对老年人的机械孤独干预措施的系统审查和元分析
Andrea M Coppola1,2, Stephanie Ibrahim1, Nikki Bloch3
1Department of Psychiatry, University of California San Diego, La Jolla, California, USA.
Annals of the New York Academy of Sciences
|September 10, 2025
概括
干预措施显著减少了老年人的孤独感. 耐受痛苦,认知参与,社会激活和接受衰老方法显示出有效性,小组和更长时间的会议产生更大的益处.
科学领域:
- 老年学是一门学科.
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 孤独是影响老年人福祉的一个重要问题.
- 确定有效的干预机制对于公共卫生战略至关重要.
研究的目的:
- 评估改善老年人孤独感的具体干预机制.
- 综合来自对孤独干预的随机对照试验 (RCT) 的证据.
主要方法:
- 来自EMBASE,MEDLINE和PsycINFO数据库的RCT的系统审查和元分析.
- 包括35个RCT (N=5291),重点关注应急耐受性,认知参与,社会行为激活和接受衰老.
- 使用随机效应模型和元回归来分析聚合效应大小和异质性.
主要成果:
- 对于改善孤独感的干预措施,发现了显著的聚合效应大小 (SMD = -1.11).
- 在研究中观察到高异质性 (I2 = 99.57%).
- 痛苦耐受性,小组干预,更长时间/频繁的会议,以及对衰老干预的认知/接受表明更大的效果大小.
结论:
- 各种干预机制有效地减少了社区老年人的孤独感.
- 干预特征,如小组格式和会议持续时间,会影响干预的有效性.
- 进一步的研究应该探索最佳的干预设计,以对抗老年人群中孤独.
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