Perceived Control and Aging: A Mini-Review and Directions for Future Research.

Perceived Control and Aging: A Mini-Review and Directions for Future Research.
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DOI:
10.1159/000468540
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发表时间:
2017
期刊:
影响因子:
3.5
通讯作者:
Lachman ME
Lachman ME
中科院分区:
医学2区
文献类型:
--
作者:
Robinson SA;Lachman ME

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本文从描述、解释和修正三个角度对控制感与衰老的关系进行了简要回顾。大量的文献利用横截面和相关的方法来描述社会人口的变化和结果与感知控制。这项工作的重点是在感知控制的年龄,性别,教育,社会经济地位和文化的功能的差异,并确定了积极的协会与许多老龄化相关的结果,涉及健康和福祉。随着越来越多的证据表明,在控制感随年龄增长而下降的背景下,感知控制对健康的益处,人们越来越努力地揭示所涉及的机制,希望开发出在整个成年期维持和/或促进适应性控制信念的方法。通过纵向和实验研究,研究者们开始阐明关联的方向性和解释关联的机制。最近的纵向研究证据表明,控制信念对随后的健康变化有影响。然而,研究结果表明,这不是一个单向的关系。一个概念模型,表明正在进行的互惠关系感知控制和健康和福祉进行了讨论。研究将感知控制与老龄化相关结果联系起来的机制,有助于提供信息和制定针对个人具体障碍和目标的有效干预措施。我们认为新的研究方向,包括更多地关注个体内的变异性和对压力等日常挑战的反应,目的是促进我们对感知控制如何有助于衰老相关结果的理解。需要做更多的工作来制定策略,以增强晚年的控制信念。虽然不可能总是改变控制信念,但研究人员在制定干预措施时可以考虑这些信念。个性化的方法,建议作为一种方式来定制的干预措施,是与个人的信念控制,以促进适应性行为的改变兼容。结论集中在选定的问题和考虑未来的研究。
This brief review on perceived control and aging is organized according to three perspectives of research involving description, explanation, and modification. An extensive body of literature has utilized cross-sectional and correlational methods to describe the sociodemographic variations and outcomes associated with perceived control. This work has focused on differences in perceived control as a function of age, sex, education, socioeconomic status, and culture, and has identified positive associations with many aging-related outcomes involving health and well-being. With growing evidence regarding the health benefits of perceived control in the context of a declining sense of control with aging, there has been an increased effort to uncover the mechanisms involved, with the hopes of developing methods to maintain and/or promote adaptive control beliefs throughout adulthood. Through longitudinal and experimental work, researchers are beginning to clarify the directionality and elucidate the mechanisms to explain the associations. Recent evidence from longitudinal studies shows that control beliefs have an impact on subsequent changes in health. Yet, the findings suggest it is not a unidirectional relationship. A conceptual model suggesting an ongoing reciprocal relationship between perceived control and health and well-being is discussed. Research examining the mechanisms that link perceived control to aging-related outcomes can help to inform and to develop effective interventions that are tailored to the individuals’ specific barriers and goals. We consider new directions for research, including more attention to intraindividual variability and reactivity to daily challenges such as stress, with the goal of advancing our understanding of how perceived control contributes to aging-related outcomes. More work is needed to develop strategies to enhance control beliefs in later life. Although it will not always be possible to modify control beliefs, researchers can take these beliefs into account when developing interventions. A personalized approach is recommended as a way to tailor interventions that are compatible with individuals’ beliefs about control to facilitate adaptive behavior change. Conclusions focus on selected issues and considerations for future research.
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