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比较风险与感知控制:对老年人心理和身体健康的影响

Comparative risk and perceived control: implications for psychological and physical well-being among older adults.

作者信息

Ruthig Joelle C, Chipperfield Judith G, Perry Raymond P, Newall Nancy E, Swift Audrey

机构信息

Department of Psychology, University of North Dakota, Grand Forks, ND 58202, USA.

出版信息

J Soc Psychol. 2007 Aug;147(4):345-69. doi: 10.3200/SOCP.147.4.345-369.

Abstract

As older adults become more susceptible to certain health crises, their preoccupation with their risk of suffering such events increases. Understanding the implications of risk perceptions is critical because they may have consequences for psychological and physical well-being in later life. In the present study of older adults living in the community, the authors examined participants' comparative risk estimates (CREs)--their perceptions of their own risk relative to a similar other's risk--of suffering a hip fracture. Using multiple regression analyses, the authors examined the role of CREs on psychological well-being (negative emotions, life satisfaction) and self-rated physical well-being (general physical health, recent physical health). The authors expected perceived control (PC) to moderate the relationship between CREs and well-being. The predicted interaction did occur: Among individuals with high PC, comparative optimism (perceiving a comparatively low risk) was associated with better psychological well-being (fewer negative emotions and greater life satisfaction) and better physical well-being (general and recent physical health) relative to comparative pessimism (perceiving a comparatively high risk). Among individuals with low PC, there were no differences in well-being between comparative optimists and comparative pessimists. These findings suggest that the protective effect of comparative optimism on well-being is limited to older adults who have a strong sense of control.

摘要

随着老年人更容易受到某些健康危机的影响,他们对遭遇此类事件风险的担忧也与日俱增。理解风险认知的影响至关重要,因为它们可能会对晚年的心理和身体健康产生影响。在这项针对社区老年人的研究中,作者考察了参与者对髋部骨折风险的比较风险估计(CREs)——他们对自身风险与其他类似人群风险的认知。通过多元回归分析,作者研究了CREs在心理健康(负面情绪、生活满意度)和自我评定的身体健康(总体身体健康、近期身体健康)方面所起的作用。作者预期感知控制(PC)会调节CREs与幸福感之间的关系。预测的交互作用确实出现了:在高PC的个体中,相较于比较悲观(感知相对较高风险),比较乐观(感知相对较低风险)与更好的心理健康(更少负面情绪和更高生活满意度)以及更好的身体健康(总体和近期身体健康)相关。在低PC的个体中,比较乐观者和比较悲观者在幸福感方面没有差异。这些发现表明,比较乐观对幸福感的保护作用仅限于有强烈控制感的老年人。

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