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老年人的自我厌恶、孤独感与心理健康结果:一项眼动追踪研究。

Self-disgust, loneliness and mental health outcomes in older adults: An eye-tracking study.

作者信息

Ypsilanti Antonia, Robson Anna, Lazuras Lambros, Powell Philip A, Overton Paul G

机构信息

Department of Psychology, Sociology & Politics, Sheffield Hallam University, UK.

Department of Psychology, Sociology & Politics, Sheffield Hallam University, UK.

出版信息

J Affect Disord. 2020 Apr 1;266:646-654. doi: 10.1016/j.jad.2020.01.166. Epub 2020 Jan 28.

Abstract

BACKGROUND

Self-disgust has been associated with loneliness and mental health difficulties in clinical and non-clinical populations, but there is limited research on the role of self-disgust in loneliness and mental health outcomes in older adults.

METHODS

In Study 1 (N = 102; M age = 68.4 years, SD = 10.9, 68% females) we used a cross-sectional survey to explore the association between loneliness, self-disgust and mental health outcomes. In Study 2 (N = 80; M age = 68.8 years, SD = 11.4, 57% females) we used eye-tracking to investigate attentional vigilance, maintenance and avoidance in individuals with high (vs. low) self-disgust.

RESULTS

In study 1 we found that self-disgust mediated the associations of loneliness with anxiety and depressive symptoms, and in study 2 it was demonstrated that older adults with high (vs. low) self-disgust displayed attentional avoidance to their own faces, compared to the faces of unknown others, a process that may perpetuate loneliness.

LIMITATIONS

The cross-sectional design used in Study 1 limits our potential to make causal inferences. Additionally, both studies included a wide age range of older adults.

CONCLUSIONS

Our findings are novel and highlight the importance of self-disgust experiences in the context of loneliness and mental health outcomes in older adults. Implications for practice and interventions against loneliness in this age group are discussed.

摘要

背景

在临床和非临床人群中,自我厌恶与孤独感及心理健康问题相关,但关于自我厌恶在老年人孤独感和心理健康结果中的作用的研究有限。

方法

在研究1(N = 102;年龄中位数 = 68.4岁,标准差 = 10.9,68%为女性)中,我们采用横断面调查来探究孤独感、自我厌恶与心理健康结果之间的关联。在研究2(N = 80;年龄中位数 = 68.8岁,标准差 = 11.4,57%为女性)中,我们使用眼动追踪技术来研究高(与低)自我厌恶个体的注意力警觉、维持和回避情况。

结果

在研究1中,我们发现自我厌恶介导了孤独感与焦虑和抑郁症状之间的关联,并且在研究2中表明,与不认识的其他人的面孔相比,高自我厌恶的老年人对自己的面孔表现出注意力回避,这一过程可能会使孤独感持续存在。

局限性

研究1中使用的横断面设计限制了我们进行因果推断的可能性。此外,两项研究都纳入了年龄范围较广的老年人。

结论

我们的研究结果具有新颖性,突出了自我厌恶体验在老年人孤独感和心理健康结果背景下的重要性。讨论了针对该年龄组孤独感的实践和干预措施的意义。

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