| 牛建梅,孔繁智,张研婷,尚玉秀.老年居民抑郁与情绪调节策略的相关性研究[J].中华流行病学杂志,2017,38(12):1611-1615 |
| 老年居民抑郁与情绪调节策略的相关性研究 |
| Study on the correlation between depression and emotion regulation strategies in the elderly residents |
| 收稿日期:2017-05-09 出版日期:2017-12-26 |
| DOI：10.3760/cma.j.issn.0254-6450.2017.12.005 |
| 中文关键词: 老年居民 抑郁症 情绪调节策略 相关性研究 |
| 英文关键词: Elderly residents Depression Emotional regulation Related research |
| 基金项目:宁夏回族自治区卫生和计划生育委员会项目（NW017） |
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| 中文摘要: |
| 目的 探讨银川市老年居民抑郁与情绪调节策略的现况及两者的关系。方法 2016年3-5月选择银川市5所养老机构505名老年人及5个社区的538名老年人，共1 043名。抑郁调查采用老年抑郁量表（GDS），情绪调节策略调查采用Gross情绪调节问卷和反刍思维量表。结果 银川市老年居民抑郁发生率为32.0%，其中社区老年人为35.5%，养老机构老年人为28.3%，差异有统计学意义（χ2=6.187，P<0.05）。经倾向值匹配分析法分析，社区老年人和养老机构老年人抑郁发生率差异无统计学意义（χ2=0.066，P=0.798）。1 043名老年居民GDS得分为（9.1±5.7）分，老年人认知重评得分为（26.7±8.0）分，表达抑制得分为（16.3±6.6）分，反刍思维得分为（34.5±11.7）分。不同性别、兴趣爱好、体育锻炼的老年人认知重评得分差异有统计学意义（均P<0.05）；不同文化程度、经济收入的老年人表达抑制得分差异有统计学意义（均P<0.05）；不同年龄、婚姻状况、文化程度、兴趣爱好的老年人反刍思维得分差异有统计学意义（均P<0.05）。抑郁得分与认知重评负相关（r=-0.400，P<0.01）、与反刍思维呈正相关（r=0.652，P<0.01）。结论 银川市老年居民抑郁发生率较高，老年人抑郁与情绪调节策略有关。 |
| 英文摘要: |
| Objective To explore the cross-sectional study of depressive and emotional regulation strategies of elderly residents in Yinchuan and their relationship.Methods A total number of 1 043 elderly cases, including 505 from 5 nursing institutions and 538 from 5 communities in Yinchuan city were chosen, from March to May, 2016. Depression survey using the Geriatric Depression Scale (GDS), emotional adjustment strategies were conducted using the Gross Emotional Regulatory Questionnaire and the Rumination Scale.Results The overall incidence rate of depression among the elderly residents appeared as 32.0%, with 35.5% in the communities and 28.3% in the nursing homes and the difference was statistically significant (χ2=6.187, P<0.05). There was no significant difference in the incidence of depression among the elderly and the aged in the community (χ2=0.066, P=0.798) by the trend analysis method. The score of GDS for the 1 043 elderly was (9.1±5.7) points. The scores on cognitive reappraisal in emotional adjustment strategies and on expression inhibition were (26.7±8.0) and (16.3±6.6) points respectively. The score of the rumination was (34.5±11.7) points. There were significant differences in cognitive reappraisal scores on different sex, hobbies and physical exercise (all Ps<0.05) among the elderly. There were significant differences in rumination scores among the elderly with different age, marital status, cultural level, interest (all Ps<0.05) and in the scores of expression inhibition among the elderly with different levels of education and income (all Ps<0.05). There appeared a negative correlation between the depression scores and cognitive reappraisal (r=-0.400, P<0.01) but a positive correlation between the scores of depression and rumination (r=0.652, P<0.01).Conclusion The incidence of depression identified in the elderly residents appeared high and was associated with emotional adjustment strategies, in Yinchuan city. |
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