中华行为医学与脑科学杂志2024,Vol.33Issue(1) :64-68.DOI:10.3760/cma.j.cn371468-20230512-00234

老年人自我价值感对抑郁的影响:老化态度与焦虑的链式中介作用

The effect of self-worth on depression in the elderly:the chain mediating effect of aging attitude and anxiety

王星光 常世宁 葛怡然 彭雨涵 王紫妍 邓屹杉 刘久楹 李幼东
中华行为医学与脑科学杂志2024,Vol.33Issue(1) :64-68.DOI:10.3760/cma.j.cn371468-20230512-00234

老年人自我价值感对抑郁的影响:老化态度与焦虑的链式中介作用

The effect of self-worth on depression in the elderly:the chain mediating effect of aging attitude and anxiety

王星光 1常世宁 2葛怡然 2彭雨涵 2王紫妍 2邓屹杉 2刘久楹 2李幼东2
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作者信息

  • 1. 石家庄市急救中心急救医学部,石家庄 050021
  • 2. 河北医科大学第一医院临床心理科,石家庄 050000
  • 折叠

摘要

目的 探讨老化态度、焦虑在老年人自我价值感与抑郁间的中介作用.方法 2022年7-8月,使用老年人自我价值感量表、广泛性焦虑障碍量表、老化态度问卷和健康抑郁症状群量表对石家庄市老年大学536名老年人进行调查.使用SPSS 26.0进行描述性统计和相关分析,使用AMOS 24.0构建中介模型并采用Bootstrap法进行中介效应检验.结果 (1)自我价值感评分101.00(92.00,112.00)分、老化态度总分92.00(83.00,101.75)分、焦虑总分为2.00(0,6.00)分、抑郁总分2.00(0,5.00)分.(2)老年人自我价值感与老化态度(r=0.67,P<0.01)呈正相关,与焦虑(r=-0.45,P<0.01)、抑郁(r=-0.48,P<0.01)呈负相关;老化态度与焦虑(r=-0.41,P<0.01)、抑郁(r=-0.41,P<0.01)呈负相关;焦虑与抑郁(r=0.71,P<0.01)呈正相关.(3)老化态度在老年人自我价值感和抑郁间的间接效应值为-0.016,占总间接效应19.75%(-0.016/-0.081);焦虑在老年人自我价值感和抑郁间的间接效应值为-0.045,占总间接效应55.56%(-0.045/-0.081);老化态度和焦虑在老年人自我价值感和抑郁间的链式中介效应值为-0.020,占总间接效应24.69%(-0.020/-0.081).结论 老化态度、焦虑在老年人自我价值感与抑郁间起链式中介作用.

Abstract

Objective To explore the mediating role of aging attitude and anxiety in the relationship between self-worth and depression among the elderly.Methods From July to August 2022,a total of 536 elderly people in Shijiazhuang University for the Elderly were surveyed by the elderly self-worth scale,gener-alized anxiety disorder-7(GAD-7),attitudes to aging questionnaire(AAQ)and patient health questionnaire(PHQ-9).SPSS 26.0 software was used for descriptive statistics and correlation analysis.AMOS 24.0 was used to construct an intermediation model,and Bootstrap method was used for mediating effect testing.Results(1)The score of self-worth was 101.00(92.00,112.00),the score of aging attitude was 92.00(83.00,101.75),the score of anxiety was 2.00(0,6.00),and the score of depression was 2.00(0,5.00).(2)Self-worth was positively correlated with aging attitude(r=0.67,P<0.01),while negatively cor-related with anxiety(r=-0.45,P<0.01)and depression(r=-0.48,P<0.01).The aging attitude was nega-tively correlated with anxiety(r=-0.41,P<0.01)and depression(r=-0.41,P<0.01).Anxiety was posi-tively correlated with depression(r=0.71,P<0.01).(3)The indirect effect of aging attitude between self-worth and depression in the elderly was-0.016,accounting for 19.75%(-0.016/-0.081)of the total indi-rect effect.The indirect effect of anxiety between self-worth and depression in the elderly was-0.045,ac-counting for 55.56%(-0.045/-0.081)of the total indirect effect.The chain mediating effect of aging atti-tude and anxiety between self-worth and depression in the elderly was-0.020,accounting for 24.69%(-0.020/-0.081)of the total indirect effect.Conclusion Aging attitude and anxiety play a chain media-ting role between self-worth and depression in the elderly.

关键词

老年人/自我价值感/老化态度/焦虑/抑郁

Key words

Elderly/Self-worth/Aging attitude/Anxiety/Depression

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基金项目

河北省社会科学基金(HB22JY030)

河北省卫生健康委科研项目(HB22JY030)

出版年

2024
中华行为医学与脑科学杂志
中华医学会 济宁医学院

中华行为医学与脑科学杂志

CSTPCD北大核心
影响因子:1.472
ISSN:1674-6554
参考文献量12
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