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Relationships Between Self-Reported Pain and Optimism Among Community-Dwelling Older Adults. 在社区居住的老年人中,自我描述的疼痛与乐观情绪之间的关系。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-12-01 Epub Date: 2024-07-25 DOI: 10.1177/00914150241260825
Lucía C Rivera, Isabel A Mancilla, Jaclyn Bergstrom, Sharon Thompson, Anthony J Molina

Measures of life outlook in older adults have been investigated in connection to pain, as both pain management and outlook are important factors of successful aging. We hypothesized that higher pain is associated with lower optimism among community-dwelling older adults. We utilized data from the UC San Diego Successful Aging Evaluation (SAGE), a prospective longitudinal cohort study initiated in 2010, to evaluate the relationship between pain and optimism in 378 community-dwelling adults aged ≥50 years. We used the revised Life Orientation Test (LOT-R) to measure optimism and three pain subscales-PROMIS Pain Interference, PROMIS Pain Intensity, and MOS 36-Item Short-Form Health Survey (SF-36)-as pain measures. Regression analyses reveal negative relationships between pain and optimism for all three pain scales, with regression coefficients of -0.277 (p < .0001), -0.246 (p < .0001), and 0.269 (p < .0001) respectively. This indicates value in considering physical and psychological elements in future intervention research to promote healthy aging.

由于疼痛控制和人生展望都是成功老龄化的重要因素,因此我们对老年人的人生展望进行了与疼痛相关的调查。我们假设,在社区居住的老年人中,较高的疼痛感与较低的乐观程度相关。我们利用加州大学圣地亚哥分校 "成功老龄化评估"(Successful Aging Evaluation,SAGE)的数据,评估了 378 名年龄≥50 岁、居住在社区的成年人的疼痛与乐观情绪之间的关系。我们使用修订后的生活取向测试(LOT-R)来测量乐观情绪,并使用三个疼痛分量表--PROMIS 疼痛干扰、PROMIS 疼痛强度和 MOS 36 项短式健康调查(SF-36)--来测量疼痛。回归分析表明,在所有三个疼痛量表中,疼痛与乐观之间均存在负相关,回归系数为-0.277(p p p p
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引用次数: 0
The Role of Awareness of Age-Related Change in the Longitudinal Association between Pain and Physical Activity. 对年龄相关变化的认识在疼痛和身体活动之间的纵向关联中的作用。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-10-01 Epub Date: 2023-10-30 DOI: 10.1177/00914150231208686
Shelbie G Turner, Helen Brooker, Clive Ballard, Anne Corbett, Adam Hampshire, Serena Sabatini

We examined how physical pain impacts the developmental construct of Awareness of Age-Related Change (AARC-gains and AARC-losses) and, in turn, how AARC mediates and moderates the association between pain and subsequent physical activity. We used longitudinal data from 434 participants of the UK PROTECT Study (mean age = 65.5 years; SD = 6.94 years). We found that pain in 2019 predicted higher AARC-losses (β = .07; p = .036) and less physical activity (β = -.13; p-value = .001) in 2020. Additionally, we found that AARC-losses partially mediated, but did not moderate, the association of pain in 2019 and physical activity in 2020. AARC-losses may explain physical inactivity in middle-aged and older adults experiencing pain. Incorporating developmental constructs such as AARC into theories and empirical studies on pain and pain management may be necessary to more fully capture people's responses to pain.

我们研究了身体疼痛如何影响年龄相关变化意识的发展结构(AARC的获得和AARC的损失),以及AARC如何调节疼痛与随后的身体活动之间的联系。我们使用了434名英国PROTECT研究参与者的纵向数据(平均年龄 = 65.5岁;SD = 6.94年)。我们发现,2019年的疼痛预示着更高的AARC损失(β = .07;p = .036)和较少的体力活动(β = -.13;p值 = .001)。此外,我们发现AARC的损失部分地介导了2019年的疼痛和2020年的身体活动之间的联系,但并没有缓和这种联系。AARC的损失可能解释了中老年人经历疼痛时缺乏运动的原因。将AARC等发展结构纳入疼痛和疼痛管理的理论和实证研究,对于更全面地捕捉人们对疼痛的反应可能是必要的。
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引用次数: 0
Intergenerational Caregiving Patterns and Cognitive Health among the Sandwich Generation Within Four-Generation Families. 四代同堂家庭中三明治一代的代际照料模式和认知健康。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-10-01 Epub Date: 2024-03-04 DOI: 10.1177/00914150241235088
Jiaming Shi, Denghao Zhang, Xiaoting Liu

This study aims to investigate whether generational differences in intergenerational caregiving patterns (caring for parents only, caring for grandchildren only, and caring for parents and grandchildren simultaneously) are associated with cognitive health disparities among the sandwich generation within four-generation families, drawing upon the theories of intergenerational solidarity and intergenerational stake. Moreover, this study seeks to identify mediators that help explain these disparities. A nationally representative sample of 8,065 respondents was drawn from the 2011 and 2018 waves of the China Health and Retirement Longitudinal Study. The findings reveal that the sandwich generation caring for grandchildren only, as well as those caring for grandchildren and parents simultaneously, exhibit better cognitive health. However, caregiving for parents only is not significantly related to their cognitive health. This study identifies the inability to reduce depressive symptoms as a mediator explaining the insignificant association between caregiving for parents only and the cognitive health of the sandwich generation. The findings underscore the importance of offering support to the sandwich generation within four-generation families to enhance their cognitive health. Moreover, it is imperative to distinguish between different intergenerational caregiving patterns based on generational differences among the sandwich generation, with a specific emphasis on allocating public resources aimed at promoting cognitive health for those engaged in caring for parents.

本研究旨在借鉴代际团结和代际利害关系理论,调查代际照顾模式(只照顾父母、只照顾孙辈、同时照顾父母和孙辈)的代际差异是否与四代同堂家庭中夹心层一代的认知健康差异有关。此外,本研究还试图找出有助于解释这些差异的中介因素。本研究从中国健康与退休纵向研究 2011 年和 2018 年两次调查中抽取了具有全国代表性的 8065 名受访者样本。研究结果显示,只照顾孙辈的夹心世代以及同时照顾孙辈和父母的夹心世代表现出更好的认知健康。然而,只照顾父母与他们的认知健康没有明显关系。本研究发现,仅照顾父母与夹心世代的认知健康之间的关系并不明显,其中介因素是无法减少抑郁症状。研究结果强调了为四代同堂家庭中的夹心一代提供支持以提高其认知健康的重要性。此外,必须根据夹心一代的代际差异来区分不同的代际照顾模式,特别强调分配公共资源,以促进那些参与照顾父母的人的认知健康。
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引用次数: 0
Continuity in Socialization Styles: Typologies of Socialization in the Different Life Stages of Older People. 社会化风格的连续性:老年人不同生命阶段的社会化类型。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-10-01 Epub Date: 2024-03-21 DOI: 10.1177/00914150241240127
Yoselyn Porras-Mendoza, Montserrat Celdrán, Juan José Zacarés

The purpose of this research was to identify the socialization styles of the older person (such as authoritative, indulgent, authoritarian, and negligent) in three different roles: (1) nowadays as a grandparent, (2) considering the style used to educate their own children in the past; and (3), considering the socialization style they received when they were children. The sample (317 people over 65 years old with at least one grandchild aged up to 16 years old participated) received the questionnaire on socialization styles in those roles. The results showed the predominance of the indulgent style in their role as grandparents. Almost 80% showed intergenerational continuity between at least two roles, with the exception of those with a neglectful style. Continuity in socialization style is crucial to understanding the dynamics within family relationships, which have highly durable intergenerational ties.

本研究的目的是确定老年人在三种不同角色中的社会化风格(如权威型、溺爱型、专制型和疏忽型):(1) 现在的祖父母;(2) 考虑过去教育自己子女的风格;(3) 考虑自己小时候接受的社会化风格。样本(317 位 65 岁以上、至少有一位 16 岁以下孙辈的老人参与)收到了关于这些角色社会化方式的问卷。结果显示,在祖父母的角色中,溺爱型风格占主导地位。近 80% 的人在至少两种角色之间表现出代际连续性,但忽视型风格的人除外。社会化风格的连续性对于理解代际联系非常持久的家庭关系中的动态变化至关重要。
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引用次数: 0
We Fear So We Judge: A Mediation Analysis on the Relations Among Ageing Anxiety, Ageism, and Ageist Microaggressions. 我们恐惧,所以我们评判:关于老龄焦虑、老龄歧视和老龄歧视微言秽语之间关系的调解分析》(A Mediation Analysis on the Relations between Ageing Anxiety, Ageism, and Ageist Microaggressionions)。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-10-01 Epub Date: 2024-02-25 DOI: 10.1177/00914150241235089
Tsz-Hin Poon, Kin-Kit Li

Ageism remains an obstacle to building an age-friendly environment. Although the rise of ageist microaggressions (i.e., subtle discrimination) threatens older adults from maintaining well-being, the mechanism of ageist microaggressions remains understudied. The present study examined ageist microaggressions using a transactional model. Specifically, we examined whether ageing and death anxieties contribute to self-ageism and influence benevolent and hostile ageism. These ageist beliefs might lead to benevolent and hostile ageist microaggressions, respectively. Cross-sectional data from 214 Hong Kong middle-aged adults (Mage= 50.97) were obtained. The results from a structural equation model revealed that ageing anxiety, but not death anxiety, was a significant predictor of self-ageism, hostile ageism, and hostile ageist microaggressions. A revised model further suggested that benevolent and hostile ageism were predictive of hostile ageist microaggressions. The results highlight the importance of defying the conventional perception of ageing to reduce ageing anxiety, ageism and ageist microaggressions for an age-friendly society.

老龄歧视仍然是建立老年友好环境的障碍。虽然老年微诽谤(即微妙的歧视)的兴起威胁着老年人保持幸福,但老年微诽谤的机制仍未得到充分研究。本研究采用交易模型对微小的年龄歧视进行了研究。具体来说,我们研究了衰老和死亡焦虑是否会导致自我年龄歧视,并影响善意和敌意的年龄歧视。这些年龄歧视信念可能会分别导致善意和敌意的微小年龄歧视。研究获得了 214 名香港中年人(Mage = 50.97)的横断面数据。结构方程模型的结果显示,衰老焦虑(而非死亡焦虑)是自我年龄歧视、敌意年龄歧视和敌意年龄歧视微冒犯的重要预测因素。修订后的模型进一步表明,善意的和敌意的年龄歧视可以预测敌意的微小年龄歧视。研究结果凸显了打破对老龄化的传统观念以减少老龄焦虑、老龄歧视和老龄歧视微诋毁对于建立一个老龄友好型社会的重要性。
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引用次数: 0
Having Plans for the Future in Very Old People. 高龄老人对未来的规划。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-10-01 Epub Date: 2024-02-11 DOI: 10.1177/00914150241231189
Martin Bergfrid, Yngve Gustafson, Håkan Littbrand, Birgitta Olofsson, Bodil Weidung

This study aimed to investigate the prevalence of having plans for the future among very old people and the factors associated with having such plans. A longitudinal population-based study with home visits for 85-, 90-, and ≥95-year-old participants in Sweden and Finland was used. Multivariate logistic regression and Cox proportional-hazards regression models with a maximum 5-year follow-up period were used. The prevalence of having plans for the future was 18.6% (174/936). More men than women and more people living in Sweden than in Finland had plans for the future. In multivariate models, having plans for the future was associated with speaking Swedish, being dentate, and living in the community in the total sample; speaking Swedish and being dentate among women; and speaking Swedish, having a lower Geriatric Depression Scale score, and urban residence among men. Having plans for the future was associated univariately, but not multivariately, with increased survival.

本研究旨在调查高龄老人对未来做出规划的普遍程度以及与做出此类规划相关的因素。研究采用了一项基于人口的纵向研究,对瑞典和芬兰 85 岁、90 岁和≥95 岁的参与者进行了家访。研究采用了多变量逻辑回归和考克斯比例危害回归模型,随访期最长为 5 年。为未来制定计划的比例为 18.6%(174/936)。对未来有计划的男性多于女性,居住在瑞典的人数多于芬兰。在多变量模型中,在所有样本中,对未来有计划与讲瑞典语、有牙齿和居住在社区有关;在女性中,与讲瑞典语和有牙齿有关;在男性中,与讲瑞典语、老年抑郁量表得分较低和居住在城市有关。对未来有规划与存活率的提高有单项相关性,但没有多变量相关性。
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引用次数: 0
Social Capital Associates With Better Cognitive Health, Oral Health and Epigenetic Age Deceleration: Findings From the Canadian Longitudinal Study on Aging. 社会资本与更好的认知健康、口腔健康和表观遗传年龄减缓有关:来自加拿大老龄化纵向研究的发现。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-10-01 Epub Date: 2023-11-16 DOI: 10.1177/00914150231208689
Aileen Liang, Noha Gomaa

Background: Social exposures are linked to an array of health outcomes, especially around aging. In this study, we examined the association of social capital, defined as social relationships and networks, with clinical and biological outcomes including cognitive health, oral inflammation, and epigenetic aging. Methods: We used data from the Canadian Longitudinal Study on Aging (CLSA) (n = 1,479; aged 45-85 years), categorizing social capital as structural and cognitive capital. Oral inflammation was determined as the presence of gum bleeding. Epigenetic aging was computed as the difference between chronological age and DNA methylation age. We constructed multivariable regression models adjusted for covariates to assess the relationships of interest. Results: Higher structural social capital was associated with decelerated epigenetic aging and better cognitive health outcomes, while higher cognitive social capital was associated with better cognitive outcomes and less oral inflammation. Conclusion: Enhanced social capital may contribute to better clinical and biological outcomes around aging.

背景:社会暴露与一系列健康结果有关,特别是在老龄化期间。在这项研究中,我们研究了社会资本(定义为社会关系和网络)与临床和生物学结果(包括认知健康、口腔炎症和表观遗传衰老)的关系。方法:我们使用来自加拿大纵向老龄化研究(CLSA)的数据(n = 1479;年龄45-85岁),将社会资本分为结构资本和认知资本。口腔炎症被确定为牙龈出血。表观遗传老化被计算为实足年龄和DNA甲基化年龄之间的差异。我们构建了调整协变量的多变量回归模型来评估感兴趣的关系。结果:较高的结构性社会资本与减缓表观遗传老化和较好的认知健康结果相关,而较高的认知社会资本与较好的认知结果和较少的口腔炎症相关。结论:社会资本的增强可能有助于改善老年患者的临床和生物学预后。
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引用次数: 0
The Significance of Potential Volunteering in Late Adulthood: A Janus-Faced Perspective. 晚年潜在志愿服务的意义:雅努斯面孔的视角。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2024-02-28 DOI: 10.1177/00914150241235083
Frank Micheel

This article examines the efficacy of volunteering potential regarding actual volunteering at a later point in time. Volunteering potential consists of two components: past volunteering and the intention to do so in the future. Using two-wave panel data from the German Transitions and Old Age Potential (TOP) study with 1,196 respondents born between 1942 and 1958, binary logistic regression estimates reveal significant adjusted average marginal effects of both potential components on actual volunteering at a later stage (intention: +8.4 percentage points, past volunteering: +6.3 percentage points). Considering both components as an interaction term, analyses provide mixed results. By taking greater account of the potential volunteers, scholars and policy-makers will have better insights into how to assess recruitment potential among older adults.

本文探讨了志愿服务潜能对后期实际志愿服务的影响。志愿服务潜能由两部分组成:过去的志愿服务和未来的志愿服务意向。利用德国过渡与老年潜力(TOP)研究中的两波面板数据,对 1942 年至 1958 年间出生的 1196 名受访者进行了二元逻辑回归估计,结果显示这两种潜力对后期实际志愿服务的调整后平均边际效应显著(志愿服务意向:+8.4 个百分点,过去志愿服务意向:+8.4 个百分点,未来志愿服务意向:+8.4 个百分点):+8.4 个百分点,过去志愿服务 +6.3 个百分点:+6.3 个百分点)。如果将这两个因素作为一个交互项来考虑,则分析结果好坏参半。通过更多地考虑潜在志愿者,学者和政策制定者将能更好地了解如何评估老年人的招募潜力。
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引用次数: 0
Does Perceived Generativity Mediate the Association Between Optimism and Cognitive Function Over Time? Findings from Midlife in the United States Study. 感知到的生成性会随着时间的推移调解乐观主义与认知功能之间的关系吗?美国中年研究的结果。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2023-12-10 DOI: 10.1177/00914150231219007
Kallol Kumar Bhattacharyya, Victor Molinari

Cognitive function is a vital component of healthy aging. However, whether a persistently high optimism benefits late-life cognitive function is debatable. The current study examined associations between high optimism status, perceived generativity, and cognitive functions across adulthood. Data were from waves 2 and 3 (2004-14) of the Midlife in the United States study. We used structural equation modeling to examine whether participants' (N = 2,205; Mage= 65 ± 11) persistent high optimism predicts better cognitive functions over time, compared to high optimism at only one time-point or not at all while controlling for covariates; we also examined whether individuals' perceived generativity mediates the above association. The findings revealed that persistent high optimism was significantly associated with better episodic memory and executive function. Further, perceived generativity positively mediated the association between persistent high optimism and episodic memory. Future research should examine mechanisms for potential aspects of high optimism and perceived generativity on late-life cognitive performances.

认知功能是健康老龄化的重要组成部分。然而,持续的高度乐观是否有益于晚年认知功能还存在争议。本研究考察了高乐观度状态、感知生成性和整个成年期认知功能之间的关联。数据来自美国中年研究的第二波和第三波(2004-14 年)。在控制协变量的情况下,我们使用结构方程模型来检验参与者(N = 2,205; Mage = 65 ± 11)的持续高度乐观是否会随着时间的推移预测出更好的认知功能,与只在一个时间点高度乐观或完全不高度乐观相比;我们还检验了个人的感知生成性是否会介导上述关联。研究结果表明,持续的高度乐观与更佳的外显记忆和执行功能有显著关联。此外,感知到的生成性对持续高度乐观与外显记忆之间的关联起着积极的中介作用。未来的研究应探讨高度乐观和感知生成性对晚年认知表现的潜在影响机制。
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引用次数: 0
Factors Associated With Working Caregivers' Well-Being: Comparisons Between Black and White Working Caregivers in the United States. 与工作照顾者幸福感相关的因素:美国黑人和白人工作照顾者的比较。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2024-09-01 Epub Date: 2023-10-29 DOI: 10.1177/00914150231208680
Maureen E Templeman, Soomi Lee, William E Haley

This study investigated stressors and strains, resources, and well-being among Black working caregivers (BWC) and White working caregivers (WWC) who participated in the Midlife in the United States study (Black: n  =  49, White: n  =  250). Comparisons were made between BWC and WWC for primary caregiving stressors, secondary strains, resources, and well-being, and hierarchical regression models tested associations among these factors. BWC reported less negative work-to-family spillover, more perceived control and religious/spiritual coping, and higher positive affect than WWC, complementing existing evidence of greater resilience among BWC. Secondary strains stemming from the workplace had stronger associations with well-being than primary caregiving stressors, confirming that the workplace deserves greater attention in stress research and interventions for working caregivers. Finally, perceived control, optimism, and family support were important resources for well-being for both BWC and WWC, substantiating their valuable role in interventions for working caregivers.

这项研究调查了参与美国中年研究的黑人工作照顾者(BWC)和白人工作照顾者的压力源和压力、资源和幸福感(黑人:  =  49,白色:n  =  250)。对《生物武器公约》和《世界野生动物公约》的主要照顾压力源、次要压力、资源和幸福感进行了比较,分层回归模型测试了这些因素之间的相关性。《生物武器公约》报告称,与《世界大战》相比,《生物武器条约》的负面工作对家庭的溢出作用更少,感知到的控制和宗教/精神应对能力更强,积极影响更高,这补充了《生物武器委员会》更具韧性的现有证据。与主要护理压力源相比,来自工作场所的次要压力源与幸福感的相关性更强,这证实了工作场所在压力研究和对在职护理人员的干预中值得更多关注。最后,感知到的控制、乐观和家庭支持是《生物武器公约》和《WWC》幸福的重要资源,证明了它们在工作照顾者干预中的宝贵作用。
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引用次数: 0
期刊
International Journal of Aging & Human Development
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