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背景很重要:新冠疫情期间老年群体日常生活中的健康敏感性。

Context Matters: Health Sensitivity in the Daily Lives of Older Adults Living Through the COVID-19 Pandemic.

机构信息

Department of Psychology, University of Leicester, Leicester, UK.

Max Planck Institute for Human Development, Lise Meitner Group for Environmental Neuroscience, Berlin, Germany.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2023 May 26;78(6):1018-1024. doi: 10.1093/geronb/gbad006.

DOI:10.1093/geronb/gbad006
PMID:36634083
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10214652/
Abstract

OBJECTIVES

Throughout 2021, the coronavirus disease (COVID-19) pandemic caused renewed restrictions across Germany. Given the growing evidence that the pandemic negatively affects older adults' health and well-being, this study investigated health sensitivity (emotional reactions to momentary health challenges) and its moderators (age, morbidity, perceived COVID-19 risks and worries) among older adults in their everyday lives during the second and third waves of the pandemic.

METHODS

Multilevel models were applied to self-reported momentary health and affect data, collected 6 times per day across 7 consecutive days in 104 participants (Mage = 76.35; range: 67-88 years), assessed between April and June 2021 (~300,000 COVID-19 cases in Germany at the time).

RESULTS

Health sensitivity was unrelated to age and lower with higher morbidity. Importantly, older adults showed higher health sensitivity in moments when they also perceived a greater risk of contracting COVID-19.

DISCUSSION

Findings suggest that sociocontextual factors related to the pandemic modulate emotional reactions to momentary health challenges, thereby underscoring the consequences of COVID-19 for older adults' emotional experiences.

摘要

目的

2021 年期间,冠状病毒病(COVID-19)大流行在德国各地再次引发了限制措施。鉴于越来越多的证据表明,大流行对老年人的健康和福祉产生负面影响,本研究在 COVID-19 大流行的第二波和第三波期间,调查了老年人在日常生活中对健康敏感性(对短暂健康挑战的情绪反应)及其调节因素(年龄、发病情况、感知到的 COVID-19 风险和担忧)。

方法

本研究采用多层次模型,对 104 名参与者(平均年龄=76.35 岁,年龄范围为 67-88 岁)在 2021 年 4 月至 6 月期间连续 7 天每天 6 次自我报告的即时健康和情感数据进行分析,评估了 6 次自我报告的即时健康和情感数据。当时德国约有 300,000 例 COVID-19 病例。

结果

健康敏感性与年龄无关,与发病情况呈负相关。重要的是,当老年人感知到更高的感染 COVID-19 的风险时,他们表现出更高的健康敏感性。

讨论

研究结果表明,与大流行相关的社会文化因素调节了对短暂健康挑战的情绪反应,从而强调了 COVID-19 对老年人情绪体验的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f372/10214652/ab005fb19b6e/gbad006_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f372/10214652/ab005fb19b6e/gbad006_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f372/10214652/ab005fb19b6e/gbad006_fig1.jpg

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本文引用的文献

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Front Psychiatry. 2022 Apr 25;13:860683. doi: 10.3389/fpsyt.2022.860683. eCollection 2022.
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Partner Pain and Affect in the Daily Lives of Older Couples.老年夫妇日常生活中的伴侣疼痛与情感。
J Gerontol B Psychol Sci Soc Sci. 2022 Jul 5;77(7):1197-1209. doi: 10.1093/geronb/gbab188.
3
Health sensitivity in the daily lives of younger and older adults: correlates and longer-term change in health.
年轻人和老年人日常生活中的健康敏感性:健康的相关性及其长期变化。
Aging Ment Health. 2022 Jun;26(6):1261-1269. doi: 10.1080/13607863.2021.1913475. Epub 2021 May 3.
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Mental wellbeing in the German old age population largely unaltered during COVID-19 lockdown: results of a representative survey.在 COVID-19 封锁期间,德国老年人口的心理健康状况基本保持不变:一项代表性调查的结果。
BMC Geriatr. 2020 Nov 23;20(1):489. doi: 10.1186/s12877-020-01889-x.
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Age Advantages in Emotional Experience Persist Even Under Threat From the COVID-19 Pandemic.即使在 COVID-19 大流行的威胁下,年龄优势在情绪体验中仍持续存在。
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