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Adjustment to spousal bereavement and successful aging

调整配偶丧亲和成功老龄化

基本信息

批准号：
11610162
负责人：
KAWAAI Chieko
金额：
$ 2.24万
依托单位：
Tokyo Metropolitan Institute of Gerontology
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2002
项目状态：
已结题

项目摘要

The objective of this study was to prove the hypothesis that successful aging was predicted by the recovering process during the first few years of bereavement. Interview study was held three times in sixteen years after bereavement, for which subject was 184 middle and old aged people : average age was 70.9 and the time since the separation was 8 months. The second interviews with 136 interviewees were held one year after, and the third interviews with 51 interviewees were held 15 years after the first interviews respectively.We conducted multiple logistic regression analysis and multiple regression analysis. Indices for successful aging (wholesomeness, mental health and psychological liveliness scale)were the dependable variables, and the indices for bereavement recovery (transformation of depression and loneliness scale) was the independent variables.Results showed that the depression level at the first interview was a significant factor to predict the sickness and death at the second interview, however such was not the case at the third interview. Furthermore, loneliness was found to be an important factor when predicting mental health and welfare at the third interview. When the level of loneliness increased by the second interview than at the first, it was revealed that there was a risk in sickness and death for the third interview. If the level of loneliness increased or remained high after bereavement, the mental health condition during the third interview was found to be poor. On the other hand, as loneliness decreased, welfare during the third interview became higher. We concluded that a change in loneliness after bereavement was the key factor in suggesting the process of successful aging.

本研究的目的是证明这一假设，即成功的老龄化是预测的恢复过程中的头几年的丧亲之痛。对184名中老年人在丧亲后16年内进行了3次访谈研究，对象为平均年龄70.9岁、分离时间8个月的中老年人。分别在1年后和15年后对136名和51名被访者进行第二次访谈，并进行多元Logistic回归分析和多元回归分析。结果表明，老年人第一次访视时的抑郁水平对第二次访视时的疾病和死亡有显著的预测作用，而第三次访视时的抑郁水平对第二次访视时的疾病和死亡没有显著的预测作用。此外，在第三次访谈中，孤独感是预测心理健康和福利的一个重要因素。当第二次面试的孤独感水平比第一次增加时，第三次面试的疾病和死亡风险被揭示出来。如果孤独感水平在丧亲后增加或保持在较高水平，则在第三次访谈时的心理健康状况较差。另一方面，随着孤独感的减少，第三次面试时的福利变得更高。我们的结论是，丧亲之痛后孤独感的变化是暗示成功衰老过程的关键因素。