Centre for Health Behaviours Research, Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China.
The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China.
Health Soc Care Community. 2022 Feb;30(2):570-578. doi: 10.1111/hsc.13160. Epub 2020 Sep 9.
The present study investigated the associations between the three psychological needs (autonomy, competence and relatedness) derived from the Self-determination Theory and well-being [health-related quality of life (HRQOL) and subjective well-being (SWB)] among older people in Hong Kong SAR, China. A cross-sectional study was conducted from May to August 2018 in Hong Kong. A total of 230 participants aged 60-year-old or above were recruited from eight community service centres. Results from adjusted regression analysis showed that, among the three psychological needs, competence and relatedness were positively associated with SWB, while relatedness was positively associated with physical health domain of HRQOL. The three psychological needs had no significant associations with mental health domain of HRQOL. Interventions to improve HRQOL and SWB should promote older people's sense of competence and relatedness. Longitudinal studies are warranted to clarify the causal relationships and look at other physical, mental and social health outcomes.
本研究调查了源自自我决定理论的三种心理需求（自主性、能力和关联性）与香港特别行政区老年人幸福感（健康相关生活质量（HRQOL）和主观幸福感（SWB））之间的关系。 2018 年 5 月至 8 月，在香港进行了一项横断面研究。共招募了来自 8 个社区服务中心的 230 名 60 岁或以上的参与者。调整后的回归分析结果表明，在这三种心理需求中，能力和关联性与 SWB 呈正相关，而关联性与 HRQOL 的身体健康领域呈正相关。这三种心理需求与 HRQOL 的心理健康领域没有显著关联。改善 HRQOL 和 SWB 的干预措施应增强老年人的能力感和关联性。需要进行纵向研究以澄清因果关系，并观察其他身体、心理和社会健康结果。
