在 COVID-19 大流行中的复原力:参与有意义的活动是老年人应对能力和抑郁症状之间的中介。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY
Katja Pynnönen, Katja Kokko, Sini Siltanen, Erja Portegijs, Katja Lindeman, Taina Rantanen
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引用次数: 0

摘要

研究目的本研究调查了COVID-19大流行之前、期间和之后应对能力与抑郁症状之间的纵向关联,以及参与有意义的活动是否在这种关联中发挥了中介作用:2017-2018年(T1,大流行前)对75、80和85岁的个体(n = 1021)进行了访谈。其中 608 人在 2020 年(T2,第一波)和 2021-2022 年(T3,大流行后的部分时间)接受了访谈。应对能力、抑郁症状和参与有意义活动的情况分别采用 10 项康纳-戴维森复原力量表、10 项流行病学研究中心抑郁量表和于韦斯屈莱大学积极老龄化量表的 17 项活动分值进行评估。结构方程模型用于中介分析:结果:较高的应对能力与抑郁症状的减少有关,部分原因是 T1 和 T2 期间较高的活动量得分。从 T2 到 T3,较高的应对能力减少了抑郁症状,但活动得分在此期间并没有起到中介作用:结论:良好的应对能力有助于老年人保持良好的精神状态。在大流行病的早期阶段,由于许多社会活动受到限制,因此应对能力强、积极参与有意义的活动的老年人抑郁程度较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Resiliency amid the COVID-19 pandemic: engagement in meaningful activities as a mediator between coping ability and depressive symptoms among older adults.

Objectives: This study investigated the longitudinal association between coping ability and depressive symptoms from before to during and after the COVID-19 pandemic and whether engagement in meaningful activities plays a mediating role in this association.

Method: Individuals aged 75, 80, and 85 years (n = 1021) were interviewed in 2017-2018 (T1, pre-pandemic). Of these persons, 608 were interviewed in 2020 (T2, first wave) and 2021-2022 (T3, partly post-pandemic). Coping ability, depressive symptoms, and engagement in meaningful activities were assessed using the 10-item Connor-Davidson Resilience Scale, 10-item Center for Epidemiologic Studies Depression Scale, and 17-item activity subscore of the University of Jyväskylä Active Aging Scale, respectively. Structural equation modeling was used for the mediation analyses.

Results: Higher coping ability was associated with decreased depressive symptoms, partly mediated by higher activity scores between T1 and T2. From T2 to T3, higher coping ability reduced the depressive symptoms, but the activity scores did not mediate the changes during this period.

Conclusion: Good coping ability may help older people sustain good mental well-being. With good coping ability, active engagement in meaningful activities contributed to the low level of depressiveness during the early phases of the pandemic, when many social activities were restricted.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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