体育活动对城市老年人生存质量的影响-抑郁情绪的中介效应  

Mediation effect of depression between physical activities and quality of life of elderly in Jining city

作　　者：翟景花[1] 曾晓立[1] 顾怀婷[1] 高洪彩[1] 李晶[1] ZHAI Jinghua;ZENG Xiaoli;GU Huaiting(Jining Medical College 籎ining 272067 ,China)

机构地区：[1]济宁医学院公共卫生学院,山东济宁272067

出　　处：《中国健康心理学杂志》2020年第6期944-947,共4页China Journal of Health Psychology

摘　　要：目的:探讨城市老年人体育活动、抑郁情绪与生存质量的关系,分析抑郁情绪能否在老年人体育活动与生存质量中起中介作用。方法:采用整群抽样方法抽取济宁市4个社区482例60岁及以上老年人,使用自行设计的老年人休闲体育活动调查表、WHO生存质量测定量表及抑郁自评量表测量老年人的体育活动状况、抑郁情绪状况和生存质量。结果:老年人体育活动与抑郁情绪呈负相关(r=-0.203,P<0.001),与生存质量的4个领域都呈正相关(r=0.160~0.242,P<0.01);抑郁情绪与生存质量的4个领域都呈负相关(r=-0.438^-0.271,P<0.01)。中介效应检验结果,抑郁情绪在体育活动对生存质量的生理领域,心理领域和社会关系领域3个领域上起部分中介效应,在生存质量的环境领域上起完全中介效应。结论:为了提升老年人的生存质量,不仅要积极促进老年人参加体育活动,还要关注改善抑郁情绪来提高体育活动对老年人生存质量的影响效果,进而更高效的促进老年人生存质量。Objective:Investigating the relationship among physical activities and depression and quality of life in the elderly and examining whether depression is a mediating factor between the physical activities and quality of life among the elderly.Methods:A total of 482 old people whose age above 60 from four communities in Jining were selected by cluster sampling.To assess the physical activity,quality of life and depression status,we used a self-designed physical activity questionnaire for elders,the World Health Organization Quality of Life(WHOQOL-BREF)and Self-rating Depression Scale.Results:Quality of life was positively correlated with physical activitity(r=0.160~0.242,P<0.01),and negativy correlated with depression(r=-0.438^-0.271,P<0.01).Physical activity was negatively correlated with depression(r=-0.203,P<0.01).Through the mediating effect test proposed by Wen Zhonglin,we found depression was a partial mediator between physical activities and quality of life(in physiology domain,psychology domain and social relationship domain),and also played a full mediating role between physical activities and quality of life(in enviromental domain)among the elderly.Conclusion:To improve the quality of life of the elderly,we should not only pay attention to the physical activities of the old,but also to the depression status of the old,and take active and effective measures to improve the depression level of the elderly.

关 键 词：老年人 体育活动 抑郁情绪 生存质量 中介效应 

分 类 号：R395.9[哲学宗教—心理学]