PDF(Pubmed)
Abstract：
UNASSIGNED: High suicide rates in older adults are a relevant public health concern. Social isolation or widowhood as well as physical decline play a crucial role for suicidality in older adulthood. Previous evidence suggested that demoralization is an important risk factor for suicide. Whether demoralization is a relevant phenomenon in older adulthood which possibly could account for high suicide rates remains unclear.
UNASSIGNED: Demoralization Scale II (DS-II) scores assessed in a survey of the German general population were investigated with respect to older adults (aged ≥ 65 years). DS-II scores were compared between older (≥ 65 years) and younger (< 65 years) adulthood and between young-old (65-74y), middle-old (75-84y), and old-old (85+y) individuals. We tested the impact of sociodemographic factors on DS-II scores within older adults.
UNASSIGNED: The sample comprised N = 545 adults ≥ 65 years and N = 1922 adults < 65 years. DS-II scores increased in older compared to younger adults (F(1,2465) = 6.1; p = 0.013; d = 0.09) and further from young-old to old-old (Mdiff = 2.7; 95% CI 0.45, 5.46; p = 0.034). One-fourth of individuals ≥ 65 years and almost half of old-old individuals reported DS-II scores above the cut-off > 5. Living with a partner protected from demoralization in old-old individuals.
UNASSIGNED: This study provides first evidence for an increased rate of demoralization in very old adults, in particular women, which is partly related to partnership status. We suggest that demoralization is considered as a crucial entity in older adulthood which can be missed by standard psychological screenings.
UNASSIGNED: Demoralization Scale II (DS-II) scores assessed in a survey of the German general population were investigated with respect to older adults (aged ≥ 65 years). DS-II scores were compared between older (≥ 65 years) and younger (< 65 years) adulthood and between young-old (65-74y), middle-old (75-84y), and old-old (85+y) individuals. We tested the impact of sociodemographic factors on DS-II scores within older adults.
UNASSIGNED: The sample comprised N = 545 adults ≥ 65 years and N = 1922 adults < 65 years. DS-II scores increased in older compared to younger adults (F(1,2465) = 6.1; p = 0.013; d = 0.09) and further from young-old to old-old (Mdiff = 2.7; 95% CI 0.45, 5.46; p = 0.034). One-fourth of individuals ≥ 65 years and almost half of old-old individuals reported DS-II scores above the cut-off > 5. Living with a partner protected from demoralization in old-old individuals.
UNASSIGNED: This study provides first evidence for an increased rate of demoralization in very old adults, in particular women, which is partly related to partnership status. We suggest that demoralization is considered as a crucial entity in older adulthood which can be missed by standard psychological screenings.
摘要：
■老年人的高自杀率是一个相关的公共卫生问题。社会隔离或丧偶以及身体下降对成年后的自杀行为起着至关重要的作用。先前的证据表明，士气低落是自杀的重要危险因素。士气低落是否是老年人的相关现象，这可能是高自杀率的原因尚不清楚。
■在对德国普通人群的调查中评估的士气低落量表II（DS-II）得分针对老年人（年龄≥65岁）进行了调查。比较了老年人（≥65岁）和年轻人（<65岁）之间以及年轻人（65-74岁）之间的DS-II评分，中老年（75-84年），和老年人(85+y)。我们测试了社会人口统计学因素对老年人DS-II得分的影响。
■样本包括N=545个≥65岁的成年人和N=1922个<65岁的成年人。与年轻人相比，老年人的DS-II得分增加（F（1,2465）=6.1；p=0.013；d=0.09），从年轻人到老年人（Mdiff=2.7；95％CI0.45，5.46；p=0.034）。1/4的≥65岁的个体和近一半的老年个体报告DS-II评分高于截止值>5。与受保护的伴侣一起生活，以免使老年人士气低落。
■这项研究为老年人的士气低落率增加提供了初步证据，尤其是女性,这部分与伙伴关系地位有关。我们建议，士气低落被认为是成年后的重要实体，标准的心理筛查可能会错过。
■在对德国普通人群的调查中评估的士气低落量表II（DS-II）得分针对老年人（年龄≥65岁）进行了调查。比较了老年人（≥65岁）和年轻人（<65岁）之间以及年轻人（65-74岁）之间的DS-II评分，中老年（75-84年），和老年人(85+y)。我们测试了社会人口统计学因素对老年人DS-II得分的影响。
■样本包括N=545个≥65岁的成年人和N=1922个<65岁的成年人。与年轻人相比，老年人的DS-II得分增加（F（1,2465）=6.1；p=0.013；d=0.09），从年轻人到老年人（Mdiff=2.7；95％CI0.45，5.46；p=0.034）。1/4的≥65岁的个体和近一半的老年个体报告DS-II评分高于截止值>5。与受保护的伴侣一起生活，以免使老年人士气低落。
■这项研究为老年人的士气低落率增加提供了初步证据，尤其是女性,这部分与伙伴关系地位有关。我们建议，士气低落被认为是成年后的重要实体，标准的心理筛查可能会错过。
