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Affective suffering in later life: ...

Yancu, Cecile Nathalie.

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Affective suffering in later life: Can a stress-coping model explain ethno-racial differences in prevalence rates?

紀錄類型:	書目-語言資料,印刷品 : Monograph/item
正題名/作者:	Affective suffering in later life: Can a stress-coping model explain ethno-racial differences in prevalence rates?/
作者:	Yancu, Cecile Nathalie.
面頁冊數:	480 p.
附註:	Source: Dissertation Abstracts International, Volume: 63-07, Section: B, page: 3225.
Contained By:	Dissertation Abstracts International63-07B.
標題:	Gerontology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3059356
ISBN:	0493746072

Affective suffering in later life: Can a stress-coping model explain ethno-racial differences in prevalence rates?
Yancu, Cecile Nathalie.

Affective suffering in later life: Can a stress-coping model explain ethno-racial differences in prevalence rates? - 480 p.

Source: Dissertation Abstracts International, Volume: 63-07, Section: B, page: 3225.

Thesis (Ph.D.)--Columbia University, 2002.

Ethno-racial differences in depression among elders have yet to be explained. Prior research suggests a complex association exists between depressive distress and stressful conditions prevalent in later life, i.e., functional limitations. Other studies have identified social support as a protective resource. Whether such relationships hold for ethnic and racial minorities to the same extent as non-minorities remains an open question. Moreover the degree to which these factors may interact differently between groups is also unknown.

ISBN: 0493746072Subjects--Topical Terms:

533633
Gerontology.

Affective suffering in later life: Can a stress-coping model explain ethno-racial differences in prevalence rates?
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245 1 0 $a Affective suffering in later life: Can a stress-coping model explain ethno-racial differences in prevalence rates?
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500 $a Source: Dissertation Abstracts International, Volume: 63-07, Section: B, page: 3225.
500 $a Sponsor: Mary Ruggie.
502 $a Thesis (Ph.D.)--Columbia University, 2002.
520 $a Ethno-racial differences in depression among elders have yet to be explained. Prior research suggests a complex association exists between depressive distress and stressful conditions prevalent in later life, i.e., functional limitations. Other studies have identified social support as a protective resource. Whether such relationships hold for ethnic and racial minorities to the same extent as non-minorities remains an open question. Moreover the degree to which these factors may interact differently between groups is also unknown.
520 $a Methodological and conceptual reasons have limited new knowledge concerning such ethno-racial differences. Existing studies often had an inadequate ethno-racial sample base, or limited the focus to within-group differences, or clustered socio-culturally dissimilar minorities. Diverse measures reflect different views on the nature of depression and add to ambiguity.
520 $a To investigate ethno-racial differences in depressive distress this study examined 2,128 older New Yorkers randomly drawn from the 1990–91 Medicare registry. The sample is representative of non-institutionalized elders. The mix is characteristic of the community from which it was drawn (approx. 47% Latino, 38% Black, 19% White). The Index of Affective Suffering was used to evaluate mood across a continuum of increasing depressive severity. The model reported on here identifies functional limitations, Health-related ADLs (H-RADLs), as a chronic daily stressor. Social support, measured as perceived social connectedness, represents coping. ANOVAs tested associations among groups. Linear regression addressed whether an interactive stress-coping model could explain ethno-racial outcome differences.
520 $a Blacks (8.6%) reported lower overall affective distress than either Whites (16.5%) or Latinos (24.6%). Persons with functional limitations were more likely to be depressed as were persons who felt socially disconnected. Nonetheless, observed ethno-racial trends in affective suffering persisted. Direct effects of H-RADLs and perceived support combined with covariates explained 33% of the variance for affective suffering among Blacks, Latinos and Whites. The hypothesized interaction between functional limitations and social support was not supported by these data.
520 $a When depression is measured across a continuum of distress important ethno-racial differences in the distribution pattern of suffering emerge. Overall depressive distress appears to operate differently among Blacks than it does Latinos and non-Latino Whites. Although differences in functional limitations and social support are important they could not explain the observed ethno-racial trend.
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791 $a Ph.D.
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