Ferkauf Graduate School of Psychology, Yeshiva University.
Department of Psychology, The State University of New York at Potsdam.
Psychol Trauma. 2023 Mar;15(3):449-457. doi: 10.1037/tra0001253. Epub 2022 Apr 28.
It has been broadly anticipated that COVID-19 pandemic-related experiences may constitute traumatic stressors, and that older adults' might be especially at risk of experiencing mental health symptoms during the pandemic. The present study aimed to examine older adults' psychological distress: posttraumatic stress, Covid-related fears, anxiety, and depression during the pandemic, and the relationship between present distress, defensive functioning, and childhood trauma. We also explored potential differences between older adults (between 65 and 74 years), and older-older adults (75 years and above).
A large-scale online survey was conducted during the early months of the pandemic, for the present study, we included participants above 65 years old (N = 1,225) mainly from the United States and Canada.
Results showed that age, adverse childhood experiences, and overall defensive functioning were significantly related to posttraumatic stress, anxiety, and depression. Specifically, younger age and more reported childhood adversity were related to higher distress, whereas the use of more adaptive defenses was related to less distress. Covid-related fears were not associated with age. Our final model showed that defensive functioning mediated the relationship between childhood trauma and distress.
Our results support the relative resilience of older-older adults compared to older adults, as well as the long-lasting impact of childhood adversity through defensive functioning later in life, specifically in times of heightened stress, such as the COVID-19 pandemic. Future studies are warranted to identify further factors affecting defensive functioning as adults age, as well as processes that are associated with resilience in response to stressors in older adulthood. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
人们普遍预期,与 COVID-19 大流行相关的经历可能构成创伤性应激源,老年人在大流行期间可能特别容易出现心理健康症状。本研究旨在考察老年人在大流行期间的心理困扰:创伤后应激、与新冠相关的恐惧、焦虑和抑郁,以及目前的困扰、防御功能和儿童期创伤之间的关系。我们还探讨了年龄在 65 至 74 岁之间的老年人(老年组)和 75 岁及以上的老年人(老年老年组)之间的潜在差异。
在大流行的早期阶段进行了一项大规模的在线调查,为本研究,我们纳入了 65 岁以上的参与者(N=1225),主要来自美国和加拿大。
结果表明,年龄、不良的童年经历和整体防御功能与创伤后应激、焦虑和抑郁显著相关。具体而言,年龄较小和报告的童年逆境较多与较高的困扰相关,而使用更多适应性防御与较低的困扰相关。与新冠相关的恐惧与年龄无关。我们的最终模型表明,防御功能中介了儿童期创伤与困扰之间的关系。
我们的结果支持老年老年组相对于老年组的相对韧性,以及儿童期逆境通过防御功能在以后的生活中对困扰的持久影响,特别是在压力较大的时期,如 COVID-19 大流行期间。未来的研究需要进一步确定影响成年人防御功能的因素,以及与成年后期应对应激源的韧性相关的过程。(PsycInfo 数据库记录(c)2023 APA,保留所有权利)。