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The Doctor-Patient Relationship, Personality, Mood and Functioning in Older Adults

机译：老年人的医患关系、性格、情绪和功能

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Is it important for older adults to build a trusting relationship with their physician and how is this affected by their personality and mood? Personality pathology (PP) has been tied to both mental and physical health in older adulthood. The present study explored the relationships between personality, mood, and trust in physicians. A sample (N = 170) of medical outpatient older adults between the ages of 60 and 99 completed self-report measures of personality traits (NEO-five factor inventory, NEO-FFI) and processes (Inventory of Interpersonal Problems-Personality Disorder, IIP-PD-25), depression (Geriatric Depression Scale, GDS-30), social role impairment (Social Adjustment Scale-Self Report, SAS-SR), and general trust in physicians (General Trust in Physicians Scale, GTIPS). Cumulative illness burden data (Cumulative Illness Rating Scale, CIRS) were retrieved from medical records. PP and trust independently predicted outcomes. In separate models, higher neuroticism, lower agreeableness, more interpersonal problems, and lower trust predicted depression. In combined models, higher neuroticism and lower trust predicted depression, and higher neuroticism and interpersonal problems predicted impaired social functioning. Trust did not moderate the relationship between PP and depression or social functioning impairment. The present findings regarding lower levels of trust and increased self-reported depression are particularly relevant for the older adult population, as they interact with health care professionals on a regular basis. Associations between trust in physicians and self-reported depression have implications for both the assessment and treatment of depressed older adults. Public Significance Statement Trust is fundamental to relationships with health care providers and is linked to health and mental health outcomes. The present study found that after adjusting for health, personality, and financial concerns, older adult medical outpatients who had lower trust in doctors were more likely to report depression. Providers' renewed attention to fostering trusting relationships with their older patients, especially in the current health care climate, will likely better serve older adults with medical illnesses and depression.
机译：对老年人很重要建立与他们的医生和信任关系这是如何影响他们的个性和吗心情呢?两个老年人的身心健康成年。人格之间的关系,情绪,和对医生的信任。医疗门诊老年人之间的年龄60和99年完成了自我报告的措施人格特质(NEO-five因素库存,NEO-FFI)和流程(库存的人际Problems-Personality障碍,IIP-PD-25)、抑郁(老年抑郁症规模,GDS-30),社会角色障碍(社会调整Scale-Self报告,SAS-SR),通用相信医生(一般信任医生,GTIPS)。负担数据(累积疾病量表,cir)从病历检索。信任独立预测结果。单独的模型,高神经质、低随和,更多的人际问题,低信任预测抑郁。模型,高神经质和低信任预测抑郁,和更高的神经质和人际关系问题预测受损的社会功能。PP和抑郁和社会之间的关系功能障碍。对于低水平的信任和增加自评抑郁尤为相关的年长的成年人,他们与卫生保健专业人员在进行交互定期。医生和自我报告的抑郁为评估和影响治疗抑郁的老年人。信任是基础意义的语句与卫生保健提供者,的关系有关健康和心理健康。本研究发现在调整了健康、人格和经济方面的问题,低的老年人医疗门诊相信医生更有可能报告抑郁症。培养信任关系与他们的年龄病人,尤其是在当前的卫生保健气候,可能会更好地为老年人服务与医学疾病和抑郁。

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