Stress, resilience, and coping strategies in a sample of community-dwelling older adults during COVID-19.
Stress, resilience, and coping strategies in a sample of community-dwelling older adults during COVID-19.
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DOI：
10.1016/j.jpsychires.2021.03.050
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发表时间：
2021-06
影响因子：
4.8
通讯作者：
Marshall GA
中科院分区：
文献类型：
--
作者：
Vannini P;Gagliardi GP;Kuppe M;Dossett ML;Donovan NJ;Gatchel JR;Quiroz YT;Premnath PY;Amariglio R;Sperling RA;Marshall GA
评估 COVID-19 大流行对老年人感知压力的影响对于了解如何最好地支持老年人应对压力状况至关重要，从而减轻压力源对其大脑健康的影响。在这里，我们在 COVID-19 大流行的背景下，对 141 名社区居住的老年人（平均年龄 = 74.4 ± 8.4，59% 女性）进行了横断面抽样，收集了关于感知压力、复原力和行为应对策略的测量结果，这些老年人是美国马萨诸塞州两项纵向观察研究的一部分。我们的结果表明，参与者表现出与 COVID-19 相关的中等压力水平，并表现出相对较高的复原力水平。较高的复原力与更多地使用适应性应对行为和更少地使用适应不良的应对行为相关。使用适应不良的应对策略与更大的压力有关。此外，层次回归分析表明，复原力是压力最强的独特预测因子，因此在很大程度上解释了观察到的应对结果关联。复原力水平的个体差异调节了两种应对策略（计划和自责）对压力的影响。具体来说，规划与弹性较低的人的压力水平增加有关。相比之下，较高的个人复原力减轻了自责对其压力水平的负面影响。总而言之，我们的研究结果表明，复原力对于应对 COVID-19 大流行期间的压力至关重要。未来增强复原力的方法可能被证明是重要的潜在干预措施，可以帮助支持老年人应对压力状况，并减少未来对神经认知和心理健康的不利影响。
Assessing the impact of the COVID-19 pandemic on perceived stress in older adults is critical to understanding how to best support elderly individuals navigating stressful situations, with the aim to lessen the impact of stressors on their brain health. Here, we collected measures on perceived stress, resilience, and behavioral coping strategies, in the context of the COVID-19 pandemic, in a cross-sectional sample of 141 community dwelling older adults (mean age = 74.4 ± 8.4, 59% females) who were part of two longitudinal observational studies in Massachusetts, U.S. Our results indicate that participants demonstrated moderate levels of stress related to COVID-19 and showed relatively high levels of resilience. Higher resilience was associated with greater use of adaptive coping behaviors and less use of maladaptive coping behaviors. The use of maladaptive coping strategies was associated with more stress. Moreover, hierarchical regression analyses revealed that resilience was the strongest unique predictor of stress, thus, largely accounting for the observed coping-outcome associations. Individual differences in resilience levels moderated the effects of two coping strategies (planning and self-blame) on stress. Specifically, planning was associated with increased levels of stress for people with low resilience. In contrast, high personal resilience attenuated the negative effect of self-blame on their stress levels. Taken together, our findings suggest that resilience is critical for coping with stress during the COVID-19 pandemic. Future approaches for augmenting resilience could prove to be important potential interventions to help support older adults navigating stressful situations as well as lessen adverse effects on neurocognitive and mental health in the future.
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影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
7.4
作者：
Connor, KM;Davidson, JRT
通讯作者：
Davidson, JRT
影响因子：
4
作者：
Childs, Emma;de Wit, Harriet
通讯作者：
de Wit, Harriet
影响因子：
1.5
作者：
Hahn, Elizabeth A.;Cichy, Kelly E.;Haley, William E.
通讯作者：
Haley, William E.
DOI：
10.1023/a:1012731520781
发表时间：
2001-12-01
影响因子：
1.6
作者：
Meyer, B
通讯作者：
Meyer, B