Associations of self-perceived successful aging in young-old versus old-old adults.

Associations of self-perceived successful aging in young-old versus old-old adults.
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DOI:
10.1017/s104161021400221x
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发表时间:
2015-04
影响因子:
7
通讯作者:
Jeste DV
Jeste DV
中科院分区:
医学1区
文献类型:
--
作者:
Martin AS;Palmer BW;Rock D;Gelston CV;Jeste DV

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本研究的目的是比较协会的自我感知成功老龄化(SPSA)之间的年轻-老年人(Y-O;年龄50 - 74岁)与老年-老年人(O-O; 75 - 99岁)社区居住的成年人。据我们所知,这是第一个研究,比较受访者的成功老化的O-O相对于Y-O成年人的自我感知。参与者包括365名Y-O和641名O-O成年人。这两个年龄组进行了比较,在协会的SPSA与其他预选措施,包括社会人口信息,身体和精神功能,客观和主观的认知功能,情绪健康,积极的心理结构。O-O组报告的SPSA水平高于Y-O组。在对各组SPSA预测因素进行多元回归分析时,O-O组总体上存在较低关联的趋势。最值得注意的是,与Y-O组相比,O-O组的身体和心理功能与SPSA之间的关联显著较低。O-O组与Y-O组相比,SPSA显著更高,但与SPSA无关。特别值得注意的是,相对于Y-O成年人,O-O成年人的SPSA对身体和精神功能的预测能力较低。很明显,SPSA是一个多维度的结构,不能仅由身体功能来定义。继续澄清影响组间SPSA的潜在因素可能会为量身定制的干预措施提供信息,以促进Y-O和O-O成人的成功老龄化。
The aim of this research was to compare associations of self-perceived successful aging (SPSA) among Young-Old (Y-O; age 50–74 years) versus Old-Old (O-O; 75–99 years) community-dwelling adults. To our knowledge, this is the first study to compare respondents’ self-perceptions of successful aging among O-O relative to Y-O adults. Participants included 365 Y-O and 641 O-O adults. The two age groups were compared in terms of the association of SPSA with other preselected measures including sociodemographic information, physical and mental functioning, objective and subjective cognitive functioning, emotional health, and positive psychological constructs. The O-O group reported higher levels of SPSA than the Y-O group. In multiple regression modeling examining predictors of SPSA in each group, there was a tendency toward lower associations in the O-O group overall. Most notably, the associations between physical and mental functioning with SPSA were significantly lower in the O-O versus Y-O group. There were no associations with SPSA that were significantly higher in the O-O versus Y-O group. The lower predictive power of physical and mental functioning on SPSA among O-O relative to Y-O adults is particularly noteworthy. It is apparent that SPSA is a multidimensional construct that cannot be defined by physical functioning alone. Continuing to clarify the underlying factors impacting SPSA between groups may inform tailored interventions to promote successful aging in Y-O and O-O adults.