Berg Anne Ingeborg, Hassing Linda Björk, Thorvaldsson Valgeir, Johansson Boo
University of Gothenburg, Gothenburg, Sweden.
Eur J Ageing. 2011 Feb 19;8(1):13-20. doi: 10.1007/s10433-011-0181-9. eCollection 2011 Mar.
This study investigates life satisfaction in relation to impending death among the oldest-old using overall disease load, self-rated health, and personality as interacting covariates of level and change. We used data from a sample of 370 healthy individuals who completed the Life Satisfaction Index-Z at four measurement occasions during a 6-year period in the Swedish OCTO-Twin study of individuals aged 80 and older. Growth curve analyses showed a linear decrease in life satisfaction as individuals approached death. The decrease was not related to level or change in self-rated health and disease load. High disease load was, however, related to lower levels of life satisfaction, but, this association was moderated by locus of control, such that those with high disease load and high locus of control did not show lower life satisfaction. Poor self-rated health was also associated with lower life satisfaction, but, this association was moderated by neuroticism, such that those with poor-rated health and low neuroticism did not show lower live satisfaction. Personality factors such as locus of control and neuroticism can influence the association between health and life satisfaction. The findings suggest further investigations of the role of personality characteristics in late life satisfaction and whether interventions aimed to increase personal control can improve life satisfaction in old age.
本研究以总体疾病负担、自评健康状况和人格作为水平和变化的交互协变量,调查了高龄老人中与濒死相关的生活满意度。我们使用了来自瑞典80岁及以上老人的OCTO双胞胎研究中370名健康个体的数据,他们在6年期间的四个测量时点完成了生活满意度指数-Z。生长曲线分析表明,随着个体接近死亡,生活满意度呈线性下降。这种下降与自评健康状况和疾病负担的水平或变化无关。然而,高疾病负担与较低的生活满意度水平相关,但这种关联受到心理控制点的调节,即疾病负担高且心理控制点高的个体并未表现出较低的生活满意度。自评健康状况差也与较低的生活满意度相关,但这种关联受到神经质的调节,即自评健康状况差且神经质低的个体并未表现出较低的生活满意度。心理控制点和神经质等人格因素会影响健康与生活满意度之间的关联。研究结果表明,需要进一步研究人格特征在晚年生活满意度中的作用,以及旨在增强个人掌控感的干预措施是否能提高老年人的生活满意度。