老年人的复原力和适应性:COVID-19 影响调查的结果

Gohar Azhar, Melodee Harris, Laura Hays, Patricia Savary, Regina Gibson, James R Perry, Karen Coker, A. Pangle, Kenneth Alderson, Jeanne Y. Wei
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摘要

COVID-19 大流行给人们的日常生活、社会关系和生活方式带来了突变。目前还不清楚这些巨大的变化对全球参与者的长期心理健康产生了怎样的影响。为了帮助我们全面了解这一现象,本研究探讨了 COVID-19 大流行对美国南部老年人心理健康的影响。本研究使用 COVID-19 情绪影响调查进行了二次数据分析,该调查包括四个开放式问题,允许对本研究进行定性分析。主题分析由五名小组成员分三个编码阶段进行,以确保在达成共识和确定主题时的有效性和严谨性。受访者包括 118 名 55 岁及以上的参与者。我们在分析 COVID-19 大流行对受访者心理健康的影响时发现,总主题是适应性,次主题是认知和社会化。意识又与灵性、死亡率和健康相关;社会化又与信任/不信任、焦虑和恐惧相关。本研究中的老年人表现出了坚韧不拔的精神,并显示出更强的适应能力。尽管他们越来越意识到自己易受病毒感染,但他们通过更加重视与朋友和家人的关系来应对这种压力。在整个研究过程中,虽然我们没有专门评估老年人的复原力,但复原力的特征经常被注意到。老年人在应对 COVID-19 大流行时所表现出的适应能力表明了他们这个年龄段所特有的抗逆力,本研究为今后探究老年人抗逆力概念的研究提供了支持。
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Resilience and Adaptability of Older Adults: Findings from the COVID-19 Impact Survey
The COVID-19 pandemic caused abrupt changes in daily routines, social connections, and ways of life. It is yet unknown the full impacts these extended changes have had on the long-term mental well-being of those who shared this global experience. As a contribution to our overall understanding of this phenomena, this study explored the effects of the COVID-19 pandemic on the mental well-being of older adults in the Southern United States. Secondary data analyses were performed using the COVID-19 Emotional Impact Survey, which included four open-ended questions allowing qualitative analyses for this study. Thematic analysis was conducted in three coding phases by five team members to ensure validity and rigor in consensus and determination of the themes. Respondents included 118 participants aged 55 years and older. The overarching theme which emerged in our analysis related to the impact of the COVID-19 pandemic on respondents’ mental well-being was adaptability, with sub-themes of awareness and socialization. Awareness was further associated with spirituality, mortality, and health; socialization was further associated with trust/distrust, anxiety, and fear. Older adults in this study exhibited resilience and demonstrated greater adaptability. Despite expressing increased awareness of vulnerability to the virus, they coped with this stress by placing greater value on relationships with friends and family. Attributes of resilience were frequently noted throughout the study, although we did not specifically assess resilience of older adults in this study. The degree of adaptability older adults applied in their responses to the COVID-19 pandemic suggest a resilience unique to their age and this study provides support for future research probing the concept of resilience in older adults.
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