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首页> 外文期刊>The journals of gerontology.Series A. Biological sciences and medical sciences >Perception of unmet basic needs as a predictor of depressive symptoms among community-dwelling older adults.
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Perception of unmet basic needs as a predictor of depressive symptoms among community-dwelling older adults.

机译：社区居民中未满足的基本需求被认为是抑郁症状的预测指标。

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BACKGROUND: In previous studies we found that, among older adults (>64 years), perception that basic needs were not being met increased mortality risk and risk for functional decline. In this study, we determined, controlling for reported income and functional status, if perceived inadequate basic needs predicted depressive symptoms. METHODS: Repeated-measures analysis was used to determine, during three intervals in a 10-year longitudinal study (the Duke Established Populations for Epidemiologic Studies of the Elderly, n = 4162 at baseline), if perceived inadequate basic needs at the beginning of each interval predicted more depressive symptoms at the end of the interval. We included time invariant covariates known to be associated with depressive symptoms--age, sex, race, and education. We also included time-varying covariates at the beginning of the three intervals--income, cognitive status, functional status, depressive symptoms, and interval. RESULTS: In the repeated-measures controlled analyses, the perception of inadequate basic needs was a highly significant predictor of future depressive symptoms (p <.0001). Race, education, baseline depression, baseline function, interval, and income were also significant predictors of depression. The interaction between interval and depression was not significant. CONCLUSIONS: The perception that one's basic needs are not being met predicted future depressive symptoms in a highly controlled analysis. These results suggest that perception of inadequate basic needs, even when income and other known correlates of depression are controlled, is a strong predictor of future depressive symptoms.
机译：背景：在先前的研究中，我们发现，在老年人（> 64岁）中，无法满足基本需求的看法增加了死亡风险和功能下降的风险。在这项研究中，我们确定，如果认为基本需求不足可预测抑郁症状，则可控制所报告的收入和功能状态。方法：在一项为期十年的纵向研究中（杜克建立的老年人流行病学研究人口，基线时n = 4162），在三个时间间隔内使用重复测量分析来确定每个开始时基本需求是否不足。间隔预测在间隔结束时会有更多的抑郁症状。我们纳入了与抑郁症状有关的时不变协变量-年龄，性别，种族和教育程度。我们还在三个时间间隔的开始时包括时变协变量-收入，认知状态，功能状态，抑郁症状和时间间隔。结果：在重复测量的对照分析中，基本需求不足的感知是未来抑郁症状的高度重要预测因子（p <.0001）。种族，教育程度，基线抑郁，基线功能，间隔和收入也是抑郁的重要预测指标。间隔与抑郁之间的相互作用不显着。结论：在一个高度受控的分析中，人们的基本需求没有得到满足的感觉预测了未来的抑郁症状。这些结果表明，即使控制了收入和其他已知的抑郁症相关因素，对基本需求不足的感知仍是未来抑郁症状的有力预测指标。

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