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残疾对成年期的影响。

The Effect of Disability Onset Across the Adult Life Span.

机构信息

Arizona State University, Tempe.

Freie Universität, Berlin, Germany.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2018 Jun 14;73(5):755-766. doi: 10.1093/geronb/gbw055.

Abstract

OBJECTIVE

To examine whether disability has an age-differential effect on life satisfaction across the adult life span and factors that promote maintenance of life satisfaction.

METHOD

We applied multilevel models to 4,372 (Mage = 60, SD = 14; 47% women) individuals from the German Socio-Economic Panel Study who experienced disability over the course of the study.

RESULTS

Disability resulted in substantial and sustained declines in life satisfaction. More important, people who became disabled in young adulthood (aged 18-39 years) and old age (aged 65 and older) reported stronger declines in life satisfaction in the year within disability and were less likely to adapt in the years thereafter. Conversely, those who experienced disability in midlife (aged 40-64 years) were less likely to show declines in the year within disability and were more likely to adapt following disability. Factors associated with maintaining life satisfaction were less severe disability and higher levels of social participation.

DISCUSSION

Our findings illustrate that disability shapes developmental trajectories of life satisfaction differently depending on its age of onset. Our discussion focuses on possible reasons why disability has differential effects on life satisfaction across the adult life span as well as factors associated with poorer outcomes following disability.

摘要

目的

考察残疾是否会对成年期的生活满意度产生年龄差异,并探讨促进生活满意度维持的因素。

方法

我们应用多水平模型,对经历残疾的 4372 名(Mage=60,SD=14;47%为女性)个体进行分析,这些个体来自德国社会经济面板研究。

结果

残疾导致生活满意度显著且持续下降。更重要的是,在成年早期(18-39 岁)和老年(65 岁及以上)发生残疾的人,在残疾当年报告的生活满意度下降更为剧烈,且在之后的几年内更难适应;而在中年(40-64 岁)发生残疾的人,在残疾当年生活满意度下降的可能性较小,且在残疾后更有可能适应。与维持生活满意度相关的因素是残疾程度较轻和社会参与度较高。

讨论

我们的研究结果表明,残疾对生活满意度的发展轨迹的影响因发病年龄而异。我们的讨论重点是残疾对成年期生活满意度产生差异影响的可能原因,以及残疾后生活满意度较差的相关因素。

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