在老年患者中探索"与死亡的友好关系"的概念
Zoi Raboti1, Alexander Rösler2, Reinhard Lindner3
1Department of Psychiatry and Psychotherapy, University Medical Center Hamburg-Eppendorf, Martinistraße 52, Hamburg, 20251, Germany.
BMC geriatrics
|December 18, 2025
概括
对死亡的友好关系 (FRD) 在老年人中很常见,与抑郁症或自杀倾向无关. 对死亡的这种积极态度与更大的生活满意度和接受度有关.
科学领域:
- 老年医学 老年医学
- 老龄化心理学的心理学
- 达纳图学 (Thanatology) 是一种学术学科.
背景情况:
- 对死亡的积极态度在老年患者中很普遍,但与心理健康有关的理解不佳.
- 区分"与死亡的友好关系" (FRD) 与精神疾病和自杀倾向对于准确的老年医疗评估至关重要.
研究的目的:
- 在老年人群中描述与死亡 (FRD) 的友好关系的概念.
- 为了确定老年人FRD的频率.
- 为了确定与FRD相关的老年评估变量.
主要方法:
- 99名老年患者 (≥65岁) 的横截面研究.
- 评估了对死亡的态度,使用多维定向对死亡和死亡清单 (MODDI-F) 和一个特定的FRD问题.
- 评估了使用验证问卷的抑郁症,自杀倾向,疾病负担,脆弱和孤独感.
主要成果:
- 70%的老年患者报告说,与死亡 (FRD) 有着友好的关系.
- FRD与增加对死亡的接受,减少对死亡的恐惧/拒绝,更高的宗教性/精神性以及更大的"满足对生命的饥饿"相关.
- FRD与抑郁症,自杀倾向,疾病负担,脆弱或孤独没有任何关联.
结论:
- 与死亡的友好关系 (FRD) 在老年患者中很常见,与负面的心理健康指标不同.
- FRD不仅仅代表了对死亡不可避免性的接受,它独立于抑郁症,自杀倾向,虚弱或疾病负担.
- 了解FRD可以为老年护理提供信息,将老龄化接受置于背景,并可能改善治疗结果.
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