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慢性疾病与老年亚裔美国人的心理困扰:主观健康感知的中介作用。

Chronic Conditions and Psychological Distress in Older Asian Americans: The Mediating Role of Subjective Health Perception.

机构信息

Department of Social Welfare, Kongju National University, Gongju, South Korea.

Department of Sociology, Texas State University, San Marcos, Texas, USA.

出版信息

J Gerontol Soc Work. 2022 Aug-Sep;65(6):604-617. doi: 10.1080/01634372.2021.2005213. Epub 2021 Dec 1.

DOI:10.1080/01634372.2021.2005213
PMID:34851797
Abstract

Given the importance of understanding the connection between physical and mental health in old age, the study examined the mediating role of subjective health perception in the relationship between chronic conditions and psychological distress among older Asian Americans. Using data from 533 Asian Americans aged 60 and over in the 2016 Asian American Quality of Life Study, the direct and indirect effect models were tested with multivariate linear regressions and the PROCESS macro. Results show that chronic conditions pose significant risks to psychological distress and that subjective health perception mediates their association. The observed role of subjective health perception as an intervening step between physical and mental health offers implications for gerontological social work research and practice by highlighting the importance of positive self-appraisals for the health and well-being in later years of life.

摘要

鉴于了解老年人身心健康之间联系的重要性,本研究考察了主观健康感知在慢性疾病与老年亚裔美国人心理困扰之间关系中的中介作用。该研究使用了 2016 年亚裔美国人生活质量研究中 533 名 60 岁及以上的亚裔美国人的数据,通过多元线性回归和 PROCESS 宏检验了直接和间接效应模型。结果表明,慢性疾病对心理困扰构成重大风险,而主观健康感知则调节了它们之间的关联。主观健康感知作为身心健康之间的中间步骤的作用,为老年社会工作研究和实践提供了启示,强调了积极的自我评价对晚年健康和幸福的重要性。

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