Gerhards Sina Kathrin, Pabst Alexander, Röhr Susanne, Luppa Melanie, Riedel-Heller Steffi G
Medical Faculty, Institute of Social Medicine, Occupational Health and Public Health (ISAP), University of Leipzig, Philipp-Rosenthal-Straße 55, 04103 Leipzig, Germany.
Global Brain Health Institute (GBHI), Trinity College Dublin, Dublin, Ireland.
Eur J Ageing. 2022 Aug 11;19(4):1385-1394. doi: 10.1007/s10433-022-00719-w. eCollection 2022 Dec.
The aim of the study is to investigate psychosocial factors that are associated with positive and negative coping with stress, as well as with worries about and perceived threat by COVID-19 to enable us to provide adequate support for oldest-old individuals. A paper-pencil-based survey assessed COVID-19 worries and perceived threat, depression, anxiety, somatization, social support, loneliness, resilience, positive and negative coping in a sample of = 197 oldest-old individuals (78-100 years). Linear multivariate and binary logistic regression analyses were conducted. Individuals with high levels of resilience were more likely to feel self-efficient when coping with stress. High levels of depression, anxiety and loneliness were associated with feeling more helpless when coping with stress. However, oldest-old individuals who felt lonely also experienced situations where they felt competent in stress coping. Being male and experiencing high levels of social support was more likely associated with high levels of worries due to COVID-19. Increased age and higher levels of depression were associated with lower levels of perceived personal threat, whereas higher somatization scores were more likely associated with higher perceived personal threat. Findings suggest that mental health factors may shape the way oldest-old individuals cope with pandemic-related stress. Resilience might be an important factor to take into account when targeting an improvement in positive coping with stress. Oldest-old individuals who have higher levels of depression, anxiety and feel lonely may be supported by adapting their coping skill repertoire to reduce the feeling of helplessness when coping with stress.
本研究的目的是调查与积极和消极应对压力相关的心理社会因素，以及与对新冠病毒的担忧和感知到的威胁相关的心理社会因素，以便我们能够为高龄老人提供充分的支持。一项基于纸笔的调查评估了197名高龄老人（78至100岁）样本中的新冠病毒担忧和感知到的威胁、抑郁、焦虑、躯体化、社会支持、孤独感、心理韧性、积极和消极应对方式。进行了线性多变量和二元逻辑回归分析。心理韧性水平高的个体在应对压力时更有可能感到自我效能感高。高水平的抑郁、焦虑和孤独感与应对压力时感到更无助相关。然而，感到孤独的高龄老人也经历过在应对压力时感到有能力的情况。男性以及获得高水平的社会支持更有可能与因新冠病毒而产生的高水平担忧相关。年龄增长和较高水平的抑郁与较低水平的个人感知威胁相关，而较高的躯体化得分更有可能与较高的个人感知威胁相关。研究结果表明，心理健康因素可能会影响高龄老人应对与疫情相关压力的方式。在旨在改善积极应对压力的目标中，心理韧性可能是一个需要考虑的重要因素。抑郁、焦虑水平较高且感到孤独的高龄老人可以通过调整他们的应对技能储备来获得支持，以减少应对压力时的无助感。
