泸州市老年人认知功能与社会支持和抑郁的相关性

喻晓娇; 董亚菲; 田甜; 贾红; 杨珉

doi:10.16462/j.cnki.zhjbkz.2020.05.021

泸州市老年人认知功能与社会支持和抑郁的相关性

doi: 10.16462/j.cnki.zhjbkz.2020.05.021

喻晓娇¹,
董亚菲¹,
田甜¹,
贾红¹,
杨珉^2, ,

1.
646000 泸州, 西南医科大学公共卫生学院
2.
610041 成都, 四川大学西部农村卫生发展研究中心

基金项目: 美国中华医学会基金会项目(CMB12-106);四川省教育厅项目(16ZA0199)

详细信息

通讯作者:
杨珉, E-mail:yangmin2013@scu.edu.cn

中图分类号: R749.42
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出版历程
- 收稿日期: 2019-11-04
- 修回日期: 2020-01-30
- 刊出日期: 2020-05-10

Correlation between cognitive function, social support and depression in the elderly in Luzhou

1.
School of Public Healthy Southwest Medical University, Luzhou 646000, China
2.
Western China Research Center for Rural Health Development, Sichuan University, Chengdu 610041, China

Funds: American Foundation of Chinese Medical Association Project(CMB12-106); Sichuan Provincial Education Department Project(16ZA0199)

More Information

Corresponding author: YANG Min, E-mail:yangmin2013@scu.edu.cn

摘要

摘要: 目的探讨泸州市老年人认知功能状况及其与社会支持和抑郁的相关性。方法于2017年3月―6月采用便利抽样的方法, 在泸州市选取975名≥60岁者作为调查对象, 采用简易精神状态检查量表(mini-mental state examination, MMSE)、简版老年抑郁量表(ueriatric depression scale-15, GDS-15)、杜克社会支持量表(Duke social support index, DSSI)进行问卷调查。结果调查对象中有认知功能障碍者有127(13.03%)人。认知功能得分与社会支持得分呈正相关(r=0.160, P < 0.001)、与抑郁得分呈负相关(r=-0.237, P < 0.001), 差异均有统计学意义(均有P < 0.05)。社会支持对认知功能的直接效应为0.116(95% CI:0.053~0.178);以抑郁为中介的间接效应为0.116(95% CI:0.076~0.162)。结论抑郁对老年人的认知功能产生负向影响, 社会支持对老年人的认知功产生直接正向作用, 且抑郁在社会支持与认知功能关系中有部分中介效应。
- 老年人 /
- 认知功能 /
- 社会支持 /
- 抑郁
Abstract: Objective To explore the cognitive function of the elderly in Luzhou city and its correlation with social support and depression. Methods From March to June 2017, a total of 975 people aged ≥60 years were selected in Luzhou by convenience sampling. Mini-mental state examination(MMSE), ueriatric depression scale-15(GDS-15) and Duke social support scale(DSSI) were used. Results There were 127(13.03%) persons with cognitive dysfunction among the respondents. Cognitive function score was positively correlated with social support score(r=0.160, P < 0.001) and negatively correlated with depression score(r=-0.237, P < 0.001), the differences were statistically significant(allP < 0.05). The direct effect of social support on cognitive function was 0.116(95%CI: 0.053-0.178); the indirect effect through depression was 0.116(95% CI: 0.076-0.162). Conclusions Depression has a negative effect on the cognitive function of the elderly, social support has a direct positive effect on the cognitive function of the elderly, and depression has a partly mediating effect on the relationship between social support and cognitive function.
- Elderly /
- Cognitive function /
- Social support /
- Depression

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表 1 老年人认知功能、抑郁、社会支持得分的相关性(r)

Table 1. Correlation among cognitive function, depression and social support scores of the elderly (r)

项目	社会支持	认知功能
抑郁	-0.340^a	-3.363^a
认知功能	0.160^a
注:^a表示P < 0.001。

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表 2 抑郁对认知功能障碍中介效应的Bootstrap分析

Table 2. Bootstrap analysis of mediating effect of depression on cognitive impairment

效应	效应值	Boot标准误	Boot 95% CI值		相对效应占比
效应	效应值	Boot标准误	下限	上限	相对效应占比
总效应	0.232	0.032	0.171	0.293
直接效应	0.116	0.032	0.053	0.178	49.892%
间接效应(以抑郁为中介)	0.116	0.022	0.076	0.162	50.108%

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