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晚年的主观年龄与健康:创伤后症状的作用。

Subjective Age and Health in Later Life: The Role of Posttraumatic Symptoms.

作者信息

Avidor Sharon, Benyamini Yael, Solomon Zahava

机构信息

I-Core Research Center for Mass Trauma and

Bob Shapell School of Social Work, Tel Aviv University, Israel.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2016 May;71(3):415-24. doi: 10.1093/geronb/gbu150. Epub 2014 Oct 16.

DOI:10.1093/geronb/gbu150
PMID:25324296
Abstract

OBJECTIVES

We examined: (a) long-term effects of war-related trauma and captivity on posttraumatic stress symptoms (PTSS), physical health, and subjective age; and (b) the moderation effect of PTSS and health on subjective age among ex-prisoners of war (ex-POWs) and war veterans.

METHOD

Israeli veterans of the 1973 Yom Kippur War (mean age 57 years), including 111 ex-POWs and 167 matched veterans were assessed for subjective age, war-related PTSS, and health-related measures (physical symptoms, somatization, health-risk behaviors, and self-rated health).

RESULTS

Controlling for age, ex-POWs endorsed higher subjective age than controls, and ex-POWs with posttraumatic stress disorder (PTSD) endorsed higher subjective age than ex-POWs and controls without PTSD. PTSS and health measures besides health-risk behaviors predicted subjective age. Significant interactions were found between PTSS and each health measure, suggesting that health only predicts subjective age for those reporting high PTSS.

DISCUSSION

PTSS appear to be implicated in the link between health measures and subjective age in later life, pointing to the long-term effect of captivity and war-induced traumatic distress on aging.

摘要

目的

我们研究了:(a)与战争相关的创伤和囚禁对创伤后应激症状(PTSS)、身体健康和主观年龄的长期影响;以及(b)PTSS和健康状况对前战俘和退伍军人主观年龄的调节作用。

方法

对1973年赎罪日战争的以色列退伍军人(平均年龄57岁)进行评估,其中包括111名前战俘和167名匹配的退伍军人,评估内容包括主观年龄、与战争相关的PTSS以及与健康相关的指标(身体症状、躯体化、健康风险行为和自评健康状况)。

结果

在控制年龄后,前战俘的主观年龄高于对照组,患有创伤后应激障碍(PTSD)的前战俘的主观年龄高于没有PTSD的前战俘和对照组。除健康风险行为外,PTSS和健康指标可预测主观年龄。在PTSS与每项健康指标之间发现了显著的交互作用,这表明健康状况仅对报告高PTSS的人主观年龄有预测作用。

讨论

PTSS似乎与晚年健康指标和主观年龄之间的联系有关,这表明囚禁和战争引发的创伤性应激对衰老有长期影响。

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