作業参加と老年期のうつ症状の関連の検討—地域在住高齢者を対象とした横断研究

Relationship between occupation and geriatric depression: A cross-sectional study of community-dwelling elderly

要旨：本研究の目的は，地域在住高齢者のうつ傾向の有無と作業参加の関連を明らかにし，老年期うつの予防・改善に向けたプログラム開発の一助とすることである．212名の対象者（うつ傾向群28名，非うつ傾向群184名）に対し調査を実施し，二項ロジスティック回帰分析の結果，うつ傾向の有無に関連する因子として，SOPI総得点（オッズ比0.92）が抽出された（p＜0.05）．作業参加が不足していることは，高齢者のうつ傾向を促進する可能性がある．作業療法士は，作業参加改善のアプローチを実施することで，地域在住高齢者のうつ傾向の軽減を図ることが期待される．

　The purpose of this study was to clarify the relationship between depressive tendencies and participation in activities among elderly people living in the community. Ultimately, the aim was to contribute to the development of programs for the prevention and improvement of geriatric depression. A survey was conducted with 212 participants (28 with depressive tendencies, 184 without). Logistic regression analysis revealed that SOPI was significantly associated with depressive tendencies (odds ratio: 0.92, p＜0.05). The results suggest that insufficient participation in activities may promote depression in older adults. Occupational therapists are expected to reduce depression in community-dwelling older adults by implementing approaches to improve occupational participation.