Hayman Karen J, Kerse Ngaire, Consedine Nathan S
a Department of General Practice and Primary Health Care, School of Population Health, Faculty of Medical and Health Sciences , The University of Auckland , Auckland , New Zealand.
b Department of Psychological Medicine, School of Medicine, Faculty of Medical and Health Sciences , The University of Auckland , Auckland , New Zealand.
Aging Ment Health. 2017 Jun;21(6):577-585. doi: 10.1080/13607863.2016.1196336. Epub 2016 Jun 22.
Advanced age is a time shaped by the current experience of physical, social and psychological characteristics associated with living into an eighth decade and beyond and also by reflection upon past experiences. Understanding the specific factors that contribute to ageing well is increasingly important as greater numbers of older people remain living independently in the community and may require targeted and sustainable support to do so. This paper offers a conceptualisation of resilience for advanced age (age 85+), a life stage currently under-researched.
We utilise a developmental and socio-historical context to develop key arguments about adversity, resources and positive outcomes that affect the experience of resilient ageing.
Very late life is characterised by a unique balance between losses, associated with vulnerability and resource restrictions, and potential gains based upon wisdom, experience, autonomy and accumulated systems of support, providing a specific context for the expression of resilience. Post-adversity growth is possible, but maintenance of everyday abilities may be more relevant to resilience in advanced age.
An increasing life-span globally necessitates creative and conscientious thought about wellbeing, and resilience research has the important aim to focus health and wellness on success and what is possible despite potential limitations.
高龄是一个由当前与活到八十多岁及以上相关的身体、社会和心理特征的经历，以及对过去经历的反思所塑造的时期。随着越来越多的老年人继续独立生活在社区中，并且可能需要有针对性的可持续支持才能做到这一点，了解有助于健康老龄化的具体因素变得越来越重要。本文提出了一个针对高龄（85岁及以上）的复原力概念，这是一个目前研究不足的生命阶段。
我们利用发展和社会历史背景来阐述关于逆境、资源和积极结果的关键论点，这些因素会影响复原力老龄化的体验。
晚年的特点是在与脆弱性和资源限制相关的损失与基于智慧、经验、自主性和积累的支持系统的潜在收益之间存在独特的平衡，这为复原力的表现提供了一个特定的背景。逆境后的成长是可能的，但维持日常能力可能与高龄阶段的复原力更相关。
全球范围内寿命的延长需要对幸福进行创造性和认真的思考，复原力研究的重要目标是将健康和幸福聚焦于成功以及尽管存在潜在限制但仍有可能实现的事情上。
