A Preliminary Model of Older Women's Depression

老年女性抑郁症的初步模型

• 批准号: 7648139
• 负责人: LUCIANA LAGANA
• 金额: $ 12.27万
• 依托单位: CALIFORNIA STATE UNIVERSITY NORTHRIDGE
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/7648139
• 关键词: Achievement; Address; Age; Area; Behavior; Categories; Characteristics; Clinical; Clinical assessments; Cognitive; Communities; County; Demographic Factors; Development; Dimensions; Discipline; Distant; Elderly; Elderly woman; Emotional Stress; Ensure; Equation; Ethnic Origin; Ethnic group; Failure; Family member; Female; Foundations; Friends; Future; Gender; Geriatrics; Goals; Grant; Health; Health Professional; Health Services; Health Status; Incentives; Income; Intervention; Investigation; Length; Literature; Los Angeles; Love; Measures; Medical; Mental Depression; Mental Health; Minority; Modeling; Nature; Pain; Participant; Personal Satisfaction; Physical Function; Population; Procedures; Protocols documentation; Psychometrics; Race; Rate; Recommendation; Recruitment Activity; Relative (related person); Research; Resources; Review Literature; Risk; Risk Factors; Role; Sampling; Score; Social Network; Social support; Specialist; Specific qualifier value; Spouses; Stress; Testing; Theoretical model; Time; Training; Validity and Reliability; Woman; Work; Writing; base; caregiving; clinical application; clinically relevant; coping; depressive symptoms; design; experience; geriatric depression; geriatric mental health; innovation; instrument; neglect; older patient; older women; racial and ethnic; resilience; satisfaction; social; sound; stressor; success; tool

The specific aims of the proposed community-based geriatric study are to: 1) identify the rates and unique dimensions of depressive symptomatology among ethnically diverse older women, 2) test the preliminary reliability and validity of a new geriatric stress measure, and 3) test a preliminary model explaining older women's depressive symptomatology. The sample will be comprised of approximately 230 ethnically diverse elderly women residing in Los Angeles County who will be individually assessed utilizing an extensive clinical battery. The proposed recruitment strategies and assessment procedures have been successfully used in the PI's PILOT SCORE research that laid the foundation for this study. The proposed theoretically- and empirically-based stress tool attempts to fill a gap in the psychometric ethnogeriatric literature by targeting culturally relevant factors such as providing caregiving, being geographically distant from family members and friends, and experiencing financial and/or emotional stress following the loss of a spouse. The PI's new geriatric depression model is based on Ryff, Singer, Dienberg Love, and Essex's (1998) conceptualization of resilience, on two theoretical models, i.e., Gatz's (1998) model of mental health and Hobfoll and Wells's (1998) model of conservation of resources during older age, as well as on the latest gender-related and ethnically relevant literature. Structural equation modeling procedures will be utilized to test such a model. It is hypothesized that the proposed stress tool is a reliable and valid instrument, and that the new depression model is valid, thereby explaining a significant amount of variance in the depressive symptomatology of the older women recruited. The long-term objectives of this project are to contribute to the growing epidemiologic body of geriatric mental health and produce a depression model on which to base the development of accurate risk profiles and effective mental health interventions for neglected minority elderly populations. Additionally, once further refined, the new stress instrument will be made available to health professionals working with elderly patients. There are no short geriatric stress screeners currently available; therefore, the creation of a quick theoretically- and empirically-based measure of this kind is needed, to avoid burdening older patients with cumbersome measures when assessing their stress symptomatology within a generally fast-paced medical setting.

拟议的基于社区的老年病学研究的具体目标是：1）确定比率和独特的 不同种族老年女性抑郁症状的维度，2) 测试初步结果 新的老年压力测量的可靠性和有效性，以及 3) 测试解释旧的初步模型 女性抑郁症状。样本将由大约 230 名不同种族的人组成 居住在洛杉矶县的老年妇女将利用广泛的临床进行单独评估 电池。拟议的招聘策略和评估程序已成功应用于 PI的PILOT SCORE研究为本研究奠定了基础。所提出的理论和 基于经验的压力工具试图通过瞄准来填补心理测量民族老年文献中的空白 文化相关因素，例如提供护理、与家庭成员地理距离较远 和朋友，并在失去配偶后经历经济和/或情感压力。 PI 的新 老年抑郁症模型基于 Ryff、Singer、Dienberg Love 和 Essex (1998) 的概念化 复原力，基于两个理论模型，即 Gatz（1998）的心理健康模型以及 Hobfoll 和 Wells 的模型 (1998) 老年资源保护模型，以及最新的与性别有关的和 与种族相关的文献。将利用结构方程建模程序来测试这样的模型。它 假设所提出的压力工具是一个可靠且有效的工具，并且新的抑郁症 模型是有效的，从而解释了抑郁症状的显着差异 招募老年妇女。该项目的长期目标是为日益增长的流行病学做出贡献 老年人心理健康的身体，并建立一个抑郁症模型，在此基础上开发 为被忽视的少数民族老年人口提供准确的风险概况和有效的心理健康干预措施。 此外，经过进一步完善，新的压力仪器将可供健康专业人员使用 与老年患者一起工作。目前还没有简短的老年压力筛查仪；因此， 需要创建一种基于理论和经验的快速测量方法，以避免造成负担 老年患者在一般情况下评估其应激症状时采用繁琐的措施 快节奏的医疗环境。