人格特征对虚弱过程的影响。

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY Clinical Gerontologist Pub Date : 2025-01-01 Epub Date: 2023-01-10 DOI:10.1080/07317115.2023.2165469
Elizabeth G T Bos, Jamila Douairi, Rob M Kok, Isis Koolhoven, Nathaly Rius Ottenheim, Didi Rhebergen, Richard C Oude Voshaar
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引用次数: 0

摘要

目的:虚弱的决定因素通常是在躯体保健和/或生活方式特征的背景下进行探讨的。目的:研究人格特征对虚弱程度变化的影响以及抑郁症的潜在作用:一项为期 2 年的随访研究,包括 285 名抑郁症患者和 116 名从未患过抑郁症的对照组患者。对五大人格特质(自变量)和不同的虚弱度测量指标(因变量)进行了多元线性回归分析,包括虚弱指数、虚弱表型、步速和手握强度。分析对混杂因素(有无抑郁障碍)和基线虚弱严重程度进行了调整。还研究了人格特质与抑郁障碍之间的交互作用:结果:随着时间的推移,所有人格特质都与至少一种虚弱标记的变化有关。随着时间的推移,神经质水平越高,虚弱程度增加越快,而外向性、宜人性、自觉性和开放性水平越高,虚弱程度增加越慢。这些关联都不受抑郁的影响。对抑郁的额外调整降低了神经质、外向性和自觉性与虚弱的关联强度:结论:人格特质对晚年的虚弱轨迹有影响:临床意义:心理治疗的潜在改变途径值得进一步研究。
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The impact of personality traits on the course of frailty.

Objectives: Determinants of frailty are generally explored within context of somatic healthcare and/or lifestyle characteristics. To examine the impact of personality traits on change in frailty and the potential role of depression.

Methods: A 2-year follow-up study including 285 patients with a depressive disorder and 116 never-depressed controls. Multiple linear regression analyses were conducted to regress the Big Five personality traits (independent variables) on different frailty measures (dependent variables), including the Frailty Index, Frailty phenotype, gait speed, and handgrip strength. Analyses were adjusted for confounders (with and without depressive disorder) and baseline frailty severity. Interactions between personality traits and depressive disorder were examined.

Results: All personality traits were associated with change in at least one frailty marker over time. Over time, a higher level of neuroticism was associated with an accelerated increase of frailty, whereas a higher level of extraversion, agreeableness, conscientiousness and openness were associated with an attenuated increase of frailty. None of the associations were moderated by depression. Additional adjustment for depression decreased the strength of the association of neuroticism, extraversion and conscientiousness with frailty.

Conclusions: Personality traits have impact on frailty trajectories in later life.

Clinical implications: Underlying pathways and potential modification by psychotherapy merit further study.

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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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