Freak-Poli Rosanne, De Castro Lima Gustavo, Direk Nese, Jaspers Loes, Pitts Marian, Hofman Albert, Tiemeier Henning
Department of Epidemiology, Erasmus Medical Centre, The Netherlands.
Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, The Alfred Centre, Commercial Road, Melbourne VIC 3004, Australia.
Age Ageing. 2017 Jan 19;46(1):101-107. doi: 10.1093/ageing/afw168.
The relation between positive psychological well-being (PPWB) and sexual behaviour is understudied in older adult groups.
To examine the relation between PPWB (positive affect and life satisfaction) and sexual behaviour (sexual activity and physical tenderness) in older adults, and whether it is independent from depressive symptoms and uniform across older age groups.
Cross-sectional.
Community-dwelling adults aged 65 years or older, Rotterdam, The Netherlands.
Sexual behaviour, the Cantril Self-Anchoring Striving Scale, the Center for Epidemiological Studies Depression (CES-D) scale and partner status were assessed in 2,373 dementia-free older adults from the Rotterdam Study.
For partnered participants, greater positive affect and life satisfaction was associated with more sexual activity and physical tenderness. Although CES-D was negatively associated with sexual behaviour within partnered older adults, there was no association between the negative affect sub-scale and sexual behaviour. The relations were independent of depressive symptoms, physical health and chronic disease status and were observed for both sexes at all older ages. For unpartnered participants, greater life satisfaction and was associated with more physical tenderness. There was low prevalence of sexual behaviour in unpartnered participants, limiting further stratification.
Greater PPWB was associated with more sexual behaviour in partnered, community-dwelling older adults. We are the first to demonstrate that sexual behaviour is associated with PPWB, rather than lack of depressive symptoms; and that the association was present at all ages for partnered older adults. Limited conclusions can be drawn for unpartnered older adults as their sexual behaviour was infrequent.
在老年人群体中，积极心理健康（PPWB）与性行为之间的关系研究较少。
探讨老年人中PPWB（积极情绪和生活满意度）与性行为（性活动和身体亲昵）之间的关系，以及这种关系是否独立于抑郁症状且在各老年年龄组中一致。
横断面研究。
荷兰鹿特丹65岁及以上的社区居住成年人。
对鹿特丹研究中2373名无痴呆的老年人进行了性行为、坎特里尔自我锚定奋斗量表、流行病学研究中心抑郁量表（CES-D）以及伴侣状况的评估。
对于有伴侣的参与者，更高的积极情绪和生活满意度与更多的性活动和身体亲昵相关。虽然CES-D与有伴侣的老年人的性行为呈负相关，但消极情绪子量表与性行为之间没有关联。这些关系独立于抑郁症状、身体健康和慢性病状况，且在所有老年年龄段的男女中均有观察到。对于无伴侣的参与者，更高生活满意度与更多身体亲昵相关。无伴侣参与者的性行为发生率较低，限制了进一步分层。
在有伴侣的社区居住老年人中，更高的PPWB与更多的性行为相关。我们首次证明性行为与PPWB相关而非与无抑郁症状相关；并且这种关联在所有年龄段的有伴侣老年人中均存在。对于无伴侣老年人，由于其性行为不频繁，只能得出有限的结论。
