Page 102 - 南京医科大学自然版

第46卷第8期
·1208 · 南 京 医 科 大 学 学 报 2026年8月

ous confounding factors，the analysis of associations be⁃ adults. The heterogeneity of association strength be⁃
tween exposures and outcomes was more robust. Com⁃ tween psychological resilience and all⁃cause mortality
pared to Zhang et al study ［11］ ，our use of PSM mini⁃ was statistically significant across different subpopula⁃
mized the influence of confounding factors，ensuring a tions stratified by ABSI，BRI，WHtR，and BMI. Older
balanced distribution of baseline characteristics be⁃ adults classified as overweight by multiple indexes are
tween groups. Third，utilizing four common obesity in⁃ suggested to maintain higher psychological resilience
dexes facilitated a clearer understanding of the hetero⁃ to reduce the risk of all⁃cause mortality.
geneity of associations between exposures and out⁃ 数据和材料可得性说明：
comes. The data necessary for calculating ABSI，BRI， 数据存储于可公开开放获取的知识库中，可公开获取
（中国老年健康影响因素跟踪调查；https：//opendata.pku.edu.
WHtR，and BMI were readily available，and their cal⁃
cn/）。
culation was uncomplicated，making practical applica⁃
Availability of data and materials：
tions based on these indices feasible. Fourth，the use of
Data are available in a public，open access repository. The
the STEPP framework in exploring the heterogeneity of
data are publicly available（the Chinese Longitudinal Healthy
association strength between psychological resilience
Longevity Survey；https：//opendata.pku.edu.cn/）.
and all ⁃ cause mortality allowed for a more nuanced 致谢：
analysis. Compared with subgroup analysis，subpopula⁃ 感谢中国老年健康影响因素跟踪调查为本文提供数
tion analysis could employ continuous data for classifi⁃ 据。本研究得到南京市中医药传承创新集成平台项目、南京
cation and control type Ⅰ error inflation ［32］ . 江北新区生物医药公共服务平台有限公司的支持。
Acknowledgement：
Our study also has several limitations. The assess⁃
The authors thank the Chinese Longitudinal Healthy Lon⁃
ment of psychological resilience scores was based on a
gevity Survey for providing data for this article. This work was
five⁃item scale. Since the CLHLS is primarily a demo⁃
supported by the Nanjing Traditional Chinese Medicine Inheri⁃
graphic survey rather than a dedicated psychological
tance and Innovation Integration Platform Project，Nanjing Jiang⁃
study，it includes fewer items than specialized psycho⁃ bei New Area Biopharmaceutical Public Service Platform Co.，
logical scales used in dedicated psychological cohort Ltd.
studies. When compared with professional scales，such 利益冲突声明：
as simplified resilience scores（SRS），which consisted 所有作者声明无利益冲突。
of 12 items from the HRS study，the reliability and va⁃ Conflict of Interests：
None declared.
lidity of our scores were lower. The abridged scale we
作者贡献声明：
used may not fully capture the multidimensional char⁃
陈芳怡负责论文初稿的撰写、数据的整理与形式分析，
acteristics of psychological resilience，as it does not en⁃
并参与课题的概念化、监督及后期审阅与编辑。王威与王晓
compass features such as adaptive cognition，emotional
骁共同承担了核心研发工作，包括研究方法论的设计、软件
regulation，and firm beliefs. This scale may also pro⁃ 开发、可视化呈现、资金获取，以及数据整理与概念化工作。
duce incomplete assessments of established psychologi⁃ 胡馨茹、丁叶、周希乔、蒋萌主要负责论文的撰写、审阅、编辑
cal traits. It is vital to note that these scenarios have 及监督，其中胡馨茹还参与了正式分析与验证，周希乔协助
the potential to result in biased estimation of the true 了数据整理。王晓骁额外负责项目的全面管理。王滢湉、于
psychological resilience effects. Nevertheless，this 茜、俞曼舒、杨凡、邱玺瑞、齐海宁共同参与论文的审阅与编
辑，并提供必要的监督与指导，其中王滢湉与于茜分别在验
abridged version is recognized as an effective measure
证和数据整理方面提供了支持。
for assessing psychological resilience in older adults
Author’s Contributions：
within the CLHLS and has been employed in multiple
CHEN Fangyi prepared the original draft，performed data
［3，9，33- 34］
studies . Future studies should develop more
curation and formal analysis，and was involved in conceptualiza⁃
comprehensive scales to accurately assess psychologi⁃
tion，supervision，and manuscript revision. WANG Wei and
cal resilience among older adults.
WANG Xiaoxiao jointly contributed to the core research，includi⁃
In conclusion，psychological resilience is a protec⁃ ng methodology design，software development，visualization，
tive factor against all ⁃ cause mortality among older funding acquisition，data curation，and conceptualization. HU