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负面情绪与慢性躯体疾病:毕生发展视角。

Negative emotions and chronic physical illness: A lifespan developmental perspective.

机构信息

Institute of Psychology.

Institute of Psychology, Heidelberg University.

出版信息

Health Psychol. 2019 Nov;38(11):949-959. doi: 10.1037/hea0000767. Epub 2019 May 27.

Abstract

OBJECTIVE

Our primary goal was to test the idea that the link between negative emotions and chronic physical illness will become stronger as individuals age and their resources become increasingly limited.

METHOD

The data came from a 4-wave longitudinal study obtained from a sample of middle-aged (n = 500, mean age = 44.17, SD = .91) and older (n = 502, mean age = 62.87, SD = .89) adults who were observed for, on average, 13.59 years (SD = 7.32). Negative emotions were assessed by a subscale of the Zung depression scale and chronic illness severity was operationalized as a physician-rating.

RESULTS

Among older adults the association between changes in negative emotions and changes in physical illness status emerged over time (first retest interval: r = .02; p = .42; second interval: r = .11; p = .01; third interval: r = .22; p < .01), whereas such dynamics were not observed among middle-aged adults (first retest interval: r = .01; p = .77; second interval: r = .06; p = .12; third interval: r = -.01; p = .79). In addition, among older adults, negative emotions were generally higher and illness severity worse than in middle-aged adults. Negative emotions and chronic physical illness increased over time only in the older subsample.

CONCLUSION

Research interested in linking negative emotions and poor physical health will benefit from a lifespan developmental perspective. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

摘要

目的

我们的主要目标是检验这样一种观点,即随着个体年龄的增长和资源的日益受限,消极情绪与慢性身体疾病之间的联系将变得更加紧密。

方法

数据来自一项 4 波纵向研究,该研究样本为中年(n=500,平均年龄 44.17,SD=.91)和老年(n=502,平均年龄 62.87,SD=.89)成年人,他们的观察期平均为 13.59 年(SD=7.32)。消极情绪通过zung 抑郁量表的一个子量表进行评估,慢性疾病严重程度通过医生评定来实现。

结果

在老年成年人中,随着时间的推移,消极情绪的变化与身体疾病状况的变化之间的关联逐渐显现(第一次重测间隔:r=.02;p=.42;第二次间隔:r=.11;p=.01;第三次间隔:r=.22;p<.01),而中年成年人则没有观察到这种动态变化(第一次重测间隔:r=.01;p=.77;第二次间隔:r=.06;p=.12;第三次间隔:r=-.01;p=.79)。此外,老年成年人的消极情绪通常高于中年成年人,疾病严重程度也更差。只有在老年亚样本中,消极情绪和慢性身体疾病随着时间的推移而增加。

结论

研究关注将消极情绪与不良身体健康联系起来的人将受益于生命全程发展视角。(PsycINFO 数据库记录(c)2019 APA,保留所有权利)。

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