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参战老兵对衰老的态度与依恋不安全感之间的纵向关联。

The longitudinal associations between attitudes to aging and attachment insecurities among combat veterans.

机构信息

Faculty of Social and Community Sciences, Ruppin Academic Center.

Sackler Faculty of Medicine, Department of Occupational Therapy, The Stanley Steyer School of Health Professions, Tel Aviv University.

出版信息

Am J Orthopsychiatry. 2021;91(2):162-170. doi: 10.1037/ort0000530.

Abstract

For combat veterans, the trauma of war can have lasting effects, that may later extend to attitudes toward one's own aging (ATOA). The present study sought to examine whether attachment insecurities may help to predict ATOA in later life, while also exploring the moderating role of combat exposure concerning the effects of attachment insecurities on subsequent ATOA. A cohort of 171 veterans of the Israeli 1973 Yom Kippur War (mean age = 68.4, SD = 5.1) were interviewed in 1991 (Time 1; T1) and again in 2018 (Time 2; T2). The present study examined the moderating role of combat exposure, within the associations between T1 attachment insecurities and T2 ATOA. A regression analysis revealed that T1 attachment insecurities, T2 health problems, and post-traumatic stress disorder (PTSD) symptoms predicted more negative T2 ATOA. A significant interaction was found between combat exposure and attachment avoidance, suggesting that the effect of attachment avoidance on ATOA was only significant among participants with high levels of combat exposure. The present findings point to the importance of attachment insecurities for ATOA among veterans, and to the role of combat exposure in moderating these associations. Results indicate possible avenues of intervention and policy for those most vulnerable to negative ATOA. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

对于参战老兵来说,战争的创伤可能会产生持久的影响,这些影响可能会延伸到他们对自己衰老的态度(ATOA)上。本研究旨在探讨依恋不安全感是否有助于预测晚年的 ATOA,同时还探讨了战斗暴露对依恋不安全感对随后的 ATOA 的影响的调节作用。研究人员对 1973 年以色列赎罪日战争(Yom Kippur War)的 171 名退伍军人进行了调查(平均年龄=68.4,标准差=5.1),分别在 1991 年(T1)和 2018 年(T2)进行了访谈。本研究在 T1 依恋不安全感与 T2 ATOA 之间的关联中,检验了战斗暴露的调节作用。回归分析显示,T1 依恋不安全感、T2 健康问题和创伤后应激障碍(PTSD)症状预测了更消极的 T2 ATOA。发现战斗暴露和依恋回避之间存在显著的交互作用,这表明依恋回避对 ATOA 的影响仅在战斗暴露水平较高的参与者中具有统计学意义。本研究结果表明,依恋不安全感对退伍军人的 ATOA 很重要,战斗暴露在调节这些关联中也起着重要作用。研究结果表明,对于那些最容易受到消极 ATOA 影响的人,可能有干预和政策的途径。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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