Department of Counselling Psychology, Sahmyook University, Seoul, Korea.
Psychogeriatrics. 2024 Nov;24(6):1335-1346. doi: 10.1111/psyg.13198. Epub 2024 Sep 29.
This study investigated psychosocial factors related to preparedness for well-dying among middle-aged and older adults and verified a model that can predict it along with psychosocial factors and demographic profiles to provide useful information for intervention.
The participants were 340 middle-aged and older Korean adults aged 40-79 years. The predictive models were verified using stepwise regression and decision tree analyses.
The results revealed that personality, meaning of life, hardiness, intrinsic religiosity, death anxiety, family support, subjective well-being, and expectations for future life were significantly correlated with preparedness for well-dying among middle-aged and older adults. A stepwise regression analysis revealed that meaning of life accounted for the greatest variance in preparedness for well-dying. A decision tree model predicting preparedness for well-dying included search for meaning, the presence of a spouse, family support, having a job, tenacity, conscientiousness, and positive emotions.
These findings suggest that search for meaning and tenacity in middle-aged and older adults as well as the presence of a spouse or occupation and family support may play important roles in preparing for well-dying.
本研究调查了与中年和老年人临终准备相关的社会心理因素,并验证了一个可以预测临终准备的模型,以及社会心理因素和人口统计学特征,为干预提供有用的信息。
参与者为 340 名年龄在 40-79 岁的韩国中年和老年人。使用逐步回归和决策树分析验证预测模型。
结果表明,人格、生活意义、坚韧、内在宗教信仰、死亡焦虑、家庭支持、主观幸福感和对未来生活的期望与中年和老年人的临终准备显著相关。逐步回归分析显示,生活意义对临终准备的变化解释度最大。预测临终准备的决策树模型包括寻找意义、有配偶、家庭支持、有工作、坚韧、尽责和积极情绪。
这些发现表明,中年和老年人对生活意义的寻找和坚韧,以及配偶或职业和家庭支持的存在,可能在临终准备中发挥重要作用。