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多发性硬化症患者的生活质量:衰老是否会增强对心理健康的认知?

Quality of life in MS: does aging enhance perceptions of mental health?

作者信息

Dilorenzo Terry A, Halper June, Picone Mary Ann

机构信息

Stern College for Women, Yeshiva University, New York, New York 10016, USA.

出版信息

Disabil Rehabil. 2009;31(17):1424-31. doi: 10.1080/09638280802624543.

Abstract

PURPOSE

This study was designed to examine the relationship between age and quality of life in middle aged and older adults with MS.

METHOD

Individuals with MS, recruited through a Comprehensive Care Centre and local registries of the National Multiple Sclerosis Society, completed a telephone interview which incorporated several scales of the MS Quality of Life Inventory. Participants were divided into three age groups reflective of developmental transitions in adulthood, from midlife transition to late adulthood.

RESULTS

Between group comparisons controlling for physical functioning and duration of MS revealed that the oldest age group (age 65 and above) reported significantly better mental health than the middle age group (age 50-64), but not the youngest age group (age 35-49). Differences between the middle and youngest age group were not significant.

CONCLUSIONS

Results suggest that perhaps the process of getting older, or factors related to being older, enhance perceptions of mental health in individuals with MS. Results are discussed within the context of social comparison theory, which might be an adaptive strategy that could underlie response shift in older individuals with MS.

摘要

目的

本研究旨在探讨患有多发性硬化症(MS)的中老年人年龄与生活质量之间的关系。

方法

通过综合护理中心和国家多发性硬化症协会的当地登记处招募患有MS的个体,他们完成了一次电话访谈,该访谈纳入了MS生活质量量表的几个维度。参与者被分为三个年龄组,反映了成年期从中年过渡到老年的发展阶段。

结果

在控制身体功能和MS病程的组间比较中发现,年龄最大的组(65岁及以上)报告的心理健康状况明显优于中年组(50 - 64岁),但不如最年轻的组(35 - 49岁)。中年组和最年轻组之间的差异不显著。

结论

结果表明,也许变老的过程或与年龄相关的因素会增强患有MS个体的心理健康感。研究结果在社会比较理论的背景下进行了讨论,这可能是一种适应性策略,可能是老年MS患者反应转移的潜在基础。

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