Lau Siu Yu Zoe, Guerra Ricardo Oliveira, Barbosa Juliana Fernandes de Souza, Phillips Susan P
School of Medicine, Queen's University, Kingston, Ontario, Canada.
Department of Physical Therapy, Federal University of Rio Grande do Norte, Natal, Brazil.
BMJ Open. 2018 Nov 28;8(11):e023779. doi: 10.1136/bmjopen-2018-023779.
Self-rated health (SRH) is a predictor of objective health measures, including mortality and morbidity. The link between resilience and SRH among the elderly is unclear. We aim to examine whether resilience aligns with SRH and, secondarily, whether resilience can override the negative health consequences of adverse childhood experiences (ACE).
We use 2012, 2014 and 2016 data from the International Mobility in Aging Study, a longitudinal cohort study that collects survey and biophysical data from Albania, Brazil, Colombia and Canada. The main independent variables were resilience and ACE (social and economic).
Community-dwelling 65-74 year olds (in 2012) were recruited through primary care registers. The sample size of the study was 1506.
The outcome measure was SRH.
We found that sex, site, economic ACE, current income sufficiency, current depressive symptoms, current physical function and current resilience were associated with current SRH. In regression analyses, we showed that the association between ACE and SRH disappeared once factors such as sex, site, income, depression, physical health and resilience were considered.
The association between resilience and health poses a compelling argument for building resilience throughout life.
自评健康状况（SRH）是包括死亡率和发病率在内的客观健康指标的一个预测因素。老年人的心理韧性与自评健康状况之间的联系尚不清楚。我们旨在研究心理韧性是否与自评健康状况相符，其次，心理韧性是否能够克服童年不良经历（ACE）对健康产生的负面影响。
我们使用了来自“国际老年流动研究”2012年、2014年和2016年的数据，这是一项纵向队列研究，从阿尔巴尼亚、巴西、哥伦比亚和加拿大收集调查及生物物理数据。主要自变量为心理韧性和童年不良经历（社会和经济方面）。
通过初级保健登记册招募了（2012年）年龄在65 - 74岁的社区居民。该研究的样本量为1506人。
结局指标为自评健康状况。
我们发现，性别、地点、经济方面的童年不良经历、当前收入充足程度、当前抑郁症状、当前身体功能和当前心理韧性与当前自评健康状况相关。在回归分析中，我们发现，一旦考虑到性别、地点、收入、抑郁、身体健康和心理韧性等因素，童年不良经历与自评健康状况之间的关联就会消失。
心理韧性与健康之间的关联为终生培养心理韧性提供了有力论据。
