老年人死亡焦虑与抑郁:消极应对方式的中介作用

Death anxiety and depression in the elderly:The mediating role of coping styles

目的:探讨老年人死亡焦虑,抑郁,以及消极应对方式之间的关系。方法:采用死亡焦虑量表、简易应对方式问卷和精简版流调中心抑郁量表对贵阳市390名老年人进行了测量。结果:老年人的死亡焦虑与抑郁显著正相关(r=0.21,P<0.001),消极应对方式与死亡焦虑显著正相关(r=0.17,P<0.01),与抑郁显著正相关(r=0.29,P<0.001);死亡焦虑对抑郁的直接效应为0.05(95%CI:0.02,0.08),消极应对方式在死亡焦虑和抑郁的部分中介效应为0.01(95%CI:0.00,0.03),中介效应占总效应的14.29%。消极应对方式显著预测抑郁(0.18,P<0.001)。结论:老年人死亡焦虑不仅会直接影响抑郁,还可以通过消极应对方式间接影响抑郁。

Objective:To explore the relationship between death anxiety,depression,and negative coping style in the elderly.Methods:A total of 390 elderly people in Guiyang were measured by the death anxiety Scale,simplified coping style questionnaire,and streamlined flow center depression scale.Results:There was a significantly positive correlation between death anxiety and depression(r=0.21,P<0.001),a significantly positive correlation between negative coping style and death anxiety(r=0.17,P<0.01),and a significantly positive correlation between death anxiety and depression(r=0.29,P<0.001).The direct effect of death anxiety on depression was 0.05(95%CI:0.02,0.08),and the partial mediating effect of negative coping style on death anxiety and depression was 0.01(95%CI:0.00,0.03),accounting for 14.29%of the total effect.Negative coping styles significantly predicted depression(0.18,P<0.001).Conclusion:Death anxiety in the elderly not only directly affects depression but also indirectly affects depression through negative coping styles.