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重新审视主观幸福感与死亡率:幸福感的认知和情感层面对于死亡率的不同影响。

Subjective well-being and mortality revisited: differential effects of cognitive and emotional facets of well-being on mortality.

机构信息

German Centre of Gerontology, Berlin, Germany.

出版信息

Health Psychol. 2011 Nov;30(6):728-35. doi: 10.1037/a0023839. Epub 2011 May 23.

DOI:10.1037/a0023839
PMID:21604881
Abstract

OBJECTIVE

Subjective well-being (SWB) is an important predictor of mortality. To date, surprisingly little is known about whether cognitive and emotional facets of SWB independently predict mortality, and whether such effects vary by age.

METHOD

This study examined differential effects of life satisfaction (LS), positive affect (PA), and negative affect (NA) on mortality in a conjoint analysis using data of German adults between the ages of 40 to 85 years (N = 3,124). Effects of SWB facets were analyzed using Cox Proportional Hazards Models.

RESULTS

LS and PA predicted mortality over and above sociodemographic factors and physical health (HRLS = .89, 95% CI = .79-1.00, p < .05, HRPA = .81, 95% CI = .70-.93, p < .05). However, this effect diminished when including self-rated health and physical activity. NA was not associated with mortality. Age group comparative analyses revealed that PA predicted mortality in older adults (65+) even after controlling for self-rated health and physical activity (HRPA = .82, 95% CI = .70-.97, p < .05). In middle-aged participants, no SWB indicator predicted mortality when controlling for covariates.

CONCLUSIONS

These findings suggest a differential impact of cognitive and emotional well-being on mortality and suggest that in middle-aged adults the effects of SWB on mortality are attenuated by self-rated health and physical activity. The study underscores the importance of SWB for health and longevity, particularly for older adults.

摘要

目的

主观幸福感(SWB)是死亡率的一个重要预测指标。迄今为止,人们对认知和情感方面的 SWB 是否能独立预测死亡率,以及这种影响是否因年龄而异,知之甚少。

方法

本研究使用 40 至 85 岁德国成年人的数据,通过联合分析,考察了生活满意度(LS)、积极情绪(PA)和消极情绪(NA)对死亡率的不同影响。使用 Cox 比例风险模型分析了 SWB 各方面的影响。

结果

LS 和 PA 预测死亡率的作用超过了社会人口因素和身体健康(HRLS=.89,95%CI=.79-1.00,p <.05,HRPA=.81,95%CI=.70-.93,p <.05)。然而,当包括自我评估的健康状况和身体活动时,这种效果就减弱了。NA 与死亡率无关。年龄组比较分析显示,PA 即使在控制自我评估的健康状况和身体活动后,也与老年人(65 岁以上)的死亡率相关(HRPA=.82,95%CI=.70-.97,p <.05)。在中年参与者中,当控制协变量时,没有任何 SWB 指标能预测死亡率。

结论

这些发现表明认知和情感幸福感对死亡率的影响不同,并表明在中年成年人中,SWB 对死亡率的影响被自我评估的健康状况和身体活动所减弱。该研究强调了 SWB 对健康和长寿的重要性,特别是对老年人。

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