心理干预对社区伴抑郁独居老人的影响

The effects of psychological intervention in the elderly solitary people with depression

目的:探讨心理干预对独居老年人抑郁状况与社会支持的影响。方法:对随机抽取有抑郁状况的61名独居老人给予团体加个别的心理干预,观察随访6个月;随访前后采用老年抑郁量表(GDS)、领悟社会支持量表(PSSS)、汉密而顿抑郁量表(HAMD)评估。结果:回归分析结果显示:社区独居老人的抑郁状况与年龄、文化程度、经济情况、生活自理情况、探访频率及生活满意度相关(P<0.005)。心理干预后,HAMD评分有明显改善(P<0.001),GDS评分显著低于干预前(P<0.001),PSSS评分显著高于干预前(P<0.001)。结论:心理干预有效改善独居老人抑郁状况。

Objective： To explore the effects of psychological intervention on depression and social sup- port of the elderly solitary. Method ： Sixty one old people with depressed symptom living alone in Guangzhong community of Shanghai were enrolled and conducted psychological intervention for six months. HAMD （Hamilton depression scale）, GDS（geriatric depression scale） and PSSS （perceived social support scale） were adminis- tered. Results ： Regression analysis result indicated that the influencing factors of depression in the old people were age, education, economic level, self-care ability, frequency of being visited and life satisfaction （ P 〈 0. 005 ）. After psychological intervention, HAMD improved （ P 〈 0. 001 ） ; GDS decreased （ P 〈 0. 001 ） ; PSSS got up （P 〈 0.001 ）. Conclusion： Psychological intervention has better effects for elderly solitary people with depression.