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免于在场的守护:正念在最年长者孤独与生活质量及心理健康问题纵向关系中的调节作用

Guardianship from being present: the moderation of mindfulness in the longitudinal relationship of loneliness to quality of life and mental health problems among the oldest old.

作者信息

Ma Ran, Zhou Yuyang, Xu Wei

机构信息

Beijing Key Laboratory of Applied Experimental Psychology, National Demonstration Center for Experimental Psychology Education (Beijing Normal University), Faculty of Psychology, Beijing Normal University, Beijing, China.

College of Business, Florida International University, Miami, FL USA.

出版信息

Curr Psychol. 2023 Feb 24:1-10. doi: 10.1007/s12144-023-04418-2.

Abstract

Since the pace of population aging is getting faster than in the past, the population aging has been a serious social concern. The Quality of life (QOL) of the older adults, especially the oldest old, and their mental health problems need more public attention, for the purpose of enhancing their late well-being. Therefore, the current study aims to investigate the longitudinal relationship between loneliness to quality of life and mental health problems, considering the moderation effect of mindfulness among the oldest old. A total of 457 Chinese oldest-old completed questionnaires measuring mindfulness, loneliness, QOL, and mental health problems at baseline, and completed QOL and mental health problems again at six-month follow-up. Results showed that the longitudinal positive association between loneliness and mental health problems was significant ( = .401,  < .01). Nevertheless, loneliness was positively correlated with QOL ( = .242,  < .01). Additionally, mindfulness significantly moderated the association between loneliness and mental health problems. Specifically, higher mindfulness was associated with a weaker longitudinal relationship between loneliness and mental health problems. However, mindfulness did not moderate the relationship between loneliness and QOL. These findings indicated that loneliness can be a risk factor of mental health problems, and mindfulness can buffer the adverse effect of loneliness on mental health problems among the oldest old. Limitations and implications were discussed.

摘要

由于人口老龄化的速度比过去更快,人口老龄化已成为一个严重的社会问题。老年人,尤其是高龄老人的生活质量(QOL)及其心理健康问题需要更多的公众关注,以提高他们晚年的幸福感。因此,本研究旨在探讨孤独感与生活质量和心理健康问题之间的纵向关系,并考虑正念在高龄老人中的调节作用。共有457名中国高龄老人在基线时完成了测量正念、孤独感、生活质量和心理健康问题的问卷,并在六个月的随访中再次完成了生活质量和心理健康问题的测量。结果表明,孤独感与心理健康问题之间的纵向正相关显著(β = 0.401,p < 0.01)。然而,孤独感与生活质量呈正相关(β = 0.242,p < 0.01)。此外,正念显著调节了孤独感与心理健康问题之间的关联。具体而言,较高的正念与孤独感和心理健康问题之间较弱的纵向关系相关。然而,正念并没有调节孤独感与生活质量之间的关系。这些发现表明,孤独感可能是心理健康问题的一个风险因素,而正念可以缓冲孤独感对高龄老人心理健康问题的不利影响。讨论了研究的局限性和意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b1fc/9950697/43c6d109f004/12144_2023_4418_Fig1_HTML.jpg

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