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題名:喪偶對社區老人身體、精神及社會功能之影響
書刊名:中華公共衛生雜誌
作者:邱亨嘉 引用關係謝穎慧陳正宗
作者(外文):Chiu, Herng-chiaHsieh, Ying-huiChen, Cheng-chung
出版日期:1998
卷期:17:5
頁次:頁423-431
主題關鍵詞:喪偶老人健康狀況功能評估世代研究WidowhoodElderlyHealth statusFunctional assessmentCohort study
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(13) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:13
  • 共同引用共同引用:167
  • 點閱點閱:108
     本研究之主要目的在檢視喪偶事件對於老人健康的影響,及其影響程度是否因喪偶時間長短而有差異。本研究採用縱貫性世代研究法;測量工具為中文版多元功能評估問卷(CMFAQ);共有511社區老人成功完成三個時間點之訪問。比較喪偶組與非喪偶組發現,其在簡式精神量表評分、自覺精神健康及孤單程度三項功能指標,兩組在喪偶一年內呈現統計顯著差異;然除孤單程度外,兩組在喪偶後第三年並無顯著差異。另,僅針對喪偶一組之功能變化進行探討,結果發現喪偶者在喪偶一年內,其自覺身體健康狀況變差且覺得較孤單;但在喪偶後第三年該效應並無統計顯著差異。本 研究發現喪偶事件的確影響社區老人之身體、心理以及社會功能;且此影響程度隨時間而遞減。故建議對於剛喪偶者,建立相關之社會心理支持系統,以協助減少該事件對喪偶者身心之影響。
     The major purpose of this study is to examine the effect of widowhood on health status of the community elderly; furthermore, to explore the time effect on health status of the widowed group. A panel cohort study was conducted; the measurement instrument was the Chinese-version Multidimensional Functional Assessment Questionnaire (CMFAQ). In total, 511 community elderly were interviewed through three time periods (1994, 1995, 1997). The results indicated that the widowed and non-widowed groups were stat istically different in the score of Short Psychiatric Evaluation Schedule (SPES), perceived mental health status, and the degree of loneliness at 1995. However, the found significant differences between the two groups were declined from 1995 to 1997, except the degree of loneliness. Focusing on the widowed group only, the widowed elderly perceived worse physical health status and felt lonely more often within the first year of widowhood 1996; however, such findings were not found at 1997. In conclusion, the findings indicate the significant effects of widowhood on physical, mental, and social functioning of the community elderly. However, the effects of widowhood were decreased with the time. The present study suggests more psychosocial supportive programs should be developed to minimize the effect of widowhood on the community elderly.
期刊論文
1.Atchley, R. C.(1975)。Dimensions of widowhood in later life。The Gerontologist,15,176-178。  new window
2.Gove, W. R.(1979)。Sex, Marital Status, and Psychiatric Treatment: A Research Note。Social Forces,58,89-93。  new window
3.Pearlin, L. I.、Johnson, J. S.(1977)。Marital Status, Life-Strains and Depression。American Sociological Review,42(5),704-715。  new window
4.Hu, Y.、Goldman, N.(1990)。Mortality differentials by marital status: an international comparison。Demography,27,233-250。  new window
5.Dean, A.、Kolody, B.、Wood, P.(1990)。Effects of Social Support from Various Sources on Depression in Elderly Persons。Journal Health and Social Behavior,31(2),148-161。  new window
6.Rosenzweig, A.、Prigerson, H.、Miller, D. M.、Reynolds, C. F.(1997)。Bereavement and late-life depression: grief and its complications in the elderly。Annual Reviews of Medicine,48,421-428。  new window
7.Rogers, R. G.(1995)。Marriage, sex, and mortality。Journal of Marriage and the Family,57,515-526。  new window
8.Hogan, N.、Balk, D.(1990)。Adolescent reactions to sibling death; perceptions of mothers, fathers and teenagers。Nursing Research,39(2),103-106。  new window
9.Maddison, D.、Viola, A.(1968)。The health of widows in the year following bereavement。Journal of Psychosomatic Research,12,297-306。  new window
10.Levkoff, S. E.、Macarthur, I. W.、Bucknall, J.(1995)。Elderly mental health in the developing world。Social Science and Medicine,41(7),983-1003。  new window
11.Anderson, K. L.(1995)。The experience of bereavement in older adults。Journal of Advanced Nursing,22,308-315。  new window
12.Seeman, T. E.、Berkman, L. F.(1988)。Structural characteristics of social networks and their relationship with social support in the elderly: who provides support。Social Science and Medicine,26(7),737-749。  new window
13.Nishi, Motoi(1997)。Depression ups elder mortality risk。Journal of Epidemiology,7,210-213。  new window
14.Kincannon, J. C.(1968)。Prediction of the standard MMPI scale scores from 71 items: The Mini-Mult。Journal of Consulting and Clinical Psychology,32,319-325。  new window
15.Linn, B. S.、Linn, M. W.(1980)。Objective and self-assessed health in the old and very old。Social Science and Medicine,14,311-315。  new window
16.Fillenbaum, G. G.、Symer, M. A.(1981)。The development, validity and reliability of the OARS multidimensional functional assessment questionnaire。Journal of Gernotology,36(4),428-434。  new window
17.邱亨嘉、陳怡君、毛莉雯、蕭世槐、劉宏文、黃明賢(19970400)。中文版多元功能評估問卷之信度效度考驗。中華公共衛生雜誌,16(2),119-132。new window  延伸查詢new window
18.Bierhals, A. J.、Prigerson, H. G.、Fasiczka, A.、Frank, E.、Miller, M.、Charles, F.(1995)。Gender differences in complicated grief among the elderly。Omega,32(4),303-317。  new window
19.Ellickson, J.(1988)。Never the twain shall meet: again men and women in bangladesh。Journal of Cross-Cultural Gernotology,3,53。  new window
研究報告
1.李孟芬(1993)。台灣老人的非正式社會支持與生活滿意度之關係研究。台北:台灣省家庭計畫研究所。  延伸查詢new window
圖書
1.Stroebe, W.、Stroebe, M. S.(1987)。Bereavement and health: The psychological and physical consequences of partner loss。New York:Cambridge University Press。  new window
2.Ju, C. A.、Jones, G.(1989)。Ageing in ASEAN: its socioeconomic consequences。Institute of Southeast Asian Studies。  new window
3.Fillenbaum, G. G.(1988)。Multidimensional functional assessment of older adults, the Duke older americans resources and services procedure。New Jersey:Lawrence Erlbaum Associates。  new window
4.胡幼慧(19950000)。三代同堂:迷思與陷阱。巨流。new window  延伸查詢new window
 
 
 
 
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