Compassion toward others and self-compassion predict mental and physical well-being: a 5-year longitudinal study of 1090 community-dwelling adults across the lifespan.

Compassion toward others and self-compassion predict mental and physical well-being: a 5-year longitudinal study of 1090 community-dwelling adults across the lifespan.
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DOI:
10.1038/s41398-021-01491-8
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发表时间:
2021-07-13
影响因子:
6.8
通讯作者:
Jeste DV
Jeste DV
中科院分区:
医学1区
文献类型:
--
作者:
Lee EE;Govind T;Ramsey M;Wu TC;Daly R;Liu J;Tu XM;Paulus MP;Thomas ML;Jeste DV

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人们对同情心在促进健康和幸福方面的作用越来越感兴趣,横截面数据显示同情心与孤独感呈负相关。这是第一项纵向研究,研究了对他人的同情(CTO)和对自我的同情(CTS)作为成年人一生中心理和身体健康结果(包括孤独)的预测因素。我们跟踪了552名女性和538名男性在圣地亚哥县长达7.5年(平均4.8和SD 2.2),使用验证的评级量表CTO,CTS和孤独。采用线性混合效应模型研究CTO和CTS随时间的年龄和性别相关轨迹。线性回归模型被用来评估CTO和CTS与心理健康,身体健康和孤独感的基线和纵向关系。CTS和CTO弱相关。女性的基线CTO高于男性。虽然CTO随着时间的推移和整个生命周期都很稳定,但CTS评分与年龄呈倒U形关系,在77岁左右达到峰值。CTO和CTS均存在显著的基线×斜率相互作用,可预测60岁以下成人的身体健康改善。CTO和CTS的增加预示着心理健康的改善。较高的基线CTO和CTS以及CTO和CTS分数的增加预测随访时较低的孤独分数。因此,CTO和CTS与成年人一生中更好的心理健康和孤独感以及年轻人的身体健康相关,并且是改善健康结果的干预措施的有希望的目标。
There is growing interest in the role of compassion in promoting health and well-being, with cross-sectional data showing an inverse correlation with loneliness. This is the first longitudinal study examining both compassion toward others (CTO) and compassion toward self (CTS) as predictors of mental and physical health outcomes including loneliness, across adult lifespan. We followed 552 women and 538 men in San Diego County for up to 7.5 (mean 4.8 and SD 2.2) years, using validated rating scales for CTO, CTS, and loneliness. Linear mixed-effects models were employed to examine age- and sex-related trajectories of CTO and CTS over time. Linear regression models were used to evaluate baseline and longitudinal relationships of CTO and CTS with mental well-being, physical well-being, and loneliness. CTS and CTO were weakly intercorrelated. Women had higher baseline CTO than men. While CTO was stable over time and across the lifespan, CTS scores had an inverse U-shaped relationship with age, peaking around age 77. There were significant baseline × slope interactions of both CTO and CTS predicting improvements in physical well-being in adults <60 years old. Increases in CTO and CTS predicted improvements in mental well-being. Higher baseline CTO and CTS as well as increases in CTO and CTS scores predicted lower loneliness scores at follow-up. Thus, CTO and CTS were associated with better mental well-being and loneliness across the adult lifespan, and physical well-being in younger adults, and are promising targets for interventions to improve health outcomes.
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