Brinkhof Lotte P, Huth Karoline B S, Murre Jaap M J, de Wit Sanne, Krugers Harm J, Ridderinkhof K Richard
Department of Psychology, Faculty of Behavioural and Social Sciences, University of Amsterdam, Amsterdam, Netherlands.
Centre for Urban Mental Health, University of Amsterdam, Amsterdam, Netherlands.
Front Psychol. 2021 Nov 15;12:752564. doi: 10.3389/fpsyg.2021.752564. eCollection 2021.
Age-related challenges and transitions can have considerable social, psychological, and physical consequences that may lead to significant changes in quality of life (QoL). As such, maintaining high levels of QoL in later life may crucially depend on the ability to demonstrate resilience (i.e., successful adaptation to late-life challenges). The current study set out to explore the interplay between several resilience factors, and how these contribute to the realization and maintenance of (different facets of) QoL. Based on the previous work, we identified behavioral coping, positive appraisal, self-management ability, and physical activity as key resilience factors. Their interplay with (various facets of) QoL, as measured with the WHOQOL-OLD, was established through network analysis. In a sample of community-dwelling older adults (55+; =1,392), we found that QoL was most strongly (and directly) related to positive appraisal style and self-management ability. Among those, taking care of multifunctional resources (i.e., yielding various benefits at the same time) seemed to be crucial. It connected directly to "satisfaction with past, present, and future activities," a key facet of QoL with strong interconnections to other QoL facets. Our analysis also identified resilience factor(s) with the potential to promote QoL when targeted by training, intervention, or other experimental manipulation. The appropriate set of resilience factors to manipulate may depend on the goal and/or facet of QoL that one aims to improve.
与年龄相关的挑战和转变可能会产生相当大的社会、心理和身体后果，这些后果可能导致生活质量（QoL）发生重大变化。因此，在晚年保持较高的生活质量可能关键取决于展现复原力的能力（即成功适应晚年挑战）。当前的研究旨在探讨几种复原力因素之间的相互作用，以及这些因素如何有助于实现和维持（生活质量的不同方面）。基于先前的研究，我们确定行为应对、积极评价、自我管理能力和体育活动为关键的复原力因素。通过网络分析确定了它们与用世界卫生组织老年生活质量量表（WHOQOL-OLD）测量的（生活质量的各个方面）之间的相互作用。在一个社区居住的老年人样本（55岁及以上；n = 1392）中，我们发现生活质量与积极评价方式和自我管理能力的关联最为紧密（且直接）。其中，照顾多功能资源（即同时产生各种益处）似乎至关重要。它直接与“对过去、现在和未来活动的满意度”相关联，这是生活质量的一个关键方面，与其他生活质量方面有着紧密的联系。我们的分析还确定了一些复原力因素，当通过培训、干预或其他实验操作针对这些因素时，有可能提高生活质量。要操控的适当一组复原力因素可能取决于人们想要改善的生活质量目标和/或方面。
