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社交联系调节了战争经历、创伤后应激障碍症状与老年人健康之间的关系。

Social Connectedness Moderates the Relationship Between Warfare Exposure, PTSD Symptoms, and Health Among Older Adults.

出版信息

Psychiatry. 2019 Summer;82(2):158-172. doi: 10.1080/00332747.2018.1534521. Epub 2018 Nov 7.

Abstract

: The goal of the current study is to examine whether social connectedness among older adults mitigates the risk of poor health due to exposure to warfare and related symptoms of posttraumatic stress disorder (PTSD). Prior research has indicated a protective role for social connectedness in the face of trauma in general. However, this same association has not been examined among older adults exposed to warfare, even though they are potentially a more vulnerable population with unique social needs. : The study used cross-sectional data from the Israeli component of the Survey of Health, Ageing, and Retirement in Europe (SHARE-Israel; = 1,557, mean age = 69.03, age range = 50 to 105). It employed a composite scale of social connectedness, data on exposure to war-related events during the 2014 Israel-Gaza conflict, and ensuing symptoms of PTSD. Social connectedness, warfare exposure, and PTSD symptoms were used to predict physical and mental health, as well as engagement in health behaviors. : Warfare exposure and PTSD symptoms were related to worse health. Moreover, social connectedness moderated this association, such that persons suffering from PTSD symptoms suffered less from worse health when they were highly connected. This trend was found for physical and mental health and in relation to health behaviors. : While war-related PTSD is indeed related to poorer health, social connectedness moderates the strength of the association. Practitioners should be aware of the protective role of social connectedness in the context of warfare exposure in old age, and intervention programs with this population should strive toward bolstering social connections.

摘要

: 本研究旨在探讨老年人的社交联系是否可以减轻因战争暴露和创伤后应激障碍(PTSD)相关症状而导致的健康不良风险。先前的研究表明,社交联系在面对一般创伤时具有保护作用。然而,在经历过战争的老年人中,尚未对这种关联进行过研究,尽管他们可能是一个更脆弱的群体,具有独特的社会需求。: 该研究使用了来自欧洲健康、衰老和退休调查(SHARE-Israel)的以色列部分的横断面数据(n=1557,平均年龄 69.03 岁,年龄范围为 50 至 105 岁)。它采用了社交联系综合量表、2014 年以色列-加沙冲突期间与战争相关事件的暴露数据以及随后的 PTSD 症状数据。社交联系、战争暴露和 PTSD 症状被用来预测身体健康和心理健康以及参与健康行为。: 战争暴露和 PTSD 症状与较差的健康状况有关。此外,社交联系调节了这种关联,即患有 PTSD 症状的人在社交联系紧密时,健康状况恶化的程度较轻。这种趋势在身体健康和心理健康以及与健康行为有关的方面都得到了体现。: 虽然与战争相关的 PTSD 确实与较差的健康状况有关,但社交联系会调节这种关联的强度。从业者应该意识到社交联系在老年战争暴露背景下的保护作用,针对这一人群的干预计划应努力加强社交联系。

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