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新冠疫情逆境中的年龄与恢复力:生活质量、精神性及抑郁症状的中介作用

Age and resilience amid COVID-19 pandemic adversity: the mediating roles of quality of life, spirituality, and depressive symptoms.

作者信息

Gonçalves Leonardo, Reggiani Lorenzo Casagrande, Maliuk Josiane, de Souza Gianfranco Rizzotto, Bandeira de Mello Renato Gorga, Carniel Bruno Perosa, da Rocha Neusa Sica

机构信息

Clinical Research Center, Hospital De Clínicas De Porto Alegre, Porto Alegre, Brazil.

Graduate Program in Psychiatry and Behavior Science, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil.

出版信息

Front Psychol. 2025 Aug 12;16:1576150. doi: 10.3389/fpsyg.2025.1576150. eCollection 2025.

DOI:10.3389/fpsyg.2025.1576150
PMID:40873516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12378840/
Abstract

INTRODUCTION

Resilience scores are usually higher among older adults, but the COVID-19 pandemic and the associated social isolation in this risk group necessitate a reevaluation of this characteristic.

OBJECTIVES

To investigate the differences in resilience among young, middle-aged, and elderly individuals and to explore the mediating factors (quality of life, spirituality, social support, depressive symptoms) in the relationship between age and resilience.

METHODS

A cross-sectional study was conducted in April 2020 through online collection using the snowball method, enrolling 3,278 participants. They were divided into three age groups (18-36, 37-59, 60+), and resilience was assessed using the CD-RISC-10 scale. Mediation analyses examined the roles of depressive symptoms (PHQ-9), quality of life (EUROHIS-QOL-8), spirituality (WHOQOL-SRPB), and social support (MOS).

RESULTS

The sample comprised 1,207 young, 1,680 middle-aged, and 391 older adults. Resilience scores were significantly higher in the elderly population compared to middle-aged and young adults [F(2,3251) = 81.12; = 0.001]. Quality of life (β = 0.23; = 0.001) and spirituality (β = 0.28; = 0.001) showed positive mediating effects, while depressive symptoms (β = -0.18; = 0.001) had a negative effect. Social support did not show a statistically significant mediating effect.

CONCLUSION

Older age was associated with higher resilience scores, even during COVID-19 pandemic. Spirituality and quality of life were identified as mediators of this relationship. These findings underscore the need for longitudinal research to confirm whether these factors predict resilience and to guide mental health interventions.

摘要

引言

老年人的心理韧性得分通常较高,但新冠疫情以及该风险群体中相关的社会隔离使得有必要重新评估这一特征。

目的

调查青年、中年和老年人在心理韧性方面的差异,并探讨年龄与心理韧性之间关系的中介因素(生活质量、精神性、社会支持、抑郁症状)。

方法

2020年4月采用雪球抽样法通过在线收集进行了一项横断面研究,招募了3278名参与者。他们被分为三个年龄组(18 - 36岁、37 - 59岁、60岁及以上),并使用CD - RISC - 10量表评估心理韧性。中介分析考察了抑郁症状(PHQ - 9)、生活质量(EUROHIS - QOL - 8)、精神性(WHOQOL - SRPB)和社会支持(MOS)的作用。

结果

样本包括1207名年轻人、1680名中年人以及391名老年人。与中年人和年轻人相比,老年人群体的心理韧性得分显著更高[F(2,3251) = 81.12;p = 0.001]。生活质量(β = 0.23;p = 0.001)和精神性(β = 0.28;p = 0.001)显示出正向中介效应,而抑郁症状(β = -0.18;p = 0.001)具有负向效应。社会支持未显示出统计学上显著的中介效应。

结论

即使在新冠疫情期间,年龄较大也与较高的心理韧性得分相关。精神性和生活质量被确定为这种关系的中介因素。这些发现强调了进行纵向研究以确认这些因素是否能预测心理韧性并指导心理健康干预的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/12378840/c45190b38661/fpsyg-16-1576150-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/12378840/e54a55e0baae/fpsyg-16-1576150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/12378840/7bc99c3210d7/fpsyg-16-1576150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/12378840/c45190b38661/fpsyg-16-1576150-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/12378840/e54a55e0baae/fpsyg-16-1576150-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/12378840/7bc99c3210d7/fpsyg-16-1576150-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/602a/12378840/c45190b38661/fpsyg-16-1576150-g003.jpg

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