思想重要:对中国和美国自我报告的抑郁症严重程度和认知症状进行比较研究
Qingwen Deng1,2, Shimeng Liu3,4, Yi Yang1,2
1School of Public Health, Fudan University, No.138, Yi Xue Yuan Road, Shanghai, 200032, China.
BMC public health
|March 22, 2025
概括
文化差异对中国和美国的老年人报告抑郁症和认知症状的影响很大. 中国成年人报告症状不那么严重,但经过调整后,比美国成年人表现出更多的抑郁和更好的认知.
科学领域:
- 老年学是一门学科.
- 跨文化心理学跨文化心理学
- 公共卫生 公共卫生
背景情况:
- 健康感知是主观的,受文化影响.
- 这项研究调查了中国和美国中年和老年人自我报告的抑郁症和认知症状的差异.
研究的目的:
- 检查自我报告的抑郁症严重程度和认知症状的文化差异.
- 了解文化背景如何塑造老年人群的健康解释.
主要方法:
- 利用了来自中国健康与退休长度研究 (CHARLS) 和美国健康与退休研究 (HRS) 的数据.
- 采用了通用的顺序探针模型和层次的顺序探针模型来分析基于图片的健康评级,并根据报告异质性进行调整.
主要成果:
- 与美国受访者相比,中国受访者报告说,抑郁症和认知症状的初始严重程度较低.
- 在调整报告异质性后,中国成年人比美国成年人表现出更高的抑郁症 (β=0.202) 和更好的认知能力 (β=-0.239).
- 在中国观察到评估门和较低的健康标准的系统变化;高等教育在两国都对心理健康产生了积极的影响.
结论:
- 在中国老年人和美国成年人之间,在自我评估的心理健康和认知状态方面存在显著的文化差异.
- 这些差异延伸到个人使用的评估标准.
- 心理健康干预需要在两个国家的老年人文化定制的方法.
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