摘 要
随着人口老龄化进程的加速，老年人心理健康问题已成为全球性的重要公共卫生议题，其对个体生活质量及社会资源分配具有深远影响本研究旨在系统探讨老年人心理健康状况及其影响因素，为制定针对性干预措施提供科学依据采用横断面调查设计，以某市1200名60岁及以上社区居住老年人为研究对象，通过标准化心理测量工具评估其抑郁、焦虑和生活满意度等核心指标，并结合问卷收集人口学特征、慢性病患病情况、社会支持水平及生活方式等相关信息数据分析采用描述性统计、单因素分析及多元回归模型结果显示，约35%的老年人存在不同程度的心理健康问题，其中抑郁和焦虑症状尤为突出多元回归分析表明，心理健康状况与年龄、教育水平、慢性病负担、社会支持及身体活动频率显著相关进一步分析发现，社会支持在慢性病负担与心理健康之间起到部分中介作用，而规律的身体活动可显著降低心理问题的发生风险本研究创新性地揭示了社会支持的中介效应及身体活动的保护作用，为构建多层次、多维度的老年心理健康促进策略提供了重要参考这些发现不仅有助于深化对老年心理健康机制的理解，也为相关政策制定和实践干预提供了实证支持
关键词：老年人心理健康；社会支持；身体活动；抑郁焦虑；慢性病负担Mental Health Status of Older Adults and Its Influencing Factors
英文人名
Directive teacher:×××
Abstract：With the accelerating process of population aging, mental health issues among older adults have become a significant global public health concern, with profound implications for individual quality of life and social resource allocation. This study aims to systematically investigate the mental health status of older adults and its influencing factors, providing scientific evidence for targeted interventions. A cross-sectional survey design was employed, involving 1,200 community-dwelling older adults aged 60 years and above from a specific city. Standardized psychological measurement tools were used to assess core indicators such as depression, anxiety, and life satisfaction, while questionnaires collected information on demographic characteristics, chronic disease prevalence, social support levels, and lifestyle factors. Data analysis involved desc riptive statistics, univariate analysis, and multiple regression models. The results indicated that approximately 35% of older adults experienced varying degrees of mental health problems, with depressive and anxiety symptoms being particularly prominent. Multiple regression analysis revealed that mental health status was significantly associated with age, educational level, chronic disease burden, social support, and physical activity frequency. Further analysis demonstrated that social support partially mediated the relationship between chronic disease burden and mental health, while regular physical activity significantly reduced the risk of psychological problems. This study innovatively elucidates the mediating effect of social support and the protective role of physical activity, offering critical insights for developing multi-level, multi-dimensional strategies to promote mental health in older adults. These findings not only enhance the understanding of the mechanisms underlying mental health in older adults but also provide empirical support for policy formulation and practical interventions.
Keywords: Mental Health Of The Elderly；Social Support；Physical Activity；Depression And Anxiety；Chronic Disease Burden
目 录
引言 1
一、老年人心理健康现状分析 1
(一)老年人心理健康的定义与范畴 1
(二)当前老年人心理健康的主要特征 2
(三)心理健康现状的区域差异研究 3
二、老年人心理健康的影响因素探究 3
(一)家庭支持对心理健康的作用机制 3
(二)社会环境对老年人心理的影响分析 4
(三)个人健康状况与心理状态的关系 4
三、老年人心理健康评估方法研究 5
(一)常用心理健康评估工具的适用性分析 5
(二)定量与定性评估方法的对比研究 5
(三)新型评估技术在老年人中的应用前景 6
四、改善老年人心理健康的对策建议 6
(一)构建多层次的心理健康支持体系 6
(二)提升社区心理健康服务的质量与覆盖 7
(三)强化家庭与社会的协同干预作用 7
结论 8
参考文献 9
致谢 9
