老年人生命意義與憂鬱傾向之相關性

The Association between Meaning of Life and Depressive Symptoms in Elders

方文輝(Wen-Hui Fang) ； 黃思維(Szu-Wei Huang) ； 謝茉莉(Molly Hsieh)

《北市醫學雜誌》 12卷2期 (2015/06) Pp. 43-53

https://doi.org/10.6200/TCMJ.2015.12.2.06

摘要

目的：本研究旨在探討老人生命意義與憂鬱傾向之相關。方法：採用問卷調查法，藉「生命意義感量表」以及「簡短老人憂鬱量表中文版」為研究工具，以台北市某醫院參與健檢老人為對象進行調查研究，共取得有效樣本302人。結果：本研究獲得的發現如下：參與本研究老人之生命意義感高，且整體而言屬於較無憂鬱傾向。而「自覺經濟狀況」與「自覺健康狀況」兩項變項在生命意義感上有差異；「年齡」、「自覺經濟狀況」與「自覺健康狀況」等三項在憂鬱傾向上有差異；「生命意義」與「憂鬱傾向」呈現負相關；「自覺經濟狀況」、「自覺健康狀況」及「生命意義」對憂鬱傾向均具有預測力，其中尤以「生命意義」最具顯著預測力。結論：最後基於研究結果進行討論與建議，在未來老人憂鬱防治策略中，除應積極提升老人健康狀態及經濟安全感外，尤其應將生命意義及其分層面列為重要指標。未來若能將生命意義和憂鬱化傾向進行更深入的介入型研究，探討其如何實質降低憂鬱傾向將會很有意義。

關鍵字

老人 ； 生命意義 ； 憂鬱

並列摘要

Objective: The purpose of this study was to examine the relationship of depressive symptoms and meaning of life in elderly. Methods: Three hundred and two elderly joining elderly health examinations in a hospital in Taipei were assessed using the Meaning of Life Scale and a short version of the Geriatric Depression Scale. Results: The results indicated that elderly with higher sense of meaning of life had significant lower tendency of depression. Meaning of life had negative predictivity on tendency of depression and was the most important factor in relation to depression. Other factors such as economic status, perception of self-health, and age also showed significant associations with depressive symptoms. Conclusion: In addition to enhancement of health status and sense of economic security, the meaning of life and domains should be listed as indicators in future elderly depression prevention policy. Further research in meaning of life is warranted in reducing tendency of depression.

並列關鍵字

elderly ； meaning of life ； depression