敌对世界情景在预测老年人身心健康结果中的作用。
The Role of the Hostile-World Scenario in Predicting Physical and Mental Health Outcomes in Older Adults.
作者信息
Shmotkin Dov, Avidor Sharon, Shrira Amit
机构信息
Tel Aviv University, Israel
Tel Aviv University, Israel.
出版信息
J Aging Health. 2016 Aug;28(5):863-89. doi: 10.1177/0898264315614005. Epub 2015 Dec 14.
OBJECTIVE
The hostile-world scenario (HWS) denotes a personal belief system regarding threats to one's physical and mental integrity. We examined whether the HWS predicted health among older adults.
METHOD
The Israeli branch of the Survey of Health, Ageing and Retirement in Europe (SHARE-Israel) provided data on 1,286 participants, aged 50+, interviewed in two waves 4 years apart. A special measure assembled items pertinent to the HWS throughout the SHARE survey. Nine outcomes indicated physical health (e.g., activities of daily living, medical conditions) and mental health (e.g., depressive symptoms, satisfaction with life).
RESULTS
The HWS at Wave 1 predicted all physical and mental outcomes at Wave 2, except cognitive functioning, beyond effects of sociodemographics and the respective outcome's baseline at Wave 1. This predictive effect was stronger among older participants.
DISCUSSION
The results support the conception of the HWS as a psychological monitor that senses approaching functional declines in later life.
目的
敌对世界情景（HWS）指的是一种关于个人身心完整性受到威胁的个人信念体系。我们研究了HWS是否能预测老年人的健康状况。
方法
欧洲健康、老龄化与退休调查（SHARE）以色列分支提供了1286名年龄在50岁及以上参与者的数据，这些参与者在相隔4年的两轮调查中接受了访谈。一项特殊测量在整个SHARE调查中收集了与HWS相关的项目。九个结果指标分别表明身体健康状况（如日常生活活动、医疗状况）和心理健康状况（如抑郁症状、生活满意度）。
结果
除认知功能外，第1轮的HWS能够预测第2轮所有的身体和心理结果指标，这一预测作用超出了社会人口统计学因素以及第1轮各结果指标基线水平的影响。这种预测作用在老年参与者中更强。
讨论
研究结果支持将HWS视为一种心理监测器的观点，它能够感知到晚年即将出现的功能衰退。
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