■研究儿童逆境对老年人抑郁的影响以及社会参与对抑郁的调节影响。
■基于6,704个符合标准的研究对象,单因素分析,多元线性回归模型,采用倾向性评分匹配分析儿童期逆境对老年人抑郁的影响及社会参与的调节作用。
■女性的抑郁率较高,年轻的年龄,低教育,未婚,在农业家庭中,年收入低的老年人,退休前的农业工作类型,不喝酒,以及患有两种或两种以上慢性疾病的患者(p<0.05)。儿童时期经历逆境的儿童更容易患抑郁症(β=0.513、0.590、0.954、0.983、1.221、0.953、0.718;p<0.05)。通过趋势评分,结果与内生检验相匹配。同样,老年人在早年更容易遭受更多儿童逆境的心理伤害(β=1.440,2.646,4.122;p<0.001)。研究表明,社会参与将减少低收入家庭经济状况对所有年龄段老年人抑郁的负面影响(β=-0.459,-0.567;p<0.01),对于所有年龄段的老年人,由于“邻里互助无效”和“没有更多的乐趣”而导致的抑郁症(β=1.024,0.894;p<0.01),并加剧了由于“孤独,因为没有朋友”而导致的抑郁症,对于年龄最大的老年人(β=0.476,0.779;p<0.05)。
■经历童年逆境的老年人更容易患抑郁症。社会参与在老年人童年逆境与抑郁之间的关系中起着调节作用。对于老年人的心理健康改善,应该防止家庭和社会逆境,应鼓励适度参与社会。
UNASSIGNED: Examine the effect of childhood adversity on depression in older adults and the regulatory impact that social participation has on depression.
UNASSIGNED: Based on 6,704 standard-compliant research subjects, single factor analysis, multiple linear regression model, and tendency score matching were used to analyze the impact of childhood adversity on depression in older adults and the regulatory effect of social participation.
UNASSIGNED: The depression rate is higher among women, young age, low education, unmarried, in agricultural households, older adults with low annual income, pre-retirement work type in agriculture, non-drinking, and those with two or more chronic diseases (p < 0.05). Children who experienced adversity as children are more likely to suffer from depression as adults (β = 0.513, 0.590, 0.954, 0.983, 1.221, 0.953, 0.718; p < 0.05). Through the tendency score, the result is matched with the endogenous test. As well, older adults are more likely to suffer psychological damage from a greater number of childhood adversities in their early years (β = 1.440, 2.646, 4.122; p < 0.001). It has been shown that social participation will reduce the negative impact of low-income family economic circumstances on depression among older adults of all ages (β = -0.459,-0.567; p < 0.01), aggravate depression resulting from \"neighborhood void of mutual assistance\" and \"no more fun to play\" for older adults of all ages (β = 1.024, 0.894; p < 0.01), and exacerbate depression resulting from \"loneliness because there are no friends\" for the oldest old (β = 0.476, 0.779; p < 0.05).
UNASSIGNED: Older adults who experience childhood adversity are more likely to suffer from depression. Social participation plays a regulatory role in the relationship between childhood adversity and depression in older adults. For older adults\' mental health to improve, family and social adversity should be prevented, and moderate participation in society should be encouraged.