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中年慢性压力如何与生活压力事件相结合,影响持久婚姻中丈夫和妻子的晚年身心健康。

How Midlife Chronic Stress Combines with Stressful Life Events to Influence Later Life Mental and Physical Health for Husbands and Wives in Enduring Marriages.

机构信息

Department of Human Development and Family Science, 1355University of Georgia, GA, USA.

Department of Sociology, 1355University of Georgia, GA, USA.

出版信息

J Aging Health. 2021 Jan;33(1-2):14-26. doi: 10.1177/0898264320952905. Epub 2020 Sep 1.

DOI:10.1177/0898264320952905
PMID:32867565
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8353959/
Abstract

To investigate how midlife chronic stress (40-50 years) and subsequent acute stressful events (50-65 years) influence husbands' and wives' later life mental and physical health (65+ years). Dyadic structural equation modeling was used with prospective data over 25 years from 256 husbands and wives in enduring marriages. For both spouses, midlife chronic stress influenced the occurrence of subsequent acute stressful life events, which in turn influenced both depressive symptoms and poor physical health in later years. For both spouses, midlife chronic stress also directly influenced depressive symptoms. Wives' midlife chronic stress also directly influenced their own poor physical health and husbands' depressive symptoms in later years. These findings enhance our knowledge about the long-term joint influence of midlife chronic stress and acute stressful life events on health outcomes of husbands and wives in later years and identify dependencies between spouses, which can inform health preventive intervention programs.

摘要

研究中年期慢性压力(40-50 岁)和随后的急性压力事件(50-65 岁)如何影响夫妻晚年的身心健康(65 岁以上)。使用对偶结构方程模型,对 256 对持久婚姻中的丈夫和妻子进行了 25 年的前瞻性数据研究。对于双方配偶,中年期慢性压力影响随后急性生活压力事件的发生,而这些事件又反过来影响晚年时期的抑郁症状和身体健康不佳。对于双方配偶,中年期慢性压力也直接影响抑郁症状。妻子的中年期慢性压力也直接影响其自身晚年的身体健康不佳和丈夫的抑郁症状。这些发现增强了我们对中年期慢性压力和急性生活压力事件对夫妻晚年健康结果的长期联合影响的认识,并确定了配偶之间的依存关系,这可以为健康预防干预计划提供信息。

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