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Social Participation Patterns Among Community-Dwelling Older Adults Before and During the COVID-19 Pandemic: Roles of Community Social Cohesion and Health. 居住在社区的老年人在 COVID-19 大流行之前和期间的社会参与模式:社区社会凝聚力和健康的作用。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-03-01 Epub Date: 2024-05-08 DOI: 10.1177/00914150241253237
Ethan Siu Leung Cheung

The objectives of this study were to investigate groupwide variations in social participation among older adults before and during the COVID-19 pandemic and how such variations were associated with their community social cohesion and health. Data were from the National Health and Aging Trends Study (2019-2020; n = 2,597 adults aged 65 or older). Latent class analysis was used to identify groupwide variations in social participation. These variations were then incorporated into adjusted regressions to test relationships with social cohesion and health. Four participation patterns emerged: active, selective independent, occasional, and selective religious participants. Selective independent and occasional participants were likely to live in less socially cohesive communities. During the pandemic, active participants were likely to report better self-rated health and lower risks of depressive and anxiety symptoms and dementia. Findings highlight directions for policy and intervention design that can enhance social participation and support healthy aging.

本研究的目的是调查在 COVID-19 大流行之前和期间,老年人在社会参与方面的群体性差异,以及这些差异与其社区社会凝聚力和健康之间的关系。数据来自全国健康与老龄化趋势研究(2019-2020 年;n = 2,597 名 65 岁或以上的成年人)。该研究采用潜类分析法来确定整个群体在社会参与方面的差异。然后将这些差异纳入调整回归,以检验与社会凝聚力和健康之间的关系。结果发现了四种参与模式:积极参与、选择性独立参与、偶尔参与和选择性宗教参与。选择性独立参与者和偶尔参与者可能生活在社会凝聚力较弱的社区。在大流行期间,积极参与者的自我健康状况可能较好,出现抑郁、焦虑症状和痴呆症的风险较低。研究结果强调了政策和干预措施设计的方向,这些政策和干预措施可以加强社会参与并支持健康的老龄化。
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引用次数: 0
Age-Related Microaggressions: Their Frequency, Emotional Impact, and Relationship to Negative Affect. 与年龄有关的微词:其频率、情感影响以及与负面情绪的关系。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-03-01 Epub Date: 2023-12-12 DOI: 10.1177/00914150231219011
Hannah M Lewis, Luke J Gietzen, Stephanie H Patt, Jeffrey A Buchanan

Age-related microaggressions are forms of ageist discrimination that occur in day-to-day interactions. This study aimed to validate the findings of a previous study, to identify common age-related microaggressions, and determine how affect influences emotional reactions to microaggressions. Using an online survey, participants (n = 200) were asked about their experience with age-related microaggressions, their affect, and their physical health. Participants were familiar with these microaggressions 53% of the time and had negative reactions to 43% of these microaggressions. The frequency of negative reactions to microaggressions was significantly correlated with scores of negative affect (r = .34, P < .001) and with ratings of perceived physical health (r = -.32, P = .002). The results of the study provide further insight into the topography of, and how older adults experience microaggressions. This information should be used as an educational tool to reduce the prevalence of ageism.

与年龄有关的微小诽谤是日常互动中出现的年龄歧视形式。本研究旨在验证之前一项研究的结果,识别常见的与年龄相关的微诽谤,并确定情感如何影响对微诽谤的情绪反应。通过在线调查,参与者(n = 200)被问及他们与年龄相关的微观诽谤的经历、他们的情绪和身体健康情况。53%的参与者熟悉这些微小诽谤,43%的参与者对这些微小诽谤有负面反应。对微观诽谤做出负面反应的频率与负面情绪的得分呈显著相关(r = .34,P r = -.32,P = .002)。研究结果让我们进一步了解了微观诽谤的特征以及老年人是如何经历微观诽谤的。这些信息应作为一种教育工具,以减少年龄歧视的发生。
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引用次数: 0
Family Caregivers' Progress Toward Values Moderates the Associations between Behavioral Symptoms of Dementia, Caregiver Burden, and Depressive Symptoms. 家庭照护者在价值观方面的进步可调节痴呆症行为症状、照护者负担和抑郁症状之间的关联。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-03-01 Epub Date: 2024-06-05 DOI: 10.1177/00914150241240115
Elizabeth B Fauth, Joshua R Novak, Jacob Gossner, Ty B Aller, Heather H Kelley, Michael E Levin

Increasingly, dementia caregiver interventions are informed by acceptance-based approaches such as Acceptance and Commitment Therapy. These interventions promote psychological skills like psychological flexibility and value-based living. Less is known how these constructs interact within well-established caregiver stress processes. We examined a moderated mediation model (N = 161 dementia caregivers; PROCESS Procedure; SPSS Release 4.1), with BPSD frequency (Revised Memory and Behavior Problems Checklist) predicting depressive symptoms (10-item CES-D), mediated via caregiver burden (short Burden inventory). The moderator was the Values Questionnaire, and we controlled for gender, caregiver duration, age, income, and education. Results: revealed that the indirect effect of BPSD on depressive symptoms through caregiver burden was weakened through higher progress toward values (moderated mediation significant at p < .05). Committed action toward values signify caregivers' success at balancing care-related stress with other priorities. Interventions that build skills in values-based living have promise for caregivers, offering healthier ways to adjust to being a caregiver.

越来越多的痴呆症照护者干预措施以接受为基础,如接受与承诺疗法。这些干预措施促进了心理灵活性和基于价值的生活等心理技能。但人们对这些概念如何在已确立的照护者压力过程中相互作用还知之甚少。我们研究了一个调节中介模型(N = 161 名痴呆症照护者;PROCESS 程序;SPSS 4.1 版),该模型通过照护者负担(简短负担清单)中介,以 BPSD 频率(修订版记忆和行为问题清单)预测抑郁症状(10 项 CES-D)。调节因素是价值观问卷,我们还控制了性别、护理时间、年龄、收入和教育程度。结果:我们发现,BPSD 通过照顾者负担对抑郁症状所产生的间接影响,会因价值观的进步而减弱(调节中介作用在 p
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引用次数: 0
Preliminary Validation of a Measure of Interpersonal Problems: A Study of Personality Pathology in Depressed Older Inpatients. 人际关系问题量表的初步验证:老年抑郁症住院患者的人格病理学研究。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-02-04 DOI: 10.1177/00914150251317442
Nicole Wildstein, Richard Zweig

This preliminary study sought to determine the psychometric properties of the Inventory of Interpersonal Problems-Personality Disorders (IIP-PD-25) in a middle-aged to older adult sample in which personality pathology is common. Depressed inpatients (N = 62) between 55 and 92 years (M = 67.60, SD = 8.75) were administered self-report questionnaires to measure personality traits (NEO Five-Factor Inventory), interpersonal processes (IIP-PD-25), depression (Geriatric Depression Scale), and social role impairment (Social Adjustment Scale-Self-Report). We investigated whether the IIP-PD-25 has convergent validity with these measures. After adjusting for covariates, IIP-PD-25 scores were associated with greater depression (ß = .459, p < .001), greater social role impairment (ß = .374, p = .004), greater neuroticism (ß = .614, p < .001), and less agreeableness (ß = -.260, p = .035). Three-fourths of the IIP-PD-25 subscales also showed convergent validity with these constructs in the predicted directions. Based on these findings, the IIP-PD-25 is valid for purposes of capturing interpersonal and personality pathology in a depressed, older inpatient population.

本初步研究旨在确定人际问题-人格障碍量表(IIP-PD-25)在中老年成人样本中的心理测量特性,其中人格病理是常见的。对55 ~ 92岁的住院抑郁症患者(N = 62) (M = 67.60, SD = 8.75)进行人格特征(NEO五因素量表)、人际交往过程(IIP-PD-25)、抑郁(老年抑郁量表)和社会角色障碍(社会适应量表-自述)的自我报告问卷调查。我们研究了IIP-PD-25是否与这些措施具有收敛效度。在调整协变量后,IIP-PD-25评分与更严重的抑郁相关。459, p p = .004),更严重的神经质(s =。614, p p = .035)。四分之三的IIP-PD-25量表在预测方向上也显示出与这些构式的收敛效度。基于这些发现,IIP-PD-25在捕捉抑郁、老年住院患者的人际和人格病理方面是有效的。
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引用次数: 0
Psychometric Properties of the Anxiety About Aging Scale (AAS) in Lithuanian Adults. 立陶宛成人衰老焦虑量表(AAS)的心理测量特征。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-01-17 DOI: 10.1177/00914150241313359
Goda Gegieckaitė, Karolina Petraškaitė, Olga Zamalijeva

The Anxiety about Aging Scale (AAS) was developed by Lasher and Faulkender emphasizing a multidimensional approach to aging anxiety and addressing conceptual and psychometric issues of similar tools. Today this scale is one of the most used measures that allow to assess aging anxiety among younger and older populations. This study aimed to test the psychometric properties of the Lithuanian version of the AAS. A total sample of 528 Lithuanian adults, ages ranging from 18 to 82 (M (SD) = 33.6 (14.5)); 22.7% male, were included in this study. Results showed that the Lithuanian version of AAS had good psychometric characteristics. Using confirmatory factor analysis, the four-factor structure originally proposed by Lasher and Faulkender was confirmed. The total AAS scale and all four subscales showed good internal consistency. This study confirmed that the Lithuanian version of AAS can be used in further studies as suggested by scale authors.

衰老焦虑量表(AAS)由Lasher和Faulkender开发,强调衰老焦虑的多维方法,并解决类似工具的概念和心理测量问题。今天,这个量表是最常用的测量方法之一,可以用来评估年轻人和老年人的衰老焦虑。本研究旨在测试立陶宛版本的AAS的心理测量特性。528名立陶宛成年人,年龄从18岁到82岁不等(M (SD) = 33.6 (14.5));22.7%的患者为男性。结果表明立陶宛语版AAS具有较好的心理测量特征。采用验证性因子分析,对Lasher和Faulkender最初提出的四因素结构进行了验证。总AAS量表与四个分量表均表现出良好的内部一致性。本研究证实立陶宛版本的原子吸收光谱法可以按照量表作者的建议用于进一步的研究。
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引用次数: 0
Aging Parents and the Ties That Bind: Intergenerational Relationship Quality Among Culturally Diverse Canadian Families. 年迈父母与纽带:加拿大多元文化家庭的代际关系质量。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-01-01 Epub Date: 2024-03-20 DOI: 10.1177/00914150241240120
Barbara A Mitchell, Samantha Teichman

Drawing from a life course perspective, this paper examines mid/later-life parent-child relationship quality among ethnically diverse families. Focus is on the role of culture, child, and parental characteristics. Data are drawn from a study of 588 parents aged 50+ of a least one child aged 19-35 who reside in Metro Vancouver, B.C. from four Canadian cultural groups: British, Chinese, Persian/Iranian, and South Asian. Using OLS regression methods, we use two dependent variable scales: positive and negative support/interaction appraisals of the relationship. The positive relationship quality scale is associated with South Asian versus British-Canadian parents, mothers, those with greater income satisfaction, and daughters. The negative scale is inversely associated among South Asian versus British-Canadian parents, income satisfaction, parental health, and being unpartnered (vs. partnered). Interaction effects are found between gender and ethnicity. Implications for theorizing and applied recommendations for those who work with culturally diverse aging families are discussed.

本文从生命历程的角度出发,研究了不同种族家庭的中晚年亲子关系质量。重点是文化、子女和父母特征的作用。数据来源于对居住在不列颠哥伦比亚省大温哥华地区的 588 位年龄在 50 岁以上、至少有一个 19-35 岁子女的父母的研究,这些父母来自四个加拿大文化群体:他们来自加拿大的四个文化群体:英裔、华裔、波斯/伊朗裔和南亚裔。利用 OLS 回归方法,我们使用了两个因变量表:对关系的积极和消极支持/互动评价。积极关系质量量表与南亚父母、英裔加拿大父母、母亲、收入满意度较高者和女儿相关。消极关系质量量表与南亚裔父母和英裔加拿大父母、收入满意度、父母健康状况以及无伴侣(与有伴侣)之间的关系成反比。性别和种族之间存在交互作用。本文讨论了理论研究的意义,以及对从事文化多元老龄化家庭工作的人员提出的应用建议。
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引用次数: 0
Long-Term Effects of a Real-World Multi-Skill Intervention on Older Adults' Growth Mindset. 真实世界多技能干预对老年人成长心态的长期影响。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-01-01 Epub Date: 2023-12-17 DOI: 10.1177/00914150231219255
Yena Kyeong, Esra Kürüm, Leah Ferguson, Pamela Sheffler, George W Rebok, Rachel Wu

Although there have been interventions to increase growth mindset, little is known about their effectiveness over a longer period, especially for older adults. This study with older adults investigated the long-term effects of a learning intervention that included growth mindset lectures and discussions on growth mindset. In Study 1 (n = 27), participants were tracked for one year after a 12-week intervention. We found that an increased growth mindset did not last beyond the intervention. In Study 2 (n = 71), the COVID-19 pandemic interrupted the intervention after only two months. Participants were followed up for two years, and their growth mindset at one year was greater than at the pretest (Week 0) but declined from the 1- to 2-year follow-up. Taken together, interventions incorporating growth mindset messages can increase growth mindset in the short term but may require booster sessions to retain effects, especially during disruptive life events.

尽管已经有一些干预措施来提高成长型思维模式,但人们对其在较长时期内的有效性知之甚少,尤其是对老年人而言。这项针对老年人的研究调查了学习干预的长期效果,其中包括成长型思维模式讲座和关于成长型思维模式的讨论。在研究 1(n = 27)中,参与者在接受了为期 12 周的干预后被跟踪调查了一年。我们发现,成长型思维模式的提高并没有持续到干预之后。在研究 2(n = 71)中,COVID-19 大流行仅持续了两个月就中断了干预。我们对参与者进行了为期两年的跟踪调查,结果显示,他们在一年后的成长心态高于预测试(第 0 周)时的成长心态,但在一年到两年的跟踪调查中,成长心态有所下降。综上所述,包含成长心态信息的干预措施可以在短期内提高成长心态,但可能需要加强训练才能保持效果,尤其是在发生破坏性生活事件时。
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引用次数: 0
How Do Social Relationships Affect Later Life Planning? 社会关系如何影响晚年生活规划?
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-01-01 Epub Date: 2024-02-21 DOI: 10.1177/00914150241231195
Anne E Barrett, Hope Mimbs, Cherish Michael, Jessica Noblitt

Relatively little is known about how social relationships affect later life planning. Our study focuses on an underexamined aspect of social relationships, frequency of contact - not only with family members but also with friends. Using data from a survey of Floridians aged 50 and older conducted between December 2020 and April 2021 (n = 3,832), we examine the association between frequency of contact and five planning types: finances, health care, living arrangements, driving retirement, and end-of-life. We found that more frequent contact was associated with greater likelihood of planning, and this result was largely consistent across types of relationships and types of planning. Our findings suggest that contact with family members and friends may encourage more planning, which could reduce the stress that can accompany later life transitions. Our study offers further evidence of social relationships' centrality to later life well-being and points to the many benefits of enhancing them.

人们对社会关系如何影响晚年生活规划的了解相对较少。我们的研究侧重于社会关系中一个未被充分研究的方面,即接触频率,不仅包括与家人的接触频率,还包括与朋友的接触频率。利用 2020 年 12 月至 2021 年 4 月期间对 50 岁及以上弗罗里达人进行的调查数据(n = 3832),我们研究了联系频率与五种规划类型之间的关联:财务、医疗保健、生活安排、退休驾驶和生命终结。我们发现,联系越频繁,规划的可能性就越大,这一结果在不同的关系类型和规划类型中基本一致。我们的研究结果表明,与家人和朋友的接触可能会鼓励人们进行更多的规划,从而减轻晚年生活转变所带来的压力。我们的研究进一步证明了社会关系对晚年生活的重要性,并指出了加强社会关系的诸多益处。
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引用次数: 0
To What Age Do Japanese People Wish to Live?: The Impact of Age Stereotypes. 日本人希望活到什么年纪:年龄定型观念的影响》。
IF 1.2 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-01-01 Epub Date: 2024-09-09 DOI: 10.1177/00914150241268142
Saori Yasumoto, Daisuke Ito, Aya Toyoshima, Yumi Kimura

The images we have concerning aging and older people influence our health, well-being, and longevity; however, we do not know which of its aspects (e.g., health, appearance, and personality) positively or negatively affect us. Therefore, to clarify the impact of images of aging on our desire to live long, which impacts our healthy behavior, we conducted an internet survey targeting 1,000 people aged between 30 and 75 years old in Japan in 2018. We tested the following five hypotheses: 1) Respondents who are interested in interacting with older people wish to live longer than those who do not; 2) Respondents who have a positive stereotype about physiological traits of older people wish to live longer than those who do not; 3) Respondents who have a positive stereotype about social relations among older people wish to live longer than those who do not; 4) Respondents who have a positive stereotype about the functioning of older people wish to live longer than those who do not; 5) Respondents who have a positive stereotype about the functioning of older people are likely to engage in healthy behavior and perceive better subjective health than those who do not, which positively affects the age they wish to live to. As a result, we found that only 70-75-year-old participants who had positive images of social relations in old age tended to express a wish to live longer. However, other aspects of images of aging such as appearance, personality, and biological traits did not affect such desire. We conclude that the influence of aging images on the desire to live long may be less apparent among Japanese than other cultures. It is possible that Japanese people are less likely to internalize aging images regarding old age.

我们对衰老和老年人的印象会影响我们的健康、幸福和长寿;然而,我们并不知道衰老的哪些方面(如健康、外表和个性)会对我们产生积极或消极的影响。因此,为了明确衰老形象对我们长寿愿望的影响,从而影响我们的健康行为,我们在 2018 年针对日本 1,000 名年龄在 30 岁至 75 岁之间的人进行了一项网络调查。我们测试了以下五个假设:1)有兴趣与老年人交流的受访者比没有兴趣的受访者更希望长寿;2)对老年人生理特征有积极刻板印象的受访者比没有积极刻板印象的受访者更希望长寿;3)对老年人社会关系有积极刻板印象的受访者比没有积极刻板印象的受访者更希望长寿;4) 对老年人的功能有积极刻板印象的受访者比没有积极刻板印象的受访者更希望长 寿;5) 对老年人的功能有积极刻板印象的受访者比没有积极刻板印象的受访者更有可 能采取健康的行为,主观健康状况更好,这对他们希望活到的年龄有积极影响。因此,我们发现,只有 70-75 岁、对老年社会关系有积极印象的参与者才倾向于表示希望长寿。然而,衰老形象的其他方面,如外貌、个性和生物特征,并不影响这种愿望。我们的结论是,衰老形象对长寿愿望的影响在日本人中可能不如在其他文化中那么明显。这可能是因为日本人较少内化有关老年的衰老形象。
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引用次数: 0
Overcoming Barriers to Latino Participation in Alzheimer's Disease Research. 克服拉丁裔参与阿尔茨海默病研究的障碍。
IF 1.8 4区 医学 Q3 GERONTOLOGY Pub Date : 2025-01-01 Epub Date: 2024-08-16 DOI: 10.1177/00914150241268259
Kevyn A Ramirez, Christina Gigliotti, Emily A Little, Guerry M Peavy, Carol Evans, Alejandra Morlett Paredes, Lillian Pacheco-Cole, Zvinka Z Zlatar, Diane M Jacobs, Tamar H Gollan, Hector M González, Jose A Soria-Lopez, Branko N Huisa, James B Brewer, Douglas Galasko, David P Salmon

There is a critical need to increase Latino participation in research on Alzheimer's disease and related disorders (ADRD). Applying principles of community-based participatory research, we convened a community advisory board (CAB) to identify barriers and recommend strategies to increase participation of older Latinos in a longitudinal observational research study of ADRD at the Shiley-Marcos Alzheimer's Disease Research Center. Six major barriers were identified and programmatic changes to overcome them were implemented. Changes resulted in a nearly three-fold increase in the number of Latino individuals recruited, with the proportion of all newly recruited participants who were Latino increasing from 12.2% to 57.4%. Newer Latino recruits were more representative of the elderly Latino population in San Diego County than those recruited pre-CAB and remained highly agreeable to blood draw and neuroimaging, though less so to lumbar puncture and autopsy. Results demonstrate the value of CAB involvement in enhancing diversity in ADRD research.

亟需提高拉丁裔参与阿尔茨海默病及相关疾病(ADRD)研究的程度。运用社区参与式研究的原则,我们召集了一个社区咨询委员会(CAB)来识别障碍并提出策略建议,以提高拉美老年人参与希利-马科斯阿尔茨海默病研究中心(Shiley-Marcos Alzheimer's Disease Research Center)对阿兹海默病(ADRD)的纵向观察研究。研究确定了六大障碍,并实施了旨在克服这些障碍的计划变革。改革后,招募的拉丁裔人数增加了近三倍,在所有新招募的参与者中,拉丁裔所占比例从 12.2% 增加到 57.4%。与 CAB 成立前招募的参与者相比,新招募的拉丁裔参与者更能代表圣地亚哥县的拉丁裔老年人口,他们对抽血和神经影像学检查的同意程度仍然很高,但对腰椎穿刺和尸体解剖的同意程度较低。研究结果表明,CAB 的参与对于提高 ADRD 研究的多样性很有价值。
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引用次数: 0
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International Journal of Aging & Human Development
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