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老年人受虐与社会孤立共同经历所带来的精神困扰:一项针对韩裔美国老年人的研究

Mental Distress Posed by the Co-Experience of Elder Mistreatment and Social Isolation: A Study with Older Korean Americans.

作者信息

Park Juyoung, Wilber Kathleen H, Aranda Maria P, Wu Shinyi, Oh Hans, Jang Yuri

机构信息

Edward R. Roybal Institute on Aging, University of Southern California, Los Angeles, USA.

Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, USA.

出版信息

J Gerontol Soc Work. 2025 Aug-Sep;68(6):786-796. doi: 10.1080/01634372.2025.2455639. Epub 2025 Jan 23.

DOI:10.1080/01634372.2025.2455639
PMID:39846464
Abstract

This study examined the concurrent effects of social isolation and elder mistreatment on mental distress in older Korean Americans (= 2,122, Mean age = 73.4). Approximately 44% experienced mistreatment, with 32% exposed to a single type and 12% to multiple types (polyvictimization). Social isolation and mental distress rates were about 24% and 30%, respectively. Both factors independently affected mental distress, with a significant interaction observed. The odds of experiencing mental distress were substantially greater when polyvictimization occurred in social isolation. These findings underscore the importance of targeted interventions to support for those who are mistreated and lack social protection.

摘要

本研究调查了社会隔离和虐待老年人对韩裔美国老年人((n = 2122),平均年龄 = 73.4岁)心理困扰的共同影响。约44%的人遭受过虐待,其中32%的人遭受过单一类型的虐待,12%的人遭受过多种类型的虐待(多重受害)。社会隔离率和心理困扰率分别约为24%和30%。这两个因素均独立影响心理困扰,且观察到显著的交互作用。当在社会隔离状态下发生多重受害时,出现心理困扰的几率要高得多。这些发现强调了针对性干预措施对于支持那些遭受虐待且缺乏社会保护的人的重要性。

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本文引用的文献

1
Risk Factors for Elder Mistreatment Among Older Korean Americans.韩裔美国老年人遭受虐待的风险因素。
Int J Aging Hum Dev. 2025 Apr;100(3):381-394. doi: 10.1177/00914150241253235. Epub 2024 May 15.
2
Elder abuse victimization, mental health, and protective factors.老年人受虐、心理健康及保护因素。
Aging Ment Health. 2024 Oct;28(10):1334-1342. doi: 10.1080/13607863.2024.2326992. Epub 2024 Mar 18.
3
Elder mistreatment experiences, perceptions, and help-seeking behaviors of Asian American older adults.亚裔美国老年人的虐待经历、认知及求助行为
J Elder Abuse Negl. 2024 Jan-Feb;36(1):41-66. doi: 10.1080/08946566.2023.2301565. Epub 2024 Jan 8.
4
Elder Mistreatment Methods and Measures in Round 3 of the National Social Life, Health, and Aging Project.国家社会生活、健康和老龄化研究项目第三轮中的老年人虐待方法和措施。
J Gerontol B Psychol Sci Soc Sci. 2021 Dec 17;76(Suppl 3):S287-S298. doi: 10.1093/geronb/gbab106.
5
Prevalence of Elder Polyvictimization in the United States: Data From the National Elder Mistreatment Study.美国老年多重受害情况的患病率:来自全国老年人虐待研究的数据。
J Interpers Violence. 2020 Nov;35(21-22):4517-4532. doi: 10.1177/0886260517715604. Epub 2017 Jun 23.
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The National Elder Mistreatment Study: An 8-year longitudinal study of outcomes.全国老年人虐待研究:一项为期8年的结局纵向研究。
J Elder Abuse Negl. 2017 Aug-Oct;29(4):254-269. doi: 10.1080/08946566.2017.1365031.
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Social Isolation, Depression, and Psychological Distress Among Older Adults.老年人中的社会隔离、抑郁和心理困扰
J Aging Health. 2018 Feb;30(2):229-246. doi: 10.1177/0898264316673511. Epub 2016 Oct 17.
8
The Abuse Intervention Model: A Pragmatic Approach to Intervention for Elder Mistreatment.虐待干预模式:一种针对老年人虐待的务实干预方法。
J Am Geriatr Soc. 2016 Sep;64(9):1879-83. doi: 10.1111/jgs.14266. Epub 2016 Aug 22.
9
Health Vulnerability of Immigrants with Limited English Proficiency: A Study of Older Korean Americans.英语水平有限的移民的健康脆弱性:对韩裔美国老年人的一项研究。
J Am Geriatr Soc. 2016 Jul;64(7):1498-502. doi: 10.1111/jgs.14199. Epub 2016 Jun 15.
10
Experience of elder abuse among older Korean immigrants.韩国老年移民中的虐待老年人经历。
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