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高齢者の社会的孤立と孤独に対するレジリエンス・アプリケーション:モデルと研究アジェンダの開発のためのスコーピング・レビュー
Andrew Wister1, Boah Kim2, Mélanie Levasseur3,4
1Gerontology Research Centre and Department of Gerontology, Simon Fraser University, Vancouver, BC, Canada.
Frontiers in public health
|September 2, 2025
まとめ
レジリエンスモデルは,高齢者が社会的孤立と孤独 (SI/L) と戦うのに役立ちます. このレビューでは,この増加する公衆衛生上の懸念に対処するために,レジリエンスと社会的な孤立モデル (RSIMA) を提案しています.
科学分野:
- ゲロントロジー
- 公衆衛生
- 心理学
背景:
- 高齢者の社会的孤立と孤独 (SI/L) に関する理論的モデルは,特にCOVID-19後の経験的研究に遅れをとっています.
- リジリエンスモデルはSI/Lを理解し,緩和するための有望な手段ですが,まだ十分に調査されていません.
- このスコーピングレビューでは,高齢者のSI/Lに対するレジリエンス理論モデルの適用が検討されています.
研究 の 目的:
- 高齢者の社会的孤立と孤独に適用されたレジリエンス理論モデルのスコーピングレビューを実施する.
- SI/Lの文脈でレジリエンスに寄与する主要なテーマと要因を特定する.
- 人口高齢化におけるSI/Lの理解と対処のための統合された理論的モデルを提案する.
主な方法:
- アークシーとオマレーの スコーピング・レビュー・メソドロジーを採用しました
- 4つのデータベースで 13つのキーワードを使って 体系的な検索を行いました
- 既定の基準に基づいて抽出した1671の記事のうち17の記事が含まれています.
主要な成果:
- 4つの主要なテーマを特定しました: 自己効能に対処する,期待を緩和する,社会的支援/環境効果,そして仲介者として回復力.
- 研究成果を集約して"レジリエンス・アンド・ソーシャル・アイソレーション・モデル・オブ・エイジング (RSIMA) "を開発した.
- RSIMAは,社会的なつながりと回復力を促進する要因に影響されるダイナミックな連続体としてSI/Lを概念化しています.
結論:
- RSIMAは,SI/Lをダイナミックなプロセスとして理解するための枠組みを提供し,社会的つながりと回復力を高める要因を強調しています.
- 高齢者におけるSI/Lの公衆衛生危機に対処し,個人やコミュニティの回復力を強調する.
- SI/Lと高齢化におけるレジリエンスに関する将来の研究において,システムレベルの視点を提唱する.
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