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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >Complex Interplay Between Health and Successful Aging: Role of Perceived Stress, Resilience, and Social Support
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Complex Interplay Between Health and Successful Aging: Role of Perceived Stress, Resilience, and Social Support

机译：健康与成功的老龄化之间的复杂相互作用：感知压力，复原力和社会支持的作用

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Psychological and psychosocial resources, including resilience and social support, have traditionally been studied in the context of the stress paradigm and, more recently, in the context of successful aging. This study used moderated mediation analyses to examine the role of perceived stress in the relationships between physical and mental health functioning and self-rated successful aging (SRSA) and whether differences between people in level of resilience and social support changes the role of perceived stress in these relationships. A cross-sectional study of 1,006 older adults (mean age: 77 years) completed scales addressing SRSA, physical and mental health functioning, perceived stress, resilience, and social support. Results indicated that the strength of relationships between both physical and mental health functioning and SRSA were reduced after accounting for variation in level of perceived stress. The role of perceived stress in the association between mental health functioning and SRSA was found to be stronger among participants with the highest levels of resilience, and the influence of perceived stress on the degree of relationship between physical health functioning and SRSA was stronger among those with greatest social support. These findings suggest that interventions to reduce perceived stress may help break the link between disability and poor well-being in older adults. The findings further suggest that the impact of such interventions might differ depending on psychological resources (i.e., resilience) for mental health disabilities and external resources (i.e., social support) for those with physical health problems. The complex interplay of these factors should be taken into account in clinical settings.
机译：传统上，在压力范式的背景下，以及最近在成功衰老的背景下，研究了包括复原力和社会支持在内的心理和社会心理资源。这项研究使用中度调解分析来检验感知压力在身心健康功能与自我评估的成功衰老（SRSA）之间的关系中的作用，以及人们在适应力和社会支持水平方面的差异是否会改变感知压力在人体内的作用。这些关系。一项针对1,006名老年人（平均年龄：77岁）的横断面研究完成了针对SRSA，身心健康机能，感知的压力，适应力和社会支持的量表。结果表明，考虑到感知压力水平的变化后，身心健康功能与SRSA之间的关系强度降低了。发现在最高复原力水平的参与者中，知觉压力在心理健康功能和SRSA之间的关系中的作用更强，而知觉压力对身体健康功能和SRSA之间的关系程度的影响则更强。最大的社会支持。这些发现表明，减少感知压力的干预措施可能有助于打破老年人的残疾与幸福感之间的联系。研究结果进一步表明，此类干预的影响可能会有所不同，具体取决于心理健康障碍者的心理资源（即韧性）和身体健康问题者的外部资源（即社会支持）。在临床环境中应考虑这些因素的复杂相互作用。

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