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痴呆症照料者与非照料者对衰老的看法及衰老自我认知的比较

Comparison of Views on Aging and Self-Perceptions of Aging Between Dementia Caregivers and Noncaregivers.

作者信息

Sabatini Serena, Turner Shelbie G, Stephan Blossom

机构信息

School of Psychology, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.

Weill Cornell Medical College, Division of Geriatrics and Palliative Medicine, New York City, New York, USA.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2025 Jun 10;80(7). doi: 10.1093/geronb/gbaf083.

DOI:10.1093/geronb/gbaf083
PMID:40372128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12202096/
Abstract

OBJECTIVES

Positive general views on and self-perceptions of aging (SPAs) are important for active and healthy aging. This cross-sectional study compared the general views on aging and SPAs of dementia caregivers with those of noncaregivers.

METHODS

Data from the German Aging Study comprising 190 caregivers (mean age = 65.69 years; SD = 10.11) and 4,480 noncaregivers (mean age = 68.81 years; SD = 10.49) were used. The onset of old age was used to assess general views on aging. Estimated own reachable age, felt age, attitudes toward own aging, and aging-related cognitions were used to assess SPAs. Sociodemographic variables, health conditions, and depressive symptoms were used as covariates. Unadjusted and adjusted linear regression models were used.

RESULTS

Onset of old age did not differ between dementia caregivers and noncaregivers. Dementia caregivers and noncaregivers had similar felt age, attitudes toward own aging, expected own reachable age, and aging-related cognitions on physical losses, ongoing development, and self-knowledge. Compared to noncaregivers, caregivers reported lower negative aging-related cognitions on social losses (adjusted B = -0.60; 95% CI: -0.93, -0.73; standardized beta = -0.05).

DISCUSSION

Except from aging-related cognitions on social losses, dementia caregivers and noncaregivers had similar general views on aging and SPAs. Hence, despite close contact with people who have complex conditions such as dementia, dementia caregivers may not be at greater risk of negative general views of aging and SPAs.

摘要

目的

对衰老持有积极的总体看法以及自我认知(SPA)对于积极健康老龄化很重要。这项横断面研究比较了痴呆症照料者与非照料者对衰老的总体看法和SPA。

方法

使用了来自德国老龄化研究的数据,其中包括190名照料者(平均年龄 = 65.69岁;标准差 = 10.11)和4480名非照料者(平均年龄 = 68.81岁;标准差 = 10.49)。用老年的开始来评估对衰老的总体看法。用估计自己可达到的年龄、感知年龄、对自身衰老的态度以及与衰老相关的认知来评估SPA。将社会人口统计学变量、健康状况和抑郁症状用作协变量。使用了未调整和调整后的线性回归模型。

结果

痴呆症照料者和非照料者在老年开始方面没有差异。痴呆症照料者和非照料者在感知年龄、对自身衰老的态度、预期自己可达到的年龄以及对身体损失、持续发展和自我认知方面的与衰老相关的认知方面相似。与非照料者相比,照料者在社会损失方面报告的与衰老相关的负面认知较低(调整后的B = -0.60;95%置信区间:-0.93,-0.73;标准化β = -0.05)。

讨论

除了在社会损失方面与衰老相关的认知外,痴呆症照料者和非照料者对衰老的总体看法和SPA相似。因此,尽管与患有痴呆症等复杂疾病的人密切接触,但痴呆症照料者对衰老和SPA持有负面总体看法的风险可能不会更高。

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本文引用的文献

1
Felt Age and Its Psychological Correlates in Dementia Spousal Caregiving Dyads: Findings From the IDEAL Programme.痴呆症配偶照顾者对偶中的感觉年龄及其心理相关性:来自 IDEAL 计划的结果。
J Gerontol B Psychol Sci Soc Sci. 2024 Aug 1;79(8). doi: 10.1093/geronb/gbae105.
2
Affiliate Stigma among family caregivers of individuals with dementia in China: a cross-sectional study.中国痴呆症患者家属的附属耻辱感:一项横断面研究。
Front Public Health. 2024 May 30;12:1366143. doi: 10.3389/fpubh.2024.1366143. eCollection 2024.
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Successful Aging and Subjective Aging: Toward a Framework to Research a Neglected Connection.成功老龄化与主观老龄化:构建一个研究被忽视关联的框架
Gerontologist. 2024 Dec 13;65(1). doi: 10.1093/geront/gnae051.
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Postponing old age: Evidence for historical change toward a later perceived onset of old age.延缓衰老:对过去认为的老年期开始时间向后推移的历史变化的证据。
Psychol Aging. 2024 Aug;39(5):526-541. doi: 10.1037/pag0000812. Epub 2024 Apr 22.
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Correlates of felt age in caregivers of people with dementia: findings from the IDEAL study.痴呆症患者照料者感知年龄的相关因素:理想研究的结果
Front Psychol. 2024 Jan 12;14:1287842. doi: 10.3389/fpsyg.2023.1287842. eCollection 2023.
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Do sexual minorities believe that they die earlier? Results from a large, representative survey.性少数群体是否认为自己寿命较短?一项大规模代表性调查的结果。
BMC Geriatr. 2023 Nov 14;23(1):742. doi: 10.1186/s12877-023-04453-5.
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Testing Bidirectionality in Associations of Awareness of Age-Related Gains and Losses With Physical, Mental, and Cognitive Functioning Across 1 Year: The Role of Age.测试与年龄相关的收益和损失的意识与身体、心理和认知功能之间关联的双向性:年龄的作用。
J Gerontol B Psychol Sci Soc Sci. 2023 Dec 6;78(12):2026-2036. doi: 10.1093/geronb/gbad150.
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Physical and mental health conditions account for variability in awareness of age-related changes.身心健康状况导致了对与年龄相关变化的认知差异。
Front Psychiatry. 2023 Jul 19;14:1152177. doi: 10.3389/fpsyt.2023.1152177. eCollection 2023.
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The Impact of Caregiving History on Later-Life Self-Perceptions of Aging.照料史对晚年自我老化认知的影响。
J Gerontol B Psychol Sci Soc Sci. 2023 Nov 14;78(11):1805-1812. doi: 10.1093/geronb/gbad103.
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Longitudinal effects of subjective aging on health and longevity: An updated meta-analysis.主观年龄对健康和长寿的纵向影响:一项更新的荟萃分析。
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