Widmer Eric D, Girardin Myriam, Ludwig Catherine
University of Geneva, Geneva, Switzerland.
University of Applied Sciences and Arts Western Switzerland, Geneva, Switzerland.
J Fam Issues. 2018 Apr;39(6):1573-1597. doi: 10.1177/0192513X17714507. Epub 2017 Jun 29.
This study explores the interrelationships between health-related quality of life and conflict structures in family networks of older adults. Data were derived from a sample of 2,858 elders (aged 65 years and older) from the Vivre/Leben/Vivere study, a large survey addressing family life and health conditions of older people in Switzerland. Conflict density in family networks and the betweenness centrality of respondents in family conflict are significantly associated with health-related quality of life measures. Furthermore, the results demonstrate that conflict-health associations are mediated by the level of perceived individual stress where psychological health is concerned. Family conflict structures depend to a large extent on family composition and age. This study stresses the importance of older adults actively shaping the composition of their family contexts in ways that promote both conflict and stress avoidance.
本研究探讨了老年人家庭网络中与健康相关的生活质量和冲突结构之间的相互关系。数据来自于Vivre/Leben/Vivere研究中的2858名老年人（年龄在65岁及以上）样本，该研究是一项针对瑞士老年人家庭生活和健康状况的大型调查。家庭网络中的冲突密度以及受访者在家庭冲突中的中间中心性与健康相关生活质量指标显著相关。此外，结果表明，在心理健康方面，冲突与健康之间的关联是由个体感知压力水平介导的。家庭冲突结构在很大程度上取决于家庭构成和年龄。本研究强调了老年人积极塑造其家庭环境构成的重要性，通过这种方式促进冲突和压力的避免。
