哮喘联盟

   摘要
   目的：鉴别心理健康轨迹相似的老年女性潜在亚群。
   方法：纵向数据源于澳大利亚女性健康纵向研究，该项研究共纳入9683例出生于1921-1926年的参与者，这些参与者在1999年(73～78岁)和2008年(82～87)之间完成至少2次调查。使用5项心理健康指数(MHI-5)测定心理健康。潜在剖面分析揭露MHI-5 得分的改变形式。
   结果：对于在2008年还存活的女性来说(n=7061)，有3种形式的心理健康改变；对于在2008年已去世的女性来说，存在3种类似形式的改变(n=2622)。这3种形式分别为：(1)“差的心理健康”，代表MHI-5得分低的女性；(2)“良好的心理健康”；(3)“优良的心理健康”，代表MHI-5得分依旧很高的女性。去世女性的心理健康得分较低。对于幸存者来说，居住地偏远、较高的教育、单身、较高的体重指数(BMI)和跌倒是与心理健康相关的协变量。对于去世者来说，教育、BMI和摔跤也与心理健康具有显著的相关性。对于两组来说，关节炎、抽烟、心脏病、支气管炎/肺气肿、糖尿病和骨质疏松症与较差的心理健康相关；然而，哮喘只显著增加存活者的这些相关性。高血压和癌症不是差的心理健康的重要预测因子。
   结论：结果表明，在老年人中，慢性疾病和心理健康水平存在相关性。但是没有证据表明，在死亡之前，心理健康会大幅度下降。

 

（苏欣 审校）
Aging Ment Health. 2015 Jul 13:1-11. [Epub ahead of print]

 

Late life changes in mental health: a longitudinal study of 9683 women.
 

Leigh L1, Byles JE, Chojenta C, Pachana NA.
 

Abstract
OBJECTIVES:To identify latent subgroups of women in late life who are alike in terms of their mental health trajectories.
METHOD:Longitudinal data are for 9683 participants in the 1921-1926 cohort of the Australian Longitudinal Study on Women's Health, who completed at least two surveys between 1999 (aged 73-78 years) and 2008 (aged 82-87 years). Mental health was measured using the five-item mental health inventory (MHI-5). Latent profile analysis uncovered patterns of change in MHI-5 scores.
RESULTS:Three patterns of change were identified for women who were still alive in 2008 (n = 7061), and three similar patterns for deceased women (n = 2622): (1) 'poor mental health' representing women with low MHI-5 scores, (2) 'good mental health' and (3) 'excellent' mental health, where scores remained very high. Deceased women had lower mental health scores for each class. Remote areas of residence, higher education, single marital status, higher Body Mass Index (BMI) and falls were the covariates associated with mental health in the survivor group. For the deceased group, education, BMI and falls were significant. Arthritis, stroke, heart disease, bronchitis/emphysema, diabetes and osteoporosis were associated with worse mental health for both groups, while asthma increased these odds significantly for the survivor group only. Hypertension and cancer were not significant predictors of poor mental health.
CONCLUSION:The results show associations between chronic disease and level of mental health in older age, but no evidence of a large decline in mental health in the period prior to death.
 

Aging Ment Health. 2015 Jul 13:1-11. [Epub ahead of print]