Department of Psychology, Michigan State University.
Department of Psychology, University of Michigan.
Health Psychol. 2019 Jan;38(1):84-93. doi: 10.1037/hea0000694. Epub 2018 Nov 5.
Perceptions of early caregiving experiences are hypothesized to be influential across the life span. However, previous research testing this hypothesis focuses primarily on young adults and use mostly cross-sectional designs. The current study examined associations between memories of early caregiving experiences and trajectories of depressive symptoms and physical health in 2 large samples of middle-aged and older adults.
Sample 1 consisted of participants from the National Survey of Midlife Development in the United States (n = 7,108) followed for 18 years (from 1995/1996 until 2013/2014). Sample 2 consisted of participants from the Health and Retirement Study (n = 15,234) followed over a 6-year period. Memories of caregiver support before age 18 were retrospectively assessed in middle and older adulthood; associations between these memories and changes in self-rated health, chronic health conditions, and depressive symptoms over time were examined.
Memories of higher parental affection in early childhood were associated with better self-rated health and lower depressive symptoms over intervals of approximately 6 and 18 years, in both samples; the results for chronic health conditions was more mixed. These associations persisted over time and were not moderated by time.
Associations between perceptions of caregiver support and health persisted over time, underscoring the importance of memories of close relationships for health and depressive symptoms across the life span, even into late life. Findings are discussed in relation to models that link perceptions of early life experiences to later life outcomes. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
早期照料经历的认知被假设会对整个生命周期产生影响。然而,之前检验这一假设的研究主要集中在年轻人身上,且主要使用的是横断面设计。本研究在两个大型中年和老年人群体样本中,考察了早期照料经历记忆与抑郁症状和身体健康轨迹之间的关联。
样本 1 由美国全国中年发展调查的参与者组成(n=7108),随访 18 年(从 1995/1996 年至 2013/2014 年)。样本 2 由健康与退休研究的参与者组成(n=15234),随访时间为 6 年。在中年和老年期,回顾性评估了 18 岁前照顾者支持的记忆;考察了这些记忆与随着时间推移自评健康、慢性健康状况和抑郁症状的变化之间的关联。
在两个样本中,童年早期父母情感支持的记忆与大约 6 年和 18 年的自评健康状况较好和抑郁症状较低有关;而与慢性健康状况的关联则更为复杂。这些关联在时间上持续存在,不受时间的影响。
照顾者支持认知与健康之间的关联随着时间的推移而持续存在,这突显了亲密关系记忆对整个生命周期健康和抑郁症状的重要性,即使是在晚年。研究结果与将早期生活经历与晚年结果联系起来的模型进行了讨论。(美国心理协会,2018,所有权利保留)。