摘要
目的 探讨老年人心理弹性与认知受损的相关性.方法 采用多阶段抽样的方法对6 524名安徽省60岁以上老年人进行面对面问卷调查,内容包括一般人口学特征、心理弹性、认知功能等.采用t检验、卡方检验、二分类Logistic回归等统计方法进行数据分析.结果 老年认知功能受损的发生率为13. 6%(886/6 524).认知功能正常者心理弹性得分为[(64. 89±11. 96)分],认知功能受损者心理弹性得分为[(56. 10±11. 12)分],差异有统计学意义(t=20. 511,P<0. 001). Logistic回归分析结果显示,心理弹性与老年认知功能受损存在统计学关联( OR=0. 936,95%CI:0. 930~0. 943),调整抑郁、性别、年龄等相关因素后,心理弹性与老年认知功能受损仍然存在统计学关联( OR=0. 963,95%CI:0. 955~0. 971).结论 心理弹性与老年认知功能受损有关,提高心理弹性可能有助于减少老年认知功能受损发生.
Objective To explore the association between resilience and cognitive impairment in the elderly. Methods A face-to-face questionnaire survey was conducted among 6 524 elderly people aged 60 and over in Anhui Province by cluster sampling. The survey included general demographic characteristics, resilience and cognitive function. Statistical methods such as t-test,chi-square test,binary Logistic regression were used for data analysis. Results The incidence of cognitive impairment in the elderly was 13. 6% (886/6 524). The score of resilience in the elderly with normal cognitive function was (64. 89±11. 96), while it was (56. 10±11. 12) in the elderly with impaired cognitive function and the difference was statisti-cally significant (t=20. 511,P<0. 001). Logistic regression analysis showed that there was a statistical cor-relation between resilience and cognitive impairment in the elderly ( OR=0. 936,95%CI:0. 930~0. 943). After adjusting for depression,gender,age and other related factors,there was still a statistical correlation be-tween resilience and cognitive impairment in the elderly (OR=0. 963,95%CI:0. 955~0. 971). Conclusions Resilience is related to cognitive impairment in the elderly,and higher resilience is the protective factor for cognitive impairment.
作者
李杰
屈光波
秦其荣
陈健
赵媛媛
孙业桓
Li Jie;Qu Guangbo;Qin Qirong;Chen Jian;Zhao Yuanyuan;Sun Yehuan(Teaching Center for Preventive Medicine,School of Public Health,Anhui Medical University,Hefei 230032,China;Department of Epidemiology and Biostatistics,School of Public Health,Anhui Medical University,Hefei 230032,China;Department of Community Services and Chronic Disease Prevention and Treatment,Ma’anshan Center for Disease Control and Prevention,Ma’anshan 243031,China;Ma’anshan Center for Disease Control and Prevention,Ma’anshan 243031,China;Department of Outpatient,The Fifth Sanatorium for Retired Cadres,Anhui Provincial Military Region,Hefei 230031,China)
出处
《中华行为医学与脑科学杂志》
CAS
CSCD
北大核心
2019年第10期935-940,共6页
Chinese Journal of Behavioral Medicine and Brain Science
基金
安徽省高校人文社科类研究项目(SK2018ZD013)
马鞍山市科技局资助项目(YL-2017-02)
安徽医科大学博士科研基金资助项目(XJ201822)
安徽医科大学校科研基金资助项目(2018xkj007)。
关键词
心理弹性
认知功能受损
老年人
抑郁
Resilience
Cognitive impairment
The elderly
Depression
