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[{"key": "dc.contributor.author", "value": "Polku, Hannele", "language": null, "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2013-05-13T10:18:47Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2013-05-13T10:18:47Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2013", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.other", "value": "oai:jykdok.linneanet.fi:1260803", "language": null, "element": "identifier", "qualifier": "other", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/41373", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Masennus on ik\u00e4\u00e4ntyneiden ihmisten yleisin psyykkinen h\u00e4iri\u00f6. Masennukseen yhteydess\u00e4 olevia tekij\u00f6it\u00e4 on tutkittu paljon, mutta tutkimus on keskittynyt enemm\u00e4n ik\u00e4\u00e4ntyv\u00e4\u00e4n yksil\u00f6\u00f6n, kun taas ymp\u00e4rist\u00f6n merkityksen tarkastelu on j\u00e4\u00e4nyt v\u00e4hemm\u00e4lle. Tutkimuksen tarkoituksena oli selvitt\u00e4\u00e4, onko elinpiirin laajuudella yhteytt\u00e4 ik\u00e4\u00e4ntyneiden ihmisten masennusoireisiin ja selitt\u00e4\u00e4k\u00f6 liikkumiskyky, fyysinen aktiivisuus, sairauksien lukum\u00e4\u00e4r\u00e4 ja kodin ulkopuoliseen harrastustoimintaan osallistuminen t\u00e4t\u00e4 yhteytt\u00e4.\n\nTutkimuksen aineistona k\u00e4ytettiin i\u00e4kk\u00e4iden ihmisten liikkumiskyky\u00e4 ja elinpiiri\u00e4 tutkivan \u201dLife-Space Mobility in Old Age\u201d (LISPE) tutkimushankkeen aineistoa. Tutkimukseen osallistui 848 kotona itsen\u00e4isesti asuvaa 75-90-vuotiasta henkil\u00f6\u00e4 Jyv\u00e4skyl\u00e4n ja Muuramen alu-eelta. Masennusoireita arvioitiin CES-D mittarilla. Elinpiirin laajuutta arvioitiin k\u00e4ytt\u00e4m\u00e4ll\u00e4 Life-Space Assesment (LSA) mittaria. Tilastotieteelliset menetelm\u00e4t olivat frekvenssija-kaumien tarkastelu, ristiintaulukointi, \u03c72 \u2013testi, Mann-Whitneyn U-testi sek\u00e4 logistinen regressioanalyysi.\n\nIk\u00e4\u00e4ntyneist\u00e4 ihmisist\u00e4 17,5 % koki masennusoireita (CES-D pisteet 16 tai enemm\u00e4n). Ma-sennusoireita kokevilla ik\u00e4\u00e4ntyneill\u00e4 henkil\u00f6ill\u00e4 elinpiiri oli merkitsev\u00e4sti pienempi kuin niill\u00e4, jotka eiv\u00e4t kokeneet masennusoireita (p<0.001). Masennusoireita kokevilla henkil\u00f6ill\u00e4 my\u00f6s liikkumiskyky oli heikompi (p<0.001), fyysinen aktiivisuus oli v\u00e4h\u00e4isemp\u00e4\u00e4 (p<0.001) ja heill\u00e4 oli enemm\u00e4n sairauksia (p<0.001). Osallistuminen kodin ulkopuolisiin omaehtoisiin harrastuksiin oli masennusoireita kokevilla v\u00e4h\u00e4isemp\u00e4\u00e4 kuin niill\u00e4, jotka eiv\u00e4t kokeneet masennusoireita (p=0.011). \n\nMit\u00e4 pienempi henkil\u00f6n elinpiiri oli, sit\u00e4 suurempi oli riski masennusoireiden kokemiseen. Yhteys elinpiirin laajuuden ja koettujen masennusoireiden v\u00e4lill\u00e4 oli samansuuntainen sek\u00e4 naisilla ja miehill\u00e4. Masennusoireita kokevien henkil\u00f6iden huonompi liikuntakyky selitti osan elinpiirin laajuuden ja masennusoireiden v\u00e4lisest\u00e4 yhteydest\u00e4, mutta ei kokonaan. My\u00f6s hen-kil\u00f6n fyysisell\u00e4 aktiivisuudella ja sairauksien lukum\u00e4\u00e4r\u00e4ll\u00e4 oli jonkin verran vaikutusta havaittuun yhteyteen, mutta vaikutus on v\u00e4h\u00e4isempi kuin liikkumiskyvyll\u00e4. Kodin ulkopuoliseen harrastustoimintaan osallistuminen ei vaikuttanut yhteyteen merkitsev\u00e4sti.\n\nElinpiirin laajuuden yhteydest\u00e4 ik\u00e4\u00e4ntyneiden ihmisen masennusoireiden kokemiseen on vain v\u00e4h\u00e4n aiempaa tutkimusn\u00e4ytt\u00f6\u00e4. Tulokset osoittivat, ett\u00e4 elinpiirin pienentyminen lis\u00e4si ik\u00e4\u00e4n-tyneiden ihmisten riski\u00e4 masennusoireisiin. Jatkossa elinpiirin laajuuden ja masennusoireiden v\u00e4list\u00e4 yhteytt\u00e4 olisi syyt\u00e4 tarkastella pitkitt\u00e4isasetelmalla mahdollisen kausaalisuhteen selvitt\u00e4miseksi.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "The purpose of this study was to investigate the association between life-space mobility and depressive symptoms among older adults and the effect of mobility limitation, physical activity, number of chronic diseases and participation on this association.\n\nThe study is part of the Life-Space Mobility in Old Age (LISPE) research project. The data consist of 848 community-living people aged 75 to 90 in the Muurame and Jyv\u00e4skyl\u00e4 municipalities. Depressive symptoms were assessed with the Centre of Epidemiologic studies Depression Scale (CES-D). Life-space mobility was assessed by The University of Alabama Life-Space Assesment (LSA)-questionnaire. Data were analyzed by computing frequencies, cross-tabulations and Mann-Whitney U-tests. Logistic regression analysis was used to investigate the association between life-space mobility and depressive symptoms. The effect of the mobility limitation, level of physical activity, number of chronic diseases and participation in different activities on this association were also studied by adding these variables into the regression model as covariates.\n\nOf the participants 17,5 % reported depressive symptoms. Older adults who had depressive symptoms had significantly lower mobility status (p<0.001), they were less physically active (p<0.001), they had more diseases (p<0.001) and participation in individual cultural or other activities outside the home was less frequent (p=0.011) than of those who did not report depressive symptoms.\n\nOlder adults who had depressive symptoms reported significantly smaller life space (p<0.001). According to this study smaller life space increased the risk of depressive symptoms. Poorer mobility, lower level of physical activity and greater number of chronic diseases among those reporting depressive symptoms explained part of this association but not entirely. Lower participation activity did not underlie the association.\n\nThe association between life space mobility and depressive symptoms should be studied fur-ther utilizing longitudinal study designs to examine the temporal order and potential causality.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted using Plone Publishing form by Hannele Polku (hanneleh) on 2013-05-13 10:18:46.991357. Form: Pro gradu -lomake (1 tekij\u00e4) (https://kirjasto.jyu.fi/julkaisut/julkaisulomakkeet/pro-gradu-lomake-1-tekijae). JyX data:", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by jyx lomake-julkaisija (jyx-julkaisija@noreply.fi) on 2013-05-13T10:18:47Z\nNo. of bitstreams: 2\nURN:NBN:fi:jyu-201305131605.pdf: 303224 bytes, checksum: 6a49cff50268bb94e3d14a443b9f75c3 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2013-05-13T10:18:47Z (GMT). No. of bitstreams: 2\nURN:NBN:fi:jyu-201305131605.pdf: 303224 bytes, checksum: 6a49cff50268bb94e3d14a443b9f75c3 (MD5)\nlicense.html: 107 bytes, checksum: a7d86e598caa500b1b433bbb9dc8ef1c (MD5)\n Previous issue date: 2013", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "44 sivua", "language": null, "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.format.mimetype", "value": "application/pdf", "language": null, "element": "format", "qualifier": "mimetype", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.subject.other", "value": "vanheneminen", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "ik\u00e4\u00e4ntyneet", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "masennus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "elinpiiri", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.subject.other", "value": "v\u00e4est\u00f6tutkimus", "language": "", "element": "subject", "qualifier": "other", "schema": "dc"}, {"key": "dc.title", "value": "Ik\u00e4\u00e4ntyneiden ihmisten elinpiirin laajuuden yhteys masennusoireisiin", "language": null, "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-201305131605", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.dcmitype", "value": "Text", 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