Psychological Distress During the Retirement Transition and the Role of Psychosocial Working Conditions and Social Living Environment.

Psychological Distress During the Retirement Transition and the Role of Psychosocial Working Conditions and Social Living Environment.
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DOI:
10.1093/geronb/gbab054
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发表时间:
2022-01-12
期刊:
The journals of gerontology. Series B, Psychological sciences and social sciences
影响因子:
--
通讯作者:
Stenholm S
Stenholm S
中科院分区:
其他
文献类型:
--
作者:
Lahdenperä M;Virtanen M;Myllyntausta S;Pentti J;Vahtera J;Stenholm S

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心理健康是由社会、生物和文化因素决定的,对生活的转变很敏感。我们研究了社会心理工作条件、社会生活环境和累积风险因素如何与退休过渡期间的心理健康变化相关。我们使用了芬兰退休与老龄化研究的数据,研究对象是芬兰2014年至2019年退休的公共部门雇员(n = 3338)。采用《普通健康问卷》每年对退休前后的心理困扰进行测量,并对退休前研究期间的心理社会工作状况、社会生活环境和危险因素积累情况进行测量。在退休过渡期间,心理困扰有所减少,但变化的幅度取决于个体的退休环境。来自较差的社会心理工作条件(高工作要求,低决策权,工作压力),较差的社会生活环境(低邻里社会凝聚力,小社会网络)和更多累积风险因素(工作/社会/两者)的人的心理困扰更高。在退休过渡期间,条件较差者(工作:绝对变化和相对变化,p[组×时间相互作用]< 0.05;社会生活环境和累积危险因素:绝对变化,p[组×时间相互作用]< 0.05)的心理困扰减少最大。与工作相关的社会心理压力源导致退休过渡期间的快速恢复,但社会和累积压力源对心理困扰具有长期的普遍影响。我们敦促进行更多的研究,将不同层次或背景的暴露纳入研究,以澄清退休过渡期间以及更普遍的老年时期心理健康的决定因素。
Mental health is determined by social, biological, and cultural factors and is sensitive to life transitions. We examine how psychosocial working conditions, social living environment, and cumulative risk factors are associated with mental health changes during the retirement transition. We use data from the Finnish Retirement and Aging study on public sector employees (n = 3,338) retiring between 2014 and 2019 in Finland. Psychological distress was measured with the General Health Questionnaire annually before and after retirement and psychosocial working conditions, social living environment, and accumulation of risk factors at the study wave prior to retirement. Psychological distress decreased during the retirement transition, but the magnitude of the change was dependent on the contexts individuals retire from. Psychological distress was higher among those from poorer psychosocial working conditions (high job demands, low decision authority, job strain), poorer social living environment (low neighborhood social cohesion, small social network), and more cumulative risk factors (work/social/both). During the retirement transition, greatest reductions in psychological distress were observed among those with poorer conditions (work: absolute and relative changes, p [Group × Time interactions] < .05; social living environment and cumulative risk factors: absolute changes, p [Group × Time interactions] < .05). Psychosocial work-related stressors lead to quick recovery during the retirement transition but the social and cumulative stressors have longer-term prevailing effects on psychological distress. More studies are urged incorporating exposures across multiple levels or contexts to clarify the determinants of mental health during the retirement transition and more generally at older ages.
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