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解析监狱中老年囚犯的创伤和压力、应对资源与心理健康:理论与实践关联的实证证据。

Unraveling trauma and stress, coping resources, and mental well-being among older adults in prison: empirical evidence linking theory and practice.

机构信息

Graduate School of Social Service, Fordham University, New York, New York.

New York Medical College, Valhalla.

出版信息

Gerontologist. 2014 Oct;54(5):857-67. doi: 10.1093/geront/gnt069. Epub 2013 Jul 19.

Abstract

PURPOSE OF STUDY

A theoretical integration of the life course perspective, cumulative advantage, disadvantage or inequality, and stress processing theories provide an important integrated lens to study the relationship between accumulated interpersonal, social-structural, and historical trauma and stressful experiences on mental well-being mental well-being in later life.

DESIGN AND METHODS

This study builds upon the extant literature by examining the mediating role of coping resources on the relationship between trauma and stressful life experiences, post traumatic stress symptoms, and mental well-being among a sample of 677 adults aged 50 and older in prison.

RESULTS

The majority (70%) reported experiencing one or more traumatic or stressful life experiences during their life span. Participants also reported on average 11 occurrences of multilevel trauma and stressful life events and lingering subjective distress related to these events. Results of a structural equation model revealed that internal and external coping resources (e.g., cognitive, emotional, physical, spiritual, and social) had a significant and inverse effect on the relationship between trauma and stressful life experiences and mental well-being.

IMPLICATIONS

As prisons are forced to deal with an aging population, research in this area can take the preliminary steps to enhance understanding of risk and resilience among older adults in prison. This understanding will aid in the development and improvement of integrated theory-based interventions seeking to increase human rights, health, and well-being among older adults in prison.

摘要

研究目的

生命周期理论、累积优势、劣势或不平等以及压力处理理论的理论整合为研究人际间、社会结构和历史创伤的累积以及生活中的压力经历对晚年心理健康的关系提供了一个重要的综合视角。

设计与方法

本研究通过考察应对资源在创伤和生活压力经历、创伤后应激症状与心理健康之间的关系中的中介作用,在一个由 677 名 50 岁及以上监狱成年人组成的样本中,对现有文献进行了扩展。

结果

大多数(70%)人报告在其一生中经历过一次或多次创伤或生活压力经历。参与者还报告了平均 11 次多层面的创伤和生活压力事件,以及与这些事件相关的挥之不去的主观困扰。结构方程模型的结果表明,内部和外部应对资源(如认知、情感、身体、精神和社会)对创伤和生活压力经历与心理健康之间的关系有显著的负向影响。

意义

随着监狱被迫应对人口老龄化,该领域的研究可以采取初步措施,增进对监狱中老年成年人风险和适应力的理解。这种理解将有助于制定和改进基于综合理论的干预措施,旨在增加监狱中老年成年人的人权、健康和福祉。

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