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生命终末期的时间困境:超高龄群体生活满意度的时间视角轨迹。

The predicament of time near the end of life: Time perspective trajectories of life satisfaction among the old-old.

机构信息

Department of Psychology, Tel Aviv University, Israel.

出版信息

Aging Ment Health. 2010 Jul;14(5):577-86. doi: 10.1080/13607860903483086.

Abstract

OBJECTIVE

The present study investigated time perspective in old-old age as embodied in trajectories of life satisfaction ratings that individuals attribute to their past, present, and anticipated future. We hypothesized that these trajectories represent diverse strategies of coping with old age.

METHOD

The sample was composed of 164 participants (mean age 91.9, SD = 4.3) who survived the third wave of a national longitudinal study in Israel. The findings indicated four groups; three with distinctive trajectories of life satisfaction - equilibrated, descending, and no-future, along with an unreported trajectory group.

RESULTS

The equilibrated trajectory group exhibited the highest functioning on central markers of adaptation (indicating depressive symptoms, self-rated health, and physical performance). The descending and the no-future trajectories were found to be moderately effective strategies. The unreported trajectory presented the lowest level of functioning.

CONCLUSIONS

The findings revealed the adaptive roles of time-related perspective on life in old-old people. This perspective reflects a variety of rudimentary trajectories that constitute a time-based module of well-being along the continuum of one's life story. The study suggests that the diverse trajectories relate to essential domains of functioning. Practitioners and therapists may profit from assessing the time perspective of the old-old and directing it into more adaptive trajectories.

摘要

目的

本研究考察了老年期时间观,表现在个体对过去、现在和预期未来的生活满意度评分轨迹中。我们假设这些轨迹代表了应对老年期的不同策略。

方法

样本由 164 名参与者组成(平均年龄 91.9,SD=4.3),他们是以色列一项全国性纵向研究的第三波幸存者。研究结果表明存在四个群体;三个具有不同生活满意度轨迹的群体——平衡、下降和无未来,以及一个未报告的轨迹群体。

结果

平衡轨迹组在适应的核心标志物上表现出最高的功能(表明抑郁症状、自我评估健康和身体表现)。下降和无未来的轨迹被认为是中等有效的策略。未报告的轨迹表现出最低的功能水平。

结论

研究结果揭示了时间相关视角对老年期生活的适应性作用。这种视角反映了构成一个人生命故事连续体中幸福感的基于时间的模块的各种基本轨迹。该研究表明,不同的轨迹与功能的基本领域有关。从业者和治疗师可以通过评估老年人的时间视角并将其引导到更适应的轨迹中获益。

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