請用此 Handle URI 來引用此文件：
http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/15903完整後設資料紀錄
| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 張?(Chueh Chang) | |
| dc.contributor.author | Chang-Wei Wang | en |
| dc.contributor.author | 王長偉 | zh_TW |
| dc.date.accessioned | 2021-06-07T17:54:57Z | - |
| dc.date.copyright | 2012-09-17 | |
| dc.date.issued | 2012 | |
| dc.date.submitted | 2012-08-16 | |
| dc.identifier.citation | 中文文獻：
行政院經濟建設委員會人力規劃處 (2010)。 2010年至2060年臺灣人口推計。臺北市：行政院經濟建設委員會。 行政院衛生署（2011）。民國99年死因統計。2011年12月8日，取自http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=11962&class_no=440&level_no=4。 呂淑妤、林宗義(2000)•南部地區老人憂鬱症狀盛行率及相關因素研究•臺灣公共衛生雜誌，19(1)，50-60。 李庚霖、區雅倫、陳淑惠、翁儷禎 (2009)。“臺灣地區中老年身心社會生活狀況長期追蹤調查”短版CES-D量表之心理計量特性。中華心理衛生學刊，22(4)， 383-410。 林怡君、余豎文、張宏哲(2004)。新店地區機構和非機構老人憂鬱情形及相關因素之調查。臺灣家庭醫學雜誌，14(2)，81-93。 徐慧娟、張明正 (2004) 。台灣老人成功老化與活躍老化現況:多層次分析，臺灣社會福利學刊，3(2):1-3。 劉見祥、吳秀玲(2009) 。高齡化對全民健康保險制度之影，社區發展季刊，125:112-127。 英文文獻： Alexopoulos, G. S. (2005). Depression in the elderly. The Lancet, 365(9475), 1961-1970. doi: 10.1016/s0140-6736(05)66665-2 Alexopoulos, G. S., Buckwalter, K., Olin, J., Martinez, R., Wainscott, C., & Krishnan, K. R. (2002). Comorbidity of late life depression: an opportunity for research on mechanisms and treatment. Biol Psychiatry, 52(6), 543-558. Alexopoulos, G. S., Meyers, B. S., Young, R. C., Campbell, S., Silbersweig, D., & Charlson, M. (1997). 'Vascular Depression' Hypothesis. Arch Gen Psychiatry, 54(10), 915-922. doi: 10.1001/archpsyc.1997.01830220033006 Alexopoulos, G. S., Vrontou, C., Kakuma, T., Meyers, B. S., Young, R. C., Klausner, E., & Clarkin, J. (1996). Disability in geriatric depression. Am J Psychiatry, 153(7), 877-885. American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision. Washington, DC: American Psychiatric Association. Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: evaluation of a short form of the CES-D (Center for Epidemiologic Studies Depression Scale). Am J Prev Med, 10(2), 77-84. Baldwin, R. C. (2005). Is vascular depression a distinct sub-type of depressive disorder? A review of causal evidence. Int J Geriatr Psychiatry, 20(1), 1-11. doi: 10.1002/gps.1255 Barry, L. C., Allore, H. G., Guo, Z., Bruce, M., & Gill, T. M. (2008). Higher burden of depression among older women: the effect of onset, persistence, and mortality over time. Arch Gen Psychiatry., 65(2), 172-178. Bielak, A. A., Gerstorf, D., Kiely, K. M., Anstey, K. J., & Luszcz, M. (2011). Depressive symptoms predict decline in perceptual speed in older adulthood. Psychol Aging, 26(3), 576-583. doi: 10.1037/a0023313 Birrer, R. B., & Vemuri, S. P. (2004). Depression in later life: a diagnostic and therapeutic challenge. Am Fam Physician, 69(10), 2375-2382. Blazer, D. G. (2003). Depression in late life: review and commentary. J Gerontol A Biol Sci Med Sci, 58(3), 249-265. Boey, K. W. (1999). Cross-validation of a short form of the CES-D in Chinese elderly. Int J Geriatr Psychiatry, 14(8), 608-617. Bromet, E., Andrade, L. H., Hwang, I., Sampson, N. A., Alonso, J., de Girolamo, G., . . . Kessler, R. C. (2011). Cross-national epidemiology of DSM-IV major depressive episode. BMC Med, 9, 90. doi: 10.1186/1741-7015-9-90 Brown, E. S., Varghese, F. P., & McEwen, B. S. (2004). Association of depression with medical illness: does cortisol play a role? Biological Psychiatry, 55(1), 1-9. doi: 10.1016/s0006-3223(03)00473-6 Chan, D., Kwok, A., Leung, J., Yuen, K., Choy, D., & Leung, P. C. (2012). Association between life events and change in depressive symptoms in Hong Kong Chinese elderly. J Affect Disord, 136(3), 963-970. doi: 10.1016/j.jad.2011.08.031 Chen, R., & Copeland, J. (2010). Epidemiology of Depression: Prevalence and Incidence Principles and Practice of Geriatric Psychiatry (pp. 479-488): John Wiley & Sons, Ltd. Chong, M. Y., Tsang, H. Y., Chen, C. S., Tang, T. C., Chen, C. C., Yeh, T. L., . . . Lo, H. Y. (2001). Community study of depression in old age in Taiwan: Prevalence, life events and socio-demographic correlates. The British Journal of Psychiatry, 178(1), 29-35. doi: 10.1192/bjp.178.1.29 Chou, K. L., & Chi, I. (2001). Stressful life events and depressive symptoms: social support and sense of control as mediators or moderators? Int J Aging Hum Dev, 52(2), 155-171. Djernes, J. K. (2006). Prevalence and predictors of depression in populations of elderly: a review. Acta Psychiatr Scand, 113(5), 372-387. doi: 10.1111/j.1600-0447.2006.00770.x Everard, K. M., Lach, H. W., Fisher, E. B., & Baum, M. C. (2000). Relationship of activity and social support to the functional health of older adults. J Gerontol B Psychol Sci Soc Sci, 55(4), S208-212. Fiske, A., Gatz, M., & Pedersen, N. L. (2003). Depressive symptoms and aging: the effects of illness and non-health-related events. J Gerontol B Psychol Sci Soc Sci, 58(6), P320-328. Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annu Rev Clin Psychol, 5, 363-389. doi: 10.1146/annurev.clinpsy.032408.153621 Gallo, J. J., Schoen, R., & Jones, R. (2000). Cognitive impairment and syndromal depression in estimates of active life expectancy: the 13-year follow-up of the Baltimore Epidemiologic Catchment Area sample. Acta Psychiatr Scand, 101(4), 265-273. Garnefski, N., & Kraaij, V. (2006). Relationships between cognitive emotion regulation strategies and depressive symptoms: A comparative study of five specific samples. Personality and Individual Differences, 40(8), 1659-1669. doi: 10.1016/j.paid.2005.12.009 Glass, T. A., De Leon, C. F., Bassuk, S. S., & Berkman, L. F. (2006). Social engagement and depressive symptoms in late life: longitudinal findings. J Aging Health, 18(4), 604-628. doi: 10.1177/0898264306291017 Hasin, D. S., Goodwin, R. D., Stinson, F. S., & Grant, B. F. (2005). Epidemiology of major depressive disorder: results from the National Epidemiologic Survey on Alcoholism and Related Conditions. Arch Gen Psychiatry, 62(10), 1097-1106. doi: 10.1001/archpsyc.62.10.1097 Irwin, M., Artin, K. H., & Oxman, M. N. (1999). Screening for depression in the older adult: criterion validity of the 10-item Center for Epidemiological Studies Depression Scale (CES-D). Arch Intern Med, 159(15), 1701-1704. Jogerst, G. J., Zheng, S., Frolova, E. V., & Kim, M. Y. (2011). Late-life depressive symptoms: an international study. Fam Pract. doi: 10.1093/fampra/cmr116 Jones, B. L., & Nagin, D. S. (2007). Advances in Group-Based Trajectory Modeling and an SAS Procedure for Estimating Them. Sociological Methods & Research, 35(4), 542-571. doi: 10.1177/0049124106292364 Jones, B. L., Nagin, D. S., & Roeder, K. (2001). A SAS Procedure Based on Mixture Models for Estimating Developmental Trajectories. Sociological Methods & Research, 29(3), 374-393. doi: 10.1177/0049124101029003005 Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged: The index of adl: a standardized measure of biological and psychosocial function. JAMA, 185(12), 914-919. doi: 10.1001/jama.1963.03060120024016 Kendler, K. S., Gatz, M., Gardner, C. O., & Pedersen, N. L. (2006). Personality and major depression: a Swedish longitudinal, population-based twin study. Arch Gen Psychiatry, 63(10), 1113-1120. doi: 10.1001/archpsyc.63.10.1113 Klap, R., Unroe, K. T., & Unutzer, J. (2003). Caring for mental illness in the United States: a focus on older adults. Am J Geriatr Psychiatry, 11(5), 517-524. Kraaij, V., Pruymboom, E., & Garnefski, N. (2002). Cognitive coping and depressive symptoms in the elderly: a longitudinal study. Aging Ment Health, 6(3), 275-281. doi: 10.1080/13607860220142387 Lam, R. W., Michalak, E. E., & Swinson, R. P. (2005). Assessment scales in depression, mania, and anxiety. New York: Taylor & Francis. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist, 9(3), 179-186. Lewinsohn, P. M., Seeley, J. R., Roberts, R. E., & Allen, N. B. (1997). Center for Epidemiologic Studies Depression Scale (CES-D) as a screening instrument for depression among community-residing older adults. Psychol Aging, 12(2), 277-287. Li, L., Liang, J., Toler, A., & Gu, S. (2005). Widowhood and depressive symptoms among older Chinese: Do gender and source of support make a difference? Social Science & Medicine, 60(3), 637-647. doi: 10.1016/j.socscimed.2004.06.014 Melchior, M., Chastang, J. F., Head, J., Goldberg, M., Zins, M., Nabi, H., & Younes, N. (2011). Socioeconomic position predicts long-term depression trajectory: a 13-year follow-up of the GAZEL cohort study. Mol Psychiatry, 1-10. doi: 10.1038/mp.2011.116 Michele Lee. (2007). Improving services and support for older people with mental health problems. Retrieved from http://www.nmhdu.org.uk/silo/files/inquiry-full-report.pdf . Accessed March 18, 2012. Nagin, D. S. (2005a). Group-based modeling of development. London: Harvard University Press. Nagin, D. S. (2005b). What Has Been Learned from Group-Based Trajectory Modeling? Examples from Physical Aggression and Other Problem Behaviors. The ANNALS of the American Academy of Political and Social Science, 602(1), 82-117. doi: 10.1177/0002716205280565 Nagin, D. S., & Odgers, C. L. (2010). Group-based trajectory modeling in clinical research. [.]. Annu Rev Clin Psychol, 6, 109-138. doi: 10.1146/annurev.clinpsy.121208.131413 Nagin, D. S., & Tremblay, R. E. (2005). What Has Been Learned from Group-Based Trajectory Modeling? Examples from Physical Aggression and Other Problem Behaviors. The ANNALS of the American Academy of Political and Social Science, 602(1), 82-117. doi: 10.1177/0002716205280565 Nesse, R. M. (2000). Is Depression an Adaptation? Arch Gen Psychiatry, 57(1), 14-20. doi: 10.1001/archpsyc.57.1.14 Neugarten, B. L., Havighurst, R. J., & Tobin, S. S. (1961). The measurement of life satisfaction. J Gerontol, 16, 134-143. Penninx, B. W., Leveille, S., Ferrucci, L., van Eijk, J. T., & Guralnik, J. M. (1999). Exploring the effect of depression on physical disability: longitudinal evidence from the established populations for epidemiologic studies of the elderly. Am J Public Health, 89(9), 1346-1352. Penninx, B. W., van Tilburg, T., Boeke, A. J., Deeg, D. J., Kriegsman, D. M., & van Eijk, J. T. (1998). Effects of social support and personal coping resources on depressive symptoms: different for various chronic diseases? Health Psychol, 17(6), 551-558. Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc, 23(10), 433-441. Radloff, L. S. (1977). The CES-D Scale: A Self-Report Depression Scale for Research in the General Population. Applied Psychological Measurement, 1(3), 385-401. doi: 10.1177/014662167700100306 Raudenbush, S. W. (2001). Comparing personal trajectories and drawing causal inferences from longitudinal data. Annu Rev Psychol, 52, 501-525. doi: 10.1146/annurev.psych.52.1.501 Roberts, R. E., Andrews, J. A., Lewinsohn, P. M., & Hops, H. (1990). Assessment of depression in adolescents using the Center for Epidemiologic Studies Depression Scale. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 2(2), 122-128. doi: 10.1037/1040-3590.2.2.122 Roose, S. P., & Sackeim, H. A. (2004). Late-life depression. New York: Oxford University Press. Sable, J. A., Dunn, L. B., & Zisook, S. (2002). Late-life depression : How to identify its symptoms and provide effective treatment. Geriatrics, 57(2), 18-35. Saunders, P. A., Copeland, J. R., Dewey, M. E., Gilmore, C., Larkin, B. A., Phaterpekar, H., & Scott, A. (1993). The prevalence of dementia, depression and neurosis in later life: the Liverpool MRC-ALPHA Study. Int J Epidemiol, 22(5), 838-847. Steffens, D. C., Skoog, I., Norton, M. C., Hart, A. D., Tschanz, J. T., Plassman, B. L., . . . Breitner, J. C. (2000). Prevalence of depression and its treatment in an elderly population: the Cache County study. Arch Gen Psychiatry, 57(6), 601-607. Turvey, C. L., Conwell, Y., Jones, M. P., Phillips, C., Simonsick, E., Pearson, J. L., & Wallace, R. (2002). Risk factors for late-life suicide: a prospective, community-based study. Am J Geriatr Psychiatry, 10(4), 398-406. Untited Nations.（2002）. The Madrid International Plan of Action on Ageing and the Political Declaration. Retrieved from: http://social.un.org/index/Portals/0/ageing/documents/Fulltext-E.pdf . Accessed Sep 2, 2011. Variend, H., & Gopal, Y. V. (2008). Late-onset depression: issues affecting clinical care. Advances in Psychiatric Treatment, 14(2), 152-158. doi: 10.1192/apt.bp.106.003400 Waern, M., Rubenowitz, E., & Wilhelmson, K. (2003). Predictors of suicide in the old elderly. Gerontology, 49(5), 328-334. doi: 10.1159/000071715 Wallsten, S. M., Tweed, D. L., Blazer, D. G., & George, L. K. (1999). Disability and depressive symptoms in the elderly: the effects of instrumental support and its subjective appraisal. Int J Aging Hum Dev, 48(2), 145-159. World Health Organization. (2001). The world health report 2001 - Mental Health: New Understanding, New Hope. Retrieved from: http://www.who.int/whr/2001/en/ . Accessed Sep 3, 2011. World Health Organizatio. (2002). Active Ageing. A Policy Framework. Ageing and Life Course Unit. WHO/NMH/NPH/02.8. Geneva: WHO. Retrieved from: http://whqlibdoc.who.int/hq/2002/WHO_NMH_NPH_02.8.pdf . Accessed Sep 2, 2011. Zunzunegui, M. V., Minicuci, N., Blumstein, T., Noale, M., Deeg, D., Jylha, M., & Pedersen, N. L. (2007). Gender differences in depressive symptoms among older adults: a cross-national comparison: the CLESA project. Soc Psychiatry Psychiatr Epidemiol, 42(3), 198-207. doi: 10.1007/s00127-007-0158-3 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/15903 | - |
| dc.description.abstract | 研究目的:本研究欲藉由具代表性之長期固定追蹤樣本，探討臺灣老年人之憂鬱傾向發展軌跡類型、研究調查期間之變化趨勢，及其預測因子。
研究方法: 本研究採用『臺灣地區中老年身心社會生活狀況長期追蹤調查』於1989年至2007年間所進行之六波追蹤調查進行次級資料分析。以10題版本之流行病學研究中心憂鬱量表（Center for Epidemiological Studies Depression Scale, CES-D）評估憂鬱傾向。在排除代答資料後，以756位CES-D資料完整之60歲以上老年人為研究要本，其中男性佔52.0％。本研究以Group-Based Trajectory Modeling 進行憂鬱傾向之發展軌跡分析，以多變項羅吉斯迴歸探討發展軌跡類型之影響因素。 研究結果: 研究樣本之憂鬱傾向於六波調查期間呈現先下降後上升之趨勢，平均分數介於4.75~5.91間，並以2007年第六波追蹤調查時最高。且女性之憂鬱傾向於各波追蹤時均顯著較男性為高。就男性而言，憂鬱傾向之發展軌跡可區分為三種類型：輕微且下降(51.9％)、中等且後期上升（42.0％）、嚴重且上升（6.1％）。女性之憂鬱傾向發展軌跡可區分為四種種類型：輕微且下降（62.3％）、中等變嚴重後下降（14.6％）、中等且上升成嚴重（17.1％）、持續嚴重（6.1％）。研究結果顯示男、女性之憂鬱傾向發展軌跡類型不盡相同。在相關之影響因素方面，不論是男性或女性，IADLs失能數多、自評健康狀況不佳、生活滿意度低等因素，對發展為較不理想之憂鬱傾向發展軌跡類型均有顯著影響。但教育程度較高、自評經濟狀況較滿意、社會支持中之工具性支持較高等因素，則僅對女性不易發展成較不理想之憂鬱傾向發展軌跡類型有顯著影響。 結論：整體而言，女性之憂鬱傾向顯著高於男性，且男、女性之憂鬱傾向長期發展軌跡，在軌跡類型及憂鬱傾向程度均有所不同，故在制訂或執行相關心理健康政策或改善方案時，應將性別差異納入考量。 | zh_TW |
| dc.description.abstract | Objectives: The purposes of this study were to identify the developmental trajectories of depressive tendency and to explore the related risk factors among the elderly in Taiwan.
Methods: The study used data from six waves of the Taiwan Longitudinal Study on Aging (TLSA) panel survey conducted in 1989 to 2007. Depressive tendency was assessed longitudinally using 10-item version of Center for Epidemiological Studies Depression Scale (CES-D) in 756 participants (52% male) aged 60 or above. The group-based trajectory modeling and multinomial logistic regression were used in the statistical analysis. Results: The depressive tendency decresed and then rising over time in the study period. Female had significantly higher depressive tendency than male in the six wave survey. Three trajectories of depressive tendency were identified for male: persistent low (51.9%), median (42.0%), and chronic (6.1%). Four trajectories of depressive tendency were identified for female: low (62.3%), high decling (14.6%), late peak (17.1%), and severe chronic (6.1%). The high-level trajectories of depressive tendency were significantly associated with more physical disabilities (IADLs), poor perceived health status, poor life satisfaction for both male and female. Higher education level, higher perceived economic status and higher instrumental social support were significantly associated with low-level trajectories of depressive tendency for female elderly only. Conclusions: The depressive tendency was significant higher in female than in male during the study period. The trajectories of depressive tendency were different in the pattern and severity level between male and femal. Therefore, gender difference should take into consideration when implementing mental health promotion policy. | en |
| dc.description.provenance | Made available in DSpace on 2021-06-07T17:54:57Z (GMT). No. of bitstreams: 1 ntu-101-R99848001-1.pdf: 2973607 bytes, checksum: 7309faf6be1b378deea9c5150ebdf10c (MD5) Previous issue date: 2012 | en |
| dc.description.tableofcontents | 口試委員會審定書 I
中文摘要 II 英文摘要 III 第一章 緒論 1 第一節 研究背景與重要性 1 第二節 研究目的 4 第二章 文獻回顧 5 第一節 憂鬱相關概念 5 第二節 憂鬱疾患對老年人之影響及相關危險因子 13 第三節 憂鬱傾向之發展軌跡 18 第三章 研究方法 21 第一節 研究架構 21 第二節 資料來源 23 第三節 研究對象 25 第四節 研究工具 27 第五節 資料分析 35 第四章 研究結果 37 第一節 研究樣本特性 37 第二節 研究樣本之憂鬱傾向分佈情形 44 第三節 研究樣本憂鬱傾向發展軌跡類型 46 第四節 憂鬱傾向發展軌跡類型之相關影響因素分佈情形 55 第五節 憂鬱傾向發展軌跡類型之影響因素：多變項羅吉斯迴歸分析 72 第五章 討論 80 第一節 發展軌跡類型之分析方式 80 第二節 臺灣老年人憂鬱傾向之變化、發展軌跡類型及性別差異探討 82 第三節 研究資料來源之優、缺點探討 88 第四節 研究限制 89 第六章 結論與建議 90 第一節 結論 90 第二節 建議 91 參考文獻 92 附錄一 研究變項之原始題項 99 附錄二 資料庫使用同意函 108 | |
| dc.language.iso | zh-TW | |
| dc.subject | 縱貫性研究 | zh_TW |
| dc.subject | 憂鬱症 | zh_TW |
| dc.subject | 老年人 | zh_TW |
| dc.subject | 發展軌跡 | zh_TW |
| dc.subject | 性別差異 | zh_TW |
| dc.subject | elderly | en |
| dc.subject | longitudinal study | en |
| dc.subject | gender difference | en |
| dc.subject | group-based trajectory modeling | en |
| dc.subject | depression | en |
| dc.title | 臺灣老年人憂鬱傾向之發展軌跡及影響因素：18年之長期追蹤研究 | zh_TW |
| dc.title | The trajectory of depression tendency and affecting factors among the elderly in Taiwan: an 18 years panel study | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 100-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 陳慶餘(Ching-Yu Chen),呂碧鴻(Bee-Horng Lue),謝佳容(Chia-Jung Hsieh) | |
| dc.subject.keyword | 憂鬱症,老年人,發展軌跡,性別差異,縱貫性研究, | zh_TW |
| dc.subject.keyword | depression,elderly,group-based trajectory modeling,gender difference,longitudinal study, | en |
| dc.relation.page | 110 | |
| dc.rights.note | 未授權 | |
| dc.date.accepted | 2012-08-16 | |
| dc.contributor.author-college | 公共衛生學院 | zh_TW |
| dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
| 顯示於系所單位： | 健康政策與管理研究所 | |
文件中的檔案：
| 檔案 | 大小 | 格式 | |
|---|---|---|---|
| ntu-101-1.pdf 未授權公開取用 | 2.9 MB | Adobe PDF |
系統中的文件，除了特別指名其著作權條款之外，均受到著作權保護，並且保留所有的權利。