功能和自杀想法之间的联系. 早期抑郁症干预是认知障碍患者减少自杀风险的关键.
科学领域:
- 老年精神病学是一门精神病学专业.
- 神经科学是一个神经科学.
- 公共卫生 公共卫生
背景情况:
- 认知功能与老年抑郁症和自杀倾向有关,但这种关系的方向尚不清楚.
- 了解老年人认知衰退,抑郁和自杀念头之间的相互作用对于有针对性的干预至关重要.
研究的目的:
- 研究老年人认知功能,抑郁和自杀念头之间的关系.
- 探索抑郁症在认知功能与自杀念头之间的关联中扮演的调解角色.
主要方法:
- 一种多阶段随机集群采样方法调查了3896名60岁及以上的个人.
- 描述性统计,单向ANOVA和二进制物流回归被用于分析.
- SPSS宏观程序PROCESS V3.5测试了抑郁症的调解作用.
主要成果:
- 在老年人样本中,终身自杀念头的患病率为3.9%.
- 终身自杀念头与抑郁症有关 (OR=1.308),但与认知功能无关 (OR=0.972).
- 抑郁症完全介导了认知功能和终身自杀念头之间的关系,认知功能和抑郁症之间有显著的关联 (β=-0.0841).
结论:
- 在老年人中,认知障碍与终身自杀念头风险增加之间没有直接的相关性.
- 抑郁症充当一个完整的调解者,将认知功能与自杀念头联系起来.
- 预防患有认知障碍的老年人抑郁症至关重要,因为抑郁症与自杀念头有很强的关联.
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