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老年人的心理健康和社会环境之间的纵向关联:一个多层次的增长建模
Atami S De Main1, Daniel A Powers2, Bo Xie2,3
1Weill Cornell Medicine Division of Geriatrics and Palliative Medicine, New York, NY, USA.
Aging & mental health
|June 9, 2023
概括
对于老年人来说,社会联系和贡献至关重要.
科学领域:
- 老年学是一门学科.
- 社会心理学 社会心理学
- 公共卫生 公共卫生
背景情况:
- 老年人的心理健康是一个日益严重的公共卫生问题.
- 社会因素在整个生命周期中显著影响心理健康.
- 了解衰老中的纵向社会心理健康联系至关重要.
研究的目的:
- 研究55岁及以上成年人社会环境指标与心理健康之间的纵向关联.
- 调查社会联系,参与,贡献和抑郁/焦虑之间的关系.
- 评估慢性疾病对这些关系的缓解作用.
主要方法:
- 利用美国中年发展国家纵向调查 (MIDUS) 的3波数据.
- 包括2020名55-94岁的社区成年人.
- 采用多层次的增长模型,控制社会人口统计和身体健康因素.
主要成果:
- 较低的情感社会支持,社会融合和社会贡献预测了20年来抑郁和焦虑的增加.
- 社交网络的大小和社会参与并不是重要的预测因素.
- 慢性疾病的数量减轻了抑郁和焦虑的发展轨迹.
结论:
- 加强社会贡献和联系的干预措施可能会改善老年人的心理健康.
- 建议推促进与家庭,社区和医疗保健提供者的联系的计划.
- 干预措施必须考虑多种慢性疾病对社会参与的影响.
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