Physical and mental health conditions account for variability in awareness of age-related changes.
Physical and mental health conditions account for variability in awareness of age-related changes.
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DOI：
10.3389/fpsyt.2023.1152177
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发表时间：
2023
影响因子：
4.7
通讯作者：
Hampshire, Adam
中科院分区：
文献类型：
--
作者：
Sabatini, Serena;Turner, Shelbie;Brooker, Helen;Ballard, Clive;Corbett, Anne;Hampshire, Adam
认识与年龄有关的变化的概念捕捉了人们对他们在几个生活领域（包括他们的健康）中经历的与年龄有关的积极（aarc收益）和消极（aarc损失）变化的看法。我们调查了身体和心理健康状况的数量和类型与aarc收益和aarc损失的横断面关联。样本包括参加英国PROTECT研究的3786名中老年人（平均年龄= 67.04岁；SD = 6.88）。我们使用层次回归模型分析在纳入社会人口学变量（模型1）、身体健康状况（模型2）和精神健康状况（模型3）后，是否可以解释AARC收益和AARC损失的显著额外方差，以及疾病数量和AARC之间的关联是否取决于参与者的年龄。我们使用多元回归模型来分析各种身心健康状况与aarc增益和aarc损失之间的关系。较高数量的身体健康状况与较高的aarc收益和较高的aarc损失相关，但这种关联并不取决于参与者的年龄。在控制了身体健康状况的数量后，更多的精神健康状况与更高的aarc损失相关，但与aarc获得无关，并且在年龄较大的参与者中这种关联更强。较大的aarc收益与当前癌症之间存在较小的影响，较大的aarc损失与轻度认知障碍、帕金森病、关节炎、癌症完全缓解、骨质疏松症、抑郁症、焦虑症和人格障碍之间存在较小的影响。其余健康状况与aarc损失无关或无统计学相关性。身体健康状况和精神健康状况较多的中老年人对自身衰老持消极看法的风险较高。然而，特定的身体健康状况，如关节炎和某些精神健康状况，如抑郁症，可能使成年人特别容易受到与年龄有关的负面看法的影响。
The concept of Awareness of Age-Related Changes captures people’s perceptions of the positive (AARC-gains) and negative (AARC-losses) age-related changes they experience in several life domains, including their health. We investigated the cross-sectional associations of number and type of physical and mental health conditions with AARC-gains and AARC-losses. The sample comprised 3,786 middle-aged and older adults (mean age = 67.04 years; SD = 6.88) participating to the UK PROTECT study. We used hierarchical regression models to analyze whether after having included sociodemographic variables (model 1), number of physical (model 2) and of mental (model 3) health conditions explained a significant additional amount of variance in AARC-gains and AARC-losses, and whether the association between number of conditions and AARC depended on participants’ age. We used multiple regression models to analyze the associations of types of physical and mental health conditions with AARC-gains and AARC-losses. A higher number of physical health conditions was associated with higher AARC-gains and higher AARC-losses, but the association did not depend on participant age. After controlling for the number of physical health conditions, a higher number of mental health conditions was associated with higher AARC-losses but not with AARC-gains, and the association was stronger among older participants. Small effects were found between greater AARC-gains and current cancer and between greater AARC-losses and diagnoses of mild cognitive impairment, Parkinson’s disease, arthritic condition, cancer in full remission, osteoporosis, depression, anxiety disorders, and personality disorder. The remaining health conditions were either negligibly or non-statistically related to AARC-losses. Middle-aged and older adults having more physical health conditions and more mental health conditions may be at higher risk of negative views on their own aging. However, specific physical health conditions, such as arthritis, and certain mental health conditions, such as depression, may make adults particularly vulnerable to negative age-related perceptions.
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影响因子：
5.7
作者：
Hooker, Karen;Mejia, Shannon T.;Stevens, Jonathan
通讯作者：
Stevens, Jonathan
影响因子：
4
作者：
BALTES, PB
通讯作者：
BALTES, PB
影响因子：
1.5
作者：
Beyer, Ann-Kristin;Wiest, Maja;Wurm, Susanne
通讯作者：
Wurm, Susanne
DOI：
10.1093/geronb/gbw095
发表时间：
2018-09-01
影响因子：
6.2
作者：
Dutt, Anne J.;Gabrian, Martina;Wahl, Hans-Werner
通讯作者：
Wahl, Hans-Werner
影响因子：
2.2
作者：
Ahlstrand, Inger;Bjork, Mathilda;Falkmer, Torbjorn
通讯作者：
Falkmer, Torbjorn