Feelings of usefulness to others, disability, and mortality in older adults: The MacArthur study of successful aging

Feelings of usefulness to others, disability, and mortality in older adults: The MacArthur study of successful aging
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DOI:
10.1093/geronb/62.1.p28
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发表时间:
2007-01-01
影响因子:
6.2
通讯作者:
Seeman, Teresa E.
Seeman, Teresa E.
中科院分区:
医学1区
文献类型:
--
作者:
Gruenewald, Tara L.;Karlamangla, Arun S.;Seeman, Teresa E.

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我们对麦克阿瑟成功老龄化研究中的老年人(70-79 岁)样本进行了检验,将对其他人的有用感作为残疾和死亡风险的预测指标。我们研究了参与者对自己对朋友和家人有用的看法(在基线访谈中测量),作为随后 7 年随访期间自我报告的行动障碍、日常生活活动困难或死亡发生率增加的预测因素。与经常感觉自己对他人有用的老年人相比,那些从未或很少感觉自己有用的人在 7 年期间更有可能经历残疾增加或死亡,即使我们考虑了许多人口、健康状况、行为和社会心理因素。这表明有用感可能会影响老年人的健康轨迹。
We examined feelings of usefulness to others as a predictor of disability and mortality risk in a sample of older adults (aged 70-79 years) from the MacArthur Study of Successful Aging. We examined participants' perceptions of their usefulness to friends and family, measured at a baseline interview, as a predictor of subsequent increases in self-reported mobility disability, the onset of difficulty in performing activities of daily living, or mortality occurrence over a 7-year follow-up period. Compared with older adults who frequently felt useful to others, those who never or rarely felt useful were more likely to experience an increase in disability or to die over the 7-year period, even when we accounted for a number of demographic, health status, behavioral, and psychosocial factors. This suggests that feelings of usefulness may shape health trajectories in older adults.