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Subthreshold depressive symptoms in elders: A phenomenological exploration.

机译:老年人的阈下抑郁症状:现象学探索。

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摘要

A vast amount of research has not been able to significantly improve either the detection or treatment of depressive symptoms in elders. A thorough literature search identified subthreshold depressive symptoms to be more common in elders than diagnostic symptoms. The inclusion of subthreshold symptoms along with depressive symptoms meeting diagnostic criteria has distorted research findings and interpretations. The inability to understand subthreshold symptoms has interfered with policy and program planning. Like all categories of depressive symptoms, subthreshold symptoms have not been validated or clearly defined. The purpose of this study is to identify the essential elements of subthreshold depressive symptoms in elders as they occur. The methodology used was that of hermeneutic phenomenology which seeks to examine lived experience without distortion from the researcher or the research process. The study question asked, What is the experience of elders living with subthreshold depressive symptoms? Ten elders living in a rural area were interviewed. The reflective analysis of transcribed tapes of interviews revealed eight essential themes of subthreshold depressive symptoms: feeling useless versus keeping busy, less energy and/or ability to motivate self, keeping to oneself, feelings come and go and are distractible, loneliness, sadness, sleep changes, and internal problem-solving conversation. One incidental theme, the aggravation of depressive feelings by chronic pain and/or decline in physical mobility, was also identified. Findings are compared to post-analysis literature and analyzed. Suggestions for practice based on the primary, secondary, and tertiary levels of primary care prevention of public health are proposed.
机译:大量研究未能显着改善老年人抑郁症状的检测或治疗。全面的文献检索发现,阈下抑郁症状在老年人中比诊断症状更为普遍。阈值以下症状以及符合诊断标准的抑郁症状的纳入已扭曲了研究结果和解释。无法理解阈值以下症状已干扰了政策和计划的制定。像所有类型的抑郁症状一样,亚阈值症状尚未得到验证或明确定义。这项研究的目的是确定老年人中阈下抑郁症状的基本要素。所使用的方法学是诠释学现象学的方法学,该方法学旨在检验生活经验,而不会引起研究人员或研究过程的扭曲。研究问题提出,患有阈下抑郁症状的老年人的经历是什么?采访了十个住在农村地区的长者。对转录的访谈录像带的反思性分析揭示了阈下抑郁症状的八个基本主题:感到无用与忙碌,精力和/或自我激励能力降低,保持自我,感觉来去去散去,孤独,悲伤,睡眠变化和内部解决问题的对话。还发现了一个附带的主题,即慢性疼痛和/或身体活动能力下降加重了抑郁感。将结果与分析后文献进行比较和分析。提出了基于初级,二级和三级初级保健预防公共卫生的实践建议。

著录项

  • 作者

    Hostetter, Christina Marie.;

  • 作者单位

    The University of Texas Health Science Center at San Antonio.;

  • 授予单位 The University of Texas Health Science Center at San Antonio.;
  • 学科 Gerontology.; Health Sciences Nursing.; Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2003
  • 页码 213 p.
  • 总页数 213
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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