successful aging

成功老化
  • 文章类型: Journal Article
    本文借鉴了智慧和寿命发展研究,提出了“明智的衰老”的概念,这可能在非常老的年龄变得特别相关,因为人们成功衰老的能力下降。我们提出三种类型的平衡区分明智的衰老和成功的衰老。首先,智慧平衡自己的利益与更大的利益,强调自我超越和同情心。第二,智慧平衡控制与接受不可控性。明智的衰老涉及一个人对控制水平下降的现实意识,以及与他人的相互联系和依赖。第三,智慧承认,规管,并平衡积极和消极的影响。明智的衰老涉及欣赏和享受生活乐趣的能力,还要接受和拥抱更多的负面情绪,全力支持他人经历不同的时代。
    This paper draws on wisdom and lifespan development research to propose a conception of \"wise aging\", which may become particularly relevant in very old age as people\'s capacities for successful aging decline. We propose that three types of balance distinguish wise aging from successful aging. First, wisdom balances one\'s own interest with a greater good, emphasizing self-transcendence and compassion. Second, wisdom balances control striving with acceptance of uncontrollability. Wise aging involves a realistic awareness of one\'s decreasing levels of control and one\'s interconnectedness to and dependence on other people. Third, wisdom acknowledges, regulates, and balances positive and negative affect. Wise aging involves the ability to appreciate and relish the joys of life, but also to accept and embrace more negative emotions and fully support others going through different times.
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  • 文章类型: Journal Article
    目的:确定当前重度抑郁症(MDD)筛查阳性的美国退伍军人中成功衰老的患病率和相关性,广泛性焦虑症(GAD),和/或创伤后应激障碍(PTSD)。
    方法:在475名美国退伍军人(平均年龄=58.3,SD=14.7;范围24-92)的全国代表性样本中,GAD,和/或创伤后应激障碍,进行了多变量逻辑回归和相对重要性分析,以确定成功衰老的独立相关性。
    结果:五分之一(20.6%)的退伍军人将自己评为成功衰老。韧性和感恩是成功衰老的最强烈的正相关因素,占解释方差的38.1%和32.4%,分别。更大的躯体症状是最强的负相关,占解释方差的11.2%。较高的感恩程度减轻了躯体症状与成功衰老之间的负相关。
    结论:针对心理社会因素(如韧性和感恩)的积极精神病学干预措施可能有助于促进患有精神障碍的美国退伍军人的成功衰老。
    OBJECTIVE: 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).
    METHODS: 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.
    RESULTS: 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.
    CONCLUSIONS: Positive psychiatry interventions targeting psychosocial factors such as resilience and gratitude may help promote successful aging among US veterans with mental disorders.
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  • 文章类型: Journal Article
    目标:个人的过去,和对它的思考,可能会影响当前和未来的福祉。最近的定性研究表明,退休人员对其职业的回忆与退休时的幸福感有关。我们调查了生命历程事件和主观职业评估之间的关联,这些协会中的性别差异,以及他们随后与退休调整的联系。
    方法:我们使用了(NIDI养老金小组研究(NPPS)的三波(2015年,2018年和2023年)的数据,对荷兰老年工人的纵向调查。使用6109名受访者的样本,我们使用普通最小二乘(OLS)回归模型来研究就业稳定性促进者和抑制剂之间的关联(例如,促销,降级,失业)和个人冲击(例如,离婚,寡妇)和对性别之间职业的工作和家庭领域的满意度的主观评估。使用后续样本(N=4,106),我们采用序数logistic回归模型来研究这些基线主观评价对随访时的退休调整的影响.
    结果:就业稳定因素,如降级和失业,以及诸如心理健康差之类的个人冲击与对工作和家庭职业领域的主观评估有关。在这些协会中发现了性别差异。工作和家庭领域的评估与后续退休调整有关。
    结论:我们的研究结果证明了生命历程事件对老年工人职业评估的重要性以及主观职业评估的长期影响。需要进一步的研究来评估这些评估对老年人其他结果的预测效用。
    OBJECTIVE: An individual\'s past, and reflections on it, may influence current and future well-being. Recent qualitative studies suggest retirees\' recollections about their careers relate to well-being in retirement. We investigated associations between life course events and subjective career evaluations, gender differences in these associations, and their subsequent association with retirement adjustment.
    METHODS: We used data from three waves (2015, 2018, and 2023) of the (NIDI Pension Panel Study (NPPS), a longitudinal survey of Dutch older workers. Using a sample of 6,109 respondents, we used ordinary least squares (OLS) regression models to investigate associations between employment stability facilitators and inhibitors (e.g., promotion, demotion, unemployment) and personal shocks (e.g., divorce, widowhood) and subjective evaluations of satisfaction with the work and family domains of career between genders. Using a follow-up sample (N=4,106), we employed ordinal logistic regression models to investigate the impact of these baseline subjective evaluations on retirement adjustment at follow-up.
    RESULTS: Employment stability factors such as demotion and unemployment, and personal shocks such as poor psychological health were associated with subjective evaluations of the work and family career domains. Gender differences in these associations were found. Evaluations in both the work and family domains were associated with retirement adjustment at follow-up.
    CONCLUSIONS: Our results demonstrate the importance of life course events on older workers\' evaluations of their careers and the long-term impact of subjective career evaluations. Further research is needed to evaluate the predictive utility of these evaluations for other outcomes in older adulthood.
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  • 文章类型: Journal Article
    先前的文献表明,从事认真休闲(SL)与老年人的主观幸福感有关,而成功衰老(SA)与SL之间的关系仍未探索。本研究旨在调查SL,社会支持(SS)流动体验(FE),SA。
    这项研究共纳入了435名参加气排球比赛的老年人。
    研究结果表明:(I)SL对SS产生直接和积极的影响,FE,和SA;(Ii)SS与FE呈正相关,FE与老年人SA呈正相关;(iii)SS和FE都完全介导SL和SA之间的关系,SS通过FE部分解释了这种调解。
    这项研究建立在该领域的先前研究的基础上,并强调了SL对老年人SA的重要性。未来的研究应进一步探索将认真的运动经历与成功的老年人生活联系起来的潜在机制。
    UNASSIGNED: Previous literature has demonstrated that engagement in serious leisure (SL) is associated with subjective well-being among older adults, while the relationship between successful aging (SA) and SL remains unexplored. This study aims to investigated the association between SL, social support (SS), flow experience (FE), and SA.
    UNASSIGNED: A total of 435 older adults participating in air volleyball events were included in this study.
    UNASSIGNED: The findings revealed that: (i) SL directly and positively influences on SS, FE, and SA; (ii) SS is positively related to FE, and FE is positively associated with older adults\'SA; (iii) Both SS and FE fully mediate the relationship between SL and SA, with SS partially explaining this mediation through FE.
    UNASSIGNED: This study builds upon prior research in this field and highlights the significance of SL for the SA among older adults. Future studies should further explore the underlying mechanisms linking serious sport experiences to successful elderly life.
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  • 文章类型: Journal Article
    背景和目的:老年人寿命更长,变得更加多样化。当前的研究检查了创伤生活事件之间的关系,希望,连贯性,以及至少有一种慢性健康状况的黑人和白人老年人的成功衰老,以及生活事件对性别的影响。方法:来自两个老年人中心的50名老年人参加。参与者完成了成功的账龄清单,生活事件清单,赫斯希望指数,和连贯感量表。结果:成功衰老与衰老(r=.290;p=.048)和希望(r=.585;p=<.001)之间存在显着相关性。简单的线性回归发现,成功老化指数(SAI)得分显着预测gerotravendence(R2=.10,F(1,46)=5.157,p=.028)和Herth希望指数得分(R2=.36,F(1,46)=25.850,p<.001)。在没有第一手创伤经历的人中,较高的连贯感(SoC)和Gerotranscendence量表得分表明,第一手经历创伤事件可能会对衰老过程产生不利影响。含义:因此,探索创伤经历,在适当的情况下,心理健康转诊是需要考虑的临床意义。
    Background and Purpose: Older adults are living longer and becoming more diverse. The current study examined the relationship between traumatic life events, hope, coherence, and successful aging in Black and White older adults with at least one chronic health condition, and the influence of life events on gerotranscendence. Methods: Fifty older adults from two senior centers participated. Participants completed the Successful Aging Inventory, Life Events Checklist, Herth Hope Index, and Sense of Coherence Scale. Results: Significant correlations were found between successful aging and gerotranscendence (r = .290; p = .048) and hope (r = .585; p = <.001). Simple linear regression found that Successful Aging Index (SAI) scores significantly predicted gerotranscendence (R2 = .10, F(1, 46) = 5.157, p = .028) and Herth Hope Index scores (R2 = .36, F(1, 46) = 25.850, p <.001). Higher Sense of Coherence (SoC) and Gerotranscendence Scale scores among those with no firsthand trauma experience suggest that experiencing traumatic events firsthand may adversely affect the aging process. Implications: Therefore, exploration of trauma experiences, with mental health referrals as appropriate are clinical implications to consider.
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  • 文章类型: Journal Article
    背景:成功衰老(SA)描述了在老年时实现最佳身心健康和社会福祉组合的多维方面。近年来,人们对了解SA患病率的兴趣日益浓厚。本研究系统地评估了全球SA的现状,定义为多维结果。
    目的:系统评估老年人SA的全球患病率。
    方法:我们搜索了PubMed,Embase,WebofScience,科克伦图书馆,中国生物医学数据库,中国国家知识基础设施,万方数据知识服务平台,和维普数据库从成立到2024年2月14日。两名研究者独立进行文献筛选,数据提取,和质量评估。采用Stata16.0进行Meta分析。
    结果:包括250,460名老年人的30项研究。Meta分析显示,SA的全球总体患病率为24.0%[95%CI(20.7%,27.3%)]。亚洲患病率为25.1%,21.5%在欧洲,美洲为20.6%;发达国家为16.8%,发展中国家为27.1%。亚组分析显示男性老年人的SA发生率较高,已婚/同居,生活在城市地区,拥有更高的教育水平。
    结论:全球老年人SA患病率较低,随着年龄组的变化,regions,和教育水平。由于纳入研究的局限性,需要进一步的高质量研究来验证这些发现.
    BACKGROUND: Successful aging (SA) describes the multidimensional aspects of achieving optimal physical and mental health and social well-being combinations in old age. Recent years have seen increasing interest in understanding SA prevalence. This study systematically evaluates the current state of SA globally, defined as multidimensional outcomes.
    OBJECTIVE: To systematically evaluate the global prevalence of SA in older adults.
    METHODS: We searched PubMed, Embase, Web of Science, Cochrane Library, China Biomedical Database, China National Knowledge Infrastructure, Wanfang Data Knowledge Service Platform, and Weipu Database from inception to February 14, 2024. Two researchers independently conducted literature screening, data extraction, and quality evaluation. Meta-analysis was performed using Stata 16.0.
    RESULTS: Thirty studies comprising 250,460 older adults were included. Meta-analysis showed the overall global prevalence of SA was 24.0 % [95 % CI (20.7 %, 27.3 %)]. Prevalence rates were 25.1 % in Asia, 21.5 % in Europe, 20.6 % in the Americas; 16.8 % in developed and 27.1 % in developing countries. Subgroup analyses indicated higher SA rates among male older adults, married/cohabiting, living in urban areas, and having higher education levels.
    CONCLUSIONS: The global prevalence of SA among older adults is low, with variations across age groups, regions, and education levels. Due to the limitations of the included studies, further high-quality research is needed to validate these findings.
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  • 文章类型: Journal Article
    在Rowe和Kahn模型的指导下,本研究调查了成年期成功衰老(SA)的客观和主观因素与个体生活满意度和乐观水平之间的纵向关联,旨在验证相关的现有研究。数据来自美国中年(MIDUS)研究的第2波和第3波(2004-14)。使用结构方程模型,我们研究了(N=2,040)在控制基线社会人口统计学和健康因素时,主观生活满意度(第2波)是否对SA(第3波)的复合指标有任何影响.我们还研究了乐观情绪在上述协会中的调解作用。研究结果表明,生活满意度对SA有显著的正向影响;这种效果是双向的。Further,高度乐观积极介导生活满意度和SA之间的双向关联。这项研究发现,生活满意度和乐观情绪对中年和老年人实现SA具有潜在的积极影响。
    Guided by the Rowe and Kahn model, the current study examined the longitudinal association of objective and subjective components of successful aging (SA) with individuals\' life satisfaction and level of optimism across adulthood aiming to validate the related scanty existing research. Data were from waves 2 and 3 (2004-14) of the Midlife in the United States (MIDUS) study. Using structural equation modeling, we examined (N = 2,040) whether subjective life satisfaction (wave 2) has any effect on a composite measure of SA (wave 3) while controlling for baseline sociodemographic and health factors. We also examined the mediation effects of optimism in the above associations. Findings revealed that life satisfaction has a significant positive effect on SA; also, this effect is bidirectional. Further, high optimism positively mediated the bidirectional association between life satisfaction and SA. This study identified life satisfaction and optimism as having potentially positive impacts on achieving SA in middle-aged and older adults.
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  • 文章类型: Journal Article
    这项研究是针对居住在疗养院的老年人进行的,并在2022年4月至8月期间应用于大学医院的老年门诊。研究样本为516名老年人,数据是通过使用老年信息表和成功老化量表(SAS)收集的。经测定,每日休闲活动的平均持续时间为6.61±3.69小时,平均SAS评分为58.31±15.21。老年人的SAS评分与购物活动之间存在中度正相关;而他们的SAS评分与步行活动之间存在较低的正相关。拜访朋友和亲戚,种花,听音乐,阅读,手工编织,花时间在社交媒体上,锻炼,和拼图(p<0.05)。我们研究的主要结果表明,老年人参与的有计划的休闲活动将有助于他们的成功衰老。
    The study was conducted with older adults who lived in a nursing home and applied to the geriatric outpatient clinic of a university hospital between April and August 2022. The study sample was 516 older adults and the data were collected by using the Older Information Form and Successful Aging Scale (SAS). It was determined that the mean duration of daily leisure activities was 6.61 ± 3.69 hours, and their mean SAS score was 58.31 ± 15.21. A moderate positive correlation was found between the SAS scores of the older adults and the activities of shopping; whereas a low positive correlation was found between their SAS scores and activities of walking, visiting friends and relatives, growing flowers, listening to music, reading, hand knitting, spending time on social media, exercising, and puzzles (p < .05). The main results of our study revealed that planned leisure activities that older adults engage in would contribute to their successful aging.
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  • 文章类型: Journal Article
    目标:尽管先前的研究已经确定了成功衰老(SA)中的种族/族裔和性别差异,组内的异质性很少被研究。因此,我们探索了老年黑人女性的各种衰老经历。
    方法:我们使用了2010/2012年美国健康与退休研究,对完成心理社会留守问卷的黑人女性进行限制性分析(N=1,186)。我们使用身体健康指标进行了潜在类别分析(LCA),心理健康,社会支持/紧张,和社会参与。
    结果:根据其独特特征,确定并标记了六个SA潜在类别:虚弱,孤立的,征税,独立,活泼的,和强大的。体弱多病的阶级身体都不好,孤立的阶级虽然身体健康状况不佳,但也缺乏社会关系。虽然两人都有平均的身体健康和心理健康,与高支持(和无合作)的独立阶级相比,纳税阶级经历了高水平的社会支持和社会压力。活泼健壮的班级表现出很高的身体健康和心理健康,高社会支持/低社会压力,和高度的社会参与,但活泼的女性(23%的受访者)没有伴侣,健壮的女性(16%的受访者)有伴侣.健壮的班级拥有最高的身体和心理健康,以及所有阶层的最佳社会关系。
    结论:使用具有全国代表性的数据,我们揭示了黑人女性衰老经历的显著异质性。尽管许多人面临艰难的衰老经历,39%的老年黑人女性很适合SA框架。未来的工作应该认识到,黑人女性的衰老经历不是同质的。
    OBJECTIVE: Although prior research has identified racial/ethnic and gender differences in successful aging (SA), heterogeneity within groups has been little examined. We consequently explore the variety of aging experiences among older Black women.
    METHODS: We used the 2010/2012 U.S. Health and Retirement Study, limiting analyses to Black women who completed the Psychosocial Leave-Behind Questionnaire (N = 1,186). We conducted latent class analysis (LCA) using indicators of physical health, psychological well-being, social support/strain, and social engagement.
    RESULTS: Six SA latent classes were identified and labeled according to their distinctive characteristics: infirm, isolated, taxed, independent, vivacious, and robust. The infirm class had uniformly poor health, while the isolated class was in poor physical health but also lacked social relations. Although both had average physical health and psychological well-being, the taxed class experienced high levels of social support and social strain compared to the high support (and unpartnered) independent class. The vivacious and robust classes exhibited high physical health and psychological well-being, high social support/low social strain, and high social engagement, but vivacious women (23% of respondents) were unpartnered and robust women (16% of respondents) were partnered. The robust class had the highest physical and psychological well-being, and best social relations across all classes.
    CONCLUSIONS: Using nationally representative data, we reveal significant heterogeneity in Black women\'s aging experiences. Although many face difficult aging experiences, 39% of older Black women fit the SA framework well. Future work should recognize that Black women\'s aging experiences are not homogenous.
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  • 文章类型: Journal Article
    目标:退伍军人的衰老经历为成功的衰老提供了重要的见解,并为受不同健康和社会需求限制的后期生活环境提供了手段。当退伍军人承受如此多的压力并对以后的生活产生严重的健康和社会后果时,他们可以成功地衰老吗?退伍军人可以为开发完善成功衰老的综合方法提供宝贵的经验教训,确保不同老年人群的包容性。基于Rowe和Kahn关于成功衰老的想法,我们利用“主动衰老”的互补概念来探索是否有独特的因素,特点,以及支持退伍军人积极衰老的干预措施,与非退伍军人相比。
    方法:在医学的9个数据库中进行了快速回顾和证据综合,心理学,人类学,社会学,和公共卫生,以搜索同行评审的文章和研究报告。
    结果:研究结果表明,将健康和社会层面联系起来的计划可以支持退伍军人的积极老龄化,即促进积极的身体和认知生活方式以及社会联系和参与的干预措施。此类计划和干预措施有助于预防和打击身心健康下降,并提高生活质量和福祉。
    结论:研究结果对更广泛的退伍军人和非退伍军人人群都有影响,因为即使人们有独特的健康和社会需求,他们也可以积极地衰老。
    OBJECTIVE: The aging experiences of military veterans provide critical insights into what successful aging is and means for later life contexts constrained by distinct health and social needs. Can veterans \'successfully\' age when they are exposed to so many stressors with serious health and social consequences for later life? Veterans can offer valuable lessons for developing comprehensive approaches to refining successful aging, ensuring inclusivity of different older populations. Building on Rowe and Kahn\'s idea of successful aging, we utilize the complementary concept of \'active aging\' to explore if there are unique factors, characteristics, and interventions that support active aging in veterans, compared to non-veteran populations.
    METHODS: A rapid review and evidence synthesis was conducted across 9 databases in medicine, psychology, anthropology, sociology, and public health to search for peer-reviewed articles and research reports.
    RESULTS: Findings suggest that programs linking health and social dimensions can support the active aging of veterans, namely interventions promoting active physical and cognitive lifestyle as well as social connectedness and engagement. Such programs and interventions help prevent and combat mental and physical health decline and increase quality of life and well-being.
    CONCLUSIONS: Findings have implications for veteran and non-veteran populations more broadly, as people can actively age even when they have unique health and social needs.
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