城市老年人生活满意度及其影响因素的研究

生活满意指数是衡量老年人心理健康状况的一项重要指标,而许多因素都可能会对老年人的生活满意指数产生影响。我们采用生活满意指数A(LSIA)量表对355名城市老年人进行了有关研究,结果表明:城市老年人的LSIA平均得分为13.07±3.43(M±SD);老年人中对经济状况满意、对个人健康状况自我评价好、抑郁症状轻、原无职业及有较多亲密朋友者,其生活满意指数就高,反之则低。     

The social context of Hong Kong's booming elderly home industry

Hong Kong experienced a rapid increase in private homes for elderly people in recent years. This paper examines the social background of that development. Private elderly homes thrived in a context of rising demand due to changing demographics, particularly massive emigration secondary to political instability, which created a large potential market of elderly people in need of residential care. However, entrepreneurs would not be attracted unless it is a profitable business, and much of that profit is likely derived from social security payments to elderly people. Because the amount of social security benefits is way below the level required for purchasing good quality service in the private sector, many elderly people are bound to live in very poor residential settings. The preparation of this article was supported in part by CPHK Grant No. 903089. I am grateful to Alfred Chan, Man-fuk Leung, Alice Chong, Nicky Hamid, Murray Levine, and three anonymous reviewers for their helpful comments on an earlier version of the article.     

Integrated group psychotherapy for the treatment of depression in the elderly

Depressive disorders in the elderly are common, and demonstrate a high prevalence, morbidity and chronicity. Psychosocial interventions, notably group psychotherapy can play an important role in the acute and maintenance phases of treatment. Synthesis of the contributions made by developmental, psychodynamic and cognitive-behavioral group approaches, into an integrated model of group therapy, reflects an ever-increasing trend in the psychotherapy field towards the development of applicable and effective clinical interventions. In this model, the overarching principle is the implementation of a group therapy intervention that addresses the objectives of stabilization and restoration of the individual’s sense of self, increased interpersonal competence and acquisition of cognitive and behavioral skills to aid in coping with depression and demoralization.     

A modified cognitive-behavioral approach to group therapy with the elderly

Group approaches to treatment subsume a wide variety of techniques. The present article describes a modified cognitive behavioral approach as developed by the author for certain groups of elderly clients. This modified approach incorporates principles of cognitive behavioral therapy in combination with humanistic, and developmental perspectives, while leaving room for addressing psychodynamic issues if desired. It is suggested that such an approach is of value where structured group techniques are called for.     

城市老年人社会支持利用度研究

老年人社会支持利用度反映其应对负性生活事件的自我保护意识的一方面．诸多因素制约着老年人运用社会所提供的客观支持的自觉程度。本文采用《社会支持利用度问卷》对上海市社区老人进行了调查研究,结果表明：（1）文化程度、年龄、健康状况是影响城市老年人社会支持利用度的重要因素．文化程度较高、相对低年龄以及健康状况较好的老人其自觉运用社会支持的程度较高。（2）主动寻求社会支持反映一种积极应对方式。     

增龄性记忆改变规律及影响因素的研究

本研究用多维记忆量表对280名50～91岁的老年人做了测查,同时收集了一般资料,以探讨增龄性记忆改变的规律和年龄、教育和职业等因素对增龄性记忆改变的影响。结果表明：随年龄增长,各记忆组合分和分测验成绩均呈下降趋势,外显记忆成绩在70岁后呈快速下降,内隐记忆和日常生活记忆在75岁后才有明显下降;记忆总分、外显记忆和日常生活记忆均受年龄和教育的影响,内隐记忆不受教育的影响。结果提示老年人记忆随年龄增长呈渐渐下降,不同记忆功能开始下降的年龄和下降速率不同,教育对增龄性记忆改变有保护作用。     

Spirituality and Health Outcomes in the Elderly

The purpose of this mail survey was to examine the relationship of attitudinal and behavioral measures of spirituality to physical and mental health outcomes in a sample of elderly community residents. Frequency of prayer, importance of faith, and reliance on religion for their coping were compared for their association with eight categories of physical and mental health. All three measures, prayer, faith and religious coping, correlated strongly with positive mental health, but not with the other seven physical health categories. Multiple regression analyses indicated importance of one's faith had the strongest association with positive mental health, even after controlling for the effect of other significant variables, age and education. The behavioral measure of prayer was a component of importance of faith to mental health, with no independent impact. This study highlights attitudes rather than practices, as the stronger spiritual variables related to mental health in the elderly.     

Psychopathology Following Interpersonal Violence: A Comparison of Risk Factors in Older and Younger Adults

A randomly selected sample of 549 women age 55 years and older and 2,669 women age 18–34 years was interviewed via telephone to determine prevalences of physical and sexual assault, posttraumatic stress disorder (PTSD) symptomatology, and depression. Prevalences of sexual and physical assaults were lower in older compared to younger women. In addition, given a trauma, prevalences and proportionate risk of posttraumatic psychopathology and depression were also lower for older, relative to younger women. Specifically, multivariate analyses revealed that sexual assault predicted only PTSD avoidance in older adults, but all forms of PTSD symptomatology and depression in younger adult women. Similarly, physical assault predicted only PTSD re-experiencing symptoms in older women, but all forms of PTSD symptoms and depression in younger women. Self-reported health status was not associated with any increased risk of psychopathology, and low income predicted increased avoidance and depression only in younger women.     

城乡空巢老人的亲子支持及其与抑郁的关系

采用老年人亲子支持问卷和流调中心用抑郁自评量表(CES-D),对196名老人进行问卷调查,考察城乡空巢老人亲子支持的特点及其与抑郁的关系.结果表明:(1)总体上,老人接受子女的社会支持与给予子女的社会支持差异不显著.(2)在接受子女支持上,服务支持最多,其次是情感和物质支持,非空巢与空巢老人,城市与农村老人均无差异.(3)而在给予子女支持上,情感和服务支持高于物质支持,非空巢与空巢老人无显著差异,而城市老人在各维度上均高于农村老人.(4)影响老人抑郁的亲子支持维度不同:对城市非空巢老人,给予子女的情感支持越多,抑郁水平越低;对城市空巢老人,给予子女的情感支持越多,物质支持越少,抑郁水平越低.农村非空巢老人接受子女的服务支持越多,抑郁水平越低;而对农村空巢老人,亲子支持可能不影响其抑郁.因此,为了提高老年人的心理健康水平,对待不同处境的老年人应采取不同的干预措施.