探索控制信念、皮质醇水平和老年抑郁之间的相互作用:控制感是否总是有益的?

F.M. Kabia MD , A.A.L. Kok PhD , D. Rhebergen MD PhD , N. Rius Ottenheim MD PhD , A.T.F. Beekman MD PhD
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引用次数: 0

摘要

目的我们研究了老年人的主观能动性/自觉性水平与皮质醇反应之间的关系,并考虑了抑郁状态。根据以往的研究,我们假设高、低而非中等水平的掌握/韧性会与高皮质醇反应相关,尤其是在抑郁症患者中。方法我们分析了荷兰老年人抑郁症研究(NESDO)的数据。受访者被分为低、中和高掌握/韧性组。回归分析研究了掌握/韧性与晚间皮质醇(412 人)和皮质醇觉醒反应(370 人)之间的关系,并按抑郁状态进行了分层。结果无论抑郁状况如何,在掌握/韧性与皮质醇反应之间均未发现明显的关联。结论我们的研究结果并不表明,与中等水平的人相比,低水平或高水平的掌握/韧性会增加抑郁老年人的压力,他们与非抑郁个体也没有区别。
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Exploring the interplay between control beliefs, cortisol levels and depression in old age: Is feeling in control always beneficial?

Objectives

We investigated the relationship between levels of mastery/conscientiousness and cortisol response in older adults, considering depression status. Based on former research we hypothesized that high and low and not intermediate levels of mastery/conscientiousness would correlate with high cortisol response, particularly in depressed individuals.

Methods

Data from the Netherlands Study of Depression in Older Persons (NESDO) were analyzed. Respondents were categorized into low, intermediate, and high mastery/conscientiousness groups. Regression analyses examined associations between mastery/conscientiousness and evening cortisol (N=412) and cortisol awakening response (N=370), stratified by depression status. Histograms were created to visualize the results.

Results

No significant associations were found between mastery/conscientiousness and cortisol response, irrespective of depression status.

Conclusions

Our findings do not suggest that low or high levels of mastery/conscientiousness increase stress in depressed older adults compared to those with intermediate levels, nor do they differ from non-depressed individuals.

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