老年人抑郁情绪发展轨迹及社会参与的作用：空巢与非空巢老人的对比研究

应用多样本潜变量增长模型,探究空巢和非空巢老人抑郁情绪发展轨迹的差异以及社会参与对两者抑郁情绪发展轨迹的影响。结果表明：老年人抑郁情绪发展趋势遵循阶段化线性增长轨迹,空巢老人抑郁情绪初始水平及二阶段发展速度均高于非空巢老人;社会参与可以降低老年人抑郁情绪初始水平,对空巢老人而言,社会参与可降低抑郁情绪上升速度。结论：空巢老人是抑郁情绪高发人群,社会参与是降低和缓解老年人抑郁情绪的重要途径。     

Effects of age and interpersonal contact on stereotyping of the elderly

The purpose of this study was to examine the relationship between the age of an individual, the type of contact an individual has with the elderly, the amount of knowledge an individual has about the elderly, and the extent that the individual stereotypes the elderly. In accordance with the Social Identity Theory and the Contact Hypothesis, stereotyping was predicted to be higher among individuals who did not identify with nor have contact with the elderly. Fifty young (18-25 years of age) and fifty elderly (64-79 years of age) participants completed surveys measuring their level of contact with the elderly, knowledge about aging (knowledge score), and tendency to stereotype the elderly (stereotype score). Results of this study indicated that regardless of age, participant knowledge of aging and application of aging stereotypes were affected by the quality of contact experienced. Although the young participants achieved significantly higher knowledge scores than the elderly participants, there was no significant age difference in stereotype scores for the young and elderly groups. However, as predicted, the young and elderly participants who experienced high levels of contact with the elderly achieved higher knowledge scores and lower stereotype scores. These scores were compared to the respective scores of the young and elderly participants experiencing low levels of contact with the elderly. Moreover, the elderly participants experiencing low levels of contact with the elderly achieved lower knowledge scores than any of the other groups. Elderly participants experiencing low levels of contact with other competent elderly individuals may be more susceptible to the negative effects of aging stereotypes and at risk for not identifying with their own social group.     

Effects of age and interpersonal contact on stereotyping of the elderly

The purpose of this study was to examine the relationship between the age of an individual, the type of contact an individual has with the elderly, the amount of knowledge an individual has about the elderly, and the extent that the individual stereotypes the elderly. In accordance with the Social Identity Theory and the Contact Hypothesis, stereotyping was predicted to be higher among individuals who did not identify with nor have contact with the elderly. Fifty young (18-25 years of age) and fifty elderly (64-79 years of age) participants completed surveys measuring their level of contact with the elderly, knowledge about aging (knowledge score), and tendency to stereotype the elderly (stereotype score). Results of this study indicated that regardless of age, participant knowledge of aging and application of aging stereotypes were affected by the quality of contact experienced. Although the young participants achieved significantly higher knowledge scores than the elderly participants, there was no significant age difference in stereotype scores for the young and elderly groups. However, as predicted, the young and elderly participants who experienced high levels of contact with the elderly achieved higher knowledge scores and lower stereotype scores. These scores were compared to the respective scores of the young and elderly participants experiencing low levels of contact with the elderly. Moreover, the elderly participants experiencing low levels of contact with the elderly achieved lower knowledge scores than any of the other groups. Elderly participants experiencing low levels of contact with other competent elderly individuals may be more susceptible to the negative effects of aging stereotypes and at risk for not identifying with their own social group.     

随迁老人和本地老人的群际接触与其幸福感的关系

心理学研究缺乏对随迁老人的关注，更鲜有研究探讨群际接触与随迁老人幸福感的关系。本研究采用一般群际接触数量和接触质量量表、群际接触问卷、纽芬兰纪念大学幸福度量表和积极消极情感量表对北京市昌平区的178名随迁老人和62名本地老人进行调查，分析随迁老人和本地老人的群际接触与其幸福感的关系。结果发现：（1）随迁老人与本地老人的群际接触存在明显的非对称性。随迁老人的群际接触数量和接触意愿均显著高于本地老人，但群际接触感受与本地老人没有显著差异。（2）群际接触质量显著正向预测随迁老人的幸福感水平。（3）群际接触对本地老人的幸福感和积极情感也均有显著的正向预测作用。     

Dependence in the elderly from an interactional point of view: verbal and observational data

Dependence in the elderly was investigated from an interactional point of view. Observations as well as verbal data of the elderly and professional caregivers were considered. Samples consisted of 14 elderly people receiving regular home health care (M = 78.9, SD = 6.3 years) and 16 elderly people receiving regular nursing home care (M = 81.4, SD = 7.5 years). Results showed a strong tendency toward independence in the elderly. Sense of control in the self-care interactions observed was higher in the home health care group than in the group receiving nursing home care. Division of the elderly into subgroups with high, medium, and low perceived self-efficacy showed that the elderly high in self-efficacy were more independent in terms of observed self-care. Causal explanations of the elderly's competence and their nonuse of competence were significantly different between the elderly and staff.     

老年甲状腺结节的诊治经验

介绍笔者及科室老年甲状腺结节的诊治经验,对2003年1月至2009年12月期间共收治的144例年龄大于60岁的老年甲状腺结节患者进行分析和总结。老年甲状腺结节以多发为主;压迫症状、异物和不适感、继发性甲状腺功能亢进是老年甲状腺结节患者主要的手术指证;术中发现喉返神经和甲状旁腺有脂肪沉着;病理方面良性结节的钙化率较高;患者术后切口水肿比较明显;暂时性低钙血症的发生率较高;虽然术前麻醉ASA评分较低,但术后心肺并发症的发生率并未上升。老年甲状腺结节患者以全麻为宜,最好采用双甲近全切除术,这不仅可避免术后复发和再次手术率,更可减少甲状腺素制剂的用量,减少药物副作用。     

POSITIVE AND NEGATIVE ATTRIBUTIONS OF LONGEVITY: A CROSS-SECTIONAL STUDY OF THE PERCEPTIONS OF THE ELDERLY FROM THREE SOCIOECONOMIC CONDITIONS*

A study of the positive and negative attributions of longevity among the elderly was conducted by using elderly subjects from three socioeconomic backgrounds. The purpose was to try to understand attributions of longevity in terms of prototypical response patterns of the elderly. It was hypothesized that several prototypes exist in the population of the elderly and that these prototypes correspond to the given life style of the elderly from different socioeconomic conditions. Thus overall, the study was intended to elucidate the structure and contents of the elderly people's perceptions of longevity. For this purpose factor analysis and discriminant function analyses were done in order to identify significant factors which differentiated the responses of subjects from the three socioeconomic groups. Results indicated that there are strong and interpretable factors which distinguish the perceptions of the elderly from three different socioeconomic conditions; there are also common core factors. The results are discussed in terms of their usefulness for understanding the perceptual framework and implicit belief systems of the elderly concerning longevity.     

Comparison of the body-sway characteristics of young adults compared to healthy elderly and elderly with equilibrium disorder

The study compared body-sway characteristics of 380 young adults, 342 generally healthy elderly without disequilibrium disorders, and a group of 33 elderly with disequilibrium disorders. Center of foot pressure (COP) was measured for 1 min. using an Anima's stabilometer G5500 with a data sampling frequency of 20 Hz. Four high reliability measures were used to evaluate body sway (unit time sway, front-back sway, and a left-right sway, and high frequency band power). Unit time sway, left-right sway, and high frequency band power were significantly larger for the group of elderly with disequilibrium disorders, and smaller for the healthy elderly people and young adults, in that order. Front-back sway was significantly larger in the elderly with disequilibrium disorders and healthy elderly than in young adults. The elderly with disequilibrium disorders had a larger and faster sway than young adults as well as the healthy elderly, particularly in the left-right direction. It appears aging was specifically associated with larger influence on the front-back sway.     

Ageism and death: effects of mortality salience and perceived similarity to elders on reactions to elderly people

The present research investigated the hypotheses that elderly people can be reminders of our mortality and that concerns about our own mortality can therefore instigate ageism. In Study 1, college-age participants who saw photos of two elderly people subsequently showed more death accessibility than participants who saw photos of only younger people. In Study 2, making mortality salient for participants increased distancing from the average elderly person and decreased perceptions that the average elderly person possesses favorable attitudes. Mortality salience did not affect ratings of teenagers. In Study 3, these mortality salience effects were moderated by prior reported similarity to elderly people. Distancing from, and derogation of, elderly people after mortality salience occurred only in participants who, weeks before the study, rated their personalities as relatively similar to the average elderly person's. Discussion addresses distinguishing ageism from other forms of prejudice, as well as possibilities for reducing ageism.     

Adulthood age differences in causal attributions for cognitive, physical, and social performance

Past research has revealed an unflattering pattern of attributions for the performance of the elderly. More specifically, poor performance by the elderly is attributed to internal and stable factors such as inability, whereas poor performance by the young is attributed to external and unstable factors such as bad luck. In the present study, 42 young (M age = 19.18 years) and 39 elderly (M age = 74.90 years) men and women made causal attributions for their own or for another person's hypothetical performance in the cognitive, physical, and social domains. When attributions for the same performance by young and elderly adults were compared, the results presented an unflattering view of the elderly, similar to the pattern in previous research. In contrast, when attributions for good versus poor performance by the elderly were compared, a more favorable picture emerged: The elderly were more likely to be given credit for their good performance than to be blamed for their poor performance. These findings give reason to question the pervasiveness of the negative view of the elderly that has been presented in previous studies.     

A developmental study of practical problem solving in adults

Previous research indicates that young and middle-aged adults perform better than other age groups on problems similar to those they might encounter in their everyday lives. However, elderly adults have not performed better than other age groups on problems designed to give them the advantage. In order to ensure that the problems used in the present study were ones that elderly adults might encounter, elderly adults were recruited to help develop the problems. The resulting problems were administered to adults between the ages of 20 and 80. Performance was found to increase from the 20- to 40-year-old age group and decrease thereafter. Thus, when elderly adults devise practical problems that are intended to give elderly adults the advantage, the elderly adults still perform less well than do middle-aged adults.     

“What Goes Around Comes Around”: Attitudes and Practices Regarding Ageing and Care for the Elderly Among Moroccan Muslim Women Living in Antwerp (Belgium)

The aim of this article is threefold. First, we seek to elicit the attitudes and practices of middle-aged and elderly Moroccan Muslim women towards ageing and care for the elderly. Second, we aim to identify possible differences between middle-aged and elderly women’s attitudes and practices. Third, we seek to explore which role religion plays in their attitudes and practices. Qualitative empirical research was conducted with a sample of middle-aged and elderly Moroccan Muslim women living in Antwerp (Belgium) (n = 30) and with experts in the field (n = 15). Our study unveils that ageing and care for the elderly are clearly understood from a religious framework. More specifically, theological and eschatological considerations take up a central position. Access to and utilization of professional elderly care is hampered by several barriers (e.g. religious, cultural and financial). We found a more open attitude towards professional elderly care among middle-aged women than among elderly women.

     

Possible relation of suicide rates of elderly with societal crime: a cross-national study

There are few studies examining the relationship between elderly suicides and societal crime. Therefore, a cross-national study examining the relationship between suicide rates of elderly persons and the percentage of the population victimised by different categories of crime was undertaken by using cross-national data from the World Health Organisation and United Nations databases. The main finding was a negative correlation between suicide rates in elderly men age 75+ years and women in both the elderly age-bands with the percentage of the population victimised by the crime of robbery. The findings were at variance with the study's hypothesis and may be explained by several factors, including methodological issues. Individual-level case-control or cohort studies of suicides and attempted suicides by elderly persons are suggested to examine the relationship of suicides by elderly and experience of being victimised by crime.     

老年人肺栓塞临床特点及误诊原因分析

通过对38例临床表现、实验室检查、放射性核素肺灌注显像等方法确诊的老年肺栓塞患者进行回顾性分析,并比较老年患者和非老年患者在致病原因、临床表现及误诊方面的差异,证实下肢深静脉血栓的形成、恶性肿瘤、高血压动脉硬化等是老年人肺栓塞的主要危险因素。老年组肺栓塞的误诊率高达60.5%,高于非老年组(53.2%),最易误诊为肺炎,其次为心肌梗死。因此,老年人肺栓塞应引起临床医生高度重视。     

The Center for Aging,Religion and Spirituality at Luther Seminary,St. Paul,Minnesota

People's religiosity occupies a central place in the sociology of religion. This study employs indepth life histories to describe the subjective lives and religiosity of fifty Czech-American elderly in Iowa. The life history method effectively taps the religiosity of these elderly through their expressed concerns in life. Results indicate ecumenism and humanism among these elderly. This meaning system coincides with their liberal religious heritage. Thus, the cultural and religious family heritage of Czech-American elderly helps to mold their present world view. Findings also suggest that rural Czech-American elderly, who are either exclusively mainline church-goers or freethinkers, find ultimate meaning through ecumenism and humanism rather than through sectarianism.     

Knowledge and Attitudes About Later Life Sexuality: What Clinicians Need To Know About Helping the Elderly

In the family therapy field we have often overlooked the elderly and in particular addressing sexual concerns within the context of couples therapy with the elderly (Van Amburg, Barber, & Zimmerman, 1996). The projected life-span of the elderly has increased due to improvements in medical technology and due to a better quality of life which promotes longevity. Included in this paper are the specific age-related physical, emotional, and sexual changes common in later life as well as a clinical case vignette of an elderly couple presenting with a sexual issue. Current sexuality education programs for the elderly are reviewed as well as clinical implications for therapists who treat the elderly.     

Political behavior: voting participation of inner-city elderly blacks compared to other populations in a medium-sized city

Voting participation was examined across nine elections in Omaha, Nebraska. Voting frequencies of all eligible voters in the city, all elderly eligible voters, and a random sample of inner-city elderly black voters were compared. The analysis shows that frequency of voting among inner-city elderly black individuals was the same as among all elderly persons in seven of the nine elections and significantly higher than that found among eligible voters of all ages in all nine of the elections.     

大学生对年轻人和老年人的年龄刻板印象

采用内隐联想测验(IAT)和相应的外显测量,考察了大学生被试对年轻人和老年人的内隐和外显年龄刻板印象。结果表明:大学生被试在身体特征、个人表达和认知能力等3个方面对老年人都普遍存在明显消极的内隐态度;而在外显测量中,对年轻人和老年人的态度不存在显著差异;内隐和外显的年龄刻板印象测量之间相关不显著,可以用不同的记忆系统理论和联结-命题评价(APE)模型来解释内隐和外显测量不一致现象;不同性别的大学生被试在外显态度测量和内隐联想测验中测得的年龄刻板印象均不存在显著差异。     

COGNITIVE APPRAISALS OF LIFE STRESS AND DEPRESSION IN THE ELDERLY: A CROSS-CULTURAL COMPARISON OF ASIANS AND CAUCASIANS

Cognitive models of depression have not been adequately tested in different cultural settings involving personally relevant events that affect the lives of the elderly. A cross-sectional comparison was made of cognitions obtained from Asian and Caucasian subjects, residing in Canada and the United States. The objective was to determine whether cognitive appraisals of stressful events would differentiate the elderly in the two cultural groups. Results supported the hypotheses that cognitive appraisals of locus of control, uncertainty, self-responsibility, self-confidence in future coping and fear about future recurrence of negative events are strongly associated with the depressive responses of the elderly in general. A comparison of the cognitive appraisals of the elderly in the two cultural groups showed depressed Asians more significantly than depressed Caucasians, reporting more external locus of control and self-blaming attributions. The results have implications for community workers, psychotherapists and social welfare agents concerned with the mental well-being of the elderly and the care of the elderly from different cultures.