基于主客体互倚模型的老年夫妻日常活动能力与抑郁的相关性  

Relationship between daily living activities and depression in elderly couples based on the actor-partner interdependence model

作　　者：张海宇 龙小莲 李慧 蒋艳萍 杜娟 ZHANG Haiyu;LONG Xiaolian;LI Hui;JIANG Yanping;DU Juan(Affiliated Hospital of Chengdu Medical College·Nuclear Industry 416 Hospital,Chengdu 610051,China;Chengdu Medical College)

机构地区：[1]成都医学院第二附属医院·核工业四一六医院,610051 [2]成都医学院

出　　处：《中国健康心理学杂志》2024年第11期1637-1642,共6页China Journal of Health Psychology

基　　金：四川省卫健委普及应用课题(编号:21PJ160);四川省护理科研课题(编号:H21050);四川养老与老年健康协同创新中心项目(编号:YLKYYB2224)。

摘　　要：目的:基于主客体互倚模型(APIM)探讨老年夫妻日常活动能力与抑郁的相关性。方法:基于2020年中国健康与养老追踪调查(CHARLS)数据,筛选出一般资料及主要变量资料完善的老年夫妻2493对。采用基本日常生活活动能力量表(BADL)和工具性日常生活活动能力量表(IADL)测量老年夫妻日常生活能力,10项流调中心抑郁自评量表(CES-10)测量抑郁症状。采用SPSS 22.0分析丈夫与妻子的日常活动能力及抑郁间相关性,并基于AMOS 26.0构建二者间的主客体互倚模型。结果:丈夫BADL受损率为20.5%,IADL受损率为21.1%,有抑郁症状者占29.4%;妻子BADL受损率为29.2%,IADL受损率为30.9%,有抑郁症状者占46.2%。APIM分析结果显示,主体效应方面,丈夫BADL对自身抑郁情绪有显著负面影响(β=-0.454,P<0.001),妻子BADL、IADL对自身抑郁情绪有显著负面影响(β=-0.120,-0.312;P<0.001)。客体效应方面,丈夫BADL、IADL对妻子抑郁情绪(β=-0.081,-0.057;P<0.05)、妻子BADL、IADL对丈夫抑郁情绪(β=-0.070,-0.072;P<0.01)均存在负面影响。结论:老年夫妻日常活动能力与抑郁之间存在显著的主客体效应。应将老年夫妻视为一个整体,关注双方的二元交互作用,制订针对性的整体照护措施,同步提升老年夫妻生活能力、改善抑郁情绪。Objective:To explore the relationship between daily living activities and depression in elderly couples based on the actor-partner interdependence model(APIM).Methods:Based on the data of the 2020 China Health and Retirement Longitudinal Study(CHARLS),a total of 2493 elderly couples with complete general data and main variable data were selected.The basic activities of daily living scale(BADL)and instrumental activities of daily living scale(IADL)were used to measure the activities of daily living of the elderly couples,and the 10-item Center for Epidemiological Studies self-rating depression scale(CES-10)was used to measure the depressive symptoms.SPSS 22.0 was used to analyze the relationship between daily living activities and depression in elderly couples,and the APIM between them was constructed based on AMOS 26.0.Results:20.5%of husbands disabled in BADL,21.1%disabled in IADL,and 29.4%of them had depressive symptoms.29.2%of wives disabled in BADL,30.9%disabled in IADL,and 46.2%of them had depression symptoms.The results of APIM analysis showed that husbands’BADL had a significant negative effect on their depressive symptoms(β=-0.454,P<0.001),and wives’BADL and IADL had a significant negative effect on their depressive symptoms(β=-0.120,-0.312,P<0.001).In terms of object effects,husbands’BADL and IADL had negative effects on wives'depressive symptoms(β=-0.081,-0.057,P=0.002,0.031),wives’BADL and IADL had negative effects on husbands'depressive symptoms(β=-0.070,-0.072,P=0.002,0.003).Conclusion:There are significant actor-partner interdependence model effects between daily activity abilities and depression in elderly couples.Elderly couples should be regarded as a whole,focusing on thebinary interaction between both parties,and formulate targeted overall care measures to simultaneously improve the daily living activities and depression of elderly couples.

关 键 词：主客体互倚模型 老年夫妻 日常活动能力 抑郁 

分 类 号：R395.6[哲学宗教—心理学] B844.4[医药卫生—医学心理学]