暂时的挫折还是持久的挑战? 过渡性和持久性功能残疾对晚年生活幸福感的影响
Thibault Köhler1, Bram Vanhoutte1
1Research Centre for Epidemiology, Biostatistics and Clinical Research, School of Public Health, Université Libre de Bruxelles, Brussels, Belgium.
概括
功能障碍显著影响福祉,持续的限制导致对生活满意度,生活质量和心理健康的持续下降. 然而,暂时的残疾可以恢复到以前的幸福水平.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 心理学 心理学 心理学
背景情况:
- 大多数老年人经历健康限制,但发病和对幸福感的影响各不相同.
- 了解功能性残疾后的福祉轨迹对于有针对性的干预至关重要.
研究的目的:
- 研究功能性残疾发作后,幸福感 (情感,认知,精神) 如何发生变化.
- 区分持久性与暂时性功能残疾对幸福感的影响.
主要方法:
- 来自欧洲健康,老龄化和退休调查 (SHARE) 波4-8的纵向面板数据.
- 对超过3,500名欧洲人过渡到功能残疾的分析.
- 适用于福祉指标的线性支线增长模型 (EURO-D,CASP,生活满意度).
主要成果:
- 在残疾开始时,观察到所有福祉指标的显著下降.
- 与生活质量 (-0.23) 和抑郁症 (-0.27) 相比,生活满意度的下降幅度较小 (-0.11).
- 持久性残疾导致明显的长期幸福感下降,适应能力有限,与暂时性残疾不同.
结论:
- 功能障碍在多个层面上对老年人的福祉产生重大影响.
- 持续的功能障碍是影响长期福祉的关键时刻.
- 过渡性功能残疾与恢复到基线幸福水平有关.
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