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社会支持、生活事件及压力对老年人丧亲之痛适应的调节作用

Social support, life events, and stress as modifiers of adjustment to bereavement by older adults.

作者信息

Norris F H, Murrell S A

机构信息

Department of Psychology, Georgia State University, Atlanta 30303.

出版信息

Psychol Aging. 1990 Sep;5(3):429-36. doi: 10.1037//0882-7974.5.3.429.

Abstract

As part of a larger panel study, interviews were obtained from 3 samples of older adults: 45 persons who had recently lost a spouse, 40 who had lost a parent or child, and 45 who were not bereaved. Assessments were conducted before and after the deaths. In the widowed sample, health remained quite stable, but depression increased sharply, then remained elevated. Changes were minimal in the sample who had lost a parent or child and in the nonbereaved sample. Multiple regression procedures were used to identify factors that contribute to depression and health 9 months after the spouse's death. Postbereavement depression was associated with higher prebereavement depression, higher financial pressures, higher global stress, fewer new interests, and lower social support. Health was a function of prebereavement health, new interests, financial pressures, and global stress. In general, life events and resources had stronger effects in the widowed sample than in the comparison samples.

摘要

作为一项更大规模的面板研究的一部分,对三组老年人进行了访谈:45名近期丧偶的人、40名失去父母或子女的人以及45名未经历丧亲之痛的人。在死亡前后都进行了评估。在丧偶样本中,健康状况保持相当稳定,但抑郁情绪急剧上升,然后一直居高不下。在失去父母或子女的样本以及未经历丧亲之痛的样本中,变化极小。使用多元回归程序来确定在配偶死亡9个月后导致抑郁和健康问题的因素。丧亲后抑郁与丧亲前较高的抑郁水平、较高的经济压力、较高的总体压力、较少的新兴趣以及较低的社会支持有关。健康状况是丧亲前健康状况、新兴趣、经济压力和总体压力的函数。一般来说,生活事件和资源在丧偶样本中的影响比在对照样本中更强。

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