Hu Yi-Han, Chiu Ching-Ju, Wong Jen D, Lin Dai-Chan, Wray Linda A
1 Department of Public Health, College of Medicine, National Cheng Kung University, Tainan City, Taiwan.
2 Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan City, Taiwan.
Int J Aging Hum Dev. 2018 Jun;86(4):327-346. doi: 10.1177/0091415017729683. Epub 2017 Sep 14.
This study examined the levels and rates of changes in psychological well-being for middle-aged adults of different statuses or marital transitions. The moderating effects of different leisure activities were also tested. Longitudinal data on 1,270 persons aged 50 to 65 years at baseline from the Taiwan longitudinal study on aging were analyzed. Adults who were stably unmarried or unpartnered reported worse mental health at baseline, but their psychological well-being improved over time. The trajectory of depressive symptoms fluctuated markedly in adults who became widowed during our observation period. Engagement in physical, cognitive, or social activities was significantly associated with participants' psychological well-being. Participation in religious activities was significantly associated with life satisfaction and decreased depressive symptoms for those undergoing bereavement. Findings from this study suggest that social and physical activities, among the four selected leisure activities, have the greatest association between decreasing depressive symptoms and increasing life satisfaction, respectively. Religious activities, in particular, may improve psychological well-being in bereaved middle-aged and older adults.
本研究考察了不同身份或婚姻状况转变的中年成年人的心理健康水平及其变化率。同时也测试了不同休闲活动的调节作用。分析了来自台湾老龄化纵向研究的1270名基线年龄在50至65岁人群的纵向数据。基线时稳定未婚或无伴侣的成年人心理健康状况较差,但随着时间推移他们的心理健康有所改善。在我们观察期内丧偶的成年人,其抑郁症状轨迹波动明显。参与体育、认知或社交活动与参与者的心理健康显著相关。对于经历丧亲之痛的人来说,参与宗教活动与生活满意度显著相关且抑郁症状减轻。本研究结果表明,在所选的四项休闲活动中,社交和体育活动分别在减轻抑郁症状和提高生活满意度方面关联最大。特别是宗教活动,可能会改善丧偶的中老年成年人的心理健康。