Challenges Experienced at Age 100: Findings From the Fordham Centenarian Study
Challenges Experienced at Age 100: Findings From the Fordham Centenarian Study
复制标题
DOI：
10.1080/08959420.2016.1163652
复制
发表时间：
2016-07-01
影响因子：
5.1
通讯作者：
Kennedy, Erin
中科院分区：
文献类型：
--
作者：
Jopp, Daniela S.;Boerner, Kathrin;Kennedy, Erin
本文探讨了老年人所经历的挑战及其对福祉和心理健康的影响。为了捕捉老年人经历的独特问题，福德姆百岁老人研究的75名参与者回答了关于日常挑战的开放式问题。然后使用基于主题的编码对答复进行分类和量化。最常提到的挑战是在职能方面面临的挑战（例如，身体健康/日常生活活动限制、活动能力、感觉障碍），心理（例如，失去受欢迎的活动、依赖性、负面情绪、死亡），和社交（例如，家庭损失）生活领域。功能性挑战与衰老满意度呈负相关，与孤独感呈正相关。心理挑战与老龄化满意度呈正相关。社交挑战与孤独感关系不大。值得注意的是，挑战与抑郁症无关。最后，老年人所经历的挑战是多层面和多方面的，性质独特，与心理健康有不同的关系。功能、心理和社会挑战影响着老年人的生活，因此需要更好地理解和解决。鉴于其后果，政策制定者必须认识到百岁老人面临的不同类型的挑战，因为每种挑战可能都会产生独特的政策影响。
This article examines the challenges experienced by very old individuals and their consequences for well-being and mental health. In order to capture unique issues experienced in very old age, 75 participants of the population-based Fordham Centenarian Study answered open-ended questions on everyday challenges. Theme-based coding was then used to categorize and quantify responses. The challenges mentioned most often were challenges faced in the functional (e.g., physical health/activities of daily living restrictions, mobility, sensory impairment), psychological (e.g., loss of well-liked activity, dependency, negative emotions, death), and social (e.g., family loss) life domains. Functional challenges were negatively associated with aging satisfaction and positively associated with loneliness. Psychological challenges were positively linked to aging satisfaction. Social challenges were marginally related to loneliness. Notably, challenges were not related to depression. In conclusion, the challenges experienced in very old age are multidimensional and multifaceted, unique in nature, and have differential relations to mental health. Functional, psychological, and social challenges affect very old individuals' lives and therefore need to be better understood and addressed. Given their consequences, it is imperative for policy makers to develop an awareness for the different types of challenges faced by centenarians, as there may be unique policy implications related to each.