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归因再训练:促进健康状况不佳的老年人的心理健康。

Attributional retraining: Promoting psychological wellbeing in older adults with compromised health.

作者信息

Parker Patti C, Chipperfield Judith G, Hamm Jeremy M, Perry Raymond P, Krylova Masha V, Chuchmach Loring M, Hladkyj Steve

机构信息

Department of Psychology, Thompson Rivers University, Kamloops, BC, Canada.

Department of Psychology, University of Manitoba, Winnipeg, MB, Canada.

出版信息

Front Sports Act Living. 2022 Aug 16;4:949501. doi: 10.3389/fspor.2022.949501. eCollection 2022.

Abstract

Older adults make up the largest portion of the population of physically inactive individuals. Health challenges, and psychological barriers (e.g., maladaptive causal attributions), contribute to reduced activity engagement and low perceived control. This pilot study tested an attributional retraining (AR) intervention designed to increase control-related outcomes in a physical activity context for older adults with compromised health. Using a randomized treatment design, we examined treatment effects on a sample of older adults attending a day hospital ( = 37, = 80). We employed ANCOVAs, controlling for age, sex, and morbidity, to assess differences in post-treatment outcomes between AR and No-AR conditions. AR recipients (vs. No-AR) reported lower post-treatment helplessness and more perceived control over their health. Our study offers evidence for AR to increase control-related outcomes and lays the groundwork for further research into supporting older adult populations with compromised health.

摘要

老年人在缺乏身体活动的人群中占比最大。健康挑战以及心理障碍(如适应不良的因果归因)导致活动参与度降低和感知控制感较低。这项试点研究测试了一种归因再训练(AR)干预措施,旨在提高健康状况不佳的老年人在体育活动情境中与控制相关的结果。采用随机治疗设计,我们考察了该治疗对参加日间医院的老年样本( = 37, = 80)的效果。我们使用协方差分析,控制年龄、性别和发病率,以评估AR组和非AR组治疗后结果的差异。接受AR治疗的患者(与非AR组相比)报告称治疗后无助感较低,对自身健康的感知控制感更强。我们的研究为AR提高与控制相关的结果提供了证据,并为进一步研究支持健康状况不佳的老年人群体奠定了基础。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/581b/9424488/95615de76f64/fspor-04-949501-g0001.jpg

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