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特质韧性与老年人心理健康:元分析综述。

Trait resilience and mental health in older adults: A meta-analytic review.

机构信息

Department of Epidemiology and Health Monitoring, Robert Koch Institute, Berlin, Germany.

Institute of Psychosocial Medicine and Psychotherapy, Jena University Hospital, Jena, Germany.

出版信息

Personal Ment Health. 2020 Nov;14(4):361-375. doi: 10.1002/pmh.1490. Epub 2020 Jun 22.

DOI:10.1002/pmh.1490
PMID:32573068
Abstract

OBJECTIVES

This study aims to systematically review research on the association between resilience as a personality trait and mental health in older adults and to meta-analytically quantify this relation.

METHODS

We included studies assessing older adults (mean age 60 years or older), measuring trait resilience with a version of the Resilience Scale (RS) by Wagnild and Young and mental health. We conducted a comprehensive search in Medline, Web of Science, PsycInfo, PubPsych, ProQuest Dissertations and Theses Full Text database and the theses database of the German National Library for eligible studies. Study data on associations between resilience and mental health were aggregated using a random-effects model.

RESULTS

Twenty-seven studies with 13 444 participants were included. Trait resilience and mental health were strongly interrelated (r = 0.40, 95% CI [0.36; 0.44]) with substantial heterogeneity (I  = 83%). Published studies revealed larger associations between resilience and mental health (r = 0.41 [0.37; 0.45]) than unpublished studies (r = 0.25 [0.11; 0.38]).

CONCLUSIONS

Higher levels of resilience are associated with better mental health in older persons. Because associations were solely assessed cross-sectionally, longitudinal studies are highly needed to draw causal inferences. © 2020 The Authors Personality and Mental Health Published by John Wiley & Sons Ltd.

摘要

目的

本研究旨在系统回顾关于韧性作为人格特质与老年人心理健康之间关系的研究,并对此关系进行元分析定量评估。

方法

我们纳入了评估老年人(平均年龄 60 岁或以上)的研究,这些研究使用 Wagnild 和 Young 的韧性量表(RS)的版本来衡量特质韧性,以及心理健康。我们在 Medline、Web of Science、PsycInfo、PubPsych、ProQuest Dissertations and Theses Full Text 数据库和德国国家图书馆的论文数据库中进行了全面检索,以寻找符合条件的研究。使用随机效应模型汇总了韧性与心理健康之间关联的研究数据。

结果

共纳入了 27 项研究,涉及 13444 名参与者。特质韧性与心理健康密切相关(r=0.40,95%CI[0.36;0.44]),存在很大的异质性(I=83%)。已发表的研究表明,韧性与心理健康之间的关联更强(r=0.41[0.37;0.45]),而未发表的研究则较弱(r=0.25[0.11;0.38])。

结论

较高的韧性水平与老年人的心理健康状况较好有关。由于关联仅在横断面研究中进行了评估,因此需要进行纵向研究来得出因果推论。©2020 作者人格与心理健康约翰威利父子公司出版。

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