Bennett Kate Mary, Morselli Davide, Spahni Stefanie, Perrig-Chiello Pasqualina
School of Psychology, University of Liverpool, UK.
Institute of Social Sciences, University of Lausanne, Switzerland.
Aging Ment Health. 2020 Dec;24(12):2014-2021. doi: 10.1080/13607863.2019.1647129. Epub 2019 Aug 9.
In 2015 we identified three profiles of adaptation following spousal bereavement: Vulnerables; Copers and Resilients (Spahni, Morselli, Perrig-Chiello, & Bennett, 2015). However, adaptation to spousal bereavement is a dynamic process. Thus, we examine the trajectories of the same participants longitudinally over two years. We identify the stability and change in profiles of adaptation to widowhood; probability of stability and change; factors that influence trajectories in profile membership.
Data stem from a longitudinal questionnaire study of 309 older widowed people. The questionnaire included five measures of well-being, serving as the dependent variables of this analysis, and measures of personal resources and contextual factors, including social support, marital happiness, psychological resilience, and demography. Data was analysed using latent transition analysis of the variables loneliness, hopelessness, depressive symptoms, life satisfaction, and subjective health.
The analysis replicated the three Wave 1 profiles as the best theoretical fit: Vulnerables; Copers; and Resilients. Stability was most common, but some participants moved to more or less adaptive profiles, the former being more frequent. Younger age, longer time since widowhood, new life perspectives facilitated adaptation. Those transitioning to less adaptive profiles were more likely to be women and older.
The path to adaptation was not linear. Many of the explanatory variables contributed both to positive and negative adaptation. These include previous caring experience, education, psychological resilience and personal strength. This suggests these explanatory variables do not act in isolation but are likely to interact with each other, and with other, yet not measured, factors.
2015年,我们确定了配偶丧亲后三种适应类型:脆弱型;应对型和坚韧型(斯帕尼、莫尔塞利、佩里-基耶洛和贝内特,2015年)。然而,适应配偶丧亲是一个动态过程。因此,我们对同一批参与者进行了为期两年的纵向研究。我们确定了适应寡居类型的稳定性和变化;稳定性和变化的概率;影响类型归属轨迹的因素。
数据来自对309名老年丧偶者的纵向问卷调查研究。问卷包括五项幸福感测量指标,作为本分析的因变量,以及个人资源和背景因素的测量指标,包括社会支持、婚姻幸福感、心理韧性和人口统计学因素。使用对孤独感、绝望感、抑郁症状、生活满意度和主观健康等变量的潜在转变分析对数据进行分析。
分析结果再次表明,三种第一波类型是最佳理论拟合:脆弱型;应对型;和坚韧型。稳定性最为常见,但一些参与者转向了适应性更强或更弱的类型,前者更为频繁。年龄较小、丧偶时间较长、新的生活视角有助于适应。那些转向适应性较差类型的人更可能是女性且年龄较大。
适应的路径不是线性的。许多解释变量对积极和消极适应都有影响。这些变量包括以前的照顾经历、教育程度、心理韧性和个人力量。这表明这些解释变量并非孤立起作用,而是可能相互作用,并与其他尚未测量的因素相互作用。