抑郁症症状与老年人日常生活残疾活动之间的双向动态关系:来自三波纵向数据的证据
Heman Zhang1, Jingwen Sun1, Dehe Li1
1School of Management, Xuzhou Medical University, Xuzhou, China.
Journal of affective disorders
|February 18, 2026
概括
在老年人中,抑郁症症状和日常生活活动 (ADL) 障碍显示出随着时间的推移而发生的动态,双向关系. 早期,他们相互预测对方,而后来,关系逆转,需要分阶段干预.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 纵向研究 纵向研究
背景情况:
- 缺乏研究抑郁症症状与日常生活活动 (ADL) 障碍之间的动态,双向关系的纵向研究.
- 随着时间的推移,这种关联的不断变化的性质仍然不完全理解.
研究的目的:
- 在老年人群中研究抑郁症症状和ADL残疾之间的动态,双向关系.
- 确定这种关联在不同时间阶段如何演变.
主要方法:
- 利用来自中国健康与退休纵向研究 (CHARLS) (2015,2018,2020) 的三波纵向数据.
- 使用相关性分析来探索抑郁症和ADL残疾之间的关联.
- 应用交叉滞后面板模型 (CLPM) 与反向概率加权 (IPW) 来评估动态的,双向的预测关系.
主要成果:
- 在所有三波研究中都观察到抑郁症症状和ADL残疾之间的显著正相关性.
- 临床临床医学发现,抑郁症症状和ADL残疾在早期阶段 (T0-T1) 相互预测.
- 在后期阶段 (T1-T2) 观察到一个反向的预测关系,两个变量相互负面预测.
结论:
- 在老年人中,抑郁症症状和ADL残疾表现出一个分阶段,双向的预测关系.
- 抑郁症的症状对推动这种关系产生更大的影响.
- 建议采用综合的,分阶段的干预策略来解决和打破这种循环.
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