On the reciprocal association between loneliness and subjective well-being.

On the reciprocal association between loneliness and subjective well-being.
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论孤独感与主观幸福感之间的相互关系。

DOI:
10.1093/aje/kws173
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发表时间:
2012
影响因子:
5
通讯作者:
Cacioppo,JohnT
Cacioppo,JohnT
中科院分区:
医学2区
文献类型:
--
作者:
VanderWeele,TylerJ;Hawkley,LouiseC;Cacioppo,JohnT

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孤独已被证明可以纵向预测主观幸福感。作者使用了一项基于人口的纵向研究(2002-2006)的数据,研究对象是1935年至1952年间出生、居住在伊利诺伊州库克县的非西班牙裔白人、非裔美国人和非黑人拉丁美洲人。他们应用时变暴露的边际结构模型来检验孤独对主观幸福感和主观幸福感对孤独的影响的程度和持久性。他们的结果表明,如果在评估最终主观幸福感前1年和2年进行孤独感干预,那么只有1年前的干预才会有效果(标准化效应= - 0.29)。相比之下,主观幸福感在评估最终孤独感前1年(标准化效应= - 0.26)和2年前(标准化效应= - 0.13)的增加都会对个体的最终孤独感产生影响。即使在对抑郁症状、社会支持、精神状况和药物作为时变混杂因素进行控制后,这些影响仍然存在。本研究的结果表明,孤独感与主观幸福感之间存在着相当可观的不对称和持续的反馈。讨论了造成不对称的机理。制定针对孤独和主观幸福感的干预措施可能会带来实质性的心理和健康益处。
Loneliness has been shown to longitudinally predict subjective well-being. The authors used data from a longitudinal population-based study (2002–2006) of non-Hispanic white, African-American, and nonblack Latino-American persons born between 1935 and 1952 and living in Cook County, Illinois. They applied marginal structural models for time-varying exposures to examine the magnitude and persistence of the effects of loneliness on subjective well-being and of subjective well-being on loneliness. Their results indicate that, if interventions on loneliness were made 1 and 2 years prior to assessing final subjective well-being, then only the intervention 1 year prior would have an effect (standardized effect = −0.29). In contrast, increases in subjective well-being 1 year prior (standardized effect = −0.26) and 2 years prior (standardized effect = −0.13) to assessing final loneliness would both have an effect on an individual's final loneliness. These effects persist even after control is made for depressive symptoms, social support, and psychiatric conditions and medications as time-varying confounders. Results from this study indicate an asymmetrical and persistent feedback of fairly substantial magnitude between loneliness and subjective well-being. Mechanisms responsible for the asymmetry are discussed. Developing interventions for loneliness and subjective well-being could have substantial psychological and health benefits.
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