Awareness of Age-Related Change and Depressive Symptoms in Middle and Late Adulthood: Longitudinal Associations and the Role of Self-Regulation and Calendar Age

Awareness of Age-Related Change and Depressive Symptoms in Middle and Late Adulthood: Longitudinal Associations and the Role of Self-Regulation and Calendar Age
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DOI:
10.1093/geronb/gbw095
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发表时间:
2018-09-01
影响因子:
6.2
通讯作者:
Wahl, Hans-Werner
Wahl, Hans-Werner
中科院分区:
医学1区
文献类型:
--
作者:
Dutt, Anne J.;Gabrian, Martina;Wahl, Hans-Werner

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目的:研究主观衰老和抑郁症状之间的双向关系仍然很少。我们通过调查中年和老年人对年龄相关变化的认识(AARC)和抑郁性抑郁症之间的纵向联系来解决这个问题。方法:分析基于两个测量(时间1:2012年,N = 423(40-98岁);时间2:2015年,N = 356)。AARC被操作化为与年龄相关的收益和损失。数据进行了分析,通过交叉滞后面板模型和多元回归。结果:知觉损失,但没有收益有影响随着时间的推移,抑郁症状的变化。抑郁症状预测AARC变化的反向效应不显著。感知收益,但不是损失和抑郁症状的变化之间的关联是缓和的自我调节;当感知收益低,抑郁症状增加较少时,住宿高。AARC和抑郁症状的变化之间的关联是稳定的,在整个下半年的life span.Discussion:结果表明,更好地整合主观衰老与临床相关的发展成果的研究是一个很有前途的未来途径。
Objectives: Studies that examine bidirectional relations between subjective aging and depressive symptoms have remained rare. We addressed this issue by investigating longitudinal linkages between awareness of age-related change (AARC) and depressive symptomatology in midlife and old age. Assimilative and accommodative self-regulation strategies and calendar age were studied as moderators.Method: Analyses were based on two measurements (Time 1: 2012, N = 423 (40-98 years); Time 2: 2015, N = 356). AARC was operationalized as perceived age-related gains and losses. Data were analyzed by means of a cross-lagged panel model and multiple regression.Results: Perceived losses but not gains had an effect on change in depressive symptoms over time. The reverse effect with depressive symptoms predicting change in AARC was not significant. The association between perceived gains but not losses and change in depressive symptoms was moderated by self-regulation; when perceived gains were low, less increase in depressive symptoms was reported when accommodation was high. The association between AARC and change in depressive symptoms was stable across the entire second half of the life span.Discussion: Results suggest that a better integration of research on subjective aging with clinically relevant developmental outcomes is a promising future pathway.