老年人认知能力对抑郁情绪的影响:日常生活能力的中介作用  

The effect of cognitive ability on depressive emotion in the elderly:the mediating role of activities of daily living

作　　者：杨小龙 梁文佳 赵鑫[3] 霍小宁 YANG Xiaolong;LIANG Wenjia;ZHAO Xin(Lanzhou Third People's Hospital,Lanzhou 730050,China)

机构地区：[1]兰州市第三人民医院,兰州730050 [2]兰州信息科技学院 [3]西北师范大学心理学院

出　　处：《国际精神病学杂志》2023年第4期744-748,共5页Journal Of International Psychiatry

基　　金：兰州市人才创新创业项目(编号:2015-RC-60);兰州市卫生健康科技发展项目(编号:2021003,2021024)。

摘　　要：目的 本研究旨在探讨日常生活能力在老年人认知能力与抑郁情绪之间的中介作用.方法 采用老年抑郁量表(GDS)、日常生活能力量表(ADL)、简易智能状态量表(MMSE)、蒙特利尔认知评估量表(MoCA)对751名65岁及以上的社区居民进行问卷调查.结果 老年人的日常生活能力与认知能力之间呈显著负相关,认知水平对抑郁情绪有显著的负向预测作用,日常生活能力对抑郁情绪有显著的正向预测作用.结论 老年期的认知能力可以显著预测其抑郁状态,日常生活能力在认知能力与抑郁中起到了显著的中介作用.Objective This study was aimed to investigate the mediating role of activities of daily living be-tween cognitive abilities and depressed emotion in the elderly.Methods A total of 751 community residents aged 65 and above were surveyed by Geriatric Depression Scale(CDS),Activities of Daily Living(ADL),Mini-Mental State Examination(MMSE),Montreal Cognitive Assessment(MoCA).Results There was a significant negative correla-tion between ADL and intellectual status and cognitive ability in the elderly.Cognitive level had a significant negative predictive effect on depression,while ADL had a significant positive predictive effect on depression.Conclusions Cognitive ability in old age can significantly predict depression,and ADL plays a significant mediating role between cognitive ability and depression.

关 键 词：认知能力 抑郁 日常生活能力 老年人 

分 类 号：R749[医药卫生—神经病学与精神病学]