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自我关怀与衰老:系统综述

Self-compassionate Aging: A Systematic Review.

机构信息

Melbourne School of Psychological Sciences, University of Melbourne, Victoria, Australia.

Department of Psychiatry, Harvard Medical School, Boston, Massachusetts.

出版信息

Gerontologist. 2019 Jul 16;59(4):e311-e324. doi: 10.1093/geront/gny108.

Abstract

ABSTRACT BACKGROUND AND OBJECTIVES

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.

RESEARCH DESIGN AND METHODS

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.

RESULTS

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.

DISCUSSION AND IMPLICATIONS

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

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。

研究设计与方法

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。

结果

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。

讨论与意义

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。

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