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老年人对 COVID-19 大流行的体验:压力与喜悦的混合方法分析。

Older Adults' Experience of the COVID-19 Pandemic: A Mixed-Methods Analysis of Stresses and Joys.

机构信息

Department of Behavioral Sciences, University of Michigan-Dearborn.

School of Social Work, University of Michigan, Ann Arbor.

出版信息

Gerontologist. 2021 Jan 21;61(1):36-47. doi: 10.1093/geront/gnaa126.

Abstract

BACKGROUND AND OBJECTIVES

The coronavirus disease 2019 (COVID-19) pandemic is experienced differently across individuals, and older adults' different life experiences lead to a variety of ways of coping. The present study explores older adults' reports of what about the pandemic is stressful, and what brings joy and comfort in the midst of stress.

RESEARCH DESIGN AND METHODS

An online survey asked 825 U.S. adults aged 60 and older to complete questionnaires assessing 3 psychological well-being indicators: perceived stress, negative affect, and positive affect. Participants also responded to open-ended questions about what was stressful and what brought joy or comfort at the time of the survey. A mixed-method approach first qualitatively analyzed the open-ended responses, content analysis identified themes most frequently reported, and quantitative analysis examined the associations between various stressors and joys and the psychological well-being indicators.

RESULTS

Qualitative analysis revealed 20 stress categories and 21 joy/comfort categories. The most commonly reported stressors were confinement/restrictions, concern for others, and isolation/loneliness; the most commonly reported sources of joy/comfort were family/friend relationships, digital social contact, and hobbies. Demographic comparisons revealed variations in experience. Independent t tests revealed stress from concern for others, the unknown future, and contracting the virus to be significantly associated with poorer psychological well-being; faith, exercise/self-care, and nature were associated with more positive psychological well-being.

DISCUSSION AND IMPLICATIONS

Results are discussed in the context of stress and coping theory, highlighting the importance of understanding the unique stress experience of each individual for effective distress intervention.

摘要

背景与目的

2019 年冠状病毒病(COVID-19)大流行在个体之间的表现不同,老年人不同的生活经历导致了各种应对方式。本研究探讨了老年人对大流行中哪些方面有压力,以及在压力中哪些方面带来快乐和安慰。

研究设计与方法

一项在线调查要求 825 名美国 60 岁及以上的成年人完成评估 3 项心理幸福感指标的问卷:感知压力、负性情绪和正性情绪。参与者还回答了关于当时感到压力和带来快乐或安慰的开放式问题。采用混合方法,首先对开放式回答进行定性分析,内容分析确定了最常报告的主题,定量分析考察了各种压力源与快乐和安慰源与心理幸福感指标之间的关联。

结果

定性分析揭示了 20 个压力类别和 21 个快乐/安慰类别。最常报告的压力源是禁闭/限制、对他人的担忧和隔离/孤独;最常报告的快乐/安慰源是家庭/朋友关系、数字社交接触和爱好。人口统计学比较显示出经验的差异。独立 t 检验显示,对他人的担忧、未知的未来和感染病毒与较差的心理幸福感显著相关;信仰、锻炼/自我保健和自然与更积极的心理幸福感相关。

讨论与意义

结果在压力和应对理论的背景下进行了讨论,强调了理解每个个体独特的压力体验对于有效干预痛苦的重要性。

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