“人不忘,一切都会回来”:智障老年人回顾生活中的逆境和压力保护

IF 0.8 Q4 GERONTOLOGY Quality in Ageing and Older Adults Pub Date : 2019-11-28 DOI:10.1108/qaoa-11-2018-0061
H. Schepens, Joris Van Puyenbroeck, B. Maes
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引用次数: 4

摘要

据报道,智障人士在他们日益延长的寿命中会遇到许多负面的生活事件。在缺乏保护元素的情况下,这些可能会导致毒性应激和创伤。鉴于这些不良事件对他们的生活质量(QoL)的负面影响的报道,老年智障患者本身的观点可能是相关的。本文旨在探讨这些问题。作者在四次90分钟的焦点小组会议中询问了9名年龄在61-88岁之间的轻度智力残疾参与者,并对数据进行了主题分析。许多最近和过去的负面生活事件仍然给参与者带来沉重的负担。消极的互动、失去的经历、缺乏控制和意识到自己的残疾都会造成压力。他们的情绪反应与他们的满足、顺从和适应力形成鲜明对比。拥有良好的人际关系,学会应对技巧,保持活跃,谈论过去的经历,感觉没有痛苦,安全,得到良好的支持,有能力,受到尊重和参与,似乎可以增强恢复力,保护参与者免受有毒压力的影响。监测和预防不良(童年)经历、支持积极/情绪应对策略、心理治疗和生活故事工作可促进智障老年人应对负面事件,提高他们的生活质量。轻度智力残疾的老年人在生活中经历(早期)不良事件的风险更高。他们非常有能力谈论他们的经历、生活质量和他们需要的支持。焦点小组是捕捉他们见解的可靠方法。
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“One does not forget, it all comes back”: elderly people with intellectual disability review adversities and stress-protection in their lives
People with intellectual disability are reported to encounter many negative life events during their increasingly long lives. In the absence of protective elements, these may cause toxic stress and trauma. Given the reported negative effects of such adverse events on their quality of life (QoL), the perspective of older people with intellectual disability themselves may be of relevance. The paper aims to discuss these issues.,The authors questioned nine participants with mild intellectual disability, aged 61–88 years old, in four 90-min focus group sessions and thematically analysed the data.,Many recent and bygone negative life events still weighed heavily on the participants. Negative interactions, experiences of loss, lack of control and awareness of one’s disability caused stress. Their emotional response contrasted with their contentment, compliance and resilience. Having (had) good relationships, having learnt coping skills, remaining active, talking about past experiences and feeling free of pain, safe, well supported, capable, respected and involved seemed to heighten resilience and protect participants from toxic stress.,Monitoring and preventing adverse (childhood) experiences, supporting active/emotional coping strategies, psychotherapy and life story work may facilitate coping with negative events and enhance QoL of elderly people with intellectual disability.,Elderly people with mild intellectual disability run a higher risk of experiencing (early) adverse events in life. They are very capable of talking about their experiences, QoL, and the support they need. Focus groups were a reliable method to capture their insights.
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来源期刊
CiteScore
2.30
自引率
6.70%
发文量
17
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