The relationship of physical function, life stress, and socail support in geriatric depression

碩士 === 中原大學 === 心理學系 === 89 === Depressive disorders are the psychological products of modern civilization and the common mental disorders in the aged. After reviewing and integrating the past related research, the biopsychosocial model is adopted as the theoretical structure of this study. The pur...

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Main Author: 陳碧玉
Other Authors: 譚偉象
Format: Others
Language:zh-TW
Published: 2001
Online Access:http://ndltd.ncl.edu.tw/handle/03967162016245551525
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spelling ndltd-TW-089CYCU00710022016-07-06T04:10:05Z http://ndltd.ncl.edu.tw/handle/03967162016245551525 The relationship of physical function, life stress, and socail support in geriatric depression 身體功能、生活壓力和社會支持與老年憂鬱症之關係 陳碧玉 碩士 中原大學 心理學系 89 Depressive disorders are the psychological products of modern civilization and the common mental disorders in the aged. After reviewing and integrating the past related research, the biopsychosocial model is adopted as the theoretical structure of this study. The purpose of the present study is to explore the relationship of physical function, life stress, and social support in geriatric depression, in addition to finding out the effective predictive factors from the relevant variables. The cases studied included the aged of over 65, who were outpatients or inpatients in hospitals, or the aged in the community. A purposive sample of 157 cases, in which 132 were valid, were selected according to age and gender, and each subject was one-to-one interviewed. They were divided into 3 groups: depressed patients, non-depressed patients, and the aged in the community. The Geriatric Psychosomatic Health Questionnaire (including demographic and other basic information, history of physical illness, Activities of Daily Living (ADL) Scale, Life Stress Event Scale, And Social Support Scale) and the Geriatric Depression Scale (GDS) were administered. The results of the ANOVA showed that the 3 groups had significant differences in the biological and psychological variables, as well as in the social variables of emotion support, information support, respect support, frequency of social activities, spouse support, neighborhood support, and friendship support. Descriptive statistics showed that the depressed patients, in addition to having the lowest level of social support, had more psychosomatic symptoms, disabilities in ADL, the no. of life stress events, and perceived stress than the other groups. Non-depressed patients often suffered from chronic diseases, but the no. of life stress events and perceived stress were the lowest. The aged in the community had the lowest no. of chronic diseases and disabilities in ADL, and received the highest level of social support. Correlation analysis showed that, with the exception of the no. of chronic diseases, practical support, and the 5 sources of support, the other variables correlated with the GDS significantly. Furthermore, the stepwise regression analysis showed that respect support and perceived stress could be used as predictive factors in the depressed patients, while psychosomatic symptoms, ADL, perceived stress, the functional level of social support could be used as predictive factors in the level of depression in the aged. Therefore, the physical health conditions of the geriatric depressed, who had more life stress events and perceived stress but low level of social support, were worse than the averaged elderly people. The present study also supported that social support provides a buffering effect to depression. 譚偉象 劉嘉逸 2001 學位論文 ; thesis 82 zh-TW
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description 碩士 === 中原大學 === 心理學系 === 89 === Depressive disorders are the psychological products of modern civilization and the common mental disorders in the aged. After reviewing and integrating the past related research, the biopsychosocial model is adopted as the theoretical structure of this study. The purpose of the present study is to explore the relationship of physical function, life stress, and social support in geriatric depression, in addition to finding out the effective predictive factors from the relevant variables. The cases studied included the aged of over 65, who were outpatients or inpatients in hospitals, or the aged in the community. A purposive sample of 157 cases, in which 132 were valid, were selected according to age and gender, and each subject was one-to-one interviewed. They were divided into 3 groups: depressed patients, non-depressed patients, and the aged in the community. The Geriatric Psychosomatic Health Questionnaire (including demographic and other basic information, history of physical illness, Activities of Daily Living (ADL) Scale, Life Stress Event Scale, And Social Support Scale) and the Geriatric Depression Scale (GDS) were administered. The results of the ANOVA showed that the 3 groups had significant differences in the biological and psychological variables, as well as in the social variables of emotion support, information support, respect support, frequency of social activities, spouse support, neighborhood support, and friendship support. Descriptive statistics showed that the depressed patients, in addition to having the lowest level of social support, had more psychosomatic symptoms, disabilities in ADL, the no. of life stress events, and perceived stress than the other groups. Non-depressed patients often suffered from chronic diseases, but the no. of life stress events and perceived stress were the lowest. The aged in the community had the lowest no. of chronic diseases and disabilities in ADL, and received the highest level of social support. Correlation analysis showed that, with the exception of the no. of chronic diseases, practical support, and the 5 sources of support, the other variables correlated with the GDS significantly. Furthermore, the stepwise regression analysis showed that respect support and perceived stress could be used as predictive factors in the depressed patients, while psychosomatic symptoms, ADL, perceived stress, the functional level of social support could be used as predictive factors in the level of depression in the aged. Therefore, the physical health conditions of the geriatric depressed, who had more life stress events and perceived stress but low level of social support, were worse than the averaged elderly people. The present study also supported that social support provides a buffering effect to depression.
author2 譚偉象
author_facet 譚偉象
陳碧玉
author 陳碧玉
spellingShingle 陳碧玉
The relationship of physical function, life stress, and socail support in geriatric depression
author_sort 陳碧玉
title The relationship of physical function, life stress, and socail support in geriatric depression
title_short The relationship of physical function, life stress, and socail support in geriatric depression
title_full The relationship of physical function, life stress, and socail support in geriatric depression
title_fullStr The relationship of physical function, life stress, and socail support in geriatric depression
title_full_unstemmed The relationship of physical function, life stress, and socail support in geriatric depression
title_sort relationship of physical function, life stress, and socail support in geriatric depression
publishDate 2001
url http://ndltd.ncl.edu.tw/handle/03967162016245551525
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