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自我衰老认知调节个体内和个体间感知压力与身体健康症状的关联。

Self-Perceptions of Aging Moderate Associations of Within- and Between-Persons Perceived Stress and Physical Health Symptoms.

机构信息

School of Social and Behavioral Health Sciences, Oregon State University, Corvallis, Oregon, USA.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2022 Apr 1;77(4):641-651. doi: 10.1093/geronb/gbab228.

Abstract

OBJECTIVES

To examine how self-perceptions of aging (SPA) moderated within- and between-persons perceived stress associations with physical health symptoms.

METHODS

A community-dwelling sample of 103 adults (Meanage = 63, range = 52-88) participated in an online microlongitudinal study for 100 days (Noccasions = 7,064). Participants completed baseline surveys consisting of SPA, social connections, and demographics followed by 100 daily surveys including information about daily stress perceptions and physical health. Utilizing generalized multilevel models, we examined whether daily fluctuations and average levels of perceived stress over 100 days affected physical health symptoms and whether these associations varied by SPA.

RESULTS

Adults who had higher perceived stress, on average across 100 days, reported significantly more physical health symptoms compared to individuals with lower perceived stress on average (p < .05). On days when individuals reported higher perceived stress than their own average, they had a higher likelihood of reporting more physical health symptoms compared to days when their perceived stress was lower than their own average (p < .05). Further, SPA significantly moderated associations between both within- and between-persons perceived stress and physical health symptoms (ps < .05). Individuals with more positive SPA were less affected by high levels of perceived stress-both on average and on days when perceived stress was higher than their own average.

DISCUSSION

More positive SPA significantly dampened the impact of perceived stress, suggesting the importance of SPA as an individual characteristic within stress processes. Future work should examine how daily changes in SPA may exacerbate or mitigate the impacts of daily stress processes and health outcomes.

摘要

目的

考察自我老化感知(SPA)在个体内和个体间感知压力与身体健康症状之间的关系中的调节作用。

方法

一项社区居住的 103 名成年人(平均年龄=63 岁,范围为 52-88 岁)参与了一项为期 100 天的在线微纵向研究(Noccasions = 7064)。参与者完成了基线调查,包括 SPA、社会联系和人口统计学信息,随后进行了 100 天的日常调查,包括有关日常压力感知和身体健康的信息。利用广义多层模型,我们考察了 100 天内日常波动和平均感知压力水平对身体健康症状的影响,以及这些关联是否因 SPA 而异。

结果

与平均感知压力较低的个体相比,平均感知压力较高的成年人报告的身体健康症状明显更多(p <.05)。与自身平均感知压力较低的日子相比,个体报告的感知压力高于自身平均水平的日子里,他们报告更多身体健康症状的可能性更高(p <.05)。此外,SPA 显著调节了个体内和个体间感知压力与身体健康症状之间的关联(p <.05)。SPA 更积极的个体受到高水平感知压力的影响较小——无论是在平均水平还是在感知压力高于自身平均水平的日子里。

讨论

更积极的 SPA 显著减轻了感知压力的影响,这表明 SPA 作为压力过程中的个体特征的重要性。未来的工作应该研究 SPA 的日常变化如何可能加剧或减轻日常压力过程和健康结果的影响。

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