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社区住户老年人群中抑郁症的生物心理社会因素,社会支持感知较低;基于人口的研究
Nur Zahirah Balqis-Ali1,2, Norliza Ahmad3, Halimatus Sakdiah Minhat2
1Institute for Health Systems Research, National Institutes of Health, Ministry of Health, Selangor, Malaysia.
BMC geriatrics
|August 14, 2024
概括
抑郁症影响22.5%的马来西亚老年人,社会支持较低. 单身,痴呆症或视力障碍会增加风险,而更大的生活控制和自我实现会降低风险.
科学领域:
- 老年医学 老年医学
- 公共卫生 公共卫生
- 心理健康研究 心理健康研究
背景情况:
- 老年人的抑郁症带来了重大挑战,但其促成因素,特别是在社会支持较低的人群中,仍然不充分理解.
- 确定特定的生物,心理和社会决定因素对于有效的干预策略至关重要.
- 这项研究重点关注马来西亚的社区老年人,这是一个面临独特社会文化背景的人群.
研究的目的:
- 确定与马来西亚社会支持较低的社区老年人抑郁症相关的关键因素.
- 为针对性干预提供经验证据,以减轻这个脆弱人群的抑郁症.
- 为了解老年人抑郁症的生物心理社会模型做出贡献.
主要方法:
- 利用了2018年马来西亚国家健康发病率调查 (NHMS) 的二次数据:老年人健康.
- 分析了来自926名60岁及以上社会支持较低的社区居民的数据.
- 采用多重后勤回归分析来识别与抑郁症相关的因素,使用IBM SPSS版本29进行复杂的样本分析.
主要成果:
- 马来西亚社会支持较低的老年人中抑郁症的患病率为22.5%,高于一般老年人群.
- 抑郁症的重要风险因素包括单身 (aOR 2.010),患有痴呆症 (aOR 3.717) 和视力障碍 (aOR 3.462).
- 增加对生活的控制 (aOR 0.674) 和自我实现 (aOR 0.753) 与抑郁症的可能性降低有关.
结论:
- 对于社会支持较低的老年人群来说,建议进行例行抑郁查,以进行早期检测和管理.
- 干预措施应考虑已识别的风险因素,并促进增强控制感和自我实现的社会活动.
- 解决婚姻状况,认知障碍 (痴呆症),感官缺陷和心理健康问题对于预防和管理这种人口中的抑郁症至关重要.
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