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首页> 外文期刊>The British journal of psychiatry : >On becoming depressed or anxious in late life: similar vulnerability factors but different effects of stressful life events.
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On becoming depressed or anxious in late life: similar vulnerability factors but different effects of stressful life events.

机译:在晚年变得沮丧或焦虑时:类似的脆弱性因素,但紧张的生活事件的影响却不同。

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BACKGROUND: Little research has been done on the uniqueness of risk profiles for depression and anxiety in late life. AIMS: Delineating risk factors for the decline of mental health in older persons, comparing risk profiles for developing symptoms of pure depression, pure anxiety and both anxiety and depression in a prospective design. METHOD: Self-report data on depression and anxiety were collected from community-dwelling older respondents (> or = 55 years) on two occasions, 3 years apart. Data from emotionally healthy respondents (n=1810) were used to investigate the effects of long-standing vulnerability factors and stressful life events. RESULTS: After 3 years 9% of the subjects had scored beyond the thresholds for symptoms. Vulnerability for depression and anxiety was quite similar, but life events differed: onset of depression was predicted by death of a partner or other relatives; onset of anxiety was best predicted by having a partner who developed a major illness. No support for moderator effects between vulnerability factors and stress was found; the effects were purely additive. CONCLUSIONS: Depression and anxiety have many risk factors in common, but specific risk factors also were found, especially in subjects developing both depression and anxiety.
机译:背景:关于晚年抑郁症和焦虑症的风险特征的独特性研究很少。目的:描绘老年人心理健康下降的风险因素,在前瞻性设计中比较发展为纯抑郁,纯焦虑以及焦虑和抑郁症状的风险特征。方法:关于抑郁和焦虑的自我报告数据是从居住在社区的老年受访者(>或= 55岁)中两次收集的,相隔3年。来自情绪健康的受访者(n = 1810)的数据用于调查长期存在的脆弱性因素和压力性生活事件的影响。结果:3年后,9%的受试者得分超过了症状阈值。抑郁症和焦虑症的脆弱性非常相似,但是生活事件有所不同:抑郁症的发作是由伴侣或其他亲戚的死亡预测的;最好由有大病的伴侣来预测焦虑的发作。没有发现支持脆弱性因素和压力之间的主持人效应;效果纯属累加。结论:抑郁和焦虑有许多共同的危险因素,但也发现了特定的危险因素,特别是在同时患有抑郁和焦虑的受试者中。

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