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重拾希望:老年人主观接近死亡与希望之间的中介作用:创伤后应激症状的中介作用

Reclaiming hope: Subjective nearness to death as a moderator between posttraumatic stress symptoms and hope among older adults.

机构信息

Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.

Faculty of Social and Community Sciences, The Lior Tzfati Center for Suicide and Mental Pain Studies, Ruppin Academic Center, Emek Hefer, Israel.

出版信息

Stress Health. 2024 Feb;40(1):e3283. doi: 10.1002/smi.3283. Epub 2023 Jun 17.

DOI:10.1002/smi.3283
PMID:37329232
Abstract

Perceiving one's remaining time until death, can serve as a source of resilience when faced with adversity in the second half of life. The current work is based on a prospective study and examines whether subjective nearness-to-death (SNtD) moderates the association between posttraumatic-stress symptoms (PTSS) and hope among adults in the second half of life. The first wave was conducted after the end of a military conflict in the south of Israel, and included 170 participants (M = 66.61, SD = 9.16; age range 51-91), 115 of whom also participated in Wave 2. Participants filled out self-reported questionnaires regarding background information, PTSS, SNtD and hope. A moderation effect was found, revealing that high levels of PTSS predicted lower levels of hope among those who felt close to their death, but not among those who felt far from their death. We suggest that one's evaluation of little time remaining to live, especially in old age, may be a significant factor exacerbating the negative consequences of PTSS on hope. The importance of the results to the research field is discussed.

摘要

感知自己剩余的死亡时间,可以成为在人生后半段面对逆境时的韧性来源。目前的工作基于一项前瞻性研究,旨在探讨主观临近死亡感(SNtD)是否调节了创伤后应激症状(PTSS)与人生后半段成年人希望之间的关系。第一波调查是在以色列南部的一场军事冲突结束后进行的,共有 170 名参与者(M=66.61,SD=9.16;年龄范围 51-91 岁),其中 115 人也参加了第二波调查。参与者填写了关于背景信息、PTSS、SNtD 和希望的自我报告问卷。结果发现存在调节效应,表明对于那些感到接近死亡的人来说,高水平的 PTSS 预示着低水平的希望,而对于那些感到远离死亡的人则没有这种预示。我们认为,一个人对剩余生命时间的评估,尤其是在老年时,可能是加剧 PTSS 对希望产生负面影响的重要因素。讨论了研究结果对研究领域的重要性。

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