COVID-19 大流行期间老年人的复原力和烦恼轨迹。

IF 4.8 2区 医学 Q1 GERIATRICS & GERONTOLOGY Journals of Gerontology Series B-Psychological Sciences and Social Sciences Pub Date : 2024-10-01 DOI:10.1093/geronb/gbae145
Maria L Kurth, Suzanne C Segerstrom, Kelly D Chandler, Karen Hooker, Carolyn M Aldwin
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引用次数: 0

摘要

目标:尽管老年人的身体更容易受到 COVID-19 的影响,但在大流行期间,老年人报告的心理压力却小于年轻人和中年人。然而,人们对晚年生活压力的年龄差异知之甚少,而且大多数 COVID-19 研究都是横断面研究。我们研究了每周的烦恼暴露和严重程度轨迹,以及这些轨迹是否因年龄、复原力因素(较高的特质复原力和教育程度)和脆弱性因素(女性身份、有色人种和慢性疾病)而有所不同:俄勒冈州 50 岁以上居住在社区的成年人(Mage = 71.1,SD = 7.3;74% 为女性,89% 为非西班牙裔白人)在 COVID-19 居家任务期间完成了为期八周(2020 年 4 月 28 日至 6 月 22 日)的每周在线调查。一个由两部分组成的模型估计了年龄、复原力和脆弱性因素如何预测每周遇到任何麻烦的几率和严重程度:结果:随着时间的推移,遇到麻烦的几率减少,严重程度下降,但这些模式因年龄和其他人口统计学因素而异。老年人(估计年龄为 78 岁)遇到麻烦的几率保持稳定,而年轻人(估计年龄为 64 岁)则呈现出 J 型曲线;年龄并不影响严重程度的斜率。此外,两个复原力因素都与暴露轨迹有关,而脆弱性因素(种族/族裔和慢性病)则与麻烦的严重程度有关:讨论:COVID大流行期间的麻烦模式存在年龄差异。此外,复原力和脆弱性因素也表现出复杂的模式,这表明今后的研究需要关注晚年生活幸福感的年龄差异。
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Resilience and Hassles Trajectories Among Older Adults During the COVID-19 Pandemic.

Objectives: Despite higher physical vulnerability to coronavirus disease 2019 (COVID-19), older adults reported less psychological stress than younger and midlife adults during the pandemic. However, little is known about age differences in stress within later life, and most COVID-19 studies have been cross-sectional. We examined weekly hassles exposure and severity trajectories and whether these trajectories differed by age, resilience factors (higher trait resilience and education), and vulnerability factors (identifying as a woman, being a person of color, and having chronic health conditions).

Methods: Community-dwelling adults aged 50+ in Oregon (Mage = 71.1, standard deviation = 7.3; 74% women, 89% non-Hispanic White) completed weekly online surveys across 8 weeks (April 28-June 22, 2020) during the COVID-19 stay-at-home mandate. A 2-part model estimated how age, resilience, and vulnerability factors predicted weekly odds of any hassle exposure and level of severity.

Results: Across time, hassles exposure decreased and the rate of severity declined, but these patterns differed by age and other demographics. The old-old (estimated at age 78) remained stable in odds of any exposure, whereas the young-old (estimated at age 64) evidenced a J-shaped curve; age did not moderate the severity slopes. Furthermore, both resilience factors were associated with exposure trajectories, whereas vulnerability factors (race/ethnicity and chronic illness) were associated with levels of hassles severity.

Discussion: There were age differences in patterns of hassles during the COVID-19 pandemic. Furthermore, resilience and vulnerability factors also showed complex patterns, underscoring the need for future studies to focus on age differences in well-being in later life.

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来源期刊
CiteScore
11.60
自引率
8.10%
发文量
178
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontology: Psychological Sciences publishes articles on development in adulthood and old age that advance the psychological science of aging processes and outcomes. Articles have clear implications for theoretical or methodological innovation in the psychology of aging or contribute significantly to the empirical understanding of psychological processes and aging. Areas of interest include, but are not limited to, attitudes, clinical applications, cognition, education, emotion, health, human factors, interpersonal relations, neuropsychology, perception, personality, physiological psychology, social psychology, and sensation.
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