Yang Yiqing, Wen Ming
Department of Sociology, University of Utah, Salt Lake City.
J Gerontol B Psychol Sci Soc Sci. 2015 May;70(3):470-80. doi: 10.1093/geronb/gbu068. Epub 2014 Jun 4.
This study explores the influence of psychological resilience on the onset of activities of daily living (ADL) disability among Chinese older adults and examines whether this association varies by age.
Using a sample of 11,112 older adults from 2 waves of the Chinese Longitudinal Healthy Longevity Survey, collected in 2002 and 2005, this study examines whether higher levels of psychological resilience (measured by a 5-item scale) predict lower risk of ADL incidence during a 3-year follow-up and whether this effect varies by age.
Higher levels of resilience at the baseline are significantly associated with reduced risk of becoming ADL disabled during the 3-year follow-up period, independent of baseline sociodemographic characteristics, family support, and health. Moreover, resilience by age interaction is detected. Higher levels of resilience are more protective against the onset of disability for the younger old (aged 65-84) than the oldest old (aged 85 and older).
Among older adults in China, psychological resilience is a protective factor against ADL disability, and the benefits are particularly significant for older adults younger than 85 years.
本研究探讨心理韧性对中国老年人日常生活活动（ADL）能力丧失发病的影响，并检验这种关联是否因年龄而异。
本研究使用了来自2002年和2005年两轮中国健康与养老追踪调查的11112名老年人样本，检验较高水平的心理韧性（用一个包含5个条目的量表测量）是否能预测3年随访期间ADL发病风险较低，以及这种效应是否因年龄而异。
基线时较高水平的心理韧性与3年随访期间ADL能力丧失风险降低显著相关，这一关联独立于基线社会人口学特征、家庭支持和健康状况。此外，还检测到心理韧性与年龄的交互作用。与高龄老人（85岁及以上）相比，较高水平的心理韧性对低龄老人（65 - 84岁）残疾发病的保护作用更强。
在中国老年人中，心理韧性是预防ADL能力丧失的一个保护因素，且这种益处对85岁以下的老年人尤为显著。
