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边缘上:比例感觉年龄的极值与功能之间的关联。

On the edge: The association between extreme values of proportional felt-age and functioning.

机构信息

Department of Gerontology and the Center for Research and Study of Aging, University of Haifa, Mount Carmel, Israel.

Louis and Gabi Weisfeld, School of Social Work, Bar Ilan University, Ramat-Gan 5290002, Israel.

出版信息

Psychiatry Res. 2018 Dec;270:538-543. doi: 10.1016/j.psychres.2018.10.035. Epub 2018 Oct 12.

Abstract

The present study examined whether endorsing a felt-age that is extremely divergent from one's actual age (whether older or younger) is related to worse functioning four years later. Data were drawn from 4938 participants, who completed the 2008 and 2012 questionnaires of the Health-and-Retirement-Study (HRS). Participants were divided into four groups according to their reported proportional-felt-age: the normative-young (N = 2229), reported a normative felt-age at the median or younger; normative-old (N = 2226), reported normative felt-age at the median and older; and the extremely young and extremely old proportional-felt-age (upper and lower 5% of felt-age; N's = 242 and 241, respectively). These groups were compared on chronic medical conditions, depressive symptoms, activities of daily living (ADL), instrumental activities of daily living (IADL), functional limitations, and loneliness. While extremely younger proportional-felt-age participants did not reveal worse (or better) outcomes compared with the normative-young group, extremely old proportional-felt-age participants reported worse physical health, mental health, and functioning in cross-sectional, as well as longitudinal comparisons. Extreme values of older proportional-felt-age are usually not reported randomly and reflect less adaptive adjustment. The findings underscore the importance of studying participants at the extreme values of felt-age, especially extreme old proportional-felt-age, and the need for further inspection of the mechanisms underlying these evaluations.

摘要

本研究考察了与实际年龄(无论更年轻还是更年长)极端不同的感知年龄是否与四年后功能更差有关。数据来自 4938 名参与者,他们完成了健康与退休研究(HRS)的 2008 年和 2012 年问卷。参与者根据其报告的比例感知年龄分为四组:规范年轻组(N=2229),报告中位数或更年轻的规范感知年龄;规范老年组(N=2226),报告中位数和更年长的规范感知年龄;以及比例感知年龄非常年轻和非常年长的组(比例感知年龄的上下 5%;N's=242 和 241)。这些组在慢性疾病、抑郁症状、日常生活活动(ADL)、工具性日常生活活动(IADL)、功能限制和孤独感方面进行了比较。虽然比例感知年龄非常年轻的参与者与规范年轻组相比没有表现出更差(或更好)的结果,但比例感知年龄非常年长的参与者在横断面和纵向比较中报告了更差的身体健康、心理健康和功能。感知年龄的年长比例的极端值通常不是随机报告的,反映了适应性调整较差。这些发现强调了研究感知年龄极值(尤其是非常年长的比例感知年龄)参与者的重要性,以及进一步检查这些评估背后机制的必要性。

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