Department of Gerontology, The Center for Research and Study of Aging, University of Haifa, 199 Aba Khoushy Ave., Mount Carmel, Haifa 3498838, Israel.
Psychiatry Res. 2017 Mar;249:180-186. doi: 10.1016/j.psychres.2017.01.021. Epub 2017 Jan 10.
The present study examined how posttraumatic-stress-symptoms presented after prolonged traumatic exposure to rocket attacks are related to the perception of the worthiness of life among individuals in the second half of their lives. Additionally, it was questioned whether the subjective evaluation of the time one has left to live affects this relationship. Using an in-region random digit dialing methodology, phone calls made to residents in the south of Israel, we sampled 339 community-dwelling older adults (age range 50-90; M=65.44, SD=9.77) in Wave 1, 170 of whom were interviewed again in Wave 2 about a year later. Participants completed a phone-questionnaire on posttraumatic-stress-symptoms, subjective nearness-to-death, and will-to-live. The cross-sectional and longitudinal analyses results showed that higher levels of posttraumatic-stress-symptoms were positively related to higher will-to-live in both waves, among individuals who felt further away from death, while higher levels of posttraumatic-stress-symptoms were negatively related or unrelated to lower will-to-live among those who felt close to death in Waves 1and 2, respectively. The findings emphasize that perceptions regarding one's future perspective may affect the quality of the relationship between posttraumatic-stress-symptoms and will-to-live. Theoretical and practical implications are discussed.
本研究考察了在经历长时间创伤性火箭弹袭击后出现的创伤后应激症状与中老年个体对生命价值的感知之间的关系。此外，还研究了对剩余寿命的主观评估是否会影响这种关系。研究采用了一种在该地区进行的随机数字拨号方法，对以色列南部的居民进行了电话调查，我们在第 1 波中抽取了 339 名居住在社区中的老年人（年龄在 50-90 岁之间；M=65.44，SD=9.77），其中 170 人在大约一年后的第 2 波中再次接受了关于创伤后应激症状、主观接近死亡和生存意愿的访谈。参与者完成了一个关于创伤后应激症状、主观接近死亡和生存意愿的电话问卷。横断面和纵向分析结果表明，在第 1 波和第 2 波中，那些感觉离死亡更远的人，较高水平的创伤后应激症状与较高的生存意愿呈正相关，而那些感觉离死亡更近的人，较高水平的创伤后应激症状与较低的生存意愿呈负相关或无相关。这些发现强调了对未来前景的看法可能会影响创伤后应激症状和生存意愿之间关系的质量。讨论了理论和实践意义。
