| ObjectiveTo explore the relationship between depression and emotional regulation, the level of blood glucose,blood lipid level and other physiological and biochemical indexes,emotional regulation in elderly hospitalized patients.It would be providing biological base data for prevention and intervention of depressed emotion in elderly hospitalized patients and to reduce the incidence of depression in elderly hospitalized patients MethodsA total of 220 patients aged more than 60 years we recruted as the research objects from the First Affiliated Hospital of Chengdu.We use Simple Geriatric Depression Scale, the Hamilton Anxiety Scale, Emotion Regulation Questionnaire and simple intelligence mental state examination as the measurement tools and all patients are divided into two groups: 129 elderly patients have depression as cases, 91 patients are non-depressed as control. 5m L blood are extracted from the patients and are tested on the blood glucose and blood lipid. Finally, Pearson correlation analysis, one-way ANOVA, independent sample t test, and chi-square test were applied to analyze correlation and difference between the case and control group in depression and emotional regulation, blood glucose lipid levels. Results(1) We compared the Depression group and non-depressed group and find the measurement data diastolic blood pressure, age, P-value were respectively 0.012,0.007, P<0.05, having statistical significance. And systolic blood pressure, pulse, respiration, body temperature have no statistical significance. In addition, status of marriage, education, family harmony, occupation, and habbits of exercise frequency were significant; And gender and sleep time have no statistical significance.(2) Triglycerides, low-density lipoprotein, blood glucose levels in depression group were significantly higher than the non-depressed group and the difference have statistical significance. High-density lipoprotein, total cholesterol levels were lower than the non-depressed group and have no significant differences between the two groups.(3) We had a correlated analysis of Geriatric Depression Scale score and blood glucose, blood lipid, blood glucose and find that triglyceride, blood sugar and low density lipoprotein were significantly positively correlated with Geriatric Depression Scale score, total cholesterol and high density lipoprotein were negatively correlated with the score.(4) The difference between the depression group and non depression group in terms of emotion regulation, cognitive reappraisal and expression has statistical significance.(5) The correlatied analysis of the Geriatric Depression Scale score and emotion regulation was compared, we findind that cognitive reappraisal, and suppression of expression were significantly negatively correlated with the Geriatric Depression Scale score.(6) Differences in cognitive function beween geriatric depression group and non-depressed group was compared, we finding that MMSE score, orientation, memory, attention calculation ability and the ability to recall scores in Depression group were significantly higher than non-depressed group and have statistical significance while the difference about the language skills were not significant.(7) We find sleep time, level of education, sport time, status of family harmony were significant negatively correlated with Geriatric Depression Scale score. Gender, age, occupation were positively correlated with the marriage.(8) Correlation analysis of geriatric depression, anxiety and cognitive function, the Geriatric Depression Scale score were significantly positively correlated with anxiety scale scores. MMSE score was significantly negatively correlated with the Anxiety Scale total score. Conclusion(1) Gender, age, marital status, education, occupation, exercise frequency, have a significant impact on the geriatric depression, diastolic blood pressure are also have an indirect correlation with elderly depression.(2) The elderly depressive patients are associated with abnormal glucose and lipid metabolism, especially the high triglyceride, total cholesterol, high density lipoprotein dropping.These factors have the obvious effects on the severity of depression in the elderly.(3) The use of strategy of emotion regulation is associated with the severity of depression and is significant. It can decrease the incidence of depression in the elder.(4) Geriatric depression and cognitive impairment are closely related.Severe depressive symptoms can result in worse cognitive function,(5)Geriatric Depression were significantly positively related with anxiety, and negative to cognitive function.While anxiety was significantly negatively correlated with cognitive function.,In a word, depression, anxiety and cognitive function have the interaction... |
PDF Full Text Request