Negative affect and mortality in older persons.
Negative affect and mortality in older persons.
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DOI：
10.1093/aje/kwg224
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发表时间：
2003-11
影响因子：
5
通讯作者：
R. Wilson;J. Bienias;C. F. Mendes de Leon;Denis A. Evans;D. Bennett
中科院分区：
文献类型：
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作者：
R. Wilson;J. Bienias;C. F. Mendes de Leon;Denis A. Evans;D. Bennett
作者在1994至2002年间对老年人进行的纵向队列研究《宗教秩序研究》中研究了负面情绪与死亡率的关系。参与者为851名未患痴呆症的天主教神职人员(平均年龄为75.4(标准差，6.9岁)；68%为女性)。他们完成了抑郁症状、焦虑和愤怒倾向以及愤怒表达模式的标准测量，然后接受了平均4.7(标准差，2.7)年的年度临床评估。根据年龄、性别、教育程度、认知功能、肢体功能、慢性病、吸烟、酒精和肥胖症的测量调整比例风险模型，检验每个量表与死亡率的相关性。在随访期间，164人死亡。衡量内部经历的负面情绪的指标，如抑郁症状和压抑的愤怒，与死亡率有关，但衡量外部导向的负面情绪的指标，如对他人发火和公开表达愤怒的倾向，则与死亡率无关。在内部经历的负面情绪的综合测量中得分高的人(第90百分位数)，死亡的可能性几乎是得分低的人(百分位数第10百分位数)的两倍。结果表明，老年人的负面影响，特别是内部经历的痛苦，与增加死亡风险有关。
The authors examined the relation of negative affect to mortality in the Religious Orders Study, a longitudinal cohort study of older persons, between 1994 and 2002. Participants were 851 Catholic clergy members without dementia at baseline (mean age, 75.4 (standard deviation, 6.9) years; 68% women). They completed standard measures of depressive symptoms, proneness to anxiety and anger, and patterns of anger expression at baseline and then underwent annual clinical evaluations for a mean of 4.7 (standard deviation, 2.7) years. The association of each scale with mortality was examined in proportional hazards models adjusted for age, sex, education, measures of cognitive function, lower limb function, chronic illness, smoking, alcohol, and obesity. During follow-up, 164 persons died. Measures of internally experienced negative affect, such as depressive symptoms and suppressed anger, were related to mortality, but measures of externally directed negative affect, such as the tendencies to be angry with others and to express anger overtly, were not. Persons with a high score (90th percentile) on a summary measure of internally experienced negative affect were nearly twice as likely to die as persons with a low score (10th percentile). The results suggest that negative affect in older persons, especially internally experienced distress, is associated with an increased mortality risk.