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老年人的反刍和回忆:对临床实践的启示。

Rumination and reminiscence in older adults: implications for clinical practice.

作者信息

Brinker Jay K

机构信息

The Australian National University, Canberra, ACT Australia.

出版信息

Eur J Ageing. 2013 Mar 7;10(3):223-227. doi: 10.1007/s10433-013-0271-y. eCollection 2013 Sep.

Abstract

Reminiscence is proposed as an important activity for well-being in late life but recent reviews highlight the differential outcomes of this behavior. If older adults engage in reminiscing as a natural process, but do so with a ruminative style of thinking, it may actually be detrimental to successful development and well-being. This project explored the relationship between rumination, reminiscence, mood, and psychosocial development. One hundred and fifty community dwelling older adults completed measures assessing these variables. As expected, increased rumination was related to increased depressed mood. Fifty-four of the participants completed a follow-up measure of depressed mood. Rumination also accounted for follow-up depressed mood beyond that explained by time-1 mood. The interaction between rumination and reminiscing significantly predicted future depressed mood after controlling for main effects and baseline mood. Further, this interaction significantly predicted overall psychosocial development. Implications for clinical practice are discussed.

摘要

回忆被认为是晚年幸福的一项重要活动,但最近的综述强调了这种行为的不同结果。如果老年人将回忆作为一个自然过程,但以一种反复思考的思维方式进行,那么这实际上可能对成功发展和幸福有害。本项目探讨了反复思考、回忆、情绪和心理社会发展之间的关系。150名居住在社区的老年人完成了评估这些变量的测量。正如预期的那样,反复思考的增加与抑郁情绪的增加有关。54名参与者完成了抑郁情绪的后续测量。反复思考也解释了随访时的抑郁情绪,超出了时间1时情绪所解释的范围。在控制了主效应和基线情绪后,反复思考与回忆之间的相互作用显著预测了未来的抑郁情绪。此外,这种相互作用显著预测了整体心理社会发展。讨论了对临床实践的启示。

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本文引用的文献

1
Ruminative thought style and depressed mood.沉思型思维方式与抑郁情绪。
J Clin Psychol. 2009 Jan;65(1):1-19. doi: 10.1002/jclp.20542.
2
Regret resolution, aging, and adapting to loss.遗憾的化解、衰老与适应丧失
Psychol Aging. 2008 Mar;23(1):169-80. doi: 10.1037/0882-7974.23.1.169.
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Empirical validation of a model of reminiscence and health in later life.晚年回忆与健康模型的实证验证。
J Gerontol B Psychol Sci Soc Sci. 2006 Jul;61(4):P237-44. doi: 10.1093/geronb/61.4.p237.
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The Depression-Happiness Scale: reliability and validity of a bipolar self-report scale.抑郁-幸福量表:一种双极自评量表的信度和效度
J Clin Psychol. 1998 Jun;54(4):537-44. doi: 10.1002/(sici)1097-4679(199806)54:4<537::aid-jclp15>3.0.co;2-g.
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