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Research on Active Aging in Germany 德国积极老龄化研究
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2012-09-25 DOI: 10.1024/1662-9647/A000067
C. Tesch-Römer, S. Wurm
The year 2012 is the European Year of Active Aging and Intergenerational Solidarity. On this occasion, the journal GeroPsych presents an overview of the contributions of gerontopsychology to active aging across Europe. Active aging comprises both individual processes and societal opportunity structures for health, participation and integration. The goal of interventions for active aging is to enhance the quality of life as people age. In the following, we will sketch the situation of gerontopsychological research on active aging in Germany. We firstly describe some important milestones in the history of gerontopsychology in Germany, secondly point to some research institutions and their contributions to active aging in Germany, and thirdly give some examples of research on active aging we are involved in ourselves.
2012年是欧洲积极老龄化和代际团结年。在这个场合,《老年心理学》杂志概述了老年心理学对欧洲积极老龄化的贡献。积极老龄化既包括个人过程,也包括促进健康、参与和融合的社会机会结构。积极老龄化干预的目标是随着人们年龄的增长提高生活质量。下面,我们将概述德国积极老龄化的老年心理学研究情况。我们首先描述了德国老年心理学历史上的一些重要里程碑,其次指出了一些研究机构及其对德国积极老龄化的贡献,第三给出了一些我们自己参与的积极老龄化研究的例子。
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引用次数: 11
Geropsychology Across Europe 整个欧洲的老年心理学
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2012-09-25 DOI: 10.1024/1662-9647/A000060
D. Ferring, F. Lang
Europe is aging. European countries currently have the highest proportions of older people in the world and will remain societies of long life over the next decades. Although this process may be less pronounced in some countries, due to a continuing decreasing fertility rate and a continuously increasing life expectancy the general trend shows a clear disproportion of the younger to the older generations especially in the West European countries. Recent extrapolations by Eurostat predict that there will be a dramatic increase of the “old old” above 80 years within the next 15 years, while the proportion of persons within the active age range between 15 to 64 years will decrease. Aging also has a remarkable gender specificity, the majority of very old people being women. These circumstances challenge societies on several dimensions, not the least with respect to the sustainability of public resources. Moreover, Europe has to simultaneously adapt to the challenges and demands of globalization, adding a further dynamic: the notion of resource fairness and distribution of resources. These challenges are not unknown, and several European countries are now focusing on developing “aging policies” and on the necessity of intergenerational solidarity. For instance, this is indicated by the fact that the year 2012 has been designated the “European Year for Active Ageing and Solidarity between Generations.” Parallel to this, geropsychology and geriatrics has become more and more prominent in national public discourses. Clearly, such demands require more effort to be invested in how the lives and health of older adults can be improved. This involves new challenges to the applied behavioral and medical sciences, requiring greater attention on how to organize intervention, nonpharmaceutical treatments, therapy, and higher education in psychogerontological fields of work. In fact, we believe that greater expertise and knowledge in geropsychology will be necessary for all fields of aging research and practice. The present issue of GeroPsych starts with instructive reports on intervention approaches and research in geropsychology across Europe describing new trends and providing insights into a flourishing field from various national perspectives. Stepankova and colleagues report on evaluation results of a memory training study from the Czech Republic. Schindler and colleagues investigate the extent to which perceived knowledge of dementia is associated with lower caregiver burden in a German sample of dementia caregivers. Despot Lucanin and coauthors from Croatia investigate who changes of subjective health are associated with objective physical and mental health over time. Fernandez-Ballesteros and Schettini evaluate university programs for older adults in Spain. The second section of this special issue includes four national reports giving an overview of the developments, research, and education in the field of geropsychology in Austria (Auer & Gatterer), the
欧洲正在老龄化。欧洲国家目前是世界上老年人比例最高的国家,未来几十年仍将是长寿社会。虽然这一过程在一些国家可能不太明显,但由于生育率继续下降和预期寿命不断增加,总的趋势显示出年轻一代与老一代明显不成比例,特别是在西欧国家。欧盟统计局最近的推断预测,在未来15年内,80岁以上的“高龄老人”将急剧增加,而15至64岁之间的活动年龄范围内的人口比例将下降。老龄化还具有显著的性别特异性,大多数高龄老人都是女性。这些情况在几个方面对社会构成挑战,尤其是在公共资源的可持续性方面。此外,欧洲必须同时适应全球化的挑战和要求,增加一个进一步的动力:资源公平和资源分配的概念。这些挑战并非未知,一些欧洲国家现在正专注于制定“老龄化政策”和代际团结的必要性。例如,2012年被指定为“欧洲积极老龄化和代际团结年”就表明了这一点。与此同时,老年心理学和老年病学在国家公共话语中也变得越来越突出。显然,这些要求要求在如何改善老年人的生活和健康方面投入更多努力。这对应用行为科学和医学科学提出了新的挑战,需要更多地关注如何组织干预、非药物治疗、治疗和心理老年学领域的高等教育。事实上,我们相信,老年心理学的专业知识和知识对于所有领域的老龄化研究和实践都是必要的。本期《老年心理学》以欧洲各地的干预方法和老年心理学研究的启发性报告开始,描述了新的趋势,并从不同国家的角度对一个蓬勃发展的领域提供了见解。Stepankova和他的同事报告了一项来自捷克共和国的记忆训练研究的评估结果。Schindler和他的同事调查了在德国痴呆症护理人员样本中,认知痴呆症知识与较低护理负担之间的关联程度。Despot Lucanin和来自克罗地亚的合著者调查了主观健康的变化与客观身心健康的关系。Fernandez-Ballesteros和Schettini评估了西班牙针对老年人的大学课程。本期特刊的第二部分包括四个国家的报告,概述了奥地利(Auer & Gatterer)、捷克共和国(Stepankova等人)、德国(Wurm & Tesch-Romer)和西班牙(Santacreu Ivars)在老年心理学领域的发展、研究和教育。所有论文都揭示了许多欧洲国家的老年心理学工作和研究的多面性、广度和生产力。当然,我们知道,要报告的问题远不止一个特刊所能捕捉到的。因此,我们确信,这一期特刊只是即将出版的众多特刊中的一期。
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引用次数: 1
Associations of psychological, functional, and biological factors with age changes in the self-perceived health of old persons 心理、功能和生物因素与老年人自我感知健康的年龄变化的关系
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2012-09-25 DOI: 10.1024/1662-9647/A000063
J. D. Lučanin, D. Lučanin
This research investigates the associations of psychological and biological factors with the self-perceived health of old persons. Participants were 411 residents of 11 retirement homes in Zagreb, Croatia: 104 men, 307 women, aged 56–96 years (average 79) at baseline, mobile, and not diagnosed with dementia. The variables measured, at baseline and at 2-year follow-up, were sociodemographics, self-perceived health, functional ability, cognitive function, depression, and social participation. Biochemical variables were measured from vein blood sample at baseline. Cross-sectional and longitudinal analyses explained 33%–38% of self-perceived health variance. Functional ability, depressive symptoms, and age were significant predictors of self-perceived health in all analyses. Two biological cardiovascular risk factors variables – glucose and urea – were significantly associated with self-perceived health.
本研究旨在探讨心理及生理因素与老年人自我认知健康的关系。参与者是克罗地亚萨格勒布11家养老院的411名居民:104名男性,307名女性,基线年龄为56-96岁(平均79岁),可移动,未被诊断患有痴呆症。在基线和2年随访时测量的变量包括社会人口统计学、自我感知健康、功能能力、认知功能、抑郁和社会参与。从基线时的静脉血液样本中测量生化变量。横断面和纵向分析解释了33%-38%的自我感知健康差异。在所有分析中,功能能力、抑郁症状和年龄是自我感知健康的显著预测因子。两个生物心血管危险因素变量-葡萄糖和尿素-与自我感知健康显著相关。
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引用次数: 11
Effects of Depressive Syndromes on the Everyday Competence of Nursing Home Residents with Dementia 抑郁症状对老年痴呆患者日常能力的影响
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2012-08-20 DOI: 10.1024/1662-9647/A000059
S. Verhülsdonk, S. Engel
Depression in dementia is very common and has significant effects on the functional impairment of nursing-home residents. This study assesses depression, depression diagnosis, cognitive status, status of medication and functional status in 138 residents. Results: (1) 34.1% of the demented residents had a depressive symptomatology. (2) No diagnosis of “depression” was documented for a high percentage of depressed residents. (3) No correlation between depressive symptoms and treatment with antidepressants was present. (4) There was no correlation between the stage of dementia and the rate of depression. (5) There were significant differences in the everyday competence between depressive and nondepressive residents with dementia. The data suggest the need for an adequate diagnosis and treatment of depressive residents with dementia and underlines the need for improvement in care and treatment in primary care and nursing homes.
痴呆患者的抑郁非常普遍,对养老院居民的功能损害有显著影响。本研究对138名居民的抑郁、抑郁诊断、认知状况、用药状况和功能状况进行了评估。结果:(1)34.1%的痴呆患者存在抑郁症状。(2)高比例的抑郁居民未被诊断为“抑郁”。(3)抑郁症状与抗抑郁药物治疗之间不存在相关性。(4)痴呆分期与抑郁发生率无相关性。(5)抑郁型痴呆患者与非抑郁型痴呆患者的日常能力存在显著差异。这些数据表明,有必要对患有痴呆症的抑郁症患者进行充分的诊断和治疗,并强调需要改善初级保健和养老院的护理和治疗。
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引用次数: 0
Multidimensionality in Developmental Conceptions Across Adulthood 成年期发展观念的多维性
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2012-07-16 DOI: 10.1024/1662-9647/A000055
Maida Mustafic, A. Freund
Two studies demonstrate the usefulness of a newly developed, direct assessment method of subjective conceptualizations of development across adulthood. Results of Study 1 (N = 234, 18–83 years) suggest that older adults anticipate stronger decline in four domains of functioning (subjective well-being, social relationships, cognition, physical functioning) than younger and middle-aged adults. Study 2 (N = 166, 20–85 years) showed that older adults’ conceptualizations show less differentiation across domains than those of younger and middle-aged adults’. Results of both studies confirm lifespan notions of multidirectionality (expectations of gains and losses) but also show age-related differences in multidimensionality of developmental conceptions (i.e., differences in expected trajectories between domains). Moreover, results provide evidence that favorable conceptions impact perceived controllability and actual subjective well-being.
两项研究证明了一种新开发的、对成年期发展的主观概念化的直接评估方法的有效性。研究1 (N = 234, 18-83岁)的结果表明,老年人在四个功能领域(主观幸福感、社会关系、认知、身体功能)的衰退比年轻人和中年人更严重。研究2 (N = 166, 20-85岁)表明,老年人的概念化表现出比年轻人和中年人更少的跨领域分化。这两项研究的结果都证实了多方向性的寿命概念(对得失的预期),但也显示了与年龄相关的发展概念多维性的差异(即,不同领域之间预期轨迹的差异)。此外,研究结果还提供了有利观念影响感知可控性和实际主观幸福感的证据。
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引用次数: 27
Perceived Rights of and Social Distance to People with Alzheimer’s Disease 阿尔茨海默病患者的感知权利和社会距离
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2012-03-19 DOI: 10.1024/1662-9647/A000052
E. Bourkel, D. Ferring, G. Weber
The present study investigated how laypeople and professionals (N = 185) judge the rights of someone affected with Alzheimer’s disease (AD) and whether social distance exists toward this person. Pa...
本研究调查了外行人和专业人士(N = 185)如何判断阿尔茨海默病(AD)患者的权利以及与该患者是否存在社会距离。爸爸……
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引用次数: 9
The Two Faces of Age Identity 年龄认同的两面
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2012-03-19 DOI: 10.1024/1662-9647/A000050
David Weiss, F. Lang
As people grow older they develop a sense of a dual age identity, referring to their age group and generation (Weiss & Lang, 2009). Two studies (N1 = 37, 60–85 years and N2 = 104, 65–88 years of age) compared and contrasted older adults’ cognitive representations of two types of age cohort groups (age group vs. generation). Analyses reveal that age-group identity was more frequently associated with loss and decline, whereas generation identity was more frequently associated with positive characteristics and increased levels of agency. Findings also show that generation identity may – especially in later adulthood – serve as a means to compensate for loss. The self-protective function of the dual age identity and the dynamic and flexible nature of identification are further discussed.
随着人们年龄的增长,他们发展出一种双重年龄认同感,指的是他们的年龄组和世代(Weiss & Lang, 2009)。两项研究(N1 = 37, 60-85岁,N2 = 104, 65-88岁)比较和对比了两种年龄队列组(年龄组与代际)老年人的认知表征。分析表明,年龄组身份更多地与丧失和衰退有关,而代际身份则更多地与积极特征和代理水平的提高有关。研究结果还表明,世代认同可能——尤其是在成年后期——是一种补偿损失的手段。进一步探讨了双重年龄认同的自我保护功能以及认同的动态性和灵活性。
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引用次数: 28
What Do Cognitive Complaints in a Sample of Memory Clinic Outpatients Reflect 记忆门诊病人的认知抱怨反映了什么
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2011-12-20 DOI: 10.1024/1662-9647/A000046
Anna Mascherek, D. Zimprich, R. Rupprecht, F. Lang
Conflicting evidence exists concerning the value of cognitive complaints in the course of assessing cognitive performance in individuals. The present study examines whether cognitive complaints are differentially related to cognitive functioning in groups with different diagnoses. 169 older outpatients (76 years on average) were divided into three groups and diagnosed with subjective cognitive complaints, mild cognitive impairment, or dementia. They were then administered a self-rating questionnaire on cognitive complaints, with semantic fluency and global cognitive functioning being assessed as cognitive measures. Multiple regression analyses revealed that, after controlling for depression, age, sex, and education, global cognitive functioning was not related to cognitive complaints. Semantic fluency was related to cognitive complaints depending on the group. Results suggest that cognitive complaints reflect, in part, actual cognitive performance.
关于认知抱怨在评估个体认知表现过程中的价值,存在相互矛盾的证据。本研究探讨认知抱怨是否在不同诊断的群体中与认知功能存在差异。169名老年门诊患者(平均年龄76岁)被分为三组,诊断为主观认知主诉、轻度认知障碍或痴呆。然后对他们进行认知抱怨的自评问卷,并评估语义流畅性和整体认知功能作为认知指标。多元回归分析显示,在控制抑郁、年龄、性别和教育后,整体认知功能与认知抱怨无关。语义流畅性与认知抱怨相关,这取决于组。结果表明,认知抱怨在一定程度上反映了实际的认知表现。
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引用次数: 23
Neural Correlates of Executive Dysfunction in Prodromal and Manifest Alzheimer’s Disease 前驱和显性阿尔茨海默病执行功能障碍的神经相关因素
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2011-06-06 DOI: 10.1024/1662-9647/A000038
A. Hunt, U. Haberkorn, J. Schröder, P. Schönknecht
Executive function is frequently impaired in patients with Alzheimer’s disease (AD) and its prodromal stage, and can be assessed using the Trail-Making Test (TMT). We aimed to elicit the neural and cognitive correlates of TMT subtests using positron emission tomography with 18-fluoro-D-deoxy-glucose, and neuropsychological testing in 20 patients with prodromal or manifest AD as well as 14 controls. TMT-A correlated with glucose metabolism in the left middle frontal cortex, TMT-B performance correlated with the metabolism in the right middle frontal cortex and the right precentral gyrus, and TMT-Q performance correlated with metabolism in the right middle frontal cortex. The present findings reveal functional imaging evidence that executive dysfunction in AD as measured by TMT is frontal lobe mediated.
阿尔茨海默病(AD)及其前驱期患者的执行功能经常受损,可以使用Trail-Making Test (TMT)进行评估。我们的目的是利用正电子发射断层扫描和18-氟-d -脱氧葡萄糖,在20名前驱或明显AD患者以及14名对照患者中进行神经和认知测试。TMT-A与左侧额叶中皮质的葡萄糖代谢相关,TMT-B与右侧额叶中皮质和右侧中央前回的代谢相关,TMT-Q与右侧额叶中皮质的代谢相关。本研究结果揭示了功能成像证据,表明TMT测量的AD执行功能障碍是额叶介导的。
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引用次数: 5
Self-Rated Quality of Life in Mild Cognitive Impairment and Alzheimer’s Disease: The Problem of Affective Distortion 轻度认知障碍和阿尔茨海默病的自评生活质量:情感扭曲的问题
IF 1 Q4 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2011-04-27 DOI: 10.1024/1662-9647/A000029
M. Berwig, H. Leicht, K. Hartwig, H. Gertz
Background: Cognitively impaired or demented patients may have difficulty performing the complex and multidimensional appraisal required by self-ratings (SR) of quality of life (QoL). Even healthy subjects often refer to their current mood state for QoL self-assessment. Therefore, it is hypothesized that patients rely on current mood state as a reference point for QoL SR, and that the degree of reliance increases with the level of cognitive impairment. Methods: Two consecutive samples of 14 patients with mild cognitive impairment (MCI) and 16 patients with Alzheimer’s disease (AD) were examined using the self-rated Dementia-Quality of Life (DEMQoL), a multidimensional mood state questionnaire (MDBF-A, Mehrdimensionaler Befindlichkeitsfragebogen), and the Mini-Mental State Examination (MMSE; MCI: mean = 25.1, SD = 2.1; AD: mean = 20.3, SD = 2.7). Results: As expected, correlations between current mood state and QoL SR (DEMQoL) were highly significant in AD patients but not in MCI patients. The degree of as...
背景:认知障碍或痴呆患者可能难以进行生活质量自我评定(SR)所需的复杂和多维评估。即使是健康的受试者也经常参考他们当前的情绪状态来进行生活质量的自我评估。因此,我们假设患者依赖当前情绪状态作为生活质量SR的参考点,并且依赖程度随着认知障碍程度的增加而增加。方法:选取14例轻度认知障碍(MCI)患者和16例阿尔茨海默病(AD)患者,采用痴呆生活质量自评量表(DEMQoL)、多维情绪状态问卷(MDBF-A, Mehrdimensionaler Befindlichkeitsfragebogen)和简易精神状态检查(MMSE;MCI: mean = 25.1, SD = 2.1;AD: mean = 20.3, SD = 2.7)。结果:正如预期的那样,当前情绪状态与生活质量SR (DEMQoL)之间的相关性在AD患者中非常显著,而在MCI患者中则没有。的程度…
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引用次数: 11
期刊
GeroPsych-The Journal of Gerontopsychology and Geriatric Psychiatry
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