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Chen J, Cheng X, Wang Q, Wang R, Zhang J, Liu J. Childhood maltreatment predicts poor sleep quality in Chinese adults: The influence of coping style tendencies. J Affect Disord 2024:S0165-0327(24)01182-0. [PMID: 39029677 DOI: 10.1016/j.jad.2024.07.122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Revised: 06/29/2024] [Accepted: 07/16/2024] [Indexed: 07/21/2024]
Abstract
BACKGROUND This longitudinal study assessed the prospective link between childhood maltreatment and sleep quality in adulthood, with a specific focus on examining whether different coping style tendencies influence these associations. METHODS The baseline sample included 1600 adult participants, with 1140 participants successfully followed up 5 years later. The key variables were measured using the Childhood Trauma Questionnaire (CTQ), Simplified Coping Style Questionnaire (SCSQ), and Pittsburgh Sleep Quality Index (PSQI). Generalized linear mixed models were employed to estimate unstandardized β estimates and 95 % confidence intervals (95%CIs). Structural equation modeling was used to test the mediation model. RESULTS Individuals reported childhood maltreatment at baseline were at an increased risk for sleep disturbances at follow-up. Childhood maltreatment negatively predicted the baseline coping style tendency (β = -0.29, P < 0.001), the baseline coping style tendencies negatively predicted the follow-up sleep quality (β = -0.10, P < 0.001), and childhood maltreatment positively predicted the follow-up sleep quality (β = 0.42, P < 0.01). The mediating effect of baseline coping style tendencies between childhood maltreatment and the follow-up sleep quality was significant, with an effect value of 0.03. LIMITATIONS First, the sample was from a single province (Shandong), which limits the generalizability of the findings. Second, recall bias was unavoidable in this adult sample study. CONCLUSIONS Developing positive coping strategies is an important way to reduce the risk of sleep problems in adults with a history of childhood maltreatment.
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Affiliation(s)
- Jie Chen
- Shandong Mental Health Center, Shandong University, Jinan, China
| | - Xiaojing Cheng
- Institute of Mental Health, Occupational Diseases Hospital of Shandong First Medical University, Jinan, China
| | - Qian Wang
- Institute of Mental Health, Occupational Diseases Hospital of Shandong First Medical University, Jinan, China
| | - Ruzhan Wang
- Shandong Mental Health Center, Shandong University, Jinan, China
| | - Jingxuan Zhang
- Shandong Mental Health Center, Shandong University, Jinan, China.
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Wu Y, Chen J, Yin G, Shen M, Li Q. Mediated relationships between coping style and social support on the quality of life of disabled older adults. Int J Nurs Pract 2024:e13279. [PMID: 38880939 DOI: 10.1111/ijn.13279] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2022] [Revised: 04/23/2024] [Accepted: 05/17/2024] [Indexed: 06/18/2024]
Abstract
OBJECTIVE This study aimed to explore the relationship between coping styles, social support and quality of life among disabled older adults and to examine the mediating role of coping styles in the relationship between social support and quality of life. METHODS Using a purposive sampling method, three investigators conducted a face-to-face questionnaire survey of eligible participants in the geriatric department of a tertiary care hospital in one of the largest cities in southern China between August 2021 and March 2022. A total of 187 questionnaires were collected, of which 176 were valid, with an effective response rate of 94.1%. RESULTS Social support and positive coping were positively related to disabled older adults' quality of life, while negative coping was negatively related to both social support and disabled older adults' quality of life. According to the mediating effect analysis after covariate adjustment, positive coping completely mediated the relationship between social support and older adults' quality of life (p < 0.01), with the mediating effect size accounting for 76.9% of the total effect. Negative coping had some mediating effect on the relationship between social support and older adults' quality of life (p < 0.01), with the mediating effect size accounting for 13.0% of the total effect. CONCLUSION The quality of life of disabled older adults is low, which is closely related to their social support and coping styles. Therefore, it is important to recognize and emphasize the key role that social support systems play in improving the quality of life of this population, broaden their access to social support and guide them to adopt positive coping styles.
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Affiliation(s)
- Yuanrong Wu
- School of Nursing and Health, Nanfang College, Guangzhou, Guangdong, China
| | - Jiaru Chen
- The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China
| | - Guo Yin
- School of Nursing and Health, Nanfang College, Guangzhou, Guangdong, China
| | - Manxuan Shen
- The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China
| | - Qin Li
- The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, China
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Wen X, Zhou Y, Li Y, Li X, Qu P. Perceived Overload on Short Video Platforms and Its Influence on Mental Health Among the Elderly: A Moderated Mediation Model. Psychol Res Behav Manag 2024; 17:2347-2362. [PMID: 38882234 PMCID: PMC11179651 DOI: 10.2147/prbm.s459426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2024] [Accepted: 05/31/2024] [Indexed: 06/18/2024] Open
Abstract
Background In the post-epidemic era, the problem of short-video app addiction among older adults has become increasingly prominent, and people have begun to pay attention to the negative emotional and psychological consequences of Perceived Overload of short-video apps. Given the growing mental health concerns of older adults, it is critical to understand the potential relationship between the Perceived Overload of short video apps for older adults and older adults' mental health. Methods This study applied the stress-strain-outcome (SSO) framework to explore the relationship between perceived overload of a short-video application and loneliness, mental health, and Confucianism tenets in 1300 Chinese older adults. The relationship between perceived overload and loneliness, mental health, and Confucianism tenet moderated mediation models of perceived overload and mental health were created using SPSS 26.0 and PROCESS 4.1 for SPSS. Results The perceived overload of a short video application for older adults directly predicted loneliness and mental health in older adults, and the Confucianism tenet moderated the mediation process between perceived overload and mental health. Perceived overload affects mental health through loneliness in older adults. Discussion The results of this study are of practical significance for understanding the current problem of short-video addiction among older adults. Understanding the effects of perceived overload on older adults' loneliness and mental health can help prevent loneliness and mental health problems caused by short-video addiction among older adults on the one hand, and on the other hand, it can also help to develop targeted coping strategies and create psychological intervention programs based on the Confucianism tenet of intervention ethics to improve mental health in a changing technological stress environment.
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Affiliation(s)
- Xiaochen Wen
- School of Philosophy and Sociology, Lanzhou University, Lanzhou, People's Republic of China
| | - Yaping Zhou
- School of Philosophy and Sociology, Lanzhou University, Lanzhou, People's Republic of China
| | - Yinan Li
- School of Management, Lanzhou University, Lanzhou, People's Republic of China
| | - Xiahan Li
- School of Philosophy and Sociology, Lanzhou University, Lanzhou, People's Republic of China
| | - Pengfei Qu
- School of Philosophy and Sociology, Lanzhou University, Lanzhou, People's Republic of China
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Chang LC, Dattilo J, Huang FH. Relationship Between Square Dancing and Meaning in Life Among Older Adults: Examining an Age-Based Moderation Model. Res Gerontol Nurs 2024; 17:141-147. [PMID: 38815217 DOI: 10.3928/19404921-20240423-03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/01/2024]
Abstract
PURPOSE Square dancing may help older adults experience meaning in life (MIL). However, it remains unclear how square dancing facilitates MIL. To address this question, we examined whether participation frequency, transcendent experiences, and social support correlated positively with MIL, and whether age moderated the correlation between transcendent experiences and MIL. METHOD We studied 268 older adults using in-person surveys to collect data on age, participation frequency, transcendent experiences, social support, and MIL. We analyzed data using hierarchical regression. RESULTS High frequency of participation and high levels of transcendent experiences and social support simultaneously predicted high levels of MIL, and age decreased the positive relationship between transcendent experiences and MIL. CONCLUSION Based on the hierarchical regression results, we recommend strategies to increase older adults' MIL by providing square dancing opportunities; working with them to improve square dancing skills that facilitate transcendent experiences; and guiding them in seeking sources of social support. [Research in Gerontological Nursing, 17(3), 141-147.].
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Du X, Ding C, Xiang G, Li Q, Liu X, Xiao M, Song S, Chen H. Rejection Sensitivity and Reactive Aggression in Early Adults: The Mediating Role of Loneliness and Maladaptive Coping. Psychol Rep 2024; 127:786-806. [PMID: 38462852 DOI: 10.1177/00332941221125771] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2024]
Abstract
Reactive aggression is an aggressive response to a perceived threat or provocation. It has detrimental effects on individuals and society. Rejection sensitivity, a disposition that one tends to anxiously expect, readily perceive, and intensely react to social rejection, has been associated with reactive aggression. Considering that the mechanism underlying this link remains unclear, this study explores the mediating role of loneliness and maladaptive coping. Participants included 1104 early adults between the ages of 17-23 (Mage = 20.35, SD = 1.11, 33.6% men) in China who completed the Chinese version of the Tendency to Expect Rejection Scale, Loneliness Scale, Ways of Coping Questionnaire, and Reactive-Active Aggression Questionnaire. The serial mediation model revealed that loneliness and maladaptive coping independently mediated the association of rejection sensitivity with reactive aggression. More importantly, the chain mediating effect of "loneliness-maladaptive coping" also accounted for this link. The above findings contribute to a deeper understanding of the relationships among these factors and suggested that rejection sensitivity could positively be related to reactive aggression through loneliness and maladaptive coping.
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Affiliation(s)
- Xiaoli Du
- Faculty of Psychology, Key Laboratory of Cognition and Personality, Ministry of Education, Southwest University, Chongqing, China
| | - Cody Ding
- Department of Educational Psychology, Research, and Evaluation, University of Missouri, St. Louis, MO, USA
| | - Guangcan Xiang
- Tian Jiabing College of Education, China Three Gorges University, Yichang, China
| | - Qingqing Li
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Xinyuan Liu
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Mingyue Xiao
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Shiqing Song
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Chongqing, 400715, China
| | - Hong Chen
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Chongqing, 400715, China
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Song W, Zhou Y, Chong ZY, Xu W. Social support, attitudes toward own aging, loneliness and psychological distress among older Chinese adults: a longitudinal mediation model. PSYCHOL HEALTH MED 2024; 29:542-555. [PMID: 37731246 DOI: 10.1080/13548506.2023.2260965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2023] [Accepted: 09/12/2023] [Indexed: 09/22/2023]
Abstract
The current study aimed to explore the protective factors and underlying mechanisms associated with loneliness and psychological distress among older Chinese adults within the framework of a longitudinal design. This investigation specifically focused on the mediating role of attitudes toward own aging (ATOA) in the relationship between social support and the experience of loneliness and psychological distress (comprising depression, anxiety, and stress) amidst the backdrop of the COVID-19 pandemic. A cohort of 345 elderly individuals (mean age = 83.84 years, standard deviation = 8.49 years; 55.1% females) participated in this research endeavor. The participants were required to complete self-report instruments measuring their perceived levels of social support at Time 1 (T1), attitudes towards own aging, ATOA at Time 2 (T2), and their experiences of loneliness, and psychological distress (including depression, anxiety, and stress) at T1 and Time 3 (T3). The data collection timeline encompassed baseline data collection at T1 in September 2020, a subsequent six-month follow-up at T2 in March 2021, and a one-year follow up at T3 in September 2021. The findings of this investigation unveiled a negative predictive relationship between social support at T1 and psychological distress (encompassing depression, anxiety, and stress) at T3. Furthermore, it was discerned that ATOA at T2 acted as a mediating mechanism, elucidating the longitudinal association between social support at T1 and the manifestation of loneliness and psychological distress (including depression, anxiety, and stress) at T3. The discussion section of this paper delves into an exploration of the limitations and implications inherent in these conclusions, particularly concerning their relevance to potential intervention strategies.
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Affiliation(s)
- Wenli Song
- Beijing Key Laboratory of Applied Experimental Psychology, Faculty of Psychology, National Demonstration Center for Experimental Psychology Education, Beijing Normal University, Beijing, China
| | - Yuyang Zhou
- Department of Management, Bentley University, Waltham, MA, USA
| | - Zh Yeng Chong
- Beijing Key Laboratory of Applied Experimental Psychology, Faculty of Psychology, National Demonstration Center for Experimental Psychology Education, Beijing Normal University, Beijing, China
| | - Wei Xu
- Beijing Key Laboratory of Applied Experimental Psychology, Faculty of Psychology, National Demonstration Center for Experimental Psychology Education, Beijing Normal University, Beijing, China
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Wang L, Huang S, Feng Z, Lin Y, Zhang Y. Chain mediation model of consultation empathy, resilience and resignation coping on depression: a cross-sectional study among patients with COVID-19 in China. BMJ Open 2023; 13:e079050. [PMID: 37940162 PMCID: PMC10632825 DOI: 10.1136/bmjopen-2023-079050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/21/2023] [Accepted: 10/10/2023] [Indexed: 11/10/2023] Open
Abstract
OBJECTIVES This study aimed to explore the mediating role of resilience and resignation coping in the relationship between consultation empathy and depression in patients with COVID-19. DESIGN Cross-sectional study. SETTING Participants were recruited from a tertiary hospital in Guangzhou, Guangdong province. PARTICIPANTS A total of 215 patients were recruited for this study. OUTCOME MEASURES A total of 215 patients completed the Consultation and Relational Empathy Measure, Connor-Davidson Resilience Scale, Medical Coping Modes Questionnaire and Hospital Anxiety and Depression Scale. PROCESS 4.1 model 6 was used to analyse the moderated mediating effects. RESULTS Consultation empathy had a positive correlation with resilience (r=0.34, p<0.001), and a negative correlation with resignation (r=-0.288, p<0.001) and depression (r=-0.379, p<0.001). Resilience had a negative correlation with resignation (r=-0.463, p<0.001) and depression (r=-0.605, p<0.001). Resignation had a positive correlation (r=0.547, p<0.001) with depression. In the moderated mediating model, consultation empathy had significant indirect predictive effects on depression through resilience (95% CI -0.093 to -0.030) or resignation (95% CI -0.043 to -0.005). Consultation empathy had significant indirect predictive effects on depression through both resilience and resignation (95% CI -0.030 to -0.008). CONCLUSIONS Consultation empathy not only predicted depression directly, but also indirectly predicted depression through the chain mediating effects of resilience and resignation coping.
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Affiliation(s)
- Lujie Wang
- Department of Psychiatry, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology;The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Shuling Huang
- Department of Internal Medicine-Cardiovascular, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Zhiyi Feng
- Medical Section, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology;The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Yuhui Lin
- Department of Internal Medicine-Cardiovascular, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
| | - Yuan Zhang
- Department of Geriatric, Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology; The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
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Roskoschinski A, Liang W, Duan Y, Al-Salehi H, Lippke S. Loneliness and depression in older adults with multimorbidity: the role of self-efficacy and social support. Front Psychiatry 2023; 14:1232067. [PMID: 37965359 PMCID: PMC10642299 DOI: 10.3389/fpsyt.2023.1232067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2023] [Accepted: 10/09/2023] [Indexed: 11/16/2023] Open
Abstract
Introduction As relatively little is known about self-efficacy and social support in individuals aged 65 years and older and whether they are facing a decline in life due to multimorbidity and previous COVID-19 infection, this study investigated hypotheses based on Social Cognitive Theory. Methods It was tested whether depressive symptoms in multimorbid patients who were hospitalized for COVID-19 infection, and recover post infection during their hospital stay, do not differ from those of multimorbid patients hospitalized for other conditions. Furthermore, we tested whether depressive symptoms are associated with increased loneliness scores, low self-efficacy beliefs, and poorly perceived social support. Additionally, it was investigated whether self-efficacy is a mediator variable, and social support is a moderator variable between loneliness and depression. N = 135 patients with or without previous COVID-19 infection (mean age 64.76) were recruited. Paper questionnaires were collected at the time of inpatient hospital admission in the year 2021 and in a cross-sectional study design. The study compared n = 45 multimorbid patients who survived COVID-19 infection with those n = 90 who were not infected before. Results No significant difference in depressive symptomology between these two groups revealed [t(133) = 130, p = 0.90, d = 0.024); F(3, 122) = 0.255, p = 0.86]. The study found a positive correlation between loneliness and anxiety and depression in both groups (rdepression = 0.419 and ranxiety = 0.496). Self-efficacy mediated the relation between loneliness and depression. The completely standardized indirect effect was β = 0.111, percentile Bootstrap 95% CI 0.027-0.201. Discussion The research findings suggest the importance of self-efficacy, and loneliness in the development of depressive symptoms, and have several practical implications for improving the mental health of multimorbid patients: Prospectively, treatment should not only focus on physical and cognitive health, but also on promoting self-efficacy and perceived social support, as well as address loneliness with psychoeducational interventions. Replication of the findings and conducting interventional research also employing lifestyle components should follow up, as this study tested associations but no causal relationships.
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Affiliation(s)
- Annika Roskoschinski
- Unit for Geriatrics and Physical Medicine, Helios Klinikum Berlin-Buch, Berlin, Germany
- Constructor University Bremen, Bremen, Germany
| | - Wei Liang
- School of Physical Education, Shenzhen University, Shenzhen, China
| | - Yanping Duan
- Hong Kong Baptist University, Kowloon, Hong Kong SAR, China
| | - Hayl Al-Salehi
- Constructor University Bremen, Bremen, Germany
- Bremen International Graduate School of Social Sciences (BIGSSS), Bremen, Germany
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Du X, Xiang G, Xiao M, Liu X, Sun J, Ding C, Chen H. The relationship between loneliness and problematic smartphone use among adolescents during the COVID-19 pandemic: The mediating role of negative emotions and maladaptive coping. J Adolesc 2023; 95:1449-1462. [PMID: 37435881 DOI: 10.1002/jad.12218] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 07/02/2023] [Accepted: 07/03/2023] [Indexed: 07/13/2023]
Abstract
INTRODUCTION Given the observed increased feelings of loneliness and problematic smartphone use among adolescents during the COVID-19 pandemic, further research was needed to determine whether and how the increased loneliness of adolescents during such major public health crisis events affects the risk of problematic smartphone use among adolescents. This study aimed to examine the relationship between loneliness and problematic smartphone use among Chinese adolescents (aged 10-16 years) during the COVID-19 pandemic and to investigate the possible mediating role of negative emotions and maladaptive coping. METHODS A total of 672 Chinese adolescents (Mage = 13.05, SD = 1.51, 50.4% boys, 93.8% from rural areas, 22.5% of whom were only children) took part in this cross-sectional study in April 2022 by completing the Chinese adolescent version of the Loneliness Scale, the Positive and Negative Affect Scale (subscale), the Ways of Coping Questionnaire, and the Mobile Phone Addiction Index Scale. RESULTS The serial mediation model revealed that negative emotions and maladaptive coping independently mediated the relationship between adolescents' loneliness and problematic smartphone use. In addition, the mediation effects of "negative emotions-maladaptive coping" could also mediate the relationship between loneliness and problematic smartphone use. CONCLUSIONS Loneliness may be positively related to problematic smartphone use through negative emotions and maladaptive coping among adolescents during major public health crisis events, such as the COVID-19 pandemic.
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Affiliation(s)
- Xiaoli Du
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Chongqing, China
| | - Guangcan Xiang
- Tian Jiabing College of Education, China Three Gorges University, Yichang, China
| | - Mingyue Xiao
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Chongqing, China
| | - Xinyuan Liu
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Chongqing, China
| | - Jiayi Sun
- School of Psychology, Nanjing Normal University, Nanjing, China
| | - Cody Ding
- Department of Educational Psychology, Research and Evaluation, University of Missouri, St. Louis, Missouri, USA
| | - Hong Chen
- Key Laboratory of Cognition and Personality, Ministry of Education, Faculty of Psychology, Southwest University, Chongqing, China
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Zhu Z, Qi X, Pei Y, Wang J, Wu B. Longitudinal relationships in the psychopathology of depressive symptoms in middle-aged and older adults in China. Aging Ment Health 2023; 27:1692-1701. [PMID: 36597893 PMCID: PMC10318117 DOI: 10.1080/13607863.2022.2164253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Accepted: 12/07/2022] [Indexed: 01/05/2023]
Abstract
OBJECTIVES To develop symptom networks and examine the longitudinal relationships of depressive symptoms among middle-aged and older adults in China. METHOD This study used three-wave data from the China Health and Retirement Longitudinal Study (2013 (T1), 2015 (T2), and 2018 (T3)). Depressive symptoms were measured by the 10-item Center for Epidemiologic Studies Depression Scale (CES-D). A multilevel vector autoregression model (VAR) was used to identify ten depressive symptoms dynamically interacting with each other over time. RESULTS A total of 3,558 participants were included in the final analysis. The strongest direct effects were 'D10: felt fearful' -> 'D6: felt everything I did was an effort' (β = 0.14). 'D10: felt fearful' reported the largest value of out-predictability (r = 0.064) and out-strength (r = 0.635). 'D3: felt depressed' reported the largest value of in-predictability (r = 0.077) and in-strength (r = 0.545). Substantial heterogeneity in the network may stem from an individual's sex and place of residence. CONCLUSIONS 'Felt fearful' was the strongest predictor compared to the other nine depressive symptoms based on node centrality. Our study suggests that, after understanding the causes of fear, strategies to reduce fear should be incorporated into multimodal interventions for middle-aged and older adults with depressive symptoms.
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Affiliation(s)
- Zheng Zhu
- Rory Meyers College of Nursing, New York University, New York, NY, USA
- School of Nursing, Fudan University, Shanghai, China
| | - Xiang Qi
- Rory Meyers College of Nursing, New York University, New York, NY, USA
| | - Yaolin Pei
- Rory Meyers College of Nursing, New York University, New York, NY, USA
| | - Jing Wang
- School of Nursing, Fudan University, Shanghai, China
- School of Nursing, University of North Carolina Chapel Hill, Chapel Hill, NC, USA
| | - Bei Wu
- Rory Meyers College of Nursing, New York University, New York, NY, USA
- NYU Aging Incubator, New York University, New York, NY, USA
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He Y, Liu D, Guo R, Guo S. Information Cocoons on Short Video Platforms and Its Influence on Depression Among the Elderly: A Moderated Mediation Model. Psychol Res Behav Manag 2023; 16:2469-2480. [PMID: 37426388 PMCID: PMC10327920 DOI: 10.2147/prbm.s415832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2023] [Accepted: 06/19/2023] [Indexed: 07/11/2023] Open
Abstract
Background As the elderly increasingly engage with new media, particularly short video platforms, concerns are arising about the formation of "information cocoons" that limit exposure to diverse perspectives. While the impact of these cocoons on society has been investigated, their effects on the mental well-being of the elderly remain understudied. Given the prevalence of depression among the elderly, it is crucial to understand the potential link between information cocoons and depression among older adults. Methods The study examined the relationships between information cocoons and depression, loneliness, and family emotional support among 400 Chinese elderly people. The statistical software package SPSS was used to establish a moderated mediation model between information cocoons and depression. Results Information cocoons directly predicted depression among the elderly participants. Family emotional support moderated the first half and the second half of the mediation process, whereby information cocoons affected the depression of the elderly through loneliness. Specifically, in the first half of the mediation process, when the level of information cocoons was lower, the role of family emotional support was more prominent. In the second half of the process, when the level of family emotional support was higher, such support played a more protective role in the impact of loneliness on depression. Discussion The findings of this study have practical implications for addressing depression among the elderly population. Understanding the influence of information cocoons on depression can inform interventions aimed at promoting diverse information access and reducing social isolation. These results will contribute to the development of targeted strategies to improve the mental well-being of older adults in the context of evolving media landscapes.
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Affiliation(s)
- Yiqing He
- School of Education, Guangzhou University, Guangzhou, People’s Republic of China
| | - Darong Liu
- Department of Artificial Intelligence, Faculty of Computer Science and Information Technology, University of Malaya, Kuala Lumpur, Malaysia
| | - Ruitong Guo
- School of Education, Yunnan Minzu University, Kunming, People’s Republic of China
| | - Siping Guo
- School of Education, Guangzhou University, Guangzhou, People’s Republic of China
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Castro-Ramirez F, Paz-Pérez MA, McGuire TC, Rankin O, Alfaro MCG, Audirac AM, Campuzano MLG, Coady P, Núñez-Delgado M, Manana J, Hernández-de la Rosa C, Tambedou T, Vergara GA, Barranco LA, Cudris-Torres L, Nock MK, Naslund JA, Benjet C. A Qualitative Examination of the Impact of Suicidal Thoughts and Behavior on Help-Seeking Among University Students in Colombia and Mexico. JOURNAL OF BEHAVIORAL AND COGNITIVE THERAPY 2023; 33:67-80. [PMID: 37680902 PMCID: PMC10482072 DOI: 10.1016/j.jbct.2023.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/09/2023]
Abstract
This study examined descriptions of suicidal thoughts and behavior (STB) to identify risk and protective factors that may present in clinical settings among university students from Latin America. Our focus was on answering the following key questions: How are suicidal thoughts and behavior described? What are reasons for wanting to die and for living? What impact do STBs have on motivations to seek or avoid psychological treatment? To this end, 55 qualitative interviews were completed with university students from Colombia and Mexico who recently endorsed emotional difficulties in the World Mental Health International College Student (WMH-ICS) surveys. Interviews were coded to identify themes specific to STBs. Findings revealed insight on symptom presentations and consequences of STBs. Participants described uncontrollable somatic symptoms during periods of high suicide risk, which serves as a relevant clinical marker for health providers. An important reason for living was to avoid suffering for family, which was protective against suicide and motivates familial involvement in treatment planning. Participants sought solutions to emotional problems after experiencing STBs, including psychological treatment. Cultural stigma of mental illness induced feelings of shame and burden, which led to avolition, avoidance, and nondisclosure of symptom severity. This study provides insight into the utility of evaluating cultural context in (a) detecting antecedents to STBs frequently reported as somatic symptoms, (b) identifying protective factors against suicide, and (c) recognizing how stigma of mental illness and suicide, shame avoidance, and familism might influence personal motivations to seek or avoid help for emotional distress.
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Affiliation(s)
| | | | | | - Osiris Rankin
- Department of Psychology, Harvard University, United States
| | | | | | | | - Parker Coady
- Department of Psychology, Harvard University, United States
| | | | | | | | - Tida Tambedou
- Department of Psychology, Harvard University, United States
| | | | | | | | - Matthew K Nock
- Department of Psychology, Harvard University, United States
| | - John A Naslund
- Department of Global Health and Social Medicine, Harvard Medical School, United States
| | - Corina Benjet
- Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, México City, México
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13
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Xiong G, Wang C, Ma X. The Relationship between Physical Activity and Mental Depression in Older Adults during the Prevention and Control of COVID-19: A Mixed Model with Mediating and Moderating Effects. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:3225. [PMID: 36833928 PMCID: PMC9965109 DOI: 10.3390/ijerph20043225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/21/2022] [Revised: 01/31/2023] [Accepted: 02/10/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Several studies have found a strong relationship between physical activity and mental depression in older adults. Despite this, the social isolation, limited physical activity, and decreased social interactions caused by the 2020 COVID-19 pandemic control measures of "home isolation and reduction unnecessary travel" had a significant mental impact on older adults. OBJECTIVE the goal of this study was to look into the complex effects of physical activity participation on mental health in older adults during COVID-19 prevention and control and the relationship between physical activity and mental depression in older adults through the mediating effect of self-efficacy and the moderating effect of social support. METHODS The Physical Activity Rating Scale (PARS-3), the Center for Streaming Depression Scale (CES-D), the Self-Efficacy Scale (GSES), and the Social Support Rating Scale (SSRS) were used to assess 974 older adults in five urban areas of Chengdu, China. The SPSS was used to analyze the collected data using mathematical statistics, linear regression analysis, and the AMOS to construct the research model. RESULTS The study's findings revealed that self-efficacy mediated the relationship between physical activity and mental depression in older adults (β = -0.101, 95%CI (-0.149, -0.058)), and social support moderated the relationship between physical activity and mental depression in older adults (t = -9.144, p < 0.01). CONCLUSIONS Physical activity reduces psychological depressive symptoms in older adults and modulates psychological depression in older adults via the mediation efficacy of self-efficacy and the moderating effect of social support.
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Affiliation(s)
- Guoyan Xiong
- School of Wushu, Chengdu Sport University, Chengdu 610041, China
| | - Caixia Wang
- School of Physical Education, Handan University, Handan 056005, China
| | - Xiujie Ma
- School of Wushu, Chengdu Sport University, Chengdu 610041, China
- Chinese Guoshu Academy, Chengdu Sport University, Chengdu 610041, China
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14
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Zeng Y, Mao S, Lu N, Chen M. Activity Patterns and Loneliness in Later Life: The Mediating Effects of Social Support and Attitudes Toward Aging. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2023; 66:303-318. [PMID: 35880465 DOI: 10.1080/01634372.2022.2103761] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Revised: 07/11/2022] [Accepted: 07/16/2022] [Indexed: 06/15/2023]
Abstract
Studies have documented the inconsistent influences of activity participation on health. However, the underlying mechanisms connecting activity patterns to loneliness are relatively understudied. Using data on 8,545 respondents aged 60 or older from the 2014 China Longitudinal Aging Social Survey, we used latent class analysis to identify the patterns of participating in eight activities and path analysis to examine the mediating effects of formal support, informal support, and aging attitudes in the relationship of activity patterns and loneliness. Three meaningful patterns of activity (high activity, low activity, and working caregivers) were identified. Working caregivers and low activity groups, compared to high activity, showed higher levels of loneliness in later life. Informal support, rather than formal support, and attitudes toward aging mediated the relationship between activity patterns and loneliness in later life. This study highlights the importance of fuller engagement in diverse political, economic, and community activities to prevent loneliness. Additionally, intervention programs that facilitate joint support from family, community, and government and shape scientific understanding of aging are critical for alleviating loneliness in later life.
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Affiliation(s)
- Yue Zeng
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong SAR, China
| | - Shan Mao
- Department of Social Work and Social Policy, School of Sociology and Population Studies, Renmin University of China, Beijing, China
| | - Nan Lu
- Department of Social Work and Social Policy, School of Sociology and Population Studies, Renmin University of China, Beijing, China
| | - Meng Chen
- Department of Social Work and Social Policy, School of Sociology and Population Studies, Renmin University of China, Beijing, China
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15
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Olabisi OI, Faronbi J, Adedeji P, Ademuyiwa G, Gambari Y, Lasisi A. Influence of Family and Friends Level of Social Support on Psychological Symptoms Among the Older Adults in Nigeria. SAGE Open Nurs 2023; 9:23779608231187778. [PMID: 37476332 PMCID: PMC10354820 DOI: 10.1177/23779608231187778] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 06/17/2023] [Accepted: 06/27/2023] [Indexed: 07/22/2023] Open
Abstract
Introduction Numerous studies have established the importance of social support on psychological symptoms among older adults, however, the distinct contribution of different levels of family and friends' social support has not been thoroughly assessed. Objectives This study determined the contribution of different levels of friend and family social support (high, moderate, low) on psychological symptoms among the older adults. Methods A cross-sectional study was conducted among 538 older adults attending outpatient clinics at two selected teaching Hospitals in Nigeria from February to July, 2021.The data was collected using the 7-item Generalized Anxiety Disorders Scale, Patient Health Questionnaire (PHQ-9), and the Multidimensional Scale of Perceived Social Support. The data was analyzed with SPSS version 23 and logistic regression was used for the inferential analysis. Results Older adults with moderate social support from family were 3.6 more likely to have depression symptoms than those with high family social support (AOR = 3.623, 95%CI 1.275-2.875, P = .020). Also, those with moderate family social support (AOR = 2.875, 95%CI 2.425-11.875,P = .002), low family social support (AOR = 2.966, 95%CI 1.312-3.875, P = .007), and low friends social support (AOR = 2.966, 95%CI 1.312-3.875, P = .009) were more likely to have anxiety symptoms than those with high social support. Conclusion High social support confers a protective measure against depression and is effective in reducing psychological symptoms among older adults.
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Affiliation(s)
| | - Joel Faronbi
- Academic of Nursing, University of Exeter, Exeter, UK
| | - Peter Adedeji
- Department of Nursing Science, Bowen University, Iwo, Nigeria
| | - Grace Ademuyiwa
- Department of Nursing Science, Bowen University, Iwo, Nigeria
| | - Yusuf Gambari
- Department of Nursing Science, University of Ilorin, Ilorin, Nigeria
| | - Aishat Lasisi
- Department of Nursing Science, Bowen University, Iwo, Nigeria
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16
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Kocak Z, Bayir B, Goksoy I, Taskapu HH. The effect of perceived social support levels on coping methods for urinary incontinence in elderly men. REVISTA DA ASSOCIACAO MEDICA BRASILEIRA (1992) 2023; 69:452-457. [PMID: 36921201 PMCID: PMC10004299 DOI: 10.1590/1806-9282.20221395] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 12/08/2022] [Indexed: 03/12/2023]
Abstract
OBJECTIVE This study aimed to determine the effect of the perceived social support level on coping methods for urinary incontinence among men aged 65 years and over with urinary incontinence. METHODS A total of 92 male patients over the age of 65 years with urinary incontinence and adequate cognitive levels were included in the study. The coping methods, the environmental support, and the Multidimensional Scale of Perceived Social Support were used to collect data. RESULTS The most common method of coping was changing clothes (64 [69.6%]). The Multidimensional Scale of Perceived Social Support total mean score was 55.83±14.8, which was considered above the medium-level support. The perception level of social support caused significant differences in coping methods in individuals with urinary incontinence. CONCLUSION The view that urinary incontinence is a problem related to aging is regarded as an obstacle to seeking healthcare. Society should be made aware that urinary incontinence is not a normal condition related to aging and that it is not an insoluble problem that the elderly must endure.
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Affiliation(s)
- Zehra Kocak
- Karatay Ticaret Odası Karatay Üniversitesi, High School of Health Sciences, Department of Nursing - Konya, Turkey
| | - Berna Bayir
- Karatay Ticaret Odası Karatay Üniversitesi, High School of Health Sciences, Department of Nursing - Konya, Turkey
| | - Ibrahim Goksoy
- Necmettin Erbakan Üniversitesi, Meram Faculty of Medicine, Department of Urology - Konya, Turkey
| | - Hakan Hakki Taskapu
- Necmettin Erbakan Üniversitesi, Meram Faculty of Medicine, Department of Urology - Konya, Turkey
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17
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Turner ST, Carmel S, O’Rourke N, Raveis VH, Tovel H, Cohn-Schwartz E. Social Support and Symptoms of Depression in Late Life: Bidirectional Associations over Time. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16065. [PMID: 36498138 PMCID: PMC9738391 DOI: 10.3390/ijerph192316065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Revised: 11/18/2022] [Accepted: 11/20/2022] [Indexed: 06/17/2023]
Abstract
Social support functions as an effective buffer against depression, especially among older adults with limited social networks. For the current study, we examined longitudinal bidirectional associations between social support and depression among those 75+ years of age. We recruited and followed a sample of Israeli adults 75+ years of age (N = 824; M = 80.84; range 75-96 years). Structured interviews were conducted in the homes of participants at three annual points of measurement. Participants reported depressive symptoms and emotional and instrumental support received from friends and family. We examined a cross-lagged, longitudinal structural equation model (SEM) in which social support and depressive symptoms predict each other over time, covarying for previously reported social support and depressive symptoms. We found that both depressive symptoms and social support are largely consistent in late life. Depressive symptoms and social support reported at baseline predict levels reported 1 and 2 years thereafter. Cross-over effects emerged over time. Depressive symptoms predicted lower social support in future, and social support at baseline predicted depressive symptoms 2 years later. These findings suggest that associations between depressive symptoms and social support are bidirectional in late life. Further research is needed to replicate findings in other cultures and over longer periods, ideally until end of life.
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Affiliation(s)
- Shira T. Turner
- Department of Psychology, Ben-Gurion University of the Negev, Be’er Sheva 84105, Israel
| | - Sara Carmel
- Center for Multidisciplinary Research in Aging, Ben-Gurion University of the Negev, Be’er Sheva 84105, Israel
| | - Norm O’Rourke
- School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be’er Sheva 84105, Israel
- Center for Multidisciplinary Research in Aging, Ben-Gurion University of the Negev, Be’er Sheva 84105, Israel
- Department of Psychology, Ben-Gurion University of the Negev, Be’er Sheva 84105, Israel
| | - Victoria H. Raveis
- Psychosocial Research Unit on Health, Aging and the Community, College of Dentistry, New York University, New York, NY 10010-2314, USA
| | - Hava Tovel
- Center for Multidisciplinary Research in Aging, Ben-Gurion University of the Negev, Be’er Sheva 84105, Israel
| | - Ella Cohn-Schwartz
- School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Be’er Sheva 84105, Israel
- Center for Multidisciplinary Research in Aging, Ben-Gurion University of the Negev, Be’er Sheva 84105, Israel
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18
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Resna RW, Widianti, Nofiantoro W, Iskandar R, Ashbahna DM, Royani, Susilawati S. Social environment support to overcome loneliness among older adults: A scoping review. BELITUNG NURSING JOURNAL 2022; 8:197-203. [PMID: 37547116 PMCID: PMC10401387 DOI: 10.33546/bnj.2092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2022] [Revised: 04/18/2022] [Accepted: 06/07/2022] [Indexed: 08/08/2023] Open
Abstract
Background Loneliness is a problem experienced by most older adults due to internal and external factors. This condition may lead to various physical and psychological health problems, including depression, sleep disturbances, stress, and suicidal ideation. Therefore, exploring social environment support to reduce loneliness is a necessity. Objective This study aimed to identify various kinds of social support to overcome loneliness in older adults. Methods A scoping review was performed on studies retrieved from Embase, CINAHL, Cochrane, PubMed, and Google Scholar from 2012 until early 2022. Data were analyzed according to Arksey and O'Malley's scoping review guideline. Results Ten studies were systematically selected from 2,410 articles. The analysis indicated that the social environment support, including family support (affection, attention, emotional, motivation, and financial support), friends (peer group, partnership, advice, and appreciation), neighbors (work around the house, society involvement, and emergency), and government support (healthcare facilities and community programs), contribute to loneliness in older adults. Conclusion The social environment support from families, friends, neighbors, and government may potentially help older adults to reduce their loneliness but need further validation. The variables included in each component also need construct exploration. However, the study findings may serve as basic knowledge for nurses to provide interventions to prevent and reduce loneliness among older adults.
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Affiliation(s)
- Riksa Wibawa Resna
- Department of Gerontology and Community, Program Study of Nursing Profession, School of Health Science Banten, Indonesia
| | - Widianti
- Nursing Program, School of Health Science Banten, Indonesia
| | - Wahyu Nofiantoro
- Department of Banking, Vocational Program, University of Indonesia, Indonesia
| | | | | | - Royani
- Nursing Program, School of Health Science Banten, Indonesia
| | - Susi Susilawati
- Public Health Program, School of Health Science Banten, Indonesia
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19
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Zheng X, Wang Y, Jin X, Huang H, Chen H, Wang Y, Shang S. Factors influencing depression in community-dwelling elderly patients with osteoarthritis of the knee in China: a cross-sectional study. BMC Geriatr 2022; 22:453. [PMID: 35614451 PMCID: PMC9134602 DOI: 10.1186/s12877-022-03117-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2022] [Accepted: 05/04/2022] [Indexed: 11/17/2022] Open
Abstract
Background Knee osteoarthritis (OA) and depression are both major health issues influencing the quality of elderly life. The aim of the present study was to explore the prevalence of depression and the factors influencing depression in community-dwelling elderly patients with OA of the knee in China. Methods We conducted a cross-sectional descriptive study. The study included 214 participants aged 60 and older diagnosed with OA of the knee. The depression of the elderly was measured by using the Geriatric Depression Scale (GDS). Participants were asked to complete a demographic questionnaire, the GDS, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), the society dimension of Arthritis Impact Measurement Scales 2 (AIMS2). In addition, the participants performed a timed up and go test (TUG) and the stair-climb test (SCT). Results The average age of the participants was 69.2 ± 7.63 years old, their body mass index (BMI) was 25.2 ± 3.85, and their disease duration was 5.9 ± 7.72 years. The mean total score of the GDS was 4.43 ± 2.89, and the GDS scores correlated positively with pain (r = 0.45, P < 0.001), stiffness (r = 0.40, P < 0.001), physical function (r = 0.52, P < 0.001),TUG (r = 0.35, P < 0.001), and SCT (r = 0.47, P < 0.001) and negatively with social support (r = − 0.35, P < 0.001).Analysis using multiple regression demonstrated that physical function, social support, and SCT explained 36.8% of the variance in depression. Conclusions Our findings suggested that physical function, social support, and lower extremity strength were predictors of depressive symptoms in community-dwelling elderly people with OA of the knee. Focusing on this elderly group with increasing functional exercise, positive social interaction and support, and lower limb muscle strength training should help in the prevention of depression. Supplementary Information The online version contains supplementary material available at 10.1186/s12877-022-03117-0.
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Affiliation(s)
- Xiaoyan Zheng
- The Open University of China, 75 Fuxing Road, Haidian District, Beijing, 100039, China
| | - Yaya Wang
- The Open University of China, 75 Fuxing Road, Haidian District, Beijing, 100039, China
| | - Xiaoyan Jin
- School of Nursing, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Hongjie Huang
- Institute of Sports Medicine, Peking University Third Hospital, 49 Huayuan North Road, Haidian District, Beijing, 100191, China
| | - Hongbo Chen
- School of Nursing, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China
| | - Yan Wang
- The Open University of China, 75 Fuxing Road, Haidian District, Beijing, 100039, China
| | - Shaomei Shang
- School of Nursing, Peking University, 38 Xueyuan Road, Haidian District, Beijing, 100191, China.
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20
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Liu J, Wei W, Peng Q, Xue C, Yang S. The Roles of Life Satisfaction and Community Recreational Facilities in the Relationship between Loneliness and Depression in Older Adults. Clin Gerontol 2022; 45:376-389. [PMID: 33775222 DOI: 10.1080/07317115.2021.1901166] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
OBJECTIVES This study examined the mediating effect of life satisfaction and the moderating effect of the availability of community recreational facilities (CRF) in the association between loneliness and depression in rural older adults and urban older adults, respectively. METHODS Quantitative data collected from 7547 Chinese older adults were analyzed using the SPSS macro PROCESS to test a moderated mediation model with life satisfaction as the mediator and CRF availability and residency type (rural vs. urban) as moderators. RESULTS Loneliness negatively predicted life satisfaction, life satisfaction negatively predicted depression, and loneliness positively predicted depression. The interaction of loneliness and CRF availability had a significant effect on depression for urban older adults but not for rural older adults. The direct impact of loneliness on depression differed significantly between rural and urban older adults. CONCLUSIONS Life satisfaction mediated the association between loneliness and depression in both rural and urban older adults; CRF availability unexpectedly boosted the effect of loneliness on depression in urban older adults but not in rural older adults. Given the same level of loneliness, urban older adults were more likely to be depressed than rural older adults. CLINICAL IMPLICATIONS Psychogeriatric practitioners may embed life satisfaction into intervention programs to minimize depression among older adults. Public administrators should examine the utilization of public facilities to avoid wasted resources and counterproductive effects on older adults. Lonely urban older adults deserve special attention.
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Affiliation(s)
- Juan Liu
- Binjiang College, Nanjing University of Information Science & Technology, Wuxi Jiangsu, China
| | - Wei Wei
- Rosen College of Hospitality Management, University of Central Florida, Orlando, Florida, USA
| | - Qingyun Peng
- Department of Sociology, Jiangnan University, Wuxi Jiangsu, China
| | - Chenzhe Xue
- School of Foreign Languages and Tourism, Wuxi Institute of Technology, Wuxi Jiangsu, China
| | - Shuang Yang
- School of Foreign Languages and Tourism, Wuxi Institute of Technology, Wuxi Jiangsu, China
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21
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The Moderating Effect of Social Support between Loneliness and Depression: Differences between the Young-Old and the Old-Old. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19042322. [PMID: 35206508 PMCID: PMC8871923 DOI: 10.3390/ijerph19042322] [Citation(s) in RCA: 13] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/25/2021] [Revised: 01/19/2022] [Accepted: 01/25/2022] [Indexed: 02/06/2023]
Abstract
This study aimed to investigate the moderation of social support in the association between loneliness and depression in different age groups of older adults. The sample consisted of 1532 community-dwelling adults aged 65 years or older, based on the data from the National Social Life, Health, and Aging Project (NSHAP), Wave 3 (2015–2016). Eleven items of the Center for Epidemiologic Studies Depression Scale (CES-D) were used to measure depressive symptoms. Similarly, a four-item scale was used to measure social support (each from spouse and family), and a three-item scale for loneliness. The results were as follows. Loneliness was associated with depression in both the young-old and the old-old groups. Spousal support and family support were associated with reduced depression in the young-old group, whereas only spousal support was associated with relieving depression in the old-old group. Social support had a significant moderating effect on the relationship between loneliness and depression in the old-old group, whereas it had no significant effect in the young-old group. From these results, it can be concluded that spousal support plays a significant role in seniors’ mental health. The role of caregivers for a person’s well-being grows later in life, so practitioners could help couples communicate with this consideration. In addition, regular contacts with family members and spousal support are recommended to prevent older old adults’ depression.
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22
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Chang K, Li X, Zhang L, Zhang H. A Double-Edged Impact of Social Smartphone Use on Smartphone Addiction: A Parallel Mediation Model. Front Psychol 2022; 13:808192. [PMID: 35197903 PMCID: PMC8858819 DOI: 10.3389/fpsyg.2022.808192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Accepted: 01/14/2022] [Indexed: 01/09/2023] Open
Abstract
Evidence supports predictive roles of non-social smartphone use for smartphone addiction, but the relationship of social smartphone use and smartphone addiction is unclear. This study explored whether social smartphone use has a double-edged impact on smartphone addiction. Using data from a sample of 909 Chinese undergraduates, we tested a parallel mediation model that considered online social support and realistic social support as mediators. As predicted, social smartphone use weakened smartphone addiction through realistic social support and contributed to smartphone addiction through online social support. Moreover, we tested the moderating role of agreeableness in the mediation path of online social support. Agreeableness only moderated the indirect effects. Specifically, the predictive effects of online social support on smartphone addiction was greater for lower rather than higher agreeableness. The results suggest that social needs play an important role in the formation of smartphone addiction. Several limitations and implications are also discussed herein.
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Choi H, Brazeal M, Duggirala L, Lee J. Loneliness and depression among adults living on MS Gulf Coast: Individual, interpersonal and community predictors. Int J Soc Psychiatry 2022; 68:108-117. [PMID: 33327829 DOI: 10.1177/0020764020978677] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Loneliness and depression are mental health problems prevailing in United States as well as the world. The primary goal of this study was to identify risk and protective factors associated with loneliness and depression at the individual, interpersonal and community levels among adults living on Mississippi Gulf Coast. Survey data on 310 adults from three coastal counties was analysed. Bivariate analyses and multiple logistic regression analyses were performed to determine correlates and predictors of loneliness and depression. Bivariate analyses showed that loneliness was correlated with marital status, insurance, income, perceived social support and community resilience. Depression was found to be correlated with marital status, insurance, education, income, perceived social support and community resilience. As expected, a significant correlation was found between loneliness and depression. Multiple logistic regression analyses revealed that race, marital status, income, perceived social support and community resilience predicted loneliness, while income and perceived social support served as predictors of depression. Results make it clear that in addition to addressing individual and interpersonal factors, community is important in reducing the incidence of loneliness.
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Affiliation(s)
- Hwanseok Choi
- School of Health Professions, University of Southern Mississippi, Hattiesburg, MS, USA
| | - Michelle Brazeal
- School of Social Work, University of Southern Mississippi, Hattiesburg, MS, USA
| | - Likhitha Duggirala
- School of Health Professions, University of Southern Mississippi, Hattiesburg, MS, USA
| | - Joohee Lee
- School of Social Work, University of Southern Mississippi, Hattiesburg, MS, USA
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24
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Influence of social participation and support on self-rated health among Chinese older adults: Mediating role of coping strategies. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-02727-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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25
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The Association between Social Participation and Loneliness of the Chinese Older Adults over Time-The Mediating Effect of Social Support. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19020815. [PMID: 35055639 PMCID: PMC8775358 DOI: 10.3390/ijerph19020815] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/09/2021] [Revised: 12/17/2021] [Accepted: 01/11/2022] [Indexed: 02/06/2023]
Abstract
Based on activity theory, this paper employed data from the 2013, 2015, and 2018 waves of the China Health and Retirement Longitudinal Survey, and adopted Hierarchical Linear Modeling and longitudinal mediation analysis to explore the temporal variation characteristics of loneliness and the influence of social participation on loneliness in Chinese Older Adults, as well as the mechanism of them. The study found that loneliness among older adults overall was at a moderate level from 2013 to 2018 and increased over time, which may be related to decreasing social participation from year to year. Decreased social participation was associated with increased loneliness over time (β = -0.060, p < 0.001) and lower social support (β = 0.109, p < 0.001), which was associated with more loneliness (β = -0.098, p < 0.001). In addition, social support played a significant mediating role in the realization of social participation in alleviating loneliness. Social participation can not only directly reduce loneliness, but also reduce loneliness by increasing social support.
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Ashour LM. Levels and Predictors of COVID-19-Related Anxiety in Older Adults. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.7724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND: Prolonged quarantine during the COVID-19 outbreak is a stressful factor.
AIM: This study aims to analyze the psycho-emotional state of Jordan’s older population during the Covid-19 pandemic.
MATERIALS AND METHODS: The study on 620 older adults (mean age, 66.4±5.3 years) was conducted in 2020 in Amman (Jordan). All respondents were asked to complete an online survey on coping strategies, a HUDS questionnaire, and a specially designed questionnaire.
RESULTS: The dominant predictors of stress were uncertainty (62%) and a fear other family members getting ill (60%). Of all the respondents, 15% agreed with the necessity to prolong the quarantine period, 47% had a neutral attitude, and 38% exhibited a negative attitude. High levels of anxiety in older population were associated with the lower use of humor (H=11.498, p≤0.002). On the other hand, such respondents demonstrated the higher use of planning (H=6.227, p≤0.039), venting (H=11.087, p≤0.004), avoidance (H=7.457, p≤0.019), and active coping (H=6.043, p≤0.037).
CONCLUSIONS: Most of Covid-19 cases are registered in healthcare institutions and for that reason, there is a need to provide psychiatric care to medical workers who do not have the necessary experience in this area. This may also require the state to promote psychiatric care training.
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Pei Z, Hu F, Qin W, Zhao Y, Zhang X, Cong X, Liu C, Xu L. The relationship between living arrangements and depression among older adults in Shandong, China: The mediating role of social support. Front Psychiatry 2022; 13:896938. [PMID: 36451767 PMCID: PMC9701745 DOI: 10.3389/fpsyt.2022.896938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2022] [Accepted: 10/25/2022] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Living arrangements and social support have an impact on depression among older adults. However, the underlying mechanism between those variables remains unknown. This study aims to investigate the mediating role of social support in the relationship between living arrangements and depression among older adults. MATERIALS AND METHODS Multi-stage stratified sampling method was used to select 3,859 older adults from Taian City, Shandong Province, China, for cross-sectional investigation. Living arrangements were measured by a question. Social support and depression were measured using the Multidimensional Scale of Perceived Social Support and Patient Health Questionnaire-9. Multiple linear regression models were used to assess the relationship between living arrangements and depression and the possible influence of social support on the relationship between living arrangements and depression. RESULTS Statistics showed that 15.08% of older adults lived alone. After controlling for covariates, living arrangements (ß = 0.45, t = 2.87, P < 0.01) and social support (ß =-0.08, t =-16.93, P < 0.001) were significantly associated with depression. The linear regression model showed that social support mediated the relationship between living arrangements and depression, and the mediating effect accounted for 18.20% of the total effect. CONCLUSION This study revealed that living arrangements played an essential role in indirectly predicting depression in older adults through social support. This provided evidence for how to reduce depression in older adults.
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Affiliation(s)
- Zhongfei Pei
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Fangfang Hu
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Wenzhe Qin
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Yan Zhao
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Xiaohong Zhang
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Xinxia Cong
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Chuanli Liu
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
| | - Lingzhong Xu
- Centre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.,National Health Commission Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan, China.,Center for Health Economics Experiment and Public Policy Research, Shandong University, Jinan, China
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Stressful Life Events and Life Satisfaction among Chinese Older Adults: The Role of Coping Styles. Healthcare (Basel) 2021; 9:healthcare9121620. [PMID: 34946345 PMCID: PMC8701379 DOI: 10.3390/healthcare9121620] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2021] [Revised: 11/05/2021] [Accepted: 11/17/2021] [Indexed: 12/13/2022] Open
Abstract
This study aims to investigate the mediating effect of coping styles in the relationship between stressful life events and life satisfaction among Chinese older adults. To test the hypotheses, cross-sectional data (n = 8799) from the 2016 China Longitudinal Aging Social Survey (CLASS) were analyzed by Stata 15/SE in this study. Results indicated that stressful life events directly affected life satisfaction. Moreover, the association between stressful life events and life satisfaction was partially mediated by coping styles. This study had implications for the current body of knowledge and provided empirical evidence for social work practice and social policy.
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Zhang B, Lv X, Qiao M, Liu D. The Full Mediating Role of Loneliness on the Relationship Between Social Support and Depression Among Rural Family Caregivers of Persons With Severe Mental Illness. Front Public Health 2021; 9:729147. [PMID: 34778172 PMCID: PMC8580924 DOI: 10.3389/fpubh.2021.729147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2021] [Accepted: 09/30/2021] [Indexed: 11/13/2022] Open
Abstract
Objective: Depression is a common and overwhelming psychiatric disorder among family caregivers of persons with severe mental illness (SMI). The interrelationships among social support, loneliness, and depression, especially among this relatively vulnerable group, are poorly understood. The aim of the present study was to test the hypothesis that the social support contributes to the alleviation of depression, through its effect on reducing loneliness. Methods: A survey of 256 rural family caregivers of persons with SMI was conducted between December 2017 and May 2018 in Chengdu City, Sichuan Province, China. Social support, loneliness and depression were measured. A series of multiple linear regression models and bootstrapping procedure were performed to examine the mediating effects of loneliness on the association between social support as well as its components and depression. Results: The proportion of family caregivers of persons with SMI who reported significant depressive symptoms was 53.5%. Loneliness fully mediated the negative association between social support and depression. As to three components of social support, subjective support and objective support only had indirect associations with depression mediated by loneliness, while support utilization had both direct and indirect relationships with depression. Conclusion: The current study highlighted that social support and its three components may acted as protective factors by decreasing the feelings of loneliness, which created a beneficial effect on depression among family caregivers of persons with SMI.
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Affiliation(s)
- Baiyang Zhang
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Xin Lv
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Mutian Qiao
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
| | - Danping Liu
- West China School of Public Health and West China Fourth Hospital, Sichuan University, Chengdu, China
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30
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Peng C, Hayman LL, Mutchler JE, Burr JA. Friendship and Cognitive Functioning among Married and Widowed Chinese Older Adults. J Gerontol B Psychol Sci Soc Sci 2021; 77:567-576. [PMID: 34791248 DOI: 10.1093/geronb/gbab213] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVES Guided by the social convoy model, this study investigated the association between friendship and cognitive functioning among older Chinese adults, as well as the moderating effect of marital status (married vs. widowed). We also explored whether depression might account for the link between friendship and cognitive functioning. METHOD We used data from the China Longitudinal Aging Social Survey in 2014 (N = 8,482). Cognitive functioning was measured with the Mini-Mental State Examination instrument and friendship was assessed with a three-item Lubben Social Network Scale. Linear regression and path analyses within a structural equation modeling framework were performed to examine the hypotheses. RESULTS Results indicated that friendship was significantly related to better cognitive functioning among older Chinese adults (β = 0.083, p <.001) and marital status moderated this association (β = -0.058, p <.01). In addition, depression partially mediated the relationship between friendship and cognitive functioning (β = 0.015, p <.001). DISCUSSION The results implied that friendship is important for maintaining cognitive functioning in later life and widowed older Chinese adults may benefit more from friendship in its relationship to cognitive functioning than married older Chinese adults. Further, one potential pathway linking friendship to cognitive functioning may be through depression; however, more research is needed to support this finding. Intervention programs aimed at building friendship opportunities may be one way to achieve better cognitive aging.
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Affiliation(s)
- Changmin Peng
- Department of Gerontology, McCormack Graduate School of Public and Global Studies, University of Massachusetts Boston
| | - Laura L Hayman
- Department of Nursing, College of Nursing and Health Sciences, University of Massachusetts Boston
| | - Jan E Mutchler
- Department of Gerontology, McCormack Graduate School of Public and Global Studies, University of Massachusetts Boston
| | - Jeffrey A Burr
- Department of Gerontology, McCormack Graduate School of Public and Global Studies, University of Massachusetts Boston
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31
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Kazukauskiene N, Bunevicius A, Gecaite-Stonciene J, Burkauskas J. Fatigue, Social Support, and Depression in Individuals With Coronary Artery Disease. Front Psychol 2021; 12:732795. [PMID: 34744903 PMCID: PMC8565598 DOI: 10.3389/fpsyg.2021.732795] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Accepted: 09/28/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Given that approximately one-third of individuals with coronary artery disease (CAD) remain severely fatigued after completion the cardiac rehabilitation, it is necessary to identify reliable intervention targets aimed at reducing fatigue. Perceived social support is closely linked to health outcomes and depressive symptoms in individuals with CAD. However, to our knowledge, the relationship between subjective fatigue levels and social support in those with CAD has not been analyzed. Objective: We aimed to examine the associations between perceived social support and subjective fatigue levels in individuals with CAD with and without depression symptoms. Methods: This cross-sectional study was comprised of 1,036 participants with CAD (57±9years, 77% men) 1-2weeks after acute coronary syndrome (ACS). Participants completed the Hospital Anxiety and Depression scale (HADS), Multidimensional Fatigue Inventory-20 (MFI-20), and the Multidimensional Scale of Perceived Social Support (MSPSS). Results: In total, 12% (n=129) of study participants had elevated depression symptoms (HADS score≥8). In individuals with CAD and depressive symptoms, after adjustment for sex, age, New York Heart Association (NYHA) functional class, and anxiety, linear regression analyses showed significant inverse associations between higher social support from others and general, physical fatigue as well as reduced activity and motivation (p<0.001). Following the same method of statistical analysis and control in non-depressed individuals with CAD (88%), social support from family was inversely linked to mental fatigue (p's<0.05). Similarly, social support from friends was significantly associated with lower general, physical, and mental fatigue as well as reduced activity, while social support from others was significantly associated with lower general and mental fatigue (p's<0.001). The overall higher total support was linked with reduced motivation (p<0.05) in the depressed study participants, while there was lower general and mental fatigue (p<0.05) in non-depressed individuals. Conclusion: The results of this study suggest that fatigue and its features could be associated by the perceived social support in individuals with CAD following ACSs. While in individuals with CAD and depressive symptoms, greater subjective fatigue is associated with less perceived social support from others, higher levels of subjective fatigue in non-depressed individuals with CAD are significantly associated with reduced perceived social support from friends.
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Affiliation(s)
- Nijole Kazukauskiene
- Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, Lithuania
| | - Adomas Bunevicius
- Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, Lithuania
| | - Julija Gecaite-Stonciene
- Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, Lithuania
| | - Julius Burkauskas
- Laboratory of Behavioral Medicine, Neuroscience Institute, Lithuanian University of Health Sciences, Palanga, Lithuania
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Chang LC, Dattilo J, Hsieh PC, Huang FH. Relationships of leisure social support and flow with loneliness among nursing home residents during the COVID-19 pandemic: An age-based moderating model. Geriatr Nurs 2021; 42:1454-1460. [PMID: 34649103 PMCID: PMC8506142 DOI: 10.1016/j.gerinurse.2021.08.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2021] [Revised: 08/19/2021] [Accepted: 08/20/2021] [Indexed: 11/26/2022]
Abstract
Identifying predictors of loneliness is important to develop interventions that help older adults residing in nursing homes reduce their loneliness, particularly during the COVID-19 pandemic. Therefore, we examined whether leisure social support and flow (also identified as optimal experience) were predictive of loneliness, and whether age moderated the relationship between flow and loneliness. In total, 235 nursing home residents, aged 65 years or older, participated in our study. We conducted in-person surveys to measure their age, leisure social support, flow, and loneliness as well as used multiple linear regression analysis to analyze data. Results indicated that high levels of leisure social support and flow predicted low levels of loneliness. However, age decreased the negative relationship between flow and loneliness. We discuss implications of these results in terms of reducing loneliness, without depending highly on the presence of others, during times of social isolation associated with responses to the COVID-19 pandemic.
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Affiliation(s)
- Liang-Chih Chang
- Department of Living Sciences, National Open University, New Taipei City, Taiwan
| | - John Dattilo
- Department of Recreation, Park, and Tourism Management, The Pennsylvania State University, PA, USA
| | - Pei-Chun Hsieh
- Department of Recreation and Leisure Studies, Brock University, ON, Canada
| | - Fei-Hsin Huang
- Department of Tourism and Leisure, Lunghwa University of Science and Technology, Taoyuan City, Taiwan.
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Jiang C, Jiang S. Elder mistreatment and life satisfaction of older adults: mediating roles of emotional closeness with children and loneliness. J Elder Abuse Negl 2021; 33:351-367. [PMID: 34530689 DOI: 10.1080/08946566.2021.1980171] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
Elder mistreatment is a risk factor in the life satisfaction of older adults, yet understanding of its underlying mechanisms remains limited. This study investigates the mediating role of emotional closeness and loneliness in the association between elder mistreatment and life satisfaction. A sample of 8,717 Chinese older adults is obtained from the 2018 China Longitudinal Aging Social Survey. Results reveal that emotional mistreatment has a negative effect on the life satisfaction of older adults. Moreover, emotional mistreatment is associated with a low level of emotional closeness and a high degree of loneliness, which further decreases life satisfaction. However, emotional closeness with children did not significantly mediate the association between physical mistreatment and life satisfaction. This study advances the comprehension of the influencing path on how elder mistreatment affects the life satisfaction of older adults. Implications for policy and intervention programs are discussed.
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Affiliation(s)
- Chaoxin Jiang
- Department of Social Welfare and Risk Management, School of Public Affairs, Zhejiang University, Hangzhou, Zhejiang, China
| | - Shan Jiang
- Department of Sociology, Zhejiang University, Hangzhou, Zhejiang, China
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34
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Hernández-Padilla JM, Ruiz-Fernández MD, Granero-Molina J, Ortíz-Amo R, López Rodríguez MM, Fernández-Sola C. Perceived health, caregiver overload and perceived social support in family caregivers of patients with Alzheimer's: Gender differences. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:1001-1009. [PMID: 32783241 DOI: 10.1111/hsc.13134] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 05/28/2020] [Accepted: 07/22/2020] [Indexed: 06/11/2023]
Abstract
Perceived health in caregivers is related to caregiver burden, psychological well-being and social support. Women perceive poorer health and are more likely than men to experience caregiver overload. The objectives of this study were to analyse perceived health, perceived social support and caregiver overload in family caregivers of patients with Alzheimer's disease, as well as to study the effect of the perceived social support as a mediating variable between perceived health and caregiver overload was also analysed, taking into account the caregivers' gender. A cross-sectional descriptive design was used. The sample consisted of 255 family caregivers of individuals with Alzheimer's disease in the Almería Health District (Spain). This study was conducted from January to December 2015. The caregivers' mean age was 55.35 years (SD = 12.35), with 85.5% (n = 218) being women and 14.5% (n = 37) being men. The following questionnaires were administered: Goldberg's General Health Questionnaire-28; the Caregiver Strain Index, measuring caregiver overload; and the Duke-UNC-11 functional social support questionnaire. Poor perceived health, high caregiver overload and high perceived social support were found. Differences in perceived health and perceived social support were significantly higher in women than in men. In women, perceived social support was a mediating variable between perceived health and family caregiver overload. This mediation was not observed in men. This study suggests that perceived social support influences the emotional well-being and the caregiver overload of family caregivers of patients with Alzheimer's. However, its effect differs according to gender. It would, therefore, be necessary to have an in-depth understanding of the variables determining these differences in family caregivers.
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Affiliation(s)
- José Manuel Hernández-Padilla
- Department of Nursing Science, Physiotherapy and Medicine, University of Almeria, Almeria, Spain
- Adult, Child and Midwifery Department, School of Health and Education, Middlesex University, London, UK
| | | | - José Granero-Molina
- Department of Nursing Science, Physiotherapy and Medicine, University of Almeria, Almeria, Spain
- Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile
| | - Rocío Ortíz-Amo
- Department of Nursing Science, Physiotherapy and Medicine, University of Almeria, Almeria, Spain
| | | | - Cayetano Fernández-Sola
- Department of Nursing Science, Physiotherapy and Medicine, University of Almeria, Almeria, Spain
- Faculty of Health Sciences, Universidad Autónoma de Chile, Temuco, Chile
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Chen Q, Zhao W, Li Q, Sagi H. The influence of family therapy on psychological stress and social adaptability of depressed patients. Work 2021; 69:613-624. [PMID: 34120939 DOI: 10.3233/wor-213503] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND with the increase of study and life pressure, the number of depressed college students showed an increasing trend year by year, and the drug treatment alone could not achieve a comprehensive recovery of depression patients, so it was more necessary to pay attention to the spiritual treatment. OBJECTIVE this research aimed to better understand the relationship between college students' depression and life events, social support, psychological pressure, and coping style, and the influence of systematic family therapy on depression degree, psychological stress, and social adaptability of college students with depression. METHODS in this study, 105 college students with depression were selected as the research object, and healthy college students were taken as the control group. Through questionnaire, the differences in life events, social support, psychological stress, and coping styles between the groups were compared. The correlation between the degree of depression and various variables were analyzed, and the impact path of each variable on depression was analyzed using the path analysis model. Depression patients were then divided into a conventional group treating with conventional medications and an observation group treating with systematic family interventions. Differences in Hamilton Depression Scale-17, (HAMD-17), CPSS, and Social Adaptive Functioning Evaluation (SAFE) scores were compared and analyzed between the two groups before treatment (T1), during the treatment (T2), and after treatment(T3). RESULTS there were significant differences in scores of life events, social support, psychological stress, and coping styles between the healthy control group and the depressed patients (P < 0.05). There was an obvious correlation between different depression degrees and life events, social support, psychological stress, and coping styles (P < 0.05). Life events, social support, and psychological stress had a direct and significant impact on depression (0.250, 0.218, and 0.392; P < 0.05), and they also had an indirect and significant impact on depression through coping styles (P < 0.05). The systematic family treatment model could significantly reduce HAMD-17 and CPSS scores (P < 0.05), and significantly improve SAFE scores (P < 0.05). CONCLUSIONS adverse life events, lack of social support, excessive psychological stress, and negative coping styles can aggravate college students' depression. Systematic family therapy can improve the degree of depression, reduce the psychological stress, and enhance the social adaptability of college students with depression.
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Affiliation(s)
- Qinghua Chen
- School of Teacher Education, Hefei Normal University, Anhui, China
| | | | - Qun Li
- School of Teacher Education, Hefei Normal University, Anhui, China
| | - Harnof Sagi
- Department of Neurosurgery, Chaim Sheba Medical Center, Tel Hashomer, Israel
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Pinto G, Greenblatt-Kimron L, Marai I, Lorber A, Lowenstein A, Cohen M. The Role of Affect as a Mediator between Coping Resources and Heart Rate Variability among Older Adults. Exp Aging Res 2021; 48:136-149. [PMID: 34133261 DOI: 10.1080/0361073x.2021.1923326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Heart rate variability (HRV) has been suggested as an indicator of capacity to adapt effectively to physiological or environmental challenges and of physical and psychological health in old age. AIMS The study assessed levels of high-frequency HRV (HF-HRV) among older adults in relation to positive and negative affect and the mediating role of positive and negative affect in the association between coping resources (perceived social support and sense of mastery) and HF-HRV. METHOD Participants were 187 men and women in three assisted-living residences who were independent in activities of daily living (93.4% participation rate). The participants completed sense of mastery, multidimensional scale of perceived social support, and positive and negative affect questionnaires. HF-HRV was derived from electrocardiography data measured by a Holter monitoring device for 15 minutes. RESULTS The empirical model showed good fit indices indicating that higher HF-HRV was associated with lower negative affect, and negative affect mediated the association between perceived social support and HF-HRV. In addition, perceived social support and sense of mastery were associated with higher positive affect and lower negative affect. CONCLUSIONS Although this was a cross-sectional study, it suggests that HF-HRV may be a link between affect and health in old age. It also suggests the importance of identification and intervention with older adults and their support systems to reduce negative affect.
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Affiliation(s)
- Galit Pinto
- Department of Gerontology, University of Haifa, Haifa,Israel.,Geriatric Hospital Rehabilitation-Bait Balev, Nesher, Israel
| | | | - Ibrahim Marai
- Cardiovascular Department, Baruch Padeh Medical Center, Poriya, Israel and the Azrieli Faculty of Medicine, Bar Ilan University, Israel
| | - Avraham Lorber
- Pediatric Cardiology Rambam Health Care Campus, Haifa, Israel
| | | | - Miri Cohen
- School of Social Work, University of Haifa, Haifa, Israel
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Zamanian H, Amini-Tehrani M, Jalali Z, Daryaafzoon M, Ala S, Tabrizian S, Foroozanfar S. Perceived social support, coping strategies, anxiety and depression among women with breast cancer: Evaluation of a mediation model. Eur J Oncol Nurs 2021; 50:101892. [PMID: 33583690 DOI: 10.1016/j.ejon.2020.101892] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2020] [Revised: 12/21/2020] [Accepted: 12/21/2020] [Indexed: 12/24/2022]
Abstract
PURPOSE Depression and anxiety are now considered as common adverse reactions to cancer. Prior research has shown that social support and functional coping strategies alleviate depressive and anxious symptoms of cancer patients but the exact relationship between social support and coping strategies in amelioration of the symptoms is yet to be elaborated. METHODS The current study examined the relationship between social support, coping strategies and depressive-anxious symptomatology and explored the possible role of coping strategies in mediating the relationship between social support, depression and anxiety in Iranian breast cancer patients (N = 221). Anxiety and depressive symptoms were measured using the Depression-Anxiety-Stress (DASS-21) scale, social support was measured using the Medical Outcome Survey, Social Support Scale (MOSS-SSS), and coping strategies were measured using the brief COPE. RESULTS All of the social support subscales were negatively correlated with depression and anxiety. Most of the coping strategies were negatively correlated with depressive-anxious symptoms. When controlling for covariates, mediation analysis revealed that active coping, positive reframing and acceptance partially mediated the association of social support of different types with depression. Positive reframing also partially mediated the relationship of the total social support and positive social interactions with anxiety. CONCLUSIONS High levels of social support may relieve depressive and anxious symptoms of breast cancer patients through functional coping. The management of breast cancer patients should also focus on providing patients with social support and educating them on the practice of functional coping strategies.
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Affiliation(s)
- Hadi Zamanian
- Department of Health Education and Promotion, School of Health, Qom University of Medical Sciences, Qom, Iran; Health Psychology and Behavior Medicine Research Group, Students' Scientific Research center, Exceptional Talents Development Center, Tehran University of Medical Sciences, Tehran, Iran.
| | - Mohammadali Amini-Tehrani
- Department of Psychology, Faculty of Psychology and Education, University of Tehran, Tehran, Iran; Students' Scientific Research center, Exceptional Talents Development Center, Tehran University of Medical Sciences, Tehran, Iran.
| | - Zahra Jalali
- Connective Tissue Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
| | - Mona Daryaafzoon
- Department of Health Psychology, Karaj Branch, Islamic Azad University, Alborz, Iran.
| | - Sara Ala
- Students' Scientific Research center, Exceptional Talents Development Center, Tehran University of Medical Sciences, Tehran, Iran.
| | - Samira Tabrizian
- Students' Scientific Research center, Exceptional Talents Development Center, Tehran University of Medical Sciences, Tehran, Iran.
| | - Sahar Foroozanfar
- Department of Clinical Psychology, Karaj Branch, Islamic Azad University, Alborz, Iran.
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38
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Bai Z, Wang Z, Shao T, Qin X, Hu Z. Association between social capital and loneliness among older adults: a cross-sectional study in Anhui Province, China. BMC Geriatr 2021; 21:26. [PMID: 33413141 PMCID: PMC7791664 DOI: 10.1186/s12877-020-01973-2] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Accepted: 12/17/2020] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND We aimed to examine the association between social capital and loneliness in Anhui Province, China. METHODS Data were collected from a cross-sectional study using a multi-stage stratified cluster sampling strategy. Data on demographic characteristics, socioeconomic factors, social capital, and loneliness in 1810 older adults (aged 60 years and older) were used for analysis. Binary logistic regression models and a classification and regression tree model were performed to assess the association of social capital and loneliness. RESULTS Our results indicated that social capital in terms of lower level of social participation (AOR = 1.38; 95% CI: 1.10-1.74), social connection (AOR = 1.51; 95% CI: 1.18-1.93), and reciprocity (AOR = 1.47; 95% CI: 1.13-1.90) were associated with higher odds of developing loneliness. We noted the interactive effect of different social capital dimensions on loneliness, suggesting that the risk for suffering loneliness was greatest in older people limited in functional ability, with less trust, less social connection, and less social participation. CONCLUSIONS Our findings show that social capital is associated with loneliness in older adults. This implies that social capital, especially in terms of trust, social connection, and social participation may be significant for alleviating loneliness in later life.
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Affiliation(s)
- Zhongliang Bai
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, 230032, Anhui, China.,Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Zijing Wang
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Tiantai Shao
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Xia Qin
- Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, 230032, Anhui, China.
| | - Zhi Hu
- Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, 230032, Anhui, China. .,Department of Health Services Management, School of Health Services Management, Anhui Medical University, Hefei, 230032, Anhui, China.
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39
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Isik K, Başoğul C, Yildirim H. The relationship between perceived loneliness and depression in the elderly and influencing factors. Perspect Psychiatr Care 2021; 57:351-357. [PMID: 32627207 DOI: 10.1111/ppc.12572] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/29/2020] [Revised: 06/20/2020] [Accepted: 06/22/2020] [Indexed: 12/20/2022] Open
Abstract
PURPOSE This study was carried out to determine the relationship between perceived loneliness and depression in the elderly and influencing factors DESIGN AND METHODS: This cross-sectional descriptive study was conducted with 501 elderly. Data were collected with the questionnaire form, the elderly loneliness scale and the geriatric depression scale. FINDINGS A positive relationship was found between depression and loneliness. Loneliness, applying to a family health center/hospitalization, educational level, social loneliness, and age were found to be the predictors of depression. Depression, applying to a family health center/hospitalization, and marital status were found to be the predictors of loneliness. PRACTICAL IMPLICATIONS Loneliness is the major factor affecting depression in elderly. It is recommended that attempts should be made to enable the elderly to live more actively.
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Affiliation(s)
- Kevser Isik
- Department of Public Health Nursing, Faculty of Health Sciences, Kahramanmaraş Sütçü İmam University, Kahramanmaraş, Turkey
| | - Ceyda Başoğul
- Department of Psychiatric Nursing, Faculty of Health Sciences, Adiyaman University, Adiyaman, Turkey
| | - Hilal Yildirim
- Department of Public Health Nursing, Faculty of Nursing, Inonu University, Malatya, Turkey
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40
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Li J, Theng YL, Foo S. Play Mode Effect of Exergames on Subthreshold Depression Older Adults: A Randomized Pilot Trial. Front Psychol 2020; 11:552416. [PMID: 33192801 PMCID: PMC7649279 DOI: 10.3389/fpsyg.2020.552416] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 10/05/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND Subthreshold depression is a common mental disorder in late life. Increasing studies have supported the positive effects of exergames to subthreshold depression. The current study aims to investigate how play mode potentially affects exergames' effects on subthreshold depression among older adults. METHOD A between-group experiment was carried out to compare the effect of exergames with different play modes. Fifty-two Singaporean older adults with subthreshold depression were randomly assigned into two conditions, and performed either single-player or multiple-player Nintendo Wii Tennis exergames for 6 weeks, while the key variables of depression, social support and loneliness were measured at both pre- and post-study period. RESULTS Findings from path analysis suggested that older adults in multiple-player exergames experienced lower levels of loneliness, and further more reduction on subthreshold depression, when compared to those in single-player exergames. Although social support was not affected by play mode, the significant relationship among social support, loneliness, and depression was found in the context of exergaming. CONCLUSION This study not only provides additional insight into a possible causal association lining play mode and health outcomes of exergames, but also opens the discussion of how to optimize antidepressive effect of exergames for older adults.
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Affiliation(s)
- Jinhui Li
- School of Journalism and Communication, Jinan University, Guangzhou, China
- National Media Experimental Teaching Demonstration Center, Jinan University, Guangzhou, China
| | - Yin-Leng Theng
- Wee Kim Wee School of Communication and Information, College of Humanities, Arts, and Social Sciences, Nanyang Technological University, Singapore, Singapore
| | - Schubert Foo
- Wee Kim Wee School of Communication and Information, College of Humanities, Arts, and Social Sciences, Nanyang Technological University, Singapore, Singapore
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41
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Chen L, Guo W, Perez C. The Effect of Aging Attitudes on the Quality of Life of Older Adults in China. Res Aging 2020; 43:96-106. [DOI: 10.1177/0164027520948192] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
We use data from the 2014 China Longitudinal Aging Social Survey to examine the effect of attitudes toward aging on quality of life among older adults in China. We find that older people who experience psychosocial loss may be less satisfied with their life, and have more feelings of depression and loneliness. Compared to older women, older men have lower life satisfaction, and more depression and loneliness, though psychosocial loss has less of an effect on them. Older women who experience psychosocial loss are more likely to be dissatisfied with their life and feel more depressive and lonelier than their male counterparts. Among those who experience psychosocial loss, older people living in rural communities have a higher level of life satisfaction, while living in urban areas may counteract some of the positive impact of psychological growth on reducing the frequency of feeling depressed and lonely. Social policy can play a role in shaping constructive social/community environments to build more positive attitudes toward aging.
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Affiliation(s)
- Lijuan Chen
- Department of Law, College of Political Science and Law, Heze University, Shandong Province, People’s Republic of China
| | - Wei Guo
- School of Social and Behavioral Sciences, Department of Social Work and Social Policy, Nanjing University, Jiangsu Province, People’s Republic of China
- The Centre for Asia-Pacific Development Studies, Nanjing University, Jiangsu Province, People’s Republic of China
| | - Cristina Perez
- Department of Anthropology, Faculty of Social & Historical Sciences, University College London, United Kingdom
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42
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Liu J, Wei W, Peng Q, Xue C. What Can Buffer the Impact of Social Support on Chinese Older Adults' Life Satisfaction? J Appl Gerontol 2020; 40:1260-1271. [PMID: 32401120 DOI: 10.1177/0733464820917876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
This study aims to test the moderating effects of home health care, home-help service, and older adults' attitudes toward aging on the relationship between social support and life satisfaction among Chinese older adults. The study used a sample of 5,578 Chinese home-dwelling older adults. Multiple linear regression analyses were performed to test the hypothesized effects along with gender and Hukou type differences. The results show that home health care significantly buffers the impact of social support on life satisfaction, and this buffering effect remains same across gender groups and Hukou groups. The findings of the study provide unique and contemporary theoretical and practical implications.
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Affiliation(s)
- Juan Liu
- Wuxi Institute of Technology, China.,University of Missouri, Columbia, USA
| | - Wei Wei
- University of Central Florida, Orlando, USA
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43
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Lee J, Hong J, Zhou Y, Robles G. The Relationships between Loneliness, Social Support, and Resilience among Latinx Immigrants in the United States. CLINICAL SOCIAL WORK JOURNAL 2020; 48:99-109. [PMID: 33583968 PMCID: PMC7880232 DOI: 10.1007/s10615-019-00728-w] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
Globally, international migrants are at elevated risk for experiencing loneliness due to separation from social networks in their countries of origin. In the United States, the political rhetoric has been particularly exclusionary against Latinx immigrants, exposing them to discrimination and fear of deportation. Such environments may result in heightened levels of social isolation, which may contribute to greater risk of poor mental and physical health outcomes. Latinx immigrants, however, may access social support in their destination communities that buffers against these negative outcomes. This study sought to examine how social support and loneliness shape Latinx immigrants' abilities to address the challenges related to migration. Multivariate linear regression analyses were conducted with survey data collected from Latinx immigrants in New York City (n=306). Results revealed that Latinx immigrants with greater social support and less feelings of loneliness were more resilient. Specifically, findings suggest that social support may partially protect against the negative impact of isolation on Latinx immigrants' capacity to thrive. Clinical social workers who work with immigrant groups may consider how migration during the life course affects immigrants' social supports and experiences of loneliness. Social work interventions that integrate strategies to increase social support may provide opportunities to address social isolation and other obstacles associated with migration. Such approaches acknowledge loneliness not only as a psychological symptom, but also as a consequence of unfavorable social environments towards immigrant populations. Future research may develop and assess culturally relevant strategies to promote social support and reduce loneliness among marginalized immigrants.
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Affiliation(s)
- Jane Lee
- School of Social Work, University of Washington, Seattle, WA, USA
| | - Jeeyeon Hong
- School of Social Work, University of Washington, Seattle, WA, USA
| | - Yuanjin Zhou
- School of Social Work, University of Washington, Seattle, WA, USA
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44
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Chen L, Guo W, Perez C. Social Support and Life Satisfaction of Ethnic Minority Elderly in China. Int J Aging Hum Dev 2020; 92:301-321. [PMID: 31888341 DOI: 10.1177/0091415019896224] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
Previous studies indicate that Han and ethnic minority groups in China are not homogeneous. However, little research has examined potential heterogeneity in the association between social support and life satisfaction across Han and ethnic minority elderly. Based on data from the 2014 China Longitudinal Aging Social Survey, this study uses ordered logit models with interaction terms to examine the relationship between social support and the life satisfaction of ethnic minority elderly and of elderly Han Chinese. We find that support from families and friends has a stronger association with the life satisfaction of ethnic minority elderly than their Han peers. For ethnic minority elderly, the patterns of family support varied according to rural or urban residence, with family support being less important to the life satisfaction of ethnic minority elderly living in urban communities than in rural areas. Our findings suggest that social policy should take this heterogeneity between ethnic groups into account.
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Affiliation(s)
- Lijuan Chen
- 226510 Department of Law, College of Political Science and Law, Heze University, Shandong Province, P. R. China
| | - Wei Guo
- 12581 Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, Jiangsu Province, P. R. China.,The Centre for Asia-Pacific Development Studies, Nanjing University, Jiangsu Province, P. R. China
| | - Cristina Perez
- 4919 Department of Anthropology, Faculty of Social & Historical Sciences, University College London, London, UK
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Guo W, Chen L, Perez C. Economic Status, Family Dependence, and Health Outcomes of Older People in Western Rural China. JOURNAL OF GERONTOLOGICAL SOCIAL WORK 2019; 62:762-775. [PMID: 31594489 DOI: 10.1080/01634372.2019.1676860] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 09/30/2019] [Accepted: 10/02/2019] [Indexed: 06/10/2023]
Abstract
There is a deficiency in empirical knowledge on the physical and mental health of lower-income older people with weak family support in western rural China. To address this research gap, this article uses the data from the 2014 China Longitudinal Aging Social Survey to analyze the disadvantaged situation of older people in western rural China through a regional comparative analysis. Our sample consisted of 7,138 older adults aged 60 or older in eastern and western, rural and urban China. We find that lower personal income is significantly associated with poor physical and mental health. Economic support from families means more for older people when they have a disability related to activities of daily living in western rural China. Fostering stronger family support networks might improve the mental health status of older people in western rural China. Our study suggests a broader scope for the state to play a greater role in economic empowerment and in the development of policies to effectively meet the present and future needs of older people in western rural China or other countries with an imbalance in the distribution of the aging population and welfare resources.
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Affiliation(s)
- Wei Guo
- Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University , Nanjing , Jiangsu Province , P. R. China
- The Centre for Asia-Pacific Development Studies, Nanjing University , Nanjing , Jiangsu Province , P. R. China
| | - Lijuan Chen
- Department of Law, College of Political Science and Law, Heze University , Heze , Shandong Province , P. R. China
| | - Cristina Perez
- Department of Anthropology, Faculty of Social & Historical Sciences, University College London , London , UK
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