Siltanen Sini, Tourunen Anu, Saajanaho Milla, Palmberg Lotta, Portegijs Erja, Rantanen Taina
Gerontology Research Center, Faculty of Sport and Health Sciences, University of Jyväskylä, PO Box 35, 40014 Jyvaskyla, Finland.
Eur J Ageing. 2020 May 4;18(1):65-74. doi: 10.1007/s10433-020-00569-4. eCollection 2021 Mar.
Active aging refers to striving for well-being through preferred activity and may be restricted with declining mobility. We investigated whether psychological resilience, i.e., the ability to tolerate hardship, can aid older people in being active despite mobility limitations. Participants were 961 community-dwelling persons aged 75, 80, or 85 years living in Jyväskylä, Central Finland. Mobility limitations were indicated as self-reported difficulty in walking 2 km. Categories were no difficulty (reference), difficulty, and unable to walk. Resilience was assessed with the 10-item Connor-Davidson Resilience Scale and active aging with the University of Jyvaskyla Active Aging scale. Data were analyzed with OLS regression analyses, which were stratified by age. In all age-groups, having difficulties walking or being unable to walk 2 km was associated with lower active aging scores. Resilience moderated this association especially among the 75-year-olds, but not among the 85-year-olds: The higher the resilience score, the higher the active aging score among those reporting no or some walking difficulties. Those unable to walk 2 km had lower active aging scores irrespective of resilience level. Psychological resilience may alleviate the negative effects of early phase walking difficulties on active aging but may be insufficient to compensate for more severe walking limitations that restrict not only function but also autonomy.
积极老龄化是指通过自主选择的活动来追求幸福，而随着身体活动能力下降，这种追求可能会受到限制。我们调查了心理韧性，即忍受困难的能力，是否能帮助老年人在存在行动不便的情况下依然保持积极的生活状态。研究参与者为居住在芬兰中部于韦斯屈莱市的961名75岁、80岁或85岁的社区居民。行动不便通过自我报告行走2公里的困难程度来衡量。分类包括无困难（参照组）、有困难和无法行走。心理韧性通过10项Connor-Davidson心理韧性量表进行评估，积极老龄化程度则通过于韦斯屈莱大学积极老龄化量表进行评估。数据采用普通最小二乘法回归分析，并按年龄分层。在所有年龄组中，行走困难或无法行走2公里与较低的积极老龄化得分相关。心理韧性对这种关联有调节作用，尤其是在75岁的人群中，但在85岁的人群中则不然：在报告无行走困难或有一些行走困难的人群中，心理韧性得分越高，积极老龄化得分越高。无论心理韧性水平如何，无法行走2公里的人积极老龄化得分较低。心理韧性可能会减轻早期行走困难对积极老龄化的负面影响，但可能不足以弥补更严重的行走限制，因为这种限制不仅会影响功能，还会影响自主性。
