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要有光:积极独处在孤独与抑郁症状关系中的调节作用。

Let there be light: The moderating role of positive solitude in the relationship between loneliness and depressive symptoms.

作者信息

Ost-Mor Sharon, Segel-Karpas Dikla, Palgi Yuval, Yaira Hamama-Raz, Mayan Shacham, Ben-Ezra Menachem, Greenblatt-Kimron Lee

机构信息

Department of Gerontology, University of Haifa, Haifa, Israel.

School of Social Work, Ariel University, Ariel, Israel.

出版信息

Int Psychogeriatr. 2024 Aug;36(8):689-693. doi: 10.1017/S1041610223000698. Epub 2023 Oct 6.

Abstract

Positive solitude (PS), the choice of being alone to engage in meaningful inner or physical, spiritual, mental, or cognitive activity/ experience, was recently suggested as a stand-alone phenomenon differentiated from loneliness and negative solitude. As loneliness was previously found to have adverse implications for mental health, the present study examined whether the ability to engage in PS can moderate the harmful effect of loneliness on depressive symptoms. The sample consisted of 520 community-dwelling older adults in Israel aged 68-87 (Mage = 72.66). Participants answered an online questionnaire through a survey company (Ipanel) assessing their background characteristics, depressive symptoms, loneliness, and PS. Loneliness was positively associated with depressive symptoms, whereas PS was negatively associated with depressive symptoms. Furthermore, PS moderated the relationship between loneliness and depressive symptoms, such that higher levels of PS weakened this association. The findings indicate that PS may serve as a buffering factor for mental health among older adults by augmenting coping with the adverse outcomes of loneliness. The results provide insight for tailoring future treatment interventions focusing on PS to enhance mental health among older adults.

摘要

积极独处(PS),即选择独自参与有意义的内心活动或身体、精神、心理或认知活动/体验,最近被认为是一种与孤独和消极独处不同的独立现象。由于此前发现孤独对心理健康有不利影响,本研究探讨了进行积极独处的能力是否能减轻孤独对抑郁症状的有害影响。样本包括以色列520名年龄在68 - 87岁(平均年龄 = 72.66岁)的社区老年人。参与者通过一家调查公司(Ipanel)回答了一份在线问卷,该问卷评估了他们的背景特征、抑郁症状、孤独感和积极独处情况。孤独感与抑郁症状呈正相关,而积极独处与抑郁症状呈负相关。此外,积极独处调节了孤独感与抑郁症状之间的关系,即较高水平的积极独处削弱了这种关联。研究结果表明,积极独处可能通过增强应对孤独不良后果的能力,成为老年人心理健康的缓冲因素。这些结果为定制未来侧重于积极独处的治疗干预措施以促进老年人心理健康提供了思路。

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