应对策略在中年和老年时期的纵向变化:美国中年研究的发现。

IF 2.8 3区 医学 Q3 GERIATRICS & GERONTOLOGY Aging & Mental Health Pub Date : 2024-08-26 DOI:10.1080/13607863.2024.2396066
Maria L Kurth, Dakota D Witzel, Eric S Cerino, David M Almeida
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引用次数: 0

摘要

研究目的大多数有关成年期应对策略年龄差异的研究都是横断面研究,主要集中在以问题和情绪为中心的应对策略这两大类。我们的目的是为一项全国性老龄化纵向研究(MIDUS)中使用的应对项目建立一个因子结构,并研究10年间应对策略的年龄模式:我们进行了探索性和确认性因子分析,并进行了因子不变量测试。接下来,我们对 MIDUS 研究第二波和第三波的参与者(人数 = 2,661,年龄 = 55,女性占 58%,白人占 84%)的每个应对因素进行了一系列多层次模型分析:我们发现了一个四因素解决方案:工具性行动;否认/脱离;积极的重新评价;关注和宣泄情绪。在不同的时间和年龄段,我们都找到了不变性。在基线阶段,年龄与三种策略的使用呈正相关,但年轻成人使用更多的是集中注意力和宣泄情绪。在 10 年的时间里,所有策略的使用率总体上都有所下降,但这一下降会受到年龄的影响。积极的重新评价在中年参与者中的下降幅度更大,而其余策略在老年参与者中的下降幅度更大:结论:研究结果凸显了 MIDUS 应对项目的多维性,并强调了年龄对于理解中年和老年期应对变化的重要性。
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Longitudinal changes in coping strategies across midlife and older adulthood: findings from the midlife in the United States study.

Objectives: Most studies examining age differences in coping across adulthood come from cross-sectional studies and focus on the broader categories of problem- and emotion-focused coping. We aimed to establish a factor structure for coping items used in a national, longitudinal study of aging (MIDUS) and examine age patterns in coping strategies over 10 years.

Method: We performed exploratory and confirmatory factor analysis, and factorial invariance testing. Next we conducted a series of multilevel models for each coping factor with participants from waves II and III of the MIDUS study (N = 2,661, Mage = 55, 58% women, 84% White).

Results: We found a four-factor solution: instrumental action; denial/disengagement; positive reappraisal; focus and venting of emotions. Invariance was established across time and age. At baseline, age was positively associated with the use of three strategies, though younger adults used more focus and venting of emotions. There was an overall decrease over 10 years in use of all strategies, which was moderated by age. Positive reappraisal declined more steeply among midlife participants, whereas the remaining strategies declined more for older participants.

Conclusion: Results highlight the multi-dimensionality of MIDUS coping items and underscores the import of age in understanding changes in coping across midlife and older adulthood.

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来源期刊
Aging & Mental Health
Aging & Mental Health 医学-精神病学
CiteScore
7.00
自引率
2.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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