Successful Aging in US Veterans with Mental Disorders: Results From the National Health and Resilience in Veterans Study.

IF 4.4 2区医学 Q1 GERIATRICS & GERONTOLOGY American Journal of Geriatric Psychiatry Pub Date : 2024-08-10 DOI:10.1016/j.jagp.2024.07.018

Jeonghyun Shin, Ian C Fischer, Peter J Na, Dilip V Jeste, Robert H Pietrzak

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Abstract

Objectives: 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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有精神障碍的美国退伍军人的成功老龄化：全国退伍军人健康和复原力研究》（National Health and Resilience in Veterans Study）的结果。

目的目的：确定目前重度抑郁症（MDD）、广泛性焦虑症（GAD）和/或创伤后应激障碍（PTSD）筛查呈阳性的美国退伍军人中成功老龄化的发生率和相关因素：方法：在具有全国代表性的 475 名美国退伍军人（平均年龄为 58.3 岁，SD=14.7；年龄范围为 24-92 岁）中，对 MDD、GAD 和/或创伤后应激障碍筛查呈阳性者进行多变量逻辑回归和相对重要性分析，以确定成功老龄化的独立相关因素：结果：五分之一（20.6%）的退伍军人认为自己已成功步入老年。复原力和感恩是成功老龄化的最强正相关因素，分别占解释方差的 38.1% 和 32.4%。躯体症状较重是最强的负相关因素，占解释方差的 11.2%。较高的感激之情缓和了躯体症状与成功老龄化之间的负相关：结论：针对心理社会因素（如复原力和感恩）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成功步入老年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

13.00

自引率

4.20%

发文量

381

审稿时长

26 days

期刊介绍： The American Journal of Geriatric Psychiatry is the leading source of information in the rapidly evolving field of geriatric psychiatry. This esteemed journal features peer-reviewed articles covering topics such as the diagnosis and classification of psychiatric disorders in older adults, epidemiological and biological correlates of mental health in the elderly, and psychopharmacology and other somatic treatments. Published twelve times a year, the journal serves as an authoritative resource for professionals in the field.

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Editorial Board Table of Contents In This Issue Information for Subscribers AJGP Solicits Papers Aimed to Enrich Geriatric Psychiatry.