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多成分积极心理学干预对巴西退休人员健康促进的影响:一项准实验研究。

Multicomponent positive psychology intervention for health promotion of Brazilian retirees: a quasi-experimental study.

作者信息

Durgante Helen, Dell'Aglio Débora Dalbosco

机构信息

Universidade Federal do Rio grande do Sul - UFRGS, Instituto de Psicologia, Ramiro Barcelos 2600, sala 115, Santa Cecília, Porto Alegre, RS, 90035-003, Brazil.

Uni LaSalle Canoas, Av. Vítor Barreto, 2288 - Centro, Canoas, RS, 92010-000, Brazil.

出版信息

Psicol Reflex Crit. 2019 Feb 28;32(1):6. doi: 10.1186/s41155-019-0119-2.

Abstract

This study evaluated the effects and impact of a multicomponent positive psychology program for health promotion of retirees. A quasi-experimental longitudinal design was used, and the baseline and end of intervention evaluations were analyzed. The intervention consisted of six weekly group sessions for 2 h each. Eighty-eight retirees (females = 72) aged 49-86 (M = 65.66, SD = 7.53) from South Brazil took part in the study, 54 (females = 48) in the experimental group (M = 66.37 years old, SD = 7.42), and 34 (females = 24) waitlist controls (M = 64.53 years old, SD = 7.68). The instruments used were a sociodemographic questionnaire and the Brazilian version of the scales: Interpersonal Reactivity Index; 12-item General Health Questionnaire; Life Orientation Test-Revised;14-item Perceived Stress Scale; Resilience Scale; and Satisfaction with Life Scale. Mixed factorial ANOVA models revealed significant decrease in depression and anxiety symptoms and perceived stress levels, whereas improvement in life satisfaction and resilience was detected in the experimental group at the end of the program. No main effect was found for empathy and optimism. Interaction effects yielded significant difference between groups for measures of empathy, optimism, depression, and anxiety symptoms after the program. There was no significant interaction effect for the other outcome variables. The usefulness and applicability of this model of intervention to aid future health practices and policies are discussed. Contextual issues in the fields of health promotion and disease prevention in Brazil are also problematized.

摘要

本研究评估了一项多成分积极心理学计划对退休人员健康促进的效果和影响。采用了准实验纵向设计,并对干预前和干预结束时的评估进行了分析。干预包括每周一次、每次2小时的六次小组会议。来自巴西南部的88名退休人员(女性=72名)参与了该研究,年龄在49 - 86岁之间(M = 65.66,SD = 7.53),其中54名(女性=48名)在实验组(M = 66.37岁,SD = 7.42),34名(女性=24名)为候补对照组(M = 64.53岁,SD = 7.68)。所使用的工具包括一份社会人口学问卷和巴西版以下量表:人际反应指数;12项一般健康问卷;生活取向测试修订版;14项感知压力量表;复原力量表;以及生活满意度量表。混合因子方差分析模型显示,抑郁和焦虑症状以及感知压力水平显著降低,而在项目结束时实验组的生活满意度和复原力有所提高。在同理心和乐观方面未发现主效应。交互作用效应显示,参与项目后,在同理心、乐观、抑郁和焦虑症状的测量上,两组之间存在显著差异。其他结果变量未发现显著的交互作用效应。讨论了该干预模式对未来健康实践和政策的实用性和适用性。还对巴西健康促进和疾病预防领域的背景问题进行了质疑。

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