Lifestyle regularity and activity level as protective factors against bereavement-related depression in late-life
Dr. Holly G. Prigerson Ph.D., Timothy H. Monk Ph.D., Charles F. Reynolds III M.D., Amy Begley M.A., Patricia R. Houck M.H.S., Andrew J. Bierhals M.P.H., David J. Kupfer M.D.
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Abstract
This study sought to determine whether high regularity in the timing of daily activities among the elderly soon after spousal death was protective against depressive symptomatology 1 and 2 years later, and the degree to which the depression-buffering effects of high lifestyle regularity were contingent upon the level of activity performed. The regularity of daily activities was assessed at 3 months post-loss among 41 spousally bereaved subjects aged 60 and above; depressive symptomatology was measured at 3, 12, and 24 months post-loss. Multiple regression analyses revealed that greater lifestyle regularity at 3 months post-loss predicted lower levels of depressive symptoms at 1 year post-loss among those in the upper-half level of activity. There was a trend, which suggested that greater lifestyle regularity at 3 months post-loss was associated with lower levels of depressive symptoms at 24 months post-loss among those in the upper-third level of activity. These preliminary results suggest that for aged widows and widowers, lifestyle regularity may prevent long-lasting depressive symptomatology secondary to spousal bereavement, provided an adequate number of activities are performed. Depression 3:297–302 (1995/1996). © 1996 Wiley-Liss, Inc.
生活方式规律和活动水平是预防老年丧亲抑郁症的保护因素
本研究试图确定,在配偶去世后不久,老年人日常活动时间的高度规律性是否对1年和2年后的抑郁症状有保护作用,以及高生活方式规律性的抑郁缓冲作用在多大程度上取决于所进行的活动水平。对41名60岁及以上丧偶对象在丧偶后3个月的日常活动规律进行评估;在丧失后3个月、12个月和24个月测量抑郁症状。多元回归分析显示,在失联3个月后,生活方式更有规律,在失联1年后,运动水平上半部分的人抑郁症状水平较低。有一种趋势表明,在失联3个月后,生活方式更有规律的人,在失联24个月后,抑郁症状的水平较低。这些初步结果表明,对于老年寡妇和鳏夫,只要进行足够数量的活动,有规律的生活方式可以预防继发于配偶丧亲的长期抑郁症状。抑郁症:297 - 302(1995/1996)。©1996 Wiley-Liss, Inc
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