Mistreatment and Psychological Well-being Among Older Adults: Exploring the Role of Psychosocial Resources and Deficits

Mistreatment and Psychological Well-being Among Older Adults: Exploring the Role of Psychosocial Resources and Deficits
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DOI:
10.1093/geronb/gbq096
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发表时间:
2011-03-01
影响因子:
6.2
通讯作者:
Waite, Linda J.
Waite, Linda J.
中科院分区:
医学1区
文献类型:
--
作者:
Luo, Ye;Waite, Linda J.

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目标.探讨心理社会资源与缺陷、老人虐待与心理健康之间的关系。我们使用了来自美国国家社会生活,健康和老龄化项目的2,744名年龄在57-85岁之间的老年人的代表性样本。我们检查了任何虐待的报告(口头,财务或身体)和多种类型的虐待。较低水平的积极支持,来自亲密关系的较高水平的批评,以及社会孤立感与自我报告的虐待经历呈正相关。正如压力过程理论所表明的那样,那些报告虐待经历的人也报告了较低水平的整体幸福感和较高水平的心理痛苦。也有一些证据支持缓冲假设-如果老年人报告了更积极的社会支持,社会参与和社会联系的感觉,那么他们的整体幸福水平更高,心理困扰水平更低。心理社会资源较少或心理社会缺陷较多的老年人似乎更容易受到虐待,虐待似乎对这些人的心理健康特别有害。
Objectives. To examine the relationships between psychosocial resources and deficits, elder mistreatment, and psychological well-being.Methods. We used a representative sample of 2,744 older adults aged 57-85 years in the United States from the National Social Life, Health and Aging Project. We examined reports of any mistreatment (verbal, financial, or physical) and multiple types of mistreatment.Results. Lower levels of positive support, higher levels of criticism from close relationships, and feelings of social isolation are positively associated with self-reported mistreatment experience. As suggested by the stress process theory, those who reported mistreatment experience also reported lower levels of global happiness and higher levels of psychological distress. There is also some evidence for the buffering hypothesis-levels of global happiness are higher and levels of psychological distress are lower for older adults who reported any mistreatment if they also reported more positive social support, social participation, and feelings of social connection.Discussion. Older adults with fewer psychosocial resources or more psychosocial deficits seem to be more vulnerable to mistreatment, and mistreatment seems particularly detrimental to psychological well-being for these people.