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绝经后女性对自身衰老的态度与心理健康

Attitude Toward Own Aging and Mental Health in Post-menopausal Women.

作者信息

Kavirajan Harish, Vahia Ipsit V, Thompson Wesley K, Depp Colin, Allison Matthew, Jeste Dilip V

机构信息

Greater Los Angeles VA Medical Center, Los Angeles, CA and University of California Los Angeles, Geffen School of Medicine, Department of Psychiatry and Biobehavioral Sciences, Los Angeles, CA.

出版信息

Asian J Psychiatr. 2011 Mar 1;4(1):26-30. doi: 10.1016/j.ajp.2011.01.006.

DOI:10.1016/j.ajp.2011.01.006
PMID:21607197
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3098443/
Abstract

INTRODUCTION

Attitudes toward own aging (ATOA) refers to expectations about the personal experience of aging. As of now, there is limited literature that addresses the impact of ATOA on indicators of psychological, physical, and social health. In this study, we examine associations between ATOA and several measures associated with successful aging. METHODS: A detailed cross-sectional survey questionnaire on successful aging was completed by 1,973 older women enrolled in the San Diego site of the Women's Health Initiative study. ATOA was measured using the Philadelphia Geriatric Morale Scale (PGMS) RESULTS: The final sample consisted of 1151 women. The mean ATOA score was 3.8 indicating generally positive ATOA. Positive ATOA score was significantly associated with younger age, lower income, being married, higher SF-36 Physical Composite scores, higher SF-36 Mental composite scores, lower depression scores, and higher resilience scores. Approximately 40% of variance in ATOA scores was explained by successful aging-related domain scores. CONCLUSIONS: Better physical and emotional functioning, greater resilience and lower depression are associated with more positive ATOA. Associations with sociodemographic traits are complex. Modifying ATOA may have potential to impact a broad range of health and successful aging related outcomes.

摘要

引言

对自身衰老的态度(ATOA)是指对衰老个人体验的期望。截至目前,探讨ATOA对心理、身体和社会健康指标影响的文献有限。在本研究中,我们考察了ATOA与若干与成功衰老相关指标之间的关联。方法:1973名参与妇女健康倡议研究圣地亚哥站点的老年女性完成了一份关于成功衰老的详细横断面调查问卷。使用费城老年士气量表(PGMS)测量ATOA。结果:最终样本包括1151名女性。ATOA平均得分3.8,表明总体上ATOA呈积极态度。积极的ATOA得分与较年轻的年龄、较低的收入、已婚、较高的SF-36身体综合得分、较高的SF-36心理综合得分、较低的抑郁得分以及较高的复原力得分显著相关。ATOA得分中约40%的变异可由与成功衰老相关的领域得分解释。结论:更好的身体和情感功能、更强的复原力以及更低的抑郁与更积极的ATOA相关。与社会人口学特征的关联较为复杂。改变ATOA可能有潜力影响广泛的健康和与成功衰老相关的结果。

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本文引用的文献

1
Subthreshold depression and successful aging in older women.老年女性亚临床抑郁与成功老龄化。
Am J Geriatr Psychiatry. 2010 Mar;18(3):212-20. doi: 10.1097/JGP.0b013e3181b7f10e.
2
Marital status, gender, and depression: analysis of the baseline survey of the Korean Longitudinal Study of Ageing (KLoSA).婚姻状况、性别与抑郁症:韩国老年纵向研究(KLoSA)基线调查分析
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Social comparisons and health: can having richer friends and neighbors make you sick?社会比较与健康:拥有更富有的朋友和邻居会让你生病吗?
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Longitudinal predictors of attitudes toward aging among women with multiple sclerosis.多发性硬化症女性对衰老态度的纵向预测因素
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5
Cross-sectional validation of the Aging Perceptions Questionnaire: a multidimensional instrument for assessing self-perceptions of aging.衰老认知问卷的横断面验证:一种用于评估衰老自我认知的多维工具。
BMC Geriatr. 2007 Apr 26;7:9. doi: 10.1186/1471-2318-7-9.
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Perceived age as a predictor of old age mortality: a 13-year prospective study.感知年龄作为老年死亡率的预测指标:一项为期13年的前瞻性研究。
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