Shin Jeonghyun, Fischer Ian C, Na Peter J, Jeste Dilip V, Pietrzak Robert H
College of Medicine (JS), Seoul National University, Seoul, Republic of Korea.
Department of Psychiatry (ICF, PJN), Yale School of Medicine, New Haven, CT; National Center for PTSD (ICF, PJN, RHP), VA Connecticut Healthcare System, West Haven, CT.
Am J Geriatr Psychiatry. 2025 Jan;33(1):85-91. doi: 10.1016/j.jagp.2024.07.018. Epub 2024 Aug 10.
To determine the prevalence and correlates of successful aging in US veterans who screened positive for current major depressive disorder (MDD), generalized anxiety disorder (GAD), and/or posttraumatic stress disorder (PTSD).
In a nationally representative sample of 475 US military veterans (mean age=58.3, SD=14.7; range 24-92) who screened positive for MDD, GAD, and/or PTSD, multivariable logistic regression and relative importance analyses were conducted to identify independent correlates of successful aging.
One-in-five (20.6%) veterans rated themselves as aging successfully. Resilience and gratitude were the strongest positive correlates of successful aging, accounting for 38.1% and 32.4% of the explained variance, respectively. Greater somatic symptoms were the strongest negative correlate, accounting for 11.2% of the explained variance. Higher gratitude moderated the negative association between somatic symptoms and successful aging.
Positive psychiatry interventions targeting psychosocial factors such as resilience and gratitude may help promote successful aging among US veterans with mental disorders.
确定当前患有重度抑郁症（MDD）、广泛性焦虑症（GAD）和/或创伤后应激障碍（PTSD）筛查呈阳性的美国退伍军人中成功老龄化的患病率及其相关因素。
在475名MDD、GAD和/或PTSD筛查呈阳性的具有全国代表性的美国退伍军人样本（平均年龄=58.3，标准差=14.7；年龄范围24 - 92岁）中，进行多变量逻辑回归和相对重要性分析，以确定成功老龄化的独立相关因素。
五分之一（20.6%）的退伍军人认为自己正在成功老龄化。心理韧性和感恩是成功老龄化最强的正相关因素，分别占解释方差的38.1%和32.4%。更多的躯体症状是最强的负相关因素，占解释方差的11.2%。更高的感恩程度缓和了躯体症状与成功老龄化之间的负相关关系。
针对心理社会因素如心理韧性和感恩的积极精神病学干预可能有助于促进患有精神障碍的美国退伍军人成功老龄化。
