重庆市农村社区老年人抑郁状况及其影响因素

发布时间：2018-06-21 23:40

本文选题：抑郁量表 + 负性生活事件　；参考：《中国老年学杂志》2014年10期

【摘要】：目的探讨重庆市农村社区老年人的心理抑郁状况及其影响因素。方法采用多级分层随机抽样方法,以老年抑郁量表(GDS)作为评定工具,对重庆市820名60岁及以上农村社区老年人心理抑郁状况进行调查。结果①重庆市农村社区老年人总体GDS阳性检出率为43.88%,GDS总分平均(9.61±4.82)分,女性老年人和高龄老年人的抑郁症状表现更为明显(P0.05)。②低文化、有负性生活事件、住房条件差、有慢性病、亲子关系差、娱乐活动少、月收入低、医疗费用高、有照料者、喜欢机构养老、认知水平高、日常生活能力差、幸福度低、社会支持少、性格内向、精神质和神经质倾向明显的老年人抑郁状况较重(P0.05)。③幸福度、认知水平、日常生活能力、娱乐活动、内外向、神经质及生活事件进入回归方程,决定系数R2=0.570。结论农村老年人当中抑郁症状的发生率比较高,整体上较低的社会经济地位和健康水平以及社会支持的利用度较低可能是造成农村老年人的抑郁症状更为严重和普遍的重要原因。
[Abstract]:Objective to explore the psychological depression of the elderly in rural communities of Chongqing and its influencing factors. Methods A multistage stratified random sampling method was used to investigate the mental depression status of 820 elderly people aged 60 and above in Chongqing with GDS. Results 1 the positive rate of GDS in the elderly in rural communities in Chongqing was 43.88 and the average score of GDS was (9.61 卤4.82). The depression symptoms of female and elderly people were more obvious (P0.05), with negative life events, poor housing conditions and chronic diseases. Poor parent-child relationship, less recreational activities, low monthly income, high medical expenses, carers, like institutional pension, high cognitive level, poor ability of daily life, low happiness, low social support, introverted personality, The depression status of the elderly with obvious psychoticism and neuroticism was more serious (P0.05). 3. Happiness, cognitive level, daily life ability, entertainment activities, introversion and extroversion, neuroticism and life events entered the regression equation, and the determinant coefficient R2 was 0.570. Conclusion the incidence of depressive symptoms in the elderly in rural areas is relatively high. The lower social economic status and health level as well as the lower utilization of social support may be the important reasons for the more serious and widespread depression symptoms of the rural elderly.
【作者单位】：重庆市精神卫生中心;
【基金】：重庆市卫生局医学科研计划项目(2010-2-336)
【分类号】：R749.4

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