老年人会根据行动限制的变化调整控制信念吗？一项大规模观察性研究的证据。
Do Older Adults Adjust Their Control Beliefs According to Changes in Mobility Limitations? Evidence From a Large-Scale Observational Study.
机构信息
Northern Arizona University, Flagstaff, Arizona, USA.
出版信息
J Gerontol B Psychol Sci Soc Sci. 2023 Aug 28;78(9):1501-1510. doi: 10.1093/geronb/gbad067.
OBJECTIVES
This study examines cross-over, time-lagged (cross-lagged) effects of nonintervened changes between mobility limitations and control constraints/self-mastery.
METHODS
Using the Health and Retirement Study data from the years 2006 to 2016 from 10,690 participants, changes in mobility limitations, control constraints, and self-mastery were analyzed simultaneously with 3 latent change score models, to account for measurement error and pre-existing mobility issues prior to baseline.
RESULTS
An increase in mobility limitations predicts a decrease in mastery observed in the next interval, but not the other way around. Cross-lagged effects of changes are significant only between control and local mobility limitations concerning upper/lower extremity and associated large muscles.
DISCUSSION
The results indicate reciprocity between perceived control constraints and local mobility regardless of pre-existing limitations. To better facilitate recovery and prevention, future intervention designs should consider alleviating control constraints in addition to improving self-mastery.
目的
本研究考察了行动受限与控制约束/自我掌控之间未经干预的变化之间的交叉滞后（交叉滞后）效应。
方法
使用来自 2006 年至 2016 年的 10690 名参与者的健康与退休研究数据，通过 3 个潜在变化得分模型同时分析行动受限、控制约束和自我掌控的变化，以解释测量误差和基线前预先存在的行动问题。
结果
行动受限的增加预示着在下一个间隔内观察到的掌握力下降，但反之则不然。仅在控制和局部行动受限（涉及上肢/下肢和相关大肌肉）之间存在变化的交叉滞后效应。
讨论
结果表明，无论预先存在的限制如何，感知控制约束与局部行动受限之间存在相互关系。为了更好地促进恢复和预防，未来的干预设计应考虑缓解控制约束，除了提高自我掌控力。
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