O'Rourke Norm, Bachner Yaacov G, Cappeliez Philippe, Chaudhury Habib, Carmel Sara
a IRMACS Centre , Simon Fraser University , Burnaby , Canada.
Aging Ment Health. 2015;19(4):335-46. doi: 10.1080/13607863.2014.938607. Epub 2014 Aug 5.
Existing research with English-speaking samples indicates that various ways in which older adults recall their past affect both their physical and mental health. Self-positive reminiscence functions (i.e. identity, problem-solving, death preparation) correlate and predict mental health in later life whereas self-negative functions (i.e. bitterness revival, boredom reduction, intimacy maintenance) correlate and predict the physical health of older adults.
For this study, we recruited 295 Israeli Holocaust survivors to ascertain if early life trauma affects these associations between reminiscence and health. In order to distinguish cross-national differences from survivor-specific effects, we also recruited two comparative samples of other older Israelis (not Holocaust survivors; n = 205) and a second comparative sample of 335 older Canadians. Three separate structural equation models were computed to replicate this tripartite reminiscence and health model.
Coefficients for self-negative functions significantly differed between survivors and both Canadians and other older Israelis, and between Canadians and both Israeli samples. However, no differences were found between prosocial and self-positive functions. Moreover, the higher order structure of reminiscence and health appears largely indistinguishable across these three groups.
Early life trauma does not appear to fundamentally affect associations between reminiscence and health. These findings underscore the resilience of Holocaust survivors.
针对说英语样本的现有研究表明,老年人回忆过去的各种方式会影响他们的身心健康。自我积极的回忆功能(即身份认同、解决问题、死亡准备)与晚年心理健康相关并可预测心理健康,而自我消极功能(即痛苦重现、减少无聊、维持亲密关系)与老年人的身体健康相关并可预测身体健康。
在本研究中,我们招募了295名以色列大屠杀幸存者,以确定早年创伤是否会影响回忆与健康之间的这些关联。为了区分跨国差异与幸存者特定效应,我们还招募了另外两组以色列老年人(非大屠杀幸存者;n = 205)作为比较样本,以及335名加拿大老年人作为第二个比较样本。计算了三个独立的结构方程模型来复制这种三方回忆与健康模型。
幸存者与加拿大人和其他以色列老年人之间,以及加拿大人与两个以色列样本之间,自我消极功能的系数存在显著差异。然而,亲社会功能和自我积极功能之间未发现差异。此外,回忆与健康的高阶结构在这三组中似乎基本无法区分。
早年创伤似乎并未从根本上影响回忆与健康之间的关联。这些发现凸显了大屠杀幸存者的恢复力。