Correlates of self-rated successful aging among community-dwelling older adults
Correlates of self-rated successful aging among community-dwelling older adults
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DOI：
10.1097/01.jgp.0000192489.43179.31
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发表时间：
2006-01-01
影响因子：
7.2
通讯作者：
Jeste, DV
中科院分区：
文献类型：
--
作者：
Montross, LP;Depp, C;Jeste, DV
目的：对于如何定义成功的衰老尚未达成共识。作者试图确定自评成功衰老的相关性，以及其与主要研究人员定义的标准的对应关系。方法：参与者是205名60岁以上的社区居民。一项问卷调查要求参与者评估自己的成功老龄化程度，并询问人口统计学特征、病史、活动水平、恢复力、日常功能和与健康相关的生活质量（医学结果研究36项简要表[MOS-SF36]）。参与者对成功衰老的主观评分与研究人员定义的标准进行对比，并检查主观评分成功衰老的相关因素。结果：92%的参与者认为自己成功地衰老了。他们中的大多数人还符合其他研究标准，如独立生活、掌握/成长和积极适应，但不符合没有慢性疾病或身体残疾的要求。与已发表的样本相比，更高的SF-36分数间接证实了参与者主观上对成功衰老的评价。对成功衰老的主观评分与健康相关的生活质量、恢复力、更多的活动和亲密朋友的数量得分显著相关，但与一些人口统计学特征无关。结论：尽管有慢性身体疾病和一些残疾，大多数居住在社区的老年人认为自己很成功地老龄化。对成功衰老的主观评分的信度和效度进行纵向研究是有必要的。
Objective: There is no consensus on how to define successful aging. The authors sought to determine the correlates of self-rated successful aging as well as its correspondence with major researcher-defined criteria. Methods: Participants were 205 community-dwelling adults over age 60. A questionnaire survey asked the participants to rate their own degree of successful aging and inquired about demographic characteristics, medical history, activity levels, resilience, daily functioning, and health-related quality of life (Medical Outcomes study 36-item Short-Form [MOS-SF36]). Participants' subjective ratings of successful aging were contrasted with sets of researcher-defined criteria, and correlates of subjectively rated successful aging were examined. Results: Ninety-two percent of the participants rated themselves as aging successfully. A majority of them also met other research criteria for successful aging such as independent living, mastery/growth, and positive adaptation but not those requiring an absence of chronic medical illness or physical disability. Higher SF-36 scores as compared with a published sample indirectly corroborated participants' subjectively rated successful aging. Subjective ratings of successful aging were significantly correlated with higher scores on health-related quality of life as well as resilience, greater activity, and number of close friends but not with several demographic characteristics. Conclusion: Most community-dwelling older adults viewed themselves as aging successfully despite having chronic physical illnesses and some disability. Longitudinal studies of the reliability and validity of subjective ratings of successful aging are warranted.