在老年人中,心理性和脆弱性进展
Bo Ye1, Yunxia Li2, Zhijun Bao1
1Shanghai Key Laboratory of Clinical Geriatric Medicine, Huadong Hospital Affiliated to Fudan University, Shanghai, China.
JAMA network open
|November 25, 2024
概括
老年人的心理性 (PR) 与脆弱性进展有关. 监测PR变化可以帮助预测脆弱性轨迹,并为预防或改善脆弱性的干预提供信息.
科学领域:
- 老年学与公共卫生
- 纵向队列研究是指纵向队列研究.
- 老龄化和健康研究研究
背景情况:
- 心理性 (PR) 与老年人脆弱性进展之间的关系仍然不完全理解.
- 了解这种关联对于开发有针对性的干预措施来支持健康老龄化至关重要.
研究的目的:
- 调查心理性 (PR) 和其变化 (ΔPR) 与社区老年人的脆弱性进展之间的纵向关联.
- 确定PR水平和随时间的变化是否可以预测未来的脆弱轨迹.
主要方法:
- 一项在上海 (2020-2023) 开展的基于社区的前性队列研究,涉及4033名老年人 (≥60岁).
- 使用康纳-戴维森弹性度量 (CD-RISC) 测量了心理弹性 (PR).
- 在3年的随访期内,使用中国脆弱性查尺度-10评估了脆弱性进展,从5月到2024年7月进行了统计分析.
主要成果:
- 在PR和未来的脆弱性之间发现了显著的关联,特别是在基线脆弱性得分较高的个体中.
- PR (ΔPR) 的变化显示出与脆弱性进展的非线性关联,PR的下降与负面结果更为密切相关.
- PR和ΔPR与脆弱性改善和恶化有显著的关联,在基线脆弱性较高的人群中,影响更为明显.
结论:
- 在老年人中,心理性 (PR) 和脆弱性进展之间存在纵向关联.
- 监测PR及其变化可以帮助预测脆弱轨迹.
- 旨在增强PR的干预措施可以有效地预防和改善老年人群的脆弱性.
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