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一生中不同阶段的潜在创伤性事件与心理健康:SHARE-以色列研究的结果。

Potentially traumatic events at different points in the life span and mental health: findings from SHARE-Israel.

机构信息

Tel Aviv University The Hebrew University of Jerusalem, Tel Aviv University, Tel Aviv 69978, Israel.

出版信息

Am J Orthopsychiatry. 2012 Apr;82(2):251-9. doi: 10.1111/j.1939-0025.2012.01149.x.

Abstract

This study addressed the association between adversity cumulated at different points in the life span and present mental health. Data of 1,130 participants aged 50+ were drawn from the Israeli component of the Survey of Health, Ageing and Retirement in Europe (SHARE). Measures included an inventory of potentially traumatic events, mental distress (depressive symptoms), and well-being (quality of life, life satisfaction). Adversity reported to have occurred early in life was positively related to mental health (i.e., to lower distress and higher well-being), whereas adversity reported to occur in late life was negatively related (i.e., to higher distress and lower well-being). Additional analyses showed that the positive association between early-life adversity and mental health was mainly restricted to adversity in which the primary harm was to another person (other-oriented adversity). In contrast, the negative association between late-life adversity and mental health was mainly restricted to adversity in which the primary harm was to the self (self-oriented adversity). This study suggests that the differential association between cumulative adversity and mental health is best captured when accounting for both time of occurrence and adversity type.

摘要

这项研究探讨了生命不同阶段累积的逆境与当前心理健康之间的关系。该研究的数据来自欧洲健康、衰老和退休调查(SHARE)的以色列部分,共有 1130 名 50 岁以上的参与者。研究的测量指标包括潜在创伤事件清单、精神困扰(抑郁症状)和幸福感(生活质量、生活满意度)。研究发现,生命早期报告的逆境与心理健康呈正相关(即较低的困扰和较高的幸福感),而生命晚期报告的逆境与心理健康呈负相关(即较高的困扰和较低的幸福感)。进一步的分析表明,生命早期逆境与心理健康之间的正相关主要局限于对他人造成主要伤害的逆境(面向他人的逆境)。相比之下,生命晚期逆境与心理健康之间的负相关主要局限于对自身造成主要伤害的逆境(面向自身的逆境)。本研究表明,当同时考虑逆境发生的时间和类型时,累积逆境与心理健康之间的差异关联可以得到更好的解释。

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