Melbourne School of Psychological Sciences, University of Melbourne, Victoria, Australia.
Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.
Gerontologist. 2019 Jul 16;59(4):e311-e324. doi: 10.1093/geront/gny108.
There is considerable heterogeneity in experiences of aging, with some experiencing greater well-being and adapting more successfully to the challenges of aging than others. Self-compassion is a modifiable psychological skill that might help explain individual differences in well-being and adjustment in later life. The aim of this study was to systematically review the literature on self-compassion and well-being outcomes in studies of older adults aged 65 and older.
This systematic review was conducted according to PRISMA guidelines, using databases PsycINFO, Medline, and Embase. The search term self-compassion was paired with terms relating to well-being, psychological symptoms, and adjustment. Meta-analysis was used to synthesize results on the relationship between self-compassion and four outcomes including depression, anxiety, hedonic well-being, and eudaimonic well-being.
Eleven studies met inclusion criteria for this review. Meta-analysis revealed that self-compassion was associated with lower levels of depression (r = -.58, 95% CI [-.66, -.48]) and anxiety (r = -.36, 95% CI [-.60, -.07]), and higher levels of hedonic (r = .41, 95% CI [.15, .62]) and eudaimonic (r = .49, 95% CI [.41, .57]) well-being. Further, three studies found self-compassion weakened the impact of physical symptoms on well-being outcomes.
We found preliminary evidence that self-compassion is associated with well-being outcomes in older adults, and that self-compassion may buffer the psychological sequelae of health symptoms in later life. Higher quality studies with uniform outcome measures are needed to replicate and extend these results.
摘要 背景与目的:个体衰老体验存在较大差异,一些人比其他人更幸福,能更好地适应衰老带来的挑战。自我同情是一种可改变的心理技能,可能有助于解释老年人幸福感和适应能力的个体差异。本研究旨在系统回顾 65 岁及以上老年人中自我同情与幸福感结果相关的研究文献。
本系统评价按照 PRISMA 指南进行,使用了 PsycINFO、Medline 和 Embase 数据库。搜索词“自我同情”与幸福感、心理症状和适应相关的术语相结合。使用元分析综合自我同情与抑郁、焦虑、享乐幸福感和幸福幸福感四个结果之间的关系。
11 项研究符合本综述的纳入标准。元分析显示,自我同情与较低的抑郁水平(r=-.58,95%置信区间[-.66,-.48])和焦虑水平(r=-.36,95%置信区间[-.60,-.07]),以及更高的享乐幸福感(r=-.41,95%置信区间[-.15,-.62])和幸福幸福感(r=-.49,95%置信区间[-.41,-.57])相关。此外,有三项研究发现自我同情削弱了身体症状对幸福感结果的影响。
我们有初步证据表明,自我同情与老年人的幸福感结果相关,并且自我同情可能缓冲晚年健康症状的心理后果。需要更高质量、具有统一结果测量的研究来复制和扩展这些结果。