Faculty of Social and Community Sciences, Ruppin Academic Center, Emek Hefer 402500, Israel.
Department of Gerontology, University of Haifa, Haifa 3498838, Israel.
Psychiatry Res. 2022 Oct;316:114786. doi: 10.1016/j.psychres.2022.114786. Epub 2022 Aug 10.
Subjective age, the personal sense of how old one feels, is an important concomitant of posttraumatic outcomes in the second half of life. The present study aims to disentangle the interrelationships between posttraumatic stress disorder symptoms (PTSS) and subjective age, during the COVID-19 pandemic, among a sample of Israeli older adults who are veterans of the 1973 Yom Kippur War. Participants were interviewed in 2015 (T1; N = 259; mean age = 65.23, SD = 5.32) and in 2020, during the COVID-19 outbreak in Israel (T2). We assessed subjective age, PTSS, fear of COVID-19, self-rated health, and COVID-19 related accelerated subjective aging. A cross-lagged path analysis showed that while higher PTSS at T1 were associated with an increase in subjective age from T1 to T2, subjective age at T1 was not associated with PTSS at T2. PTSS at T1, but not subjective age, were associated with higher COVID-19 related accelerated subjective aging at T2. Older adults with continued PTSS due to past traumas, might be susceptible to the stressors of COVID-19 expressed in the personal subjective experience of having aged quickly in a short period of time. Our findings also suggest that in the context of stress and trauma, subjective age is more appropriately conceived as an outcome variable rather than a predictor of PTSS.
主观年龄,即个人感觉自己的年龄,是后半辈子创伤后结果的一个重要伴随物。本研究旨在厘清创伤后应激障碍症状(PTSS)和主观年龄之间的相互关系,研究对象为以色列的老年退伍军人,他们曾参加过 1973 年的赎罪日战争。这些退伍军人在 COVID-19 大流行期间,于 2015 年(T1;N=259;平均年龄 65.23,标准差 5.32)和 2020 年(T2)接受了访谈。我们评估了主观年龄、PTSS、对 COVID-19 的恐惧、自我评估的健康状况和 COVID-19 相关的加速主观老化。交叉滞后路径分析显示,T1 时较高的 PTSS 与 T1 到 T2 期间主观年龄的增加有关,而 T1 时的主观年龄与 T2 时的 PTSS 无关。T1 时的 PTSS,但不是主观年龄,与 T2 时更高的 COVID-19 相关加速主观老化有关。由于过去的创伤而持续存在 PTSS 的老年人,可能容易受到 COVID-19 压力源的影响,这些压力源表现在个人在短时间内快速老化的主观体验中。我们的研究结果还表明,在压力和创伤的背景下,主观年龄更适合被视为结果变量,而不是 PTSS 的预测因素。