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1.
Gerontologist ; 64(4)2024 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-37659099

RESUMEN

BACKGROUND AND OBJECTIVES: Around eight million older adults have internally migrated to take care of grandchildren in China. This study aimed to explore how Chinese migrant and nonmigrant grandparents perceived successful aging and how they coped with challenges to successful aging. RESEARCH DESIGN AND METHODS: Based on ecological systems theory, semistructured interviews were conducted among 21 grandparents (12 migrants, median age = 59 years old) from urban areas in China who provided noncustodial grandchild care. Deductive content analysis was employed to examine the data pertaining to the definition of successful aging, the stressors encountered, and coping strategies employed by both groups. RESULTS: Findings revealed that both migrant and nonmigrant grandparents placed a higher emphasis on family prosperity than their own physical health, in their definitions of successful aging. Although both groups experienced common stressors in the microsystem (e.g., intergenerational conflicts), migrant grandparents uniquely encountered stressors in the mesosystem (e.g., hardships in their close relationships) and in the macrosystem (e.g., uncertainty in aging preparation). In terms of coping, migrant grandparents exhibited a distinctive pattern of utilizing avoidant coping strategies when navigating intergenerational conflicts and planning for their later life, compared to nonmigrant grandparents. DISCUSSION AND IMPLICATIONS: Our findings suggested that although migration was not associated with grandparents' definition of successful aging, migrant grandparents encountered specific challenges in achieving successful aging. This highlights the necessity of providing more support to grandparents through the family, community, or state, particularly to those who are migrants.


Asunto(s)
Abuelos , Migrantes , Anciano , Humanos , Envejecimiento , Habilidades de Afrontamiento , Relaciones Intergeneracionales , Persona de Mediana Edad
2.
Neurosci Biobehav Rev ; 158: 105450, 2024 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-37925091

RESUMEN

Over the last decades, theoretical perspectives in the interdisciplinary field of the affective sciences have proliferated rather than converged due to differing assumptions about what human affective phenomena are and how they work. These metaphysical and mechanistic assumptions, shaped by academic context and values, have dictated affective constructs and operationalizations. However, an assumption about the purpose of affective phenomena can guide us to a common set of metaphysical and mechanistic assumptions. In this capstone paper, we home in on a nested teleological principle for human affective phenomena in order to synthesize metaphysical and mechanistic assumptions. Under this framework, human affective phenomena can collectively be considered algorithms that either adjust based on the human comfort zone (affective concerns) or monitor those adaptive processes (affective features). This teleologically-grounded framework offers a principled agenda and launchpad for both organizing existing perspectives and generating new ones. Ultimately, we hope the Human Affectome brings us a step closer to not only an integrated understanding of human affective phenomena, but an integrated field for affective research.


Asunto(s)
Nivel de Alerta , Emociones , Humanos
3.
Neurosci Biobehav Rev ; 121: 220-249, 2021 02.
Artículo en Inglés | MEDLINE | ID: mdl-33307046

RESUMEN

This review paper provides an integrative account regarding neurophysiological correlates of positive emotions and affect that cumulatively contribute to the scaffolding for happiness and wellbeing in humans and other animals. This paper reviews the associations among neurotransmitters, hormones, brain networks, and cognitive functions in the context of positive emotions and affect. Consideration of lifespan developmental perspectives are incorporated, and we also examine the impact of healthy social relationships and environmental contexts on the modulation of positive emotions and affect. The neurophysiological processes that implement positive emotions are dynamic and modifiable, and meditative practices as well as flow states that change patterns of brain function and ultimately support wellbeing are also discussed. This review is part of "The Human Affectome Project" (http://neuroqualia.org/background.php), and in order to advance a primary aim of the Human Affectome Project, we also reviewed relevant linguistic dimensions and terminology that characterizes positive emotions and wellbeing. These linguistic dimensions are discussed within the context of the neuroscience literature with the overarching goal of generating novel recommendations for advancing neuroscience research on positive emotions and wellbeing.


Asunto(s)
Felicidad , Neurociencias , Animales , Encéfalo , Emociones , Humanos , Lingüística
4.
Health Psychol ; 39(8): 633-641, 2020 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-32406727

RESUMEN

OBJECTIVE: The present study examined positive and negative aspects of relationship quality with one's spouse or partner as predictors of mortality and the role of gender in moderating this link. METHOD: Data were drawn from 2 waves, 5 years apart, of the National Social Life, Health, and Aging Project (N = 1,734). Positive aspects of relationship quality (frequency of opening up to the partner to talk about worries and relying on the partner) and negative aspects (frequency of the partner making too many demands and criticism by the partner) were assessed. Survival/mortality status was recorded at the time of Wave 2 data collection 5 years later (1,567 alive; 167 deceased). Covariates included sociodemographic variables, relationship type, health status, and the network size of close family relationships and friendships. RESULTS: Logistic regression analyses showed that negative relationship quality with one's spouse or partner was associated with significantly higher odds for mortality after 5 years (odds ratio [OR] = 1.20, 95% CI [1.03, 1.38], p < .001), after including the statistical covariates. Also, age, gender, education, self-rated health, and medication use were significantly related to mortality. Propensity score matching replicated these findings. Follow-up analyses revealed that criticism from one's spouse or partner, in particular, was linked to a higher mortality risk (OR = 1.44, 95% CI [1.10, 1.88]). Gender did not moderate the relationship-quality-mortality link. CONCLUSIONS: Negative relationship quality, notably, criticism received from one's spouse or partner, heightens older adults' risk of mortality. These results suggest the value of developing interventions that target reducing expressed criticism in couple relationships. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Asunto(s)
Envejecimiento/psicología , Relaciones Familiares/psicología , Esposos/psicología , Adulto , Anciano , Femenino , Humanos , Masculino , Persona de Mediana Edad , Mortalidad , Factores de Tiempo
5.
J Soc Pers Relat ; 26(4): 411-428, 2009 06 01.
Artículo en Inglés | MEDLINE | ID: mdl-20352128

RESUMEN

We compared psychological resources between heterosexual never-married and married adults and their group-specific role in positive and negative affect after controlling for social resources. Although never-married respondents scored slightly lower than married adults on social resources and affective well-being, the two groups were comparable on psychological resources. Moderated regression analysis indicated that psychological resources were more strongly related to negative affect for never-married than married adults. In addition, never-married respondents with lower personal mastery scored higher on negative affect than did married adults, and higher levels of self-sufficiency contributed to lower negative affect for never-married adults but to higher negative affect among married individuals. Psychological resources appear to have a differential role in shaping negative affect between never-married and married individuals.

6.
Am J Orthopsychiatry ; 78(4): 473-480, 2008 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-19123769

RESUMEN

Because adult Korean-born adoptees have unique experiences, the factors that contribute to their psychological well-being need to be studied separately from both Caucasian and Korean Americans. In this Internet-based study with 83 adult Korean-born adoptees in the United States, both ethnic identity and adjustment to adoption (considered a component of adoptive identity) were expected to predict psychological well-being. Results supported predictions: Each measure of psychological well-being (personal growth, self-acceptance, and positive relationships with others) was affected by the predictive variables in unique ways. Cultural socialization experiences also were related to personal growth, but this association was fully mediated by strength of ethnic identity. Implications for adoptive parents and counselors are discussed.


Asunto(s)
Adopción , Pueblo Asiatico/psicología , Pueblo Asiatico/estadística & datos numéricos , Desarrollo de la Personalidad , Calidad de Vida/psicología , Identificación Social , Adolescente , Adulto , Niño , Preescolar , Cultura , Femenino , Humanos , Lactante , Recién Nacido , Corea (Geográfico)/etnología , Masculino , Socialización , Estados Unidos/epidemiología , Adulto Joven
7.
Gerontologist ; 57(6): 1041-1050, 2017 11 10.
Artículo en Inglés | MEDLINE | ID: mdl-27492619

RESUMEN

Purpose of the study: The present study examined the role of stability and change in the availability of a family member and a friend as a confidant in older adults' emotional well-being. Method: Participants in two waves of the Wisconsin Longitudinal Study (N = 4,631; M = 64.3, 53.7% female) were assessed on depressive symptoms and the availability of a family member and friend as confidant. Using mixed linear effects models, four groups were compared over time and across gender on depressive symptoms: those with and without a family/friend confidant at both waves and those who lost and gained a family/friend confidant. Results: Those with stable availability of a family or friend confidant consistently scored the lowest on depressive symptoms; the gain of a family or friend confidant corresponded with a decrease in depressive symptoms, with a larger effect seen for the gain of a family confidant; the loss of a family confidant was associated with an increase in depressive symptoms over time; and stable availability of a family or friend confidant was more strongly linked to lower levels of depressive symptoms among women, whereas stable unavailability of a family confidant was linked to higher levels of depressive symptoms. Implications: Stable availability of either a family or friend confidant in late life is especially salient to emotional well-being, notably among women. Emotional well-being benefits from the gain of a confidant highlight the importance of supplementing or substituting a loss, especially of a family confidant, which is associated with a significant increase in depressive symptoms.


Asunto(s)
Depresión , Familia/psicología , Amigos/psicología , Salud Mental , Anciano , Depresión/diagnóstico , Depresión/prevención & control , Depresión/psicología , Emociones , Femenino , Humanos , Relaciones Interpersonales , Estudios Longitudinales , Masculino , Apoyo Social , Wisconsin
9.
J Gerontol B Psychol Sci Soc Sci ; 60(6): P338-P341, 2005 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-16260709

RESUMEN

We examine the role of three indicators of marital quality (marital disagreement, marital happiness, and time spent together) as moderators of the association between physical disability and depressed affect among married older individuals (N=1,044). We found support for the moderating role of marital disagreement wherein the detrimental effect of disability on depressed affect was significantly heightened among older adults with more disagreements with their spouse; a moderating effect was not detected for marital happiness or time spent together. We conclude that, in addition to its main effect on older adults' depressed affect, marital quality (as indicated by marital disagreement) plays a significant stress-moderating role in the physical disability-depressed affect link.


Asunto(s)
Depresión/psicología , Evaluación de la Discapacidad , Matrimonio , Actividades Cotidianas/clasificación , Actividades Cotidianas/psicología , Adaptación Psicológica , Anciano , Anciano de 80 o más Años , Conflicto Psicológico , Depresión/diagnóstico , Femenino , Felicidad , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Modelos Estadísticos , Inventario de Personalidad , Análisis de Regresión , Muestreo , Estadística como Asunto , Estrés Psicológico/complicaciones
10.
J Aging Health ; 17(1): 85-104, 2005 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-15601785

RESUMEN

OBJECTIVE: This study examined the role of marital quality in the physical health of mature adults. METHOD: Participants were from the National Survey of Midlife Development in the United States aged 50+ years who were in their first marriage. Five dimensions of marital quality and four indicators of physical health were used. RESULTS: Regression analyses indicated that marital quality indices accounted for a significant amount of explained variance in physical health. Most notably, higher levels of negative spousal behaviors uniquely contributed to physical health, predicting more physical symptoms, chronic health problems, and physical disability, and poorer perceived health. DISCUSSION: The occurrence of negative spousal behaviors was consistently associated with poorer physical health. The negativity effect observed regarding the costs and benefits of social support in general also applies to the context of marriage in that negative spousal behaviors outweigh positive spousal behaviors in contributing to mature adults' physical health.


Asunto(s)
Relaciones Familiares , Estado de Salud , Matrimonio/psicología , Esposos/psicología , Adulto , Anciano , Comunicación , Conflicto Psicológico , Depresión/psicología , Humanos , Persona de Mediana Edad , Análisis de Regresión , Apoyo Social , Estados Unidos
11.
Psychol Aging ; 18(4): 844-50, 2003 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-14692869

RESUMEN

The effects of pain on functioning and well-being were examined in 367 older adults with osteoarthritis (OA) of the knee. The relationship of OA-related pain to depressive symptoms and perceived health was hypothesized to be direct as well as mediated by physical and social functioning. Results showed that OA-related pain was related to poorer physical and social functioning, had a direct effect on depressive symptoms, and direct and indirect effects on perceived health. Lower social functioning was related to more depressive symptoms, and both lower social and physical functioning predicted worse perceived health. Thus, distinguishing between physical and social functioning when examining the costs of OA-related pain is useful. Moreover, existing pain-psychological well-being models can be generalized to perceived health.


Asunto(s)
Osteoartritis de la Rodilla/complicaciones , Osteoartritis de la Rodilla/psicología , Dolor , Calidad de Vida , Apoyo Social , Actividades Cotidianas , Anciano , Depresión/etiología , Depresión/psicología , Femenino , Estado de Salud , Humanos , Masculino , Persona de Mediana Edad , Conducta Social
12.
Gerontologist ; 44(3): 328-38, 2004 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-15197287

RESUMEN

PURPOSE: We examined age-cohort differences in the interrelationships among marital processes and depressed affect. DESIGN AND METHODS: We used data from individuals in first marriages that participated in the National Survey of Families and Households (NSFH). The NSFH interviewed one adult per household of a nationally representative sample. Participants were categorized into young (n = 2,289), middle-aged (n = 1,145), and older adult (n = 691) age cohorts. RESULTS: The three age cohorts did not differ on negative marital processes (NMP), but older adults scored significantly higher on marital satisfaction than young and middle-aged adults. Marital satisfaction mediated the link between NMP and depressed affect for young adults and older adults. NMP were more strongly related to depressed affect for young adults than middle-aged adults, whereas marital satisfaction was more strongly related to depressed affect for older adults than young adults. IMPLICATIONS: Our findings on age-cohort differences in the salience of marital processes to depressed affect are discussed in light of socioemotional selectivity theory.


Asunto(s)
Depresión/psicología , Matrimonio/psicología , Adulto , Factores de Edad , Anciano , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Modelos Psicológicos , Análisis Multivariante , Satisfacción Personal , Estados Unidos
13.
J Aging Health ; 16(1): 88-115, 2004 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-14979312

RESUMEN

OBJECTIVE: This study examined concurrent and long-term associations between caregiver-related characteristics and the use of community long-term care services in a sample of 186 older adults caring for a disabled spouse. METHOD: We used two waves of data from the Caregiver Health Effects Study, an ancillary study of the Cardiovascular Health Study. Caregiver-related need variables as predictors of service use were of primary interest and included caregiving demands, caregiver mental and physical health, and mastery. Their contribution to service use was examined after controlling for known predictors of service use. RESULTS: At Time 1, more caregiver depressive symptoms predicted greater service use; at Time 2, more caregiver activity restriction and depressive symptoms predicted greater formal service use; increases in caregiver activity restriction and depressive symptomatology over time predicted increases in service use. DISCUSSION: Caregiver-related need variables play a significant role in defining utilization patterns of community-based long-term care services among older adults.


Asunto(s)
Cuidadores , Servicios de Salud Comunitaria/estadística & datos numéricos , Servicios de Salud para Ancianos/estadística & datos numéricos , Cuidados a Largo Plazo/estadística & datos numéricos , Esposos , Anciano , Cuidadores/psicología , Servicios de Salud Comunitaria/tendencias , Personas con Discapacidad , Predicción , Servicios de Salud para Ancianos/tendencias , Humanos , Cuidados a Largo Plazo/tendencias , Análisis de Regresión , Esposos/psicología , Estados Unidos
14.
Dev Psychol ; 50(4): 1241-9, 2014 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-24364828

RESUMEN

This study used longitudinal data to examine the effects of spousal illness on depressive symptoms among middle-aged and older married individuals and the extent to which the adverse effects of illness in a spouse were mitigated by 2 psychological resources, mastery and self-esteem. Using 1,704 married participants who were 51 years of age on average, depressive symptoms were compared in 4 groups varying in their experience of spousal health transitions: those whose spouse remained ill at T1 and T2, those whose spouse declined in health from T1 to T2, those whose spouse's health improved from T1 to T2, and those whose spouse remained healthy at both time points. Mixed analyses of covariance showed that, as hypothesized, having a spouse who became or remained ill over time was linked to greater depressed affect by T2, whereas having a spouse improve in health was associated with a decline in depressive symptomatology. Moderated regression analyses indicated that while higher mastery and self-esteem were linked to lower depressed affect in general, these resources were especially protective against depressed affect for those whose spouse remained ill at both time points. These findings are at the intersection of life course theory and the stress process model highlighting the contextual forces in and the interconnectedness of individual development as well as the plasticity and resilience evident in adaptation to stress during mid and late life.


Asunto(s)
Envejecimiento/psicología , Depresión/psicología , Estado de Salud , Matrimonio/psicología , Resiliencia Psicológica , Esposos/psicología , Adaptación Psicológica , Adulto , Anciano , Anciano de 80 o más Años , Análisis de Varianza , Femenino , Desarrollo Humano , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Análisis de Regresión , Autoimagen , Estrés Psicológico/psicología
15.
Health Psychol ; 33(6): 505-15, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24884904

RESUMEN

OBJECTIVE: This study assessed the moderating role of 2 types of confidante relationships in mitigating the negative health impact of transitions involving spousal loss in late life (widowhood and divorce/separation). METHOD: The sample included 707 respondents who participated in the 1992 and 2004 waves of the Wisconsin Longitudinal Study (WLS, 2007) all of whom were married at Time 1 and by Time 2 experienced either an end of the marriage resulting from widowhood or divorce/separation or remained continuously married to the same spouse. The majority of the sample was female (n = 457) and 64.3 years old on average. Three indicators of physical health were examined, including somatic depressive symptomatology, self-rated health, and number of sick days in the preceding year. RESULTS: Moderated regression analyses showed that the availability of a friend as confidante at Time 2 played a significant moderating role in the link between marital transitions and health outcomes, buffering the health impact of widowhood. Specifically, among those who became widowed between the 2 waves, those who had available a friend as confidante at Time 2 reported significantly lower somatic depressive symptoms, better self-rated health, and fewer sick days in bed during the preceding year than those who reported not having a friend as confidante. No support was obtained for the moderating role of having a family member as confidante at Time 2 in the link from marital transitions to health. CONCLUSIONS: These results highlight the need to develop means to maintain and enhance confiding friendships among widowed older adults.


Asunto(s)
Amigos/psicología , Estado de Salud , Relaciones Interpersonales , Estado Civil/estadística & datos numéricos , Anciano , Depresión/diagnóstico , Autoevaluación Diagnóstica , Divorcio/psicología , Femenino , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Ausencia por Enfermedad/estadística & datos numéricos , Viudez/psicología , Wisconsin
16.
J Gerontol B Psychol Sci Soc Sci ; 66(5): 605-16, 2011 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-21840838

RESUMEN

OBJECTIVES: This study assessed the moderating role of marital quality in the effects of subjective and objective vision on functional limitations, social isolation, and depressive symptomatology. METHOD: Data from 738 married older adults drawn from a probability-based representative sample of elders residing in the United States were used. Assessments included subjective and objective vision, marital quality variables (relationship satisfaction, supportive spouse behaviors, and free time spent with one's spouse), and three aspects of quality of life (functional limitations, social isolation, and depressive symptomatology). RESULTS: Moderated regression analyses found that relationship satisfaction and supportive spouse behaviors moderated the effects of poor self-reported vision on functional limitations and depressive symptoms and the effects of poor visual acuity on functional limitations. As hypothesized, poorer vision was unrelated to functional limitations and depressive symptoms in more satisfying marriages but predicted higher levels of both outcomes in less satisfying marriages. Contrary to expectations, higher levels of supportive spouse behaviors were associated with more functional limitations in respondents who reported poorer subjective and objective vision. DISCUSSION: A marriage that is highly satisfying can mitigate the adverse effects of poor vision on functional limitations and depressive symptomatology in late life. The moderating role of supportive spouse behaviors in the link between poor vision and quality of life is less intuitive, however. Whereas relationship satisfaction may operate as a traditional buffer in the context of poor vision, supportive spouse behaviors may increase in response to or be ineffective in this context.


Asunto(s)
Actividades Cotidianas/psicología , Matrimonio/psicología , Presbiopía/psicología , Calidad de Vida/psicología , Adaptación Psicológica , Anciano , Anciano de 80 o más Años , Comorbilidad , Depresión/diagnóstico , Depresión/epidemiología , Depresión/psicología , Evaluación de la Discapacidad , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Persona de Mediana Edad , Presbiopía/diagnóstico , Presbiopía/epidemiología , Aislamiento Social , Apoyo Social , Estados Unidos , Agudeza Visual
17.
Gerontologist ; 51(6): 798-808, 2011 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-21737397

RESUMEN

PURPOSE: This study tested the applicability of the activity restriction model of depressed affect to the context of poor vision in late life. This model hypothesizes that late-life stressors contribute to poorer mental health not only directly but also indirectly by restricting routine everyday functioning. METHOD: We used data from a national probability-based sample of older adults (N = 1,178; M = 69.2 years, approximately 50% female). Vision was assessed both subjectively (via self-report) and objectively (via a visual acuity test). Respondents also reported on their levels of physical and driving limitations, feelings of social isolation, and symptoms of depression. RESULTS: Path analyses indicated a strong fit of the data to the activity restriction model for subjective vision. In addition to directly contributing to higher depressive symptomatology, subjective vision contributed to depressive symptoms indirectly by predicting more physical limitations and feelings of social isolation that, in turn, contributed to more symptoms of depression; driving limitations did not mediate the relationship between subjective vision and depressive symptomatology. Objective vision contributed significantly to physical and driving limitations but was unrelated to feelings of social isolation and depressive symptomatology. IMPLICATIONS: Supporting the activity restriction model, poorer self-rated vision in late life contributes to lower mental health directly and also indirectly by restricting individuals' ability to carry out routine day-to-day physical activities and increasing their feelings of social isolation. Interventions for older adults with vision-related problems could focus on maintaining or enhancing their physical and social functioning in order to promote their adaptation to poor vision.


Asunto(s)
Actividades Cotidianas , Trastorno Depresivo/etiología , Trastornos de la Visión/psicología , Personas con Daño Visual/psicología , Anciano , Conducción de Automóvil , Estudios Transversales , Trastorno Depresivo/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad , Aislamiento Social/psicología , Encuestas y Cuestionarios , Trastornos de la Visión/epidemiología , Trastornos de la Visión/fisiopatología , Agudeza Visual , Personas con Daño Visual/estadística & datos numéricos
18.
J Gerontol B Psychol Sci Soc Sci ; 64(3): 339-47, 2009 May.
Artículo en Inglés | MEDLINE | ID: mdl-19359594

RESUMEN

This study prospectively examined the long-term impact of providing parent care using data from a probability-based U.S. sample of adult daughters and sons who had varying parent care experiences over time (N = 716). Parent care x Gender x Time mixed multivariate analyses of covariance using marital quality and well-being indicators as outcomes showed that, on average, experienced caregivers reported less marital happiness, more marital role inequity, and greater hostility than recent adult child caregivers. Significant three-way interactions indicated that experienced and recent caregiving daughters, respectively, showed an increase over time in depressive symptomatology and long-term depression, whereas their male counterparts showed a decline over the same period. Findings are discussed in terms of gender differences in the relative applicability of the wear-and-tear versus adaptation models of caregiving outcomes.


Asunto(s)
Hijos Adultos/psicología , Cuidadores/psicología , Matrimonio/psicología , Relaciones Padres-Hijo , Calidad de Vida/psicología , Adaptación Psicológica , Adulto , Costo de Enfermedad , Depresión/diagnóstico , Depresión/psicología , Conflicto Familiar/psicología , Femenino , Identidad de Género , Felicidad , Hostilidad , Humanos , Estudios Longitudinales , Masculino , Persona de Mediana Edad , Satisfacción Personal , Estudios Prospectivos
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