Hashimoto Kazuaki, Takeuchi Takeaki, Ihara Kazushige, Obuchi Shuichi, Kawai Hisashi, Hirano Hirohiko, Fujiwara Yoshinori, Hunkyung Kim, Watanabe Yutaka, Hashizume Masahiro
Toho University Faculty of Medicine, Tokyo, Japan.
Hirosaki University Graduate School of Medicine, Aomori, Japan.
Gerontol Geriatr Med. 2024 Mar 13;10:23337214241238069. doi: 10.1177/23337214241238069. eCollection 2024 Jan-Dec.
Social isolation among older adults affects their physical and mental health. Ego-resilience is associated with flexible adaptation to various environments and acceptable behaviors. However, its association with social isolation among older people is unclear. Therefore, a health survey was conducted with 510 adults aged 65 years or older to assess social isolation, its associated factors, and ego resilience. The results showed that the social isolation group had a lower median ego-resiliency scale score (42.0) compared to the non-social isolation group (38.0). The social isolation group were mostly males without spouses, took time to move, had more depressive moods, and poorer subjective health status. The non-social isolated group had faster maximum walking speed. Low ego-resilience was newly identified as a factor associated with social isolation among older people, as were being male, having no spouse, and depressive symptoms. Mediation analysis revealed that ego-resilience affected social isolation and was partially mediated by depressive symptoms.
老年人的社会隔离会影响他们的身心健康。自我恢复力与对各种环境的灵活适应能力和可接受行为相关。然而，其与老年人社会隔离之间的关联尚不清楚。因此，对510名65岁及以上的成年人进行了一项健康调查，以评估社会隔离、其相关因素和自我恢复力。结果显示，与非社会隔离组（38.0）相比，社会隔离组的自我恢复力量表中位数得分较低（42.0）。社会隔离组大多为无配偶男性，行动迟缓，抑郁情绪更多，主观健康状况较差。非社会隔离组的最大步行速度更快。低自我恢复力被新确定为与老年人社会隔离相关的一个因素，男性、无配偶和抑郁症状也是如此。中介分析表明，自我恢复力影响社会隔离，且部分由抑郁症状介导。
