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Trică A, Golu F, Sava NI, Licu M, Zanfirescu ȘA, Adam R, David I. Resilience and successful aging: A systematic review and meta-analysis. Acta Psychol (Amst) 2024; 248:104357. [PMID: 38897094 DOI: 10.1016/j.actpsy.2024.104357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Revised: 05/21/2024] [Accepted: 06/12/2024] [Indexed: 06/21/2024] Open
Abstract
BACKGROUND This systematic review and meta-analysis investigates the relationship between successful aging (SA) and resilience in older adults, focusing on individuals aged 60 and above, to address a significant gap in understanding how resilience contributes to SA. METHODS Following the Cochrane review guidelines, we conducted searches in databases such as Web of Science, PsycNet, and PubMed up to December 2021 and used PRISMA as a tool for reporting the results. Our inclusion criteria were studies on psychological resilience and SA in older adults aged 60 and above. Exclusion criteria included studies on physical resilience, medical outcomes of SA, other indicators not used in screened studies (e.g., prevalence, means), populations with suicidal ideation or chronic/palliative illnesses, studies considering resilience as an indicator of SA, and qualitative studies on the association between resilience and SA. RESULTS A total of 21 studies were included and assessed for risk of bias using funnel plot and trim-and-fill methods. The meta-analysis revealed a medium effect size indicating a positive relationship between resilience and SA. However, high heterogeneity warrants a cautious interpretation of these results. No significant differences were found between older adults in the general population and those in retirement communities, nor were geographical variations (Asia, Europe, America) found to moderate this relationship. DISCUSSION The findings highlight the intrinsic link between older adults' attitudes towards aging, their subjective evaluations, and their level of psychological resilience. Resilience acts as a protective factor against psychological and physical adversities, underscoring the importance of resilience-enhancing strategies in interventions aimed at promoting SA. The conclusions drawn from this analysis should be approached with caution due to the heterogeneity of the included studies.
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Affiliation(s)
- Adrian Trică
- Department of Psychology and Cognitive Science, University of Bucharest, Romania.
| | - Florinda Golu
- Department of Psychology and Cognitive Science, University of Bucharest, Romania.
| | - Nicu Ionel Sava
- Department of Psychology and Cognitive Science, University of Bucharest, Romania
| | - Monica Licu
- Department of Ethics and Academic Integrity, Carol Davila University of Medicine and Pharmacy.
| | - Șerban A Zanfirescu
- Department of Psychology and Cognitive Science, University of Bucharest, Romania.
| | - Raluca Adam
- Department of Psychology and Cognitive Science, University of Bucharest, Romania
| | - Ioana David
- Department of Psychology and Cognitive Science, University of Bucharest, Romania.
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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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Delbari A, Akbarzadeh I, Saatchi M, Tabatabaei FS, Bidkhori M, Abolfathi Momtaz Y, Mohseni-Bandpey R, Hooshmand E. The Association of Social Support, Depression, and Loneliness with Health-Related Quality of Life in Over 50 Years Adults: Ardakan Cohort Study on Ageing (ACSA). Exp Aging Res 2023:1-14. [PMID: 37879966 DOI: 10.1080/0361073x.2023.2273164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 10/15/2023] [Indexed: 10/27/2023]
Abstract
BACKGROUND AND AIM Social factors play a crucial role in the quality of life of + 50 adults. This study aimed to investigate the association between social support, depression, and loneliness and the health-related quality of life in + 50 adults of Ardakan. METHODS This was a cross-sectional study from the first phase of Ardakan Cohort Study on Aging (ACSA) in 2019. Health-Related Quality of Life (HRQoL, SF-16), Duke Social Support Index (DSSI), and Center for Epidemiologic Studies Depression Scale (CES-D10) were used to assess the variables of interest. Multivariable linear regression was used to model the associated factors with the score of the SF-16 tool in two dimensions; physical (PCS) and mental (MCS). FINDINGS A total of 5197 over 50 years individuals included in this study; The mean age was 62.2 ± 7.3 years old, and 52% were male. The mean score for PCS and MCS subscales was 45.6 (95% CI 45.4 to 45.9) and 49.3 (95% CI 49.0 to 49.5), respectively. Adjusted for other variables, having less feeling level of loneliness, and not having depressive symptoms were related to better PCS and MCS scores. CONCLUSION The HRQoL for the mental aspect of HRQoL was better than the physical in elder populations. Also, much more focus should be paid to older adults who experience inadequate social support, higher levels of loneliness, and depressive symptoms.
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Affiliation(s)
- Ahmad Delbari
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Isa Akbarzadeh
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohammad Saatchi
- Department of Biostatistics and Epidemiology, School of Rehabilitation, University of Social Welfare and Rehabilitation Science, Tehran, Iran
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Fatemeh-Sadat Tabatabaei
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohammad Bidkhori
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Yadollah Abolfathi Momtaz
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Reza Mohseni-Bandpey
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Elham Hooshmand
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Yılmaz Koğar E, Koğar H. A Bifactor-ESEM Representation of the Multidimensional Scale of Perceived Social Support. Psychol Rep 2023:332941231206992. [PMID: 37860945 DOI: 10.1177/00332941231206992] [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: 10/21/2023]
Abstract
The aim of this study is to examine the factor structure of Turkish version of the Multidimensional Scale of Perceived Social Support (MSPSS) and to analyze its psychometric properties through the bifactor-ESEM framework. Using a convenience sample of 1124 Turkish adults, seven different models were tested. The results supported the superiority of a bifactor-ESEM solution that included three specific factors (family, friends, and significant others) and a general factor. In addition, bifactor indices showed that the general factor of MSPSS is not strong enough and its multidimensional structure is supported. For the bifactor-ESEM model, strict measurement invariance was achieved according to the gender variable. Our results supported convergent validity for the general and specific factors of the MSPSS, which were found to be associated with measures of distress, loneliness, and resilience. As a result, MSPSS is a valid and reliable measurement tool with its bifactor-ESEM model.
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Affiliation(s)
- Esin Yılmaz Koğar
- Faculty of Education, Niğde Ömer Halisdemir University, Niğde, Turkey
| | - Hakan Koğar
- Faculty of Education, Akdeniz University, Antalya, Turkey
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Zhang S, Wang X, Wang H. Exploring configurations of social determinants for enhancing older adult health in China: an fuzzy-set qualitative comparative analysis based on 31 provinces in China. Front Public Health 2023; 11:1255877. [PMID: 37854245 PMCID: PMC10579897 DOI: 10.3389/fpubh.2023.1255877] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 09/14/2023] [Indexed: 10/20/2023] Open
Abstract
With China's aging population on the rise, addressing population aging has become a national priority, particularly focusing on improving older adult health. This study employs the social determinants of health framework, considering China's unique macro-social, economic, policy, healthcare, and family cultural factors, to develop a framework for understanding the social determinants of health for older adult in China. Using the fsQCA method and a configurational perspective, the complex relationship between social determinants of health and older adult health status is examined. The findings indicate that individual social determinants alone are insufficient for achieving high levels of older adult health. Instead, three configurations of social determinants have been identified as conducive to high older adult health: Economic Development-Environment - Cultural Dominant Type, Socio-Economic Development - Older Adult Security - Environment - Cultural Dominant Type, and Economic Development Dominant Type. These configurations offer diverse pathways for enhancing older adult health. Conversely, the study identifies two configurations associated with low older adult health levels, exhibiting an asymmetric relationship with the configurations resulting in high older adult health levels. Moreover, economic development consistently emerges as a core condition across all three configurations associated with high older adult health levels, while two configurations associated with low older adult health lack this core condition. These findings underscore the universal contribution of enhancing economic development to improving older adult health.
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Affiliation(s)
- Songbiao Zhang
- School of Business, Hunan University of Science and Technology, Xiangtan, China
- Research Center for Regional High-quality Development, Xiangtan, China
| | - Xining Wang
- School of Business, Hunan University of Science and Technology, Xiangtan, China
| | - Huilin Wang
- School of Business, Hunan University of Science and Technology, Xiangtan, China
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Zhao D, Niu M, Zhang S, Shi Y, Zhou L, Song Y, Ma R, Wang P. Factors associated with adaptation level in the older adult residential care facilities: a path analysis. Front Public Health 2023; 11:1085399. [PMID: 37841703 PMCID: PMC10576623 DOI: 10.3389/fpubh.2023.1085399] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 08/15/2023] [Indexed: 10/17/2023] Open
Abstract
Background It has become very common for older adults to relocate to residential care facilities. Yet whether older adults adapt to life in a long-term care residential facility through perception, reflection, and conscious behavioral choices is a challenging social issue. Previous research has shown that adaptation is influenced by physical, mental, psychological, social systems, and other debris factors. However, existing knowledge is often based on unidirectional relationships between these factors and adaptation. Few studies have formally examined bivariate relationships between these factors, and the influence of adaptation between these factors internally remains unclear. Therefore, there is a need to examine the structural causality of adaptation in residential care facilities influenced by a combination of physical, emotional, social and psychological factors, life satisfaction, and social support. Methods The present cross-sectional study recruited older adults from three residential care facilities in Henan province, China, through convenience sampling. The Chinese Nursing Home Adjustment Scale (NHAS), Geriatric Depression Scale-15 (GDS-15) and Social Support Scale (SSRS), Satisfaction with Life Scale (SWLS), and Barthel Index were employed to measure the older adult' adjustment level, depression level, social support, satisfaction with life, and self-care ability of the BMC, respectively. The relationships between depression, social support, self-care, satisfaction with life, and adaptation were analyzed and a structural equation model was developed. Results A total of 210 participants completed the questionnaire. The model demonstrated an acceptable fit of the data. The results showed that the difference between life satisfaction and depression on the level of adaptation was 60 and 23%, respectively. Social support and life satisfaction had a positive direct effect on the level of adaptation, both showing a positive correlation with the level of adaptation. Depression, on the other hand, have a direct effect on the level of adaptation and showed a negative correlation with the level of adaptation. Self-care ability indirectly influenced adaptation mediated by social support. Conclusion Social support has a positive impact on both life satisfaction and depression, which in turn promotes adaptation. As a major source of social support, family members and nursing home staff in residential care facilities can enhance social support for older people through improved interaction, which can have a meaningful and positive impact on levels of adjustment. The model demonstrates the strengthening and weakening of social support, self-care, life satisfaction, and depression levels, which can help inform the development of relevant care health strategies for older people to promote levels of adjustment and improve quality of life.
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Affiliation(s)
- Di Zhao
- Department of Community Care, School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Meilan Niu
- Department of Pharmacology, Medical School of Huanghe Science and Technology University, Zhengzhou, Henan, China
| | - Shanfeng Zhang
- Experimental Center for Basic Medicine, Biochemistry and Molecular Biology, Zhengzhou University, Zhengzhou, Henan, China
| | - Yan Shi
- Department of Community Care, School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China
| | - Lin Zhou
- Henan Electric Power Hospital, Zhengzhou, Henan, China
| | - Yuxia Song
- Henan Electric Power Hospital, Zhengzhou, Henan, China
| | - Rui Ma
- College of Physical Education, Zhengzhou University, Zhengzhou, Henan, China
| | - Peng Wang
- Department of Community Care, School of Nursing and Health, Zhengzhou University, Zhengzhou, Henan, China
- Department of Pharmacology, Medical School of Huanghe Science and Technology University, Zhengzhou, Henan, China
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Zhang Z, Wang Z, Qiu Z. Unveiling the Evolution of Eldercare Facilities in Rural China: Tracing the Trajectory from Eldercare Support Pattern and Service to Facilities for the Aging Population. Healthcare (Basel) 2023; 11:2474. [PMID: 37761671 PMCID: PMC10531381 DOI: 10.3390/healthcare11182474] [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: 08/17/2023] [Accepted: 09/03/2023] [Indexed: 09/29/2023] Open
Abstract
The phenomenon of population aging in rural China presents a compelling societal challenge, necessitating a growing demand for both the quantity and quality of facilities supporting the needs of older people. However, a lack of comprehensive understanding concerning the underlying mechanisms that drive the emergence of these facilities, coupled with the distinctive historical backdrop and social development stage of the nation, engenders complexities in achieving sustainable rural eldercare services. This paper endeavors to comprehensively elucidate diverse eldercare facility types in rural China, delineating their intrinsic characteristics and prerequisites for construction. Additionally, the research delves into the political and economic contexts and advancements in healthcare and eldercare services, culminating in the formulation of an integrated framework that interconnects eldercare support patterns with the political landscape and public service provisions. The implications derived from this nuanced framework provide insightful reflections on significant historical transitions, intricacies faced by rural eldercare facilities, and strategic pathways for fostering future eldercare service delivery systems and allied facilities. The paper's findings furnish insights for bolstering the well-being of the aging population in rural China and lay a substantive foundation for addressing the evolving requisites of eldercare within this distinctive context.
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Affiliation(s)
- Ziqi Zhang
- School of Design, Shanghai Jiao Tong University, Shanghai 200240, China
| | - Zhu Wang
- Institute of Architectural Design and Theoretical Research, Zhejiang University, Hangzhou 310058, China
| | - Zhi Qiu
- Institute of Architectural Design and Theoretical Research, Zhejiang University, Hangzhou 310058, China
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Zhou J, Guo W, Ren H. Subjective social status and health among older adults in China: the longitudinal mediating role of social trust. BMC Public Health 2023; 23:630. [PMID: 37013502 PMCID: PMC10068244 DOI: 10.1186/s12889-023-15523-z] [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: 07/29/2022] [Accepted: 03/25/2023] [Indexed: 04/05/2023] Open
Abstract
BACKGROUND From a developmental perspective, this study explored the interplays between subjective social status (SSS), social trust (ST), and health status measured by self-rated health (SRH) among older adults in the context of China. It also tested the longitudinal mediation of ST between SSS and SRH. METHODS After excluding samples with missing values, we analyzed 4,877 individual responses from those aged 60 years or older, extracted from the China Family Panel Studies (CFPS) data in 2014, 2016, and 2018. We used latent growth modeling to test the hypothesized relationships among their SSS, ST, and SRH. RESULTS Latent growth modeling based on bootstrapping showed that the SSS, ST, and SRH of older adults all increased linearly and that the mechanism of SSS acted on the SRH as follows: the initial level of SSS indirectly influenced the initial level and the growth rate of the SRH, respectively, through the initial level of ST, and the initial level and growth rate of SSS played an indirect role in the growth rate of the SRH through the growth rate of ST. CONCLUSION The findings have practical implications for promoting health for older adults and realizing active aging in China. Therefore, we recommend establishing a family-centered and community-supported social support system for those with lower social status among older adults and a friendly community environment with various social, cultural, and recreational activities to improve the ST among older adults, thereby improving their health.
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Affiliation(s)
- Jingjing Zhou
- School of Sociology and Population Studies, Nanjing University of Posts and Telecommunications, Jiangsu Province, Nanjing, 210023, People's Republic of China
| | - Wei Guo
- Department of Social Work and Social Policy, School of Social and Behavioral Sciences, Nanjing University, Jiangsu Province, Nanjing, 210023, People's Republic of China.
- The Centre for Asia-Pacific Development Studies, Nanjing University, Jiangsu Province, Nanjing, 210023, People's Republic of China.
| | - Hang Ren
- Institute of Population Studies, Nanjing University of Posts and Telecommunications, Nanjing, 210042, People's Republic of China
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Ma C. Impact of Social Support on Physical Activity in Adults With Heart Failure: The Mediating Effect of Resilience. Clin Nurs Res 2023; 32:660-668. [PMID: 36217961 DOI: 10.1177/10547738221128700] [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]
Abstract
This study aimed to evaluate the impact of resilience and social support on physical activity in adults with heart failure (HF) and to explore the mediating effect of resilience on the relationship between social support and physical activity. A cross-sectional study was conducted with 197 adults with HF (n = 197) from two outpatient departments for cardiovascular diseases. Resilience was assessed using the Connor-Davidson Resilience Scale, social support using the Social Support Rating Scale, and physical activity using the short form of the International Physical Activity Questionnaire. Social support and resilience were significantly associated with physical activity in adults with HF. Resilience partially mediated the relationship between social support and physical activity, and the mediating effect accounted for 25.93% of the total effect of social support on physical activity. These findings contribute to the development of tailored interventions by targeting these two factors to increase physical activity levels in adults with HF.
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Affiliation(s)
- Chunhua Ma
- School of Nursing, Guangzhou Medical University, Guangzhou, China
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Lai DWL, Li J. Personality and health-related quality of life (HRQoL) of Hong Kong Chinese older people: resilience as a mediator and financial status as a moderator. Aging Ment Health 2022; 26:2424-2431. [PMID: 34904489 DOI: 10.1080/13607863.2021.2000936] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
Objectives: Personality can influence older adults' health and quality of life. However, the pathways are relatively less examined. This study aimed to understand the mediating effect of resilience in the relationship between two personality traits-neuroticism and extraversion-and Hong Kong Chinese older adults' health-related quality of life (HRQoL). Whether such effect varied across older adults in different financial conditions were also examined. Method: A purposive non-probability sample of 253 Hong Kong Chinese older adults aged 60 and above was recruited for a face-to-face questionnaire survey. Neuroticism and extraversion were measured using the subscales form the Big Five Inventory (BFI). Resilience was measured by the 10-item Connor-Davidson Resilience Scale (CD-RISC). HRQoL was measured by the short-form 8 (SF- 8). Path analysis was conducted to examine the relationship between key variables. Multi-group path analysis was also performed to investigate whether the pathways differed by financial status. Indirect effects were computed in the path analyses to detect the mediatory role of resilience between personalities and HRQoL.Results: The findings included that after controlling for confounders, neuroticism, but not extraversion was significantly associated with HRQoL. The relationships were mediated by resilience. Moreover, the mediating role of resilience is more pronounced among the participants who live in a financially poor or fair condition, comparing to their wealthier peers.Conclusion: This study confirmed the important role of personality in shaping older adults' resilience and quality of life. Personality should be kept in mind in the identification of potential vulnerable groups for interventions, especially those in financial hardships who may face double disadvantages.
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Affiliation(s)
- Daniel W L Lai
- Faculty of Social Sciences, Hong Kong Baptist University, Kowloon Tong, Hong Kong
| | - Jia Li
- School of Public Health and Primary Care, The Chinese University of Hong Kong, Shatin, Hong Kong
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Wickramasinghe A, Gamage M, Torabi MR, Perera B. Impact of perceived social support and physical fitness on quality of life of institutionalized and non-institutionalized older adults in Sri Lanka. DIALOGUES IN HEALTH 2022; 1:100079. [PMID: 38515873 PMCID: PMC10953875 DOI: 10.1016/j.dialog.2022.100079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 11/09/2022] [Accepted: 11/10/2022] [Indexed: 03/23/2024]
Abstract
Background and aim Quality of life (QoL) in old age contributes to enhance active aging. This study aimed to assess and compare QoL and associated factors of institutionalized and non-institutionalized older adults (aged 60+ years) in Southern Sri Lanka. Methods A total of 160 older adults (80 institutionalized and 80 non-institutionalized) were surveyed. Physical and cognitive skills were measured using Barthel index, and Mini Mental State Examination scales. Nutritional status and perceived social support were measured using Mini Nutritional Assessment and Multidimensional Scale of Perceived Social Support. Descriptive statistics and multiple regression techniques were used in the analysis. Results The mean age of the institutionalized older adults was higher than that of non-institutionalized older adults (74.9 years versus 72.1 years, p < 0.01). About half of the sample consisted of older men (48.8%). Economically under privileged older adults who were unmarried were more likely to become institutionalized. The mean value of the QoL score was higher in non-institutionalized older adults compared to that of institutionalized older adults (63.1 (SD = 21.9) versus 49.1 (SD = 25.6), p < 0.05). Activities of daily living (ẞ=-0.46, p < 0.01) and perceived social support (ẞ=-0.20, p < 0.05) were found to be significant determinants of QoL of institutionalized older adults while activities of daily living (ẞ=-0.28, p < 0.05) and nutritional status (ẞ=-0.27, p < 0.05) were found to be significant determinants of QoL of non-institutionalized older adults. Cognitive impairments was not a significant determinant of QoL in both institutionalized and non-institutionalized older adults. Conclusions Promotion of physically active life style especially among young older adults to maintain their independence as they age and improvements of social support and social connectedness among older adults would be practical and cost-effective strategies to promote active aging in Sri Lankan older adults.
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Affiliation(s)
- Anuradha Wickramasinghe
- Department of Nursing, Faculty of Allied Health Sciences, University of Ruhuna, Galle, Sri Lanka
| | - Madushika Gamage
- Department of Nursing, Faculty of Allied Health Sciences, University of Ruhuna, Galle, Sri Lanka
| | - Mohammad R. Torabi
- School of Public Health – Bloomington, Indiana University, IN 47405, USA
| | - Bilesha Perera
- Department of Community Medicine, Faculty of Medicine, University of Ruhuna, Galle, Sri Lanka
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Chi YC, Wu CL, Liu HT. Assessing Quality of Life with Community Dwelling Elderly Adults: A Mass Survey in Taiwan. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph192214621. [PMID: 36429340 PMCID: PMC9690335 DOI: 10.3390/ijerph192214621] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 11/02/2022] [Accepted: 11/05/2022] [Indexed: 06/07/2023]
Abstract
BACKGROUND With the growing life expectancy for older adults, this study aims to examine the correlation among sociodemographic characteristics and the combined effect of QoL-related domains including physical health, psychological health, social relationships, and environmental factors with the overall QoL level of older adults in Taiwan. METHODS The WHOQOL-BREF Taiwanese Version questionnaire was adopted and conducted using a randomized telephone interview system from community household elders. In total, 1078 participants aged 65 years and older were recruited. A multiple regression model was used to examine the statistical significance between the overall QoL score as the dependent variable and the sociodemographic characteristics, and 26 items of QoL-related questionnaires as the independent variables. RESULTS Categories including female, aged 85 years and above, higher education level, and better financial situation had significantly higher overall QoL level. Except the physical health domain and six items, the correlations among all other domains and their including items of questionnaires with overall QoL level were significant. CONCLUSION The Taiwanese WHOQOL-BREF questionnaire can be used to examine the overall QoL level of elders in Taiwan. Nevertheless, the robust systems of universal health care and long-term care in Taiwan may have led to the no significance of the six items.
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Affiliation(s)
- Ying-Chen Chi
- Department of Healthcare Information and Management, Ming Chuan University, 5 De Ming Rd., Gui Shan District, Taoyuan City 333, Taiwan
| | - Chen-Long Wu
- Department of Healthcare Information and Management, Ming Chuan University, 5 De Ming Rd., Gui Shan District, Taoyuan City 333, Taiwan
- Department of Pediatrics, Taipei City Hospital, No.145, Zhengzhou Rd., Datong Dist., Taipei City 103, Taiwan
| | - Hsiang-Te Liu
- Department of Public Affairs and Administration, Ming Chuan University, 5 De Ming Rd., Gui Shan District, Taoyuan City 333, Taiwan
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Li M, Ao Y, Deng S, Peng P, Chen S, Wang T, Martek I, Bahmani H. A Scoping Literature Review of Rural Institutional Elder Care. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191610319. [PMID: 36011954 PMCID: PMC9408389 DOI: 10.3390/ijerph191610319] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/20/2022] [Revised: 08/11/2022] [Accepted: 08/15/2022] [Indexed: 05/31/2023]
Abstract
Under circumstances of pervasive global aging combined with weakened traditional family elder care, an incremental demand for institutional elder care is generated. This has led to a surge in research regarding institutional elder care. Rural residents' institutional elder care is receiving more attention as a major theme in social sciences and humanities research. Based on 94 articles related to rural institutional elder care, this study identified the most influential articles, journals and countries in rural institutional elder care research since 1995. This was done using science mapping methods through a three-step workflow consisting of bibliometric retrieval, scoping analysis and qualitative discussion. Keywords revealed five research mainstreams in this field: (1) the cognition and mental state of aged populations, (2) the nursing quality and service supply of aged care institutions, (3) the aged care management systems' establishment and improvements, (4) the risk factors of admission and discharge of aged care institutions, and (5) deathbed matters regarding the aged population. A qualitative discussion is also provided for 39 urban and rural comparative research papers and 55 pure rural research papers, summarizing the current research progress status regarding institutional elder care systems in rural areas. Gaps within existing research are also identified to indicate future research trends (such as the multi-dimensional and in-depth comparative research on institutional elder care, new rural institutional elder care model and technology, and correlative policy planning and development), which provides a multi-disciplinary guide for future research.
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Affiliation(s)
- Mingyang Li
- College of Management Science, Chengdu University of Technology, Chengdu 610059, China
| | - Yibin Ao
- College of Management Science, Chengdu University of Technology, Chengdu 610059, China
- College of Environment and Civil Engineering, Chengdu University of Technology, Chengdu 610059, China
| | - Shulin Deng
- College of Environment and Civil Engineering, Chengdu University of Technology, Chengdu 610059, China
| | - Panyu Peng
- College of Environment and Civil Engineering, Chengdu University of Technology, Chengdu 610059, China
| | - Shuangzhou Chen
- Department of Social Work and Social Administration, Faculty of Social Sciences, The University of Hong Kong, Hong Kong, China
| | - Tong Wang
- Faculty of Architecture and Built Environment, Delft University of Technology, 2628 CD Delft, The Netherlands
| | - Igor Martek
- School of Architecture and Built Environment, Deakin University, Geelong 3220, Australia
| | - Homa Bahmani
- College of Environment and Civil Engineering, Chengdu University of Technology, Chengdu 610059, China
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14
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Abstract
BACKGROUND Depressive symptoms predict hospitalization and mortality in adults with cardiac disease. Resilience, defined as a dynamic process of positively responding to adversity, could protect against depressive symptoms in cardiac disease. No systematic review has been conducted on the relationship between these variables in this population. OBJECTIVE The aim of this review was to explore the association between psychological resilience and depressive symptoms in adults with cardiac disease. METHODS Seven databases (PubMed, EMBASE, CINAHL, PsycInfo, Web of Science, SCOPUS, and Cochrane) were searched from inception to December 2019 using the search terms "cardiac disease," "depressive symptoms," "depression," and "resilience." Inclusion criteria dictated that studies reported original research on the association between resilience and depressive symptoms in adults with a cardiac disease broadly defined. Quality ratings were performed by 2 independent raters. RESULTS We identified 13 studies for final review. Study sample sizes ranged from 30 to 1022 participants, average age ranged from 52 to 72 years, and all studies had majority male participants (64%-100%). Resilience and depressive symptoms were inversely related in 10 of 13 studies. The 3 studies with poor-quality sampling techniques or significant loss to follow-up found no relationship. CONCLUSIONS Resilience seems to protect against depression in adults with cardiac disease. Gaps in the literature include poor understanding of the direction of causality. Methods of promoting resilience need to be identified and studied.
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15
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PINEDA CN, NAZ MP, ORTIZ A, OUANO EL, PADUA NP, PARONABLE JJ, PELAYO JM, Regalado MC, TORRES GCS. Resilience, Social Support, Loneliness and Quality of Life during COVID-19 Pandemic: A Structural Equation Model. Nurse Educ Pract 2022; 64:103419. [PMID: 35952471 PMCID: PMC9301165 DOI: 10.1016/j.nepr.2022.103419] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2022] [Revised: 06/28/2022] [Accepted: 07/18/2022] [Indexed: 11/26/2022]
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16
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Zhou K, Ning F, Wang X, Wang W, Han D, Li X. Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study. BMC Womens Health 2022; 22:198. [PMID: 35643446 PMCID: PMC9148478 DOI: 10.1186/s12905-022-01783-1] [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: 09/15/2021] [Accepted: 05/19/2022] [Indexed: 11/16/2022] Open
Abstract
Background Breast cancer may impair health-related quality of life (HRQoL). We examined the mediating roles of perceived social support (PSS) and coping style (CS) in the relationship between resilience and HRQoL in newly diagnosed breast cancer patients. Methods Following a cross-sectional design, 431 patients completed a survey at two hospitals in Shaanxi Province, China. Four validated self-report measures assessed HRQoL, psychological resilience, PSS, and CS. A one-sample t-test analyzed differences between resilience, PSS, and CS in breast cancer patients and the corresponding norm. Multivariate linear regression analyzed the independent predictors of HRQoL. The mediating roles of PSS and CS between resilience and HRQoL were investigated using structural equation modeling (SEM). Results Participants had significantly lower scores for resilience and PSS, and higher scores for the avoidance and resignation CSs than their corresponding norm. SEM analysis showed resilience had significant direct effects on PSS (Bs: 0.59, 95% CI 0.49, 0.68, P = 0.003), CS (confrontation: 0.53 (0.44, 0.62), P = 0.001; resignation: − 0.66 (− 0.74, − 0.57), P = 0.002), and HRQoL (Bs range from 0.44 to 0.63, P < 0.05). Resilience had significant indirect effects (Bs range from 0.09 to 0.27), and PSS and CS had significant direct effects on HRQoL (P < 0.05). Conclusions Newly diagnosed breast cancer patients had lower resilience and PSS, and higher negative CSs, suggesting that PSS and CS mediated the influence of resilience on HRQoL. A multimodal intervention program focusing on PSS and CS might improve the positive influences of resilience on HRQoL in breast cancer patients.
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Affiliation(s)
- Kaina Zhou
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Fan Ning
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Xiao Wang
- Surgical Breast Cancer Department, The Tumor Hospital of Shaanxi Province, No. 309 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Wen Wang
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Dongfang Han
- Gynecology Department, The First Affiliated Hospital of Xi'an Jiaotong University, No. 277 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Xiaomei Li
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yanta West Road, Xi'an, 710061, Shaanxi, China.
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17
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Karadaş A, Duran S. The effect of social support on work stress in health workers during the pandemic: The mediation role of resilience. JOURNAL OF COMMUNITY PSYCHOLOGY 2022; 50:1640-1649. [PMID: 34735718 PMCID: PMC8657313 DOI: 10.1002/jcop.22742] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/25/2021] [Accepted: 10/25/2021] [Indexed: 05/07/2023]
Abstract
Stressful experiences commonly increase among health workers during the coronavirus disease 2019 (COVID-19) pandemic. From this perspective, this study primarily aimed to examine the mediating role of resilience in the effect of perceived social support on work stress among health workers. The sample of the study consisted of 402 health workers. In the research, the "General Work Stress Scale," "Brief Resiliency Scale," and "Multidimensional Scale of Perceived Social Support" were used. There was a statistically significant negative correlation between work stress and social support (r = -0.223, p = 0.00) and resilience (r = -0.432, p = 0.00), and a statistically significant positive correlation between social support and resilience (r = 0.226, p = 0.00). Resilience mediates the relationship between perception of social support and work stress. When planning effective intervention strategies, it will be critical to reduce the risk of adverse mental health outcomes in health workers, who are fighting against the COVID-19 pandemic, by increasing social support and resilience and reducing work stress.
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Affiliation(s)
- Ayşe Karadaş
- Department of Nursing Management, Faculty of Health SciencesBalikesir UniversityBalıkesirTurkey
| | - Songül Duran
- Department of Elderly, Care ProgramDemokrasi UniversityİzmirTurkey
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18
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Vitman-Schorr A, Khalaila R. Utilization of ADCCs and quality of life among older adults: ethno-regional disparities in Israel. BMC Geriatr 2022; 22:18. [PMID: 34979954 PMCID: PMC8722010 DOI: 10.1186/s12877-021-02674-0] [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: 05/30/2021] [Accepted: 11/26/2021] [Indexed: 11/19/2022] Open
Abstract
Background Adult day care centers (ADCCs) are a common service provided for frail older adults in the community. We examined the influence of older adults’ utilization of ADCC’s on their quality of life (QoL), and whether ethno-regional disparities are factors in the gaps found concerning QoL in different regions and between different ethnic groups. Methods Cross sectional data were collected through structured interviews with 360 older adults attending ADCCs. Participants represented three ethnic groups and three regions in Israel. QoL was assessed by SF-36 questionnaire. Results The results revealed a positive correlation between weekly hours at the ADCC, satisfaction with attending ADCC, and QoL. Older adults living in the central region had higher QoL than those living in the southern and northern regions. Veteran Israeli Jews reported higher QoL than FSU immigrants Israeli Arabs in all regions. Connection to one’s residential area was also correlated with QoL. A significant moderating effect of the interaction (ethnicity*area of residence) on QoL was also revealed. Conclusions Attending ADCC is a vital community services to promote QoL in later life. Gaps in ADCC utilization between ethnic groups and residential region may cause disparities in QoL, specifically, in minority groups and those living in peripheral regions. Service providers should minimize the disparities by improving accessibility and availability for each person regardless of ethnicity and region of residence.
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Affiliation(s)
- Adi Vitman-Schorr
- Shamir Research Institute, University of Haifa, Israel, 1290000, Kazrin, Israel.
| | - Rabia Khalaila
- Zefat Academic College, 11 Jerusalem St., P.O.B. 160, 13206, Zefat, Israel
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19
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Moderating effect of psychological resilience on the perceived social support and loneliness in the left-behind elderly in rural areas†. FRONTIERS OF NURSING 2021. [DOI: 10.2478/fon-2021-0035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Abstract
Objective
To investigate the loneliness and psychological resilience with the perceived social support of the left-behind elderly in rural areas and explore the moderating effect of psychological resilience on the understanding of social support and loneliness of the left-behind elderly in rural areas.
Methods
A cross-sectional study was conducted; 272 left-behind elderly people in 6 rural villages in the Sichuan Province were investigated by using the General Situation Questionnaire, Perceived Social Support Scale (PSSS), Connor-Davidson Resilience Scale (CD-RISC), and the University of California at Los Angeles Loneliness Scale (UCLA) with a stratified random cluster sampling method.
Results
The loneliness score of the left-behind elderly in rural areas was 52.54 ± 7.25, the psychological resilience score was 78 (68.87), and the perceived social support score was 57 (51.62). The perceived social support and psychological resilience were negatively correlated with loneliness, while the perceived social support was positively correlated with psychological resilience. The moderating effect of psychological resilience on the perceived social support and loneliness of the left-behind elderly in rural areas was −0.102 (P < 0.001).
Conclusions
Higher level resilience is of positive significance to alleviate the negative effect of social support on loneliness. Improving the resilience of the left-behind elderly in rural areas is a beneficial exploration to promote their mental health.
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20
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Qiao L, Ding S, Zhong Z, Liu X, Lai L, Zheng F. Association Between Social Support and Medication Literacy in Chinese Patients With Coronary Heart Disease. Front Cardiovasc Med 2021; 8:705783. [PMID: 34901201 PMCID: PMC8655157 DOI: 10.3389/fcvm.2021.705783] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 10/22/2021] [Indexed: 11/13/2022] Open
Abstract
Background: The level of medication literacy is very important to control symptoms and improve the prognosis of patients with coronary heart disease (CHD). The positive role of social support is able to promote patient health outcomes. However, few studies have addressed the association between social support and medication literacy in patients with CHD. The purpose of this study is to investigate the status of medication literacy and social support, and confirm the association between them in patients with CHD. Methods: This cross-sectional study investigated 416 participants, and was conducted in a grade a hospital in China. Three different survey instruments were applied: The Demographic Characteristics Questionnaire, the Chinese Version of the Medication Literacy Scale, and the Social Support Rating Scale. Pearson correlation analysis and ordinal logistic regression analysis were performed to analyze data. Results: The results showed that the mean score of medication literacy among the 416 participants was 4.96 ± 4.68, 48.8% (203) participants with inadequate medication literacy. The independent determinants of medication literacy include gender, education level, course of disease, number of medicines, and subjective support in social support. The mean score of social support was 41.05 ± 6.16. The Pearson correlation analysis indicated that social support was positively correlated with medication literacy (r = 0.398, P < 0.01). Conclusion: The study shows that the level of medication literacy and social support for patients with CHD are inadequate. Social support levels could have a positive effect on medication literacy of patients.
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Affiliation(s)
- Li Qiao
- Department of Nursing, The Third Xiangya Hospital of Central South University, Xiangya School of Nursing, Central South University, Changsha, China
| | - Siqing Ding
- Department of Nursing, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Zhuqing Zhong
- Department of Nursing, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Xiaoqing Liu
- Department of Nursing, The Third Xiangya Hospital of Central South University, Xiangya School of Nursing, Central South University, Changsha, China
| | - Lin Lai
- Department of Nursing, The Third Xiangya Hospital of Central South University, Changsha, China
| | - Feng Zheng
- Department of Cardiology, The Third Xiangya Hospital of Central South University, Changsha, China
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21
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Wang R, Yang Y, Li Y, Liu Y, Zhao X, Jia J, Su Y. Social support moderates suicidal ideation among Chinese nursing home residents with limited activities of daily living and loneliness. Arch Psychiatr Nurs 2021; 35:638-644. [PMID: 34861957 DOI: 10.1016/j.apnu.2021.07.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Revised: 07/09/2021] [Accepted: 07/11/2021] [Indexed: 01/03/2023]
Abstract
Rare studies are available exploring the impact of limited activities of daily living (ADL), loneliness on suicidal ideation, and protective effect of social support on their relationships in nursing home residents. This study aims to examine these links in a sample of older adults from nursing homes. A stratified random sampling was adopted to recruit 538 respondents from 37 nursing homes in Jinan. Suicidal ideation, limited ADL, social support and loneliness were assessed through instruments of Beck Suicidal Ideation Scale, ADL scale, Perceived Social Support Scale and UCLA Loneliness Scale. Relationships of latent variables were tested using Path Analysis in this cross-sectional study. The mediating effect of loneliness was significant on the association between limited ADL and suicidal ideation, and the mediation model was multiply moderated by social support with significant coefficients and acceptable model fitness. This study demonstrated the multiple moderating role of social support in the effect of limited ADL and loneliness on suicidal ideation among nursing home residents. More efforts are suggested in providing more available external resources to seniors' mental health for reducing risk of influencing factors of suicidal ideation.
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Affiliation(s)
- Rui Wang
- School of Nursing and Rehabilitation, Shandong University, 250012 Jinan, Shandong, China
| | - Yang Yang
- School of Nursing and Rehabilitation, Shandong University, 250012 Jinan, Shandong, China
| | - Yanwen Li
- Shandong Academy of Social Sciences, 250012 Jinan, Shandong, China
| | - Yanzheng Liu
- Department of Research, Qilu Hospital, Cheeloo College of Medicine, Shandong University, 250012 Jinan, Shandong, China
| | - Xia Zhao
- Department of Health Management, Heze Medical College, 274000 Heze, Shandong, China
| | - Jihui Jia
- School of Basic Medical Sciences, Shandong University, 250012 Jinan, Shandong, China
| | - Yonggang Su
- School of Foreign Languages and Literature, Shandong University, 250012 Jinan, Shandong, China; School of Basic Medical Sciences, Shandong University, 250012 Jinan, Shandong, China.
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22
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Perceived social support, resilience and health self-efficacy among migrant older adults: A moderated mediation analysis. Geriatr Nurs 2021; 42:1577-1582. [PMID: 34768149 DOI: 10.1016/j.gerinurse.2021.10.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 10/16/2021] [Accepted: 10/19/2021] [Indexed: 11/21/2022]
Abstract
Migrant older adults become more disadvantaged in health due to aging and migration-related problems. This study aimed to examine the mediating role of resilience in the relationship between perceived social support and health self-efficacy, and to test whether gender moderated the mediating effect of resilience between perceived social support and health self-efficacy among migrant older adults. A total of 184 migrant older adults were recruited from five communities. Resilience played a partial mediating role in the relationship between perceived social support and health self-efficacy. Moreover, age moderated the relationship between resilience and health self-efficacy. The relationship between resilience and health self-efficacy was stronger in male older adults than female ones. These findings provide a better understanding of the effects of perceived social support and resilience on health self-efficacy, which could guide targeted interventions for community health nurses to promote health self-efficacy among migrant older adults.
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23
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Zhao X, Si H. Loneliness and frailty among nursing home older adults: the multiple mediating role of social support and resilience. Psychogeriatrics 2021; 21:902-909. [PMID: 34544206 DOI: 10.1111/psyg.12765] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 08/23/2021] [Accepted: 09/07/2021] [Indexed: 12/20/2022]
Abstract
BACKGROUND Loneliness has been considered as a risk factor for frailty. Social support (as an external protective resource) and resilience (as an inner protective resource) might play protective roles on the association between loneliness and frailty. In this study, the mediating roles of social support and resilience between loneliness and frailty were explored among older adults living in nursing homes. METHODS Older adults (N = 210) from three nursing homes in China were recruited in this cross-sectional study. Information for sociodemographic variables, frailty, loneliness, social support and resilience were collected. The bootstrap analyses by PROCESS macro were conducted to test the multiple mediating role of social support and resilience between loneliness and frailty. RESULTS The prevalence of frailty was 34.8% among older adults in nursing homes. Also, social support and resilience mediated the association between loneliness and frailty, respectively. Furthermore, the multiple mediating testing results showed that social support and resilience played sequential mediating roles in the link of loneliness to frailty. CONCLUSIONS The findings underscore the protective role of social support and resilience of loneliness and frailty among nursing home older adults.
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Affiliation(s)
- Xia Zhao
- Department of Health Management, Heze Medical College, Heze, China
| | - Huaxin Si
- School of Nursing, Peking University, Beijing, China
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24
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Li S, Cui G, Yin Y, Wang S, Liu X, Chen L. Health-promoting behaviors mediate the relationship between eHealth literacy and health-related quality of life among Chinese older adults: a cross-sectional study. Qual Life Res 2021; 30:2235-2243. [PMID: 33661455 PMCID: PMC8298362 DOI: 10.1007/s11136-021-02797-2] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/12/2021] [Indexed: 12/17/2022]
Abstract
PURPOSE The aim of this study was to examine the association between eHealth literacy and health-related quality of life (HRQoL) and explore whether health-promoting behaviors mediate the association between eHealth literacy and HRQoL among Chinese older adults. METHODS An anonymous cross-sectional survey was conducted among 2300 adults aged 60 or older from Jinan, China. The eHealth Literacy Scale, Short-Form Health-Promoting Lifestyle Profile, and Short-Form Health Survey (SF-12) were used to measure eHealth literacy, health-promoting behaviors, and HRQoL. Multivariate linear regression analyses were conducted to test the association between eHealth literacy, health-promoting behaviors, and HRQoL. The mediation analyses, composed of PROCESS analysis and bootstrapping method, were preformed to test both total (c), direct (c'), and indirect effects (a*b) of eHealth literacy on HRQOL through health-promoting behaviors. RESULTS Regression analyses indicated that eHealth literacy (B = 0.487, p < 0.001) was significantly positively associated with health-promoting behaviors, and health-promoting behaviors (B = 0.257, p < 0.001) were associated with HRQoL. The mediation analyses indicated that eHealth literacy had a significant direct (c' = 0.183, p < 0.001) and indirect effect on older adults' HRQoL through health-promoting behaviors (a*b = 0.125, bootstrapped 95% confidence interval (CI) = 0.094-0.157). The indirect effect accounted for 40.6% of the total effect (c = 0.308, bootstrapped 95% CI 0.241-0.376) of eHealth literacy on HRQoL. CONCLUSIONS Health-promoting behaviors mediated the association between eHealth literacy and HRQoL in Chinese older adults. The establishment of interventions focused on health-promoting behavior may be an effective way to help older adults with low eHealth literacy improve their HRQoL.
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Affiliation(s)
- Shaojie Li
- Department of Social Medicine and Health Service Management, Xiangya School of Public Health, Central South University, Changsha, 410078, China
| | - Guanghui Cui
- Shandong University of Traditional Chinese Medicine, Jinan, 250355, China
| | - Yongtian Yin
- Shandong University of Traditional Chinese Medicine, Jinan, 250355, China.
| | - Shiyuan Wang
- Shandong University of Traditional Chinese Medicine, Jinan, 250355, China.
| | - Xinyao Liu
- Shandong University of Traditional Chinese Medicine, Jinan, 250355, China
| | - Lei Chen
- Shandong University of Traditional Chinese Medicine, Jinan, 250355, China
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25
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Khalaila R, Vitman-Schorr A. Social support and loneliness among frail older adults attending daycare centers: A multicultural study in Israel. Arch Gerontol Geriatr 2021; 97:104486. [PMID: 34325329 DOI: 10.1016/j.archger.2021.104486] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2021] [Revised: 06/20/2021] [Accepted: 07/11/2021] [Indexed: 11/30/2022]
Abstract
AIMS To examine the link between intensity of use of formal support and loneliness among older adults, controlling for family support and covariates; and examine the moderating effect of contact frequency with family on this relationship. METHODS Cross-sectional data were collected from September 2016 - April 2017 through structured interviews with 360 older adults attending adult day care centers (ADCCs) and representing three different ethnic groups in Israel. Loneliness was assessed by the UCLA Loneliness Scale. Hierarchical regression was applied to the study variables with loneliness scores as dependent variable, and bootstrapping with resampling strategies tested a moderating effect. RESULTS Loneliness was linked negatively with contact frequency with the family network, frequency of ADCC attendance, and greater involvement in social activities at the ADCC. Significant negative correlation between ADCC attendance frequency and loneliness occurred only when family contact was at low-to-average frequency, but not in cases of high-contact frequency. CONCLUSIONS Frequent use of ADCCs emerged as a significant contributor beyond the contribution of family support for reducing loneliness in older age, particularly for those with insufficient family contact. Service providers should improve the accessibility and availability of formal community services for the older population.
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Affiliation(s)
- Rabia Khalaila
- Zefat Academic College, 11 Jerusalem St., P.O.B 169, Zefat 13206, Israel.
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26
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Kütmeç Yilmaz C. Effect of progressive muscle relaxation on adaptation to old age and quality of life among older people in a nursing home: a randomized controlled trial. Psychogeriatrics 2021; 21:560-570. [PMID: 33960071 DOI: 10.1111/psyg.12706] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 04/12/2021] [Accepted: 04/14/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND Changes occurring in the aging process, the presence of decline in physical and cognitive functions, and the limitations of participation in activities affect adaptation to old age and the quality of life. This study aimed to examine the effect of progressive muscle relaxation (PMR) exercises on adaptation to old age and the quality of life of older people. METHODS A randomized controlled trial design was used. The sample consisted of 45 older residents (21 intervention subjects, 24 controls) from a nursing home in a city of Turkey. The intervention group received progressive muscle-relaxation sessions twice weekly for 8 weeks, while the control group received routine care. All PMR exercises were led by the researcher. All participants were evaluated at baseline and after 8 weeks using the Assessment Scale of Adaptation Difficulty for the Elderly and the Nottingham Health Profile. RESULTS As a result of PMR exercises performed for 8 weeks, the Assessment Scale of Adaptation Difficulty for the Elderly and Nottingham Health Profile total mean scores of the intervention group improved significantly (P < 0.001). No statistically significant difference was observed, however, when comparing the intervention and control groups in terms of the level of adjustment to old age and health-related quality of life, either at baseline or following the intervention (P > 0.05). CONCLUSION The results of this study indicate that progressive muscle relaxation can increase adaptation to old age and the quality of life and of older people in a nursing home.
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Affiliation(s)
- Cemile Kütmeç Yilmaz
- Faculty of Health Sciences, Nursing Department, Aksaray University, Aksaray, Turkey
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27
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Ratanasiripong P, Ratanasiripong N, Khamwong M, Jingmark S, Thaniwattananon P, Pisaipan P, Sanseeha L, Rungnoei N, Songprakun W, Tonkuriman A, Bunyapakorn S. The impact of resiliency on mental health and quality of life among older adults in Thailand. JOURNAL OF HEALTH RESEARCH 2021. [DOI: 10.1108/jhr-02-2021-0099] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Purpose
The aim of this study was to examine the impact of resiliency and associated factors on the mental health and quality of life among older adults in Thailand.
Design/methodology/approach
This cross-sectional study was conducted with 1,800 older adults (M = 69.3, SD = 7.2) from nine provinces across all regions of Thailand. Each participant completed an anonymous paper-based survey that included demographic data, work activities, health behaviors, social support, Connor-Davidson Resilience Scale (CD-RISC), Depression, Anxiety, Stress Scale (DASS) and World Health Organization Quality of Life Assessment for Older Adults (WHOQOL-OLD).
Findings
Through hierarchical multiple regression, resiliency, social support, exercise and work hours per week were found to be significant predictors of mental health: depression (F (6, 520) = 19.38, p < 0.001, adjusted R2 = 0.17); anxiety (F (6, 520) = 18.64, p < 0.001, adjusted R2 = 0.17); stress (F (6, 521) = 12.91, p < .001, adjusted R2 = 0.12). Five predictors of quality of life were identified through hierarchical multiple regression: resiliency, social support, exercise, age and family economic status. These predictors explained 35% of the variance, F (5, 1655) = 178.44, p < 0.001, adjusted R2 = 0.35.
Originality/value
Based on the results of this study, a comprehensive Wellness Program was designed to improve the mental health and quality of life of older adults in Thailand. This Wellness Program included five components: Volunteer Program, Resiliency Building Program, Social Support Program, Exercise Program, and Financial Education Program.
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Unveiling the importance of hidden personal resources in cerebrovascular diseases. Int Psychogeriatr 2021; 33:535-538. [PMID: 34173355 DOI: 10.1017/s104161022000099x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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How Loneliness Worked on Suicidal Ideation among Chinese Nursing Home Residents: Roles of Depressive Symptoms and Resilience. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18105472. [PMID: 34065364 PMCID: PMC8160705 DOI: 10.3390/ijerph18105472] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/28/2021] [Revised: 05/07/2021] [Accepted: 05/14/2021] [Indexed: 01/21/2023]
Abstract
Suicide in later life is becoming severe under rapid population aging, especially for nursing home residents. Loneliness, an increasingly represented issue among nursing home residents, is found to be a risk factor for depressive symptoms. Both loneliness and depressive symptoms may contribute to the development of suicidal ideation. According to the Protective Factor Model, resilience can act as a moderating role interacting with risk factors to buffer the negative effects on the outcome. The present study aimed to assess the mediating role of depressive symptoms and the moderating effect of resilience on the risk factors of suicidal ideation to attenuate the adverse contribution among nursing home residents. A total of 538 nursing home residents participated in this cross-sectional study, and their suicidal ideation, resilience, loneliness, and depressive symptoms were measured. The mediating effect and moderated mediation model were tested using the Macro Process of SPSS 21.0. Statistics showed that 19.7% of participants had suicidal ideation. The mediating model (H1: B = 0.477, p < 0.001; H2: B = 0.325, p < 0.001; H3: B = 0.308, p < 0.001) and the moderating effect of resilience interacting loneliness (H4: B = −0.133, p < 0.001; H6: B = −0.109, p < 0.001) and depressive symptoms (H5: B = −0.077, p < 0.001) were statistically significant. The findings indicated the protective effect of resilience in alleviating the negative influence of risk factors for suicidal ideation, suggesting that positive psychological interventions for resilience building might be effective in suicide prevention among nursing home residents.
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Zheng E, Xu J, Xu J, Zeng X, Tan WJ, Li J, Zhao M, Liu B, Liu R, Sui M, Zhang Z, Li Y, Yang H, Yu H, Wang Y, Wu Q, Huang W. Health-Related Quality of Life and Its Influencing Factors for Elderly Patients With Hypertension: Evidence From Heilongjiang Province, China. Front Public Health 2021; 9:654822. [PMID: 33796501 PMCID: PMC8007785 DOI: 10.3389/fpubh.2021.654822] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 02/12/2021] [Indexed: 11/13/2022] Open
Abstract
Objective: Hypertension is one of the most common public health issues worldwide. However, few existing studies examining health-related quality of life (HRQoL) were conducted on elderly patients with hypertension in China. Hence, this study aimed to assess the HRQoL of elderly patients with hypertension and its influencing factors using EuroQol five-dimensional-three-level (EQ-5D-3L) in China. Methods: Data were obtained from the 6th National Health Service Survey in Heilongjiang province from June to July 2018, with a stratified multistage random cluster sampling method. All eligible participants were interviewed using a standardized questionnaire, which included the EQ-5D-3L, socio-demographics characteristics, clinical and lifestyle characteristics. The mean EQ-5D index scores for the different subgroups were evaluated using ANOVA. A Tobit regression model was also employed to analyze the potential factors influencing HRQoL. Results: A total of 705 elderly patients with hypertension were included in this study. The mean EQ-5D utility score was 0.79 [standard deviation (SD) = 0.23]. The proportion of participants reporting pain/discomfort problems was the highest (57.0%), while problems in self-care was the lowest (17.2%). Influencing factors of HRQoL for elderly patients with hypertension included gender, age, income, education level, physical activity, health examination and coexisting diseases. Specifically, the female gender, being above 80 years old, having a lower education and/or higher income, and the presence of coexisting diseases were associated with lower utility index. In contrast, regular physical activity and medical examination had a positive impact on the HRQoL of elderly hypertension patients. Conclusion: Overall, elderly patients with hypertension in China have a lower HRQoL than the general population. To improve the HRQoL of elderly patients with hypertension, it is imperative that better public health education is provided to enhance the knowledge of hypertension, encourage the adoption of healthy habits such as regular physical activity and medical examination, and improve the management of coexisting diseases. More care should also be directed to males with hypertension who are above 80 years old.
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Affiliation(s)
- Erwei Zheng
- The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Jiao Xu
- The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Juan Xu
- School of Health Management, Harbin Medical University, Harbin, China
| | - Xueyun Zeng
- School of Health Management, Harbin Medical University, Harbin, China
| | - Wan Jie Tan
- Duke-NUS Medical School, National University of Singapore, Singapore, Singapore
| | - Jinmei Li
- Heilongjiang Provincial Health Publicity Education and Information Center, Harbin, China
| | - Miaomiao Zhao
- School of Public Health, Nantong University, Nantong, China
| | - Bo Liu
- School of Health Management, Harbin Medical University, Harbin, China
| | - Rui Liu
- School of Health Management, Harbin Medical University, Harbin, China
| | - Mingjie Sui
- School of Health Management, Harbin Medical University, Harbin, China
| | - Zhong Zhang
- School of Health Management, Harbin Medical University, Harbin, China
| | - Yang Li
- The First Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Hongbin Yang
- The Third Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Hongjuan Yu
- The First Affiliated Hospital of Harbin Medical University, Harbin, China.,Southern University of Science and Technology Hospital, Shenzhen, China
| | - Yongqing Wang
- School of Health Management, Harbin Medical University, Harbin, China.,Heilongjiang University, Harbin, China
| | - Qunhong Wu
- School of Health Management, Harbin Medical University, Harbin, China
| | - Weidong Huang
- School of Health Management, Harbin Medical University, Harbin, China
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Factors Influencing the Quality of Life of Empty Nesters: Empirical Evidence from Southwest China. SUSTAINABILITY 2021. [DOI: 10.3390/su13052662] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Quality of life is a widely accepted concept based on the notion that people’s lives have been subject to rapid development and industrialization. This study aims to explore the impact of different factors on the quality of life of empty nesters in Southwest China. The main factors explored are resilience and social supports (SS), highlighted here from different perspectives. Moreover, the correlations between other variables and quality of life are shown here. This study experimented with a hierarchical multiple regression model from survey data with 3583 valid responses. It argued that both resilience and social supports, including family members and friends, are significantly correlated with the Chinese empty nesters’ quality of life. Family support and friend support play a significant mediating role in the association between resilience and quality of life. However, neither government nor nongovernmental support significantly influences the quality of life. Therefore, the hypothetical recommendations of this study have been partially confirmed. The findings of this study provide a more comprehensive understanding of the overall mental and physical health of Chinese empty nesters.
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Cai Y, Wang J, Hou L. Resilience Improves the Sleep Quality in Disabled Elders: The Role of Perceived Stress. Front Psychol 2021; 12:585816. [PMID: 33643125 PMCID: PMC7904684 DOI: 10.3389/fpsyg.2021.585816] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 01/12/2021] [Indexed: 12/12/2022] Open
Abstract
The current research aims to prove the impact of resilience on sleep quality and to investigate the mediating function of perceived stress in the paths from resilience to sleep quality among disabled Chinese elders. The participants were 196 elders with visual and physical disability who resided in the nursing houses in Shanghai, including 102 males and 94 females whose mean age was 74.5 years old (standard deviation = 6.81). All the elders were measured with the 10-item Connor-Davidson Resilience Scale, Pittsburgh Sleep Quality Index (PSQI), and Perceived Stress Scale. The results showed that all the demographic variables were significantly related to perceived stress and PSQI scores. High levels of resilience could significantly enhance the quality of sleep in disabled Chinese elders. In addition, the two-step mediation models also confirmed the impact of resilience on sleep quality as mediated through perceived stress in this special aged population. Better knowledge on the mechanisms of sleep quality among older adults could benefit the prevention and treatment of some geriatric diseases.
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Affiliation(s)
- Yumei Cai
- School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
| | - Junlei Wang
- Law School, East China University of Science and Technology, Shanghai, China
| | - Liwen Hou
- School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
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Jia Y, Shi J, Sznajder KK, Yang F, Cui C, Zhang W, Yang X. Positive effects of resilience and self-efficacy on World Health Organization Quality of Life Instrument score among caregivers of stroke inpatients in China. Psychogeriatrics 2021; 21:89-99. [PMID: 33295027 DOI: 10.1111/psyg.12635] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Accepted: 10/31/2020] [Indexed: 12/14/2022]
Abstract
AIM Stroke is one of the major health challenges affecting life expectancy and quality of life around the world. However, there is limited reporting on the status of some caregivers, including Chinese caregivers of stroke inpatients. Limited information is available on evaluations using the World Health Organization Quality of Life Instrument (WHOQOL) and the effects of resilience and self-efficacy on WHOQOL score. Therefore, we conducted research to assess the role of resilience on the WHOQOL and to investigate the role of self-efficacy as a mediator between resilience and WHOQOL score among Chinese caregivers of stroke inpatients. METHODS This cross-sectional study to gather data from north-east and south-east China was conducted from June 2019 to October 2019. Over 380 caregivers of stroke inpatients at two general public hospitals were interviewed face-to-face. About 305 caregivers (80.26%) completed the questionnaire, which included the Ego Resilience Scale, the General Self-Efficacy Scale, and the brief version of the WHOQOL and asked about demographic characteristics. This study also examined factors associated with WHOQOL score and used linear regression analysis and structure equation modelling to construct direct and indirect models, respectively. RESULTS After adjustment for demographic characteristics, both resilience and self-efficacy were positively associated with all WHOQOL domains. Structure equation modelling revealed that self-efficacy mediated the relationship between resilience and WHOQOL score among caregivers of stroke inpatients. CONCLUSION Chinese caregivers of stroke inpatients exhibited good social health but poor physical, psychological, and environmental health. It is necessary for promoting resilience and improving WHOQOL score through the mediating effect of self-efficacy. These results suggest that interventions in health care focused on both enhancing resilience and providing self-efficacy training could effectively improve WHOQOL score.
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Affiliation(s)
- Yajing Jia
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, China
| | - Jing Shi
- Department of Medical Oncology, First Hospital of China Medical University, Shenyang, China
| | - Kristin K Sznajder
- Department of Public Health Sciences, College of Medicine, Pennsylvania State University, Hershey, Pennsylvania, USA
| | - Fengzhi Yang
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, China
| | - Can Cui
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, China
| | - Weiyu Zhang
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, China
| | - Xiaoshi Yang
- Department of Social Medicine, School of Public Health, China Medical University, Shenyang, China
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Sun C, Yu Y, Li X, Cui Y, Ding Y, Zhu S, Li X, Chen S, Zhou R. The factors of adaptation to nursing homes in mainland China: a cross-sectional study. BMC Geriatr 2020; 20:517. [PMID: 33256628 PMCID: PMC7708906 DOI: 10.1186/s12877-020-01916-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2020] [Accepted: 11/17/2020] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND China is one of the most rapidly ageing countries and has the largest ageing population in the world. The demand for long-term care is increasing. Nursing home placement is one of the most stressful events in a person's life. Although research on relocation adjustment has been conducted in many countries, few studies have been related to the predictors of nursing home adjustment in mainland China. This study aimed to identify the predictors of nursing home adjustment in the context of filial piety in mainland China. METHODS This was a descriptive study that employed a cross-sectional survey. A total of 303 residents from 22 nursing homes in Nanjing, China, were recruited. A structured questionnaire about residents' characteristics, activities of daily living, social support, resilience, and nursing home adjustment was administered. Multiple linear regression was used to identify the predictors of adaptation to nursing homes. RESULTS The predictors of nursing home adjustment were the satisfaction with services(β = .158, P < .01), number of diseases(β = -.091, P < .05), length of stay(β = .088, P < .05), knowledge of the purpose of admission (β = .092, P < .05), resilience(β = .483, P < .001) and social support(β = .186, P < .001). The total explained variance for this model was 61.6%. CONCLUSION Nursing staff members should assess the characteristics of residents to promote their better adjustment. Resilience had the most significant influence on the level of adaptation, which has been the primary focus of interventions to improve adjustment. The management of disease comorbidities in nursing homes should be standardized and supervised by the government. More volunteers from universities and communities should be encouraged to provide social support to residents. Moreover, a caring culture needs to be emphasized, and the value of filial piety should be advocated in nursing homes of East Asian countries.
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Affiliation(s)
- Changxian Sun
- Nanjing Medical University, Nanjing, China.,Jiangsu Vocational Institute of Commerce, Nanjing, China
| | - Yiting Yu
- Nanjing Medical University, Nanjing, China
| | - Xuxu Li
- Landsea Lvy Elder Care Service, Nanjing, China
| | - Yan Cui
- Nanjing Medical University, Nanjing, China.
| | | | - Shuqin Zhu
- Nanjing Medical University, Nanjing, China
| | - Xianwen Li
- Nanjing Medical University, Nanjing, China
| | - Shen Chen
- Nanjing Medical University, Nanjing, China
| | - Rong Zhou
- Nanjing Medical University, Nanjing, China
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Kong LN, Zhang N, Yuan C, Yu ZY, Yuan W, Zhang GL. Relationship of social support and health-related quality of life among migrant older adults: The mediating role of psychological resilience. Geriatr Nurs 2020; 42:1-7. [PMID: 33197701 DOI: 10.1016/j.gerinurse.2020.10.019] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2020] [Revised: 10/26/2020] [Accepted: 10/28/2020] [Indexed: 11/18/2022]
Abstract
Migrant older adults are influenced by an accumulation of aging and adversities related to migration. This study aimed to evaluate the effects of psychological resilience and social support on health-related quality of life (HRQOL) among migrant older adults, and examine the mediating effect of psychological resilience between social support and HRQOL. A total of 149 migrant older adults were recruited from five communities in Chongqing, China. Social support and psychological resilience were positively associated with physical and mental HRQOL among migrant older adults. Psychological resilience had a partial mediating effect on the relationship between social support and physical and mental HRQOL. These findings provide a better understanding of how social support and psychological resilience work together to affect HRQOL, and it could guide the interventions to promote HRQOL among migrant older adults in the community.
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Affiliation(s)
- Ling-Na Kong
- School of Nursing, Chongqing Medical University, Chongqing, China; School of Nursing, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
| | - Nan Zhang
- Department of Cardiology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
| | - Chi Yuan
- School of Nursing, Chongqing Medical University, Chongqing, China
| | - Zong-Yu Yu
- School of Nursing, Chongqing Medical University, Chongqing, China
| | - Wang Yuan
- School of Nursing, Chongqing Medical University, Chongqing, China
| | - Guang-Li Zhang
- School of Nursing, Chongqing Medical University, Chongqing, China
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Limitation on activities of daily living, depressive symptoms and suicidal ideation among nursing home residents: The moderating role of resilience. Geriatr Nurs 2020; 41:622-628. [DOI: 10.1016/j.gerinurse.2020.03.018] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Revised: 03/17/2020] [Accepted: 03/19/2020] [Indexed: 11/18/2022]
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Wang J, Xue J, Jiang Y, Zhu T, Chen S. Mediating effects of depressive symptoms on social support and quality of life among rural older Chinese. Health Qual Life Outcomes 2020; 18:242. [PMID: 32690060 PMCID: PMC7372751 DOI: 10.1186/s12955-020-01490-1] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/09/2019] [Accepted: 07/10/2020] [Indexed: 12/20/2022] Open
Abstract
BACKGROUND It is not well clear how psychosocial factors like depressive symptoms, social support affect quality of life in rural elderly in China. This study aimed to investigate the mediating role of depressive symptoms in the association between social support and quality of life. METHODS Cross-sectional data of 420 rural elderly were taken from four villages in Hangzhou City. They were interviewed with a demographic questionnaire, the Patient Health Questionnaire (PHQ-9) for depression, the Medical Outcomes Study Social Support Survey (MOS-SSS) for social support, and the short version of World Health Organization Quality of Life Assessment (WHOQOL-BREF) for quality of life. Mediation was examined by a nonparametric Bootstrapping method, controlling for socioeconomic variables. RESULTS Poor quality of life was associated with low social support and increased depressive symptoms. A significant indirect effect of social support existed through depression in relation to quality of life (ab = 0.0213, 95% CI [0.0071, 0.0421]), accounting for 9.5% of the effect of social support on quality of life. Approximately 4.8% of the variance in QOL was attributable to the indirect effect of social support through depressive symptoms. CONCLUSIONS Depressive symptoms mediated the impact of social support on quality of life among rural older adults.
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Affiliation(s)
- Jiayu Wang
- Department of psychology and behavioral sciences, Zhejiang University, 148 Tianmushan Road, Hangzhou, 310028, China
| | - Jiang Xue
- Department of psychology and behavioral sciences, Zhejiang University, 148 Tianmushan Road, Hangzhou, 310028, China
| | - Yuxing Jiang
- Department of psychology and behavioral sciences, Zhejiang University, 148 Tianmushan Road, Hangzhou, 310028, China
| | - Tingfei Zhu
- Department of psychology and behavioral sciences, Zhejiang University, 148 Tianmushan Road, Hangzhou, 310028, China
| | - Shulin Chen
- Department of psychology and behavioral sciences, Zhejiang University, 148 Tianmushan Road, Hangzhou, 310028, China.
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The Correlation between Social Support and Quality of Life of Seniors without Cognitive Disorders from an Institutional Environment-A Descriptive Cross-Sectional Survey. Healthcare (Basel) 2020; 8:healthcare8030212. [PMID: 32674368 PMCID: PMC7551650 DOI: 10.3390/healthcare8030212] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2020] [Revised: 07/08/2020] [Accepted: 07/09/2020] [Indexed: 11/29/2022] Open
Abstract
The aim of this study was to confirm the correlation between social support and the quality of life of seniors who live without cognitive disorders, but are living in an institutional environment. The measurement of variables was based on a cross-sectional survey method. A representative sample of 957 seniors participated in the survey. The study covered public nursing homes (NHs) and residential care homes (RCHs) selected for the study by stratified sampling. The results confirmed a linear correlation between social support and the quality of life of seniors (p < 0.001). It was also confirmed that there were differences in the range of studied variables depending on the type of institution (NH versus RCH; p < 0.001). Social support is a significant component, and at the same time, a modifier of the perception of the quality of life for older people. Its variable level determines the subjective assessment of functioning in particular domains of quality of life. RCH as an institution of a social nature satisfies the needs for support at a higher level than NH, which translates into a better perception of older people’s quality of life.
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Social support and mental health among health care workers during Coronavirus Disease 2019 outbreak: A moderated mediation model. PLoS One 2020; 15:e0233831. [PMID: 32470007 PMCID: PMC7259684 DOI: 10.1371/journal.pone.0233831] [Citation(s) in RCA: 135] [Impact Index Per Article: 33.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Accepted: 05/13/2020] [Indexed: 11/30/2022] Open
Abstract
Purposes During the outbreak of Coronavirus Disease 2019 (COVID-19) all over the world, the mental health conditions of health care workers are of great importance to ensure the efficiency of rescue operations. The current study examined the effect of social support on mental health of health care workers and its underlying mechanisms regarding the mediating role of resilience and moderating role of age during the epidemic. Methods Social Support Rating Scale (SSRS), Connor-Davidson Resilience scale (CD-RISC) and Symptom Checklist 90 (SCL-90) were administrated among 1472 health care workers from Jiangsu Province, China during the peak period of COVID-19 outbreak. Structural equation modeling (SEM) was used to examine the mediation effect of resilience on the relation between social support and mental health, whereas moderated mediation analysis was performed by Hayes PROCESS macro. Results The findings showed that resilience could partially mediate the effect of social support on mental health among health care workers. Age group moderated the indirect relationship between social support and mental health via resilience. Specifically, compared with younger health care workers, the association between resilience and mental health would be attenuated in the middle-aged workers. Conclusions The results add knowledge to previous literature by uncovering the underlying mechanisms between social support and mental health. The present study has profound implications for mental health services for health care workers during the peak period of COVID-19.
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Lu J, Yu Z, Zhang X, Wu M, Lin S, Zhu Y, Xu Z, You L, Wei F, Tang M, Jin M, Wang J, Chen K. Association between social health status and health-related quality of life among community-dwelling elderly in Zhejiang. Health Qual Life Outcomes 2020; 18:110. [PMID: 32345322 PMCID: PMC7189640 DOI: 10.1186/s12955-020-01358-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2019] [Accepted: 04/08/2020] [Indexed: 12/11/2022] Open
Abstract
Background Population aging is an inevitable trend and previous studies have showed the relationship between social health related factors and health-related quality of life (HR-QOL) in the elderly. The objective of this study is to investigate the association of social health status with HR-QOL among community-dwelling elderly in Zhejiang. Methods This cross-sectional study was based on community-dwelling elderly individuals from July 2018 to September 2018 in Zhejiang, China. HR-QOL was measured by the 12-item Short-Form Health Survey (SF-12). Social health status was estimated by the long-form of the Social Health Scale for the Elderly (SHSE-L) and classified into three categories (poor, moderate and good). Multivariable linear regression models were conducted to evaluate the association between social health status and HR-QOL (PCS, MCS and SF-12 total score). Results A total of 2952 elderly participants were included in this study. The mean age was 70.68 ± 7.75 years (mean ± SD); of the eligible participants, more than half (50.4%) were females; the mean scores were 48.10 ± 8.49, 47.70 ± 7.09 and 47.90 ± 5.86 for PCS, MCS and SF-12 total score, separately. Results from the multivariable models showed that social health status was positively related to HR-QOL after adjusting for covariates. Compared with individuals with a poor social health status, those who had a moderate or good social health status were more likely to report better HR-QOL (for moderate social health status: β = 1.90(95%CI: 1.09, 2.71) for PCS, β = 1.78(1.08, 2.48) for MCS, β = 1.84(1.29, 2.39) for SF-12 total score; for good social health status: β = 3.29(2.24, 4.34) for PCS, β = 3.10(2.12, 4.01) for MCS, β = 3.20(2.48, 3.91) for SF-12 total score). Conclusion In our study, we found that social health status was positively associated with HR-QOL among the elderly in Zhejiang. Our findings could provide valuable information for decision-makers to develop interventions to improve the HR-QOL of the elderly.
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Affiliation(s)
- Jieming Lu
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Zhebin Yu
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Xiaocong Zhang
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Mengyin Wu
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Shujuan Lin
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Yao Zhu
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Zenghao Xu
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Liuqing You
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Fang Wei
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Mengling Tang
- Department of Epidemiology and Biostatistics, Zhejiang University, School of Medicine, Hangzhou, Zhejiang, China
| | - Mingjuan Jin
- Department of Epidemiology and Biostatistics, Cancer Institute, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China
| | - Jianbing Wang
- Department of Epidemiology and Biostatistics, the Children's Hospital, National Clinical Research Center for Child Health, Zhejiang University School of Medicine, Hangzhou, China.
| | - Kun Chen
- Department of Epidemiology and Biostatistics, Cancer Institute, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
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Geng Y, Gu J, Zhu X, Yang M, Shi D, Shang J, Zhao F. Negative emotions and quality of life among adolescents: A moderated mediation model. Int J Clin Health Psychol 2020; 20:118-125. [PMID: 32550851 PMCID: PMC7296238 DOI: 10.1016/j.ijchp.2020.02.001] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2019] [Accepted: 02/05/2020] [Indexed: 02/06/2023] Open
Abstract
Background/Objective Depression, anxiety and stress are known as negative emotions. Previous studies have shown that negative emotions were associated with quality of life. There are a lot of researches on quality of life. However, previous studies mainly focused on health-related quality of life among patients. This study aims to examine the relationship between negative emotions and quality of life as well as the underlying psychological mechanism among community-based samples. Method We surveyed 6,401 adolescents (age: 9-15 years old). Participants were assessed using the Depression Anxiety Stress Scale, Resilience Scale for Chinese Adolescent, Perceived Social Support Scale and the Pediatric Quality of Life Inventory 4.0 Generic Scale for Negative Emotions, Resilience, Social Support and Quality of Life. Results Results revealed that negative emotions were negatively associated with quality of life, and resilience mediated the relationship between negative emotions and quality of life. Social support moderated all the paths among negative emotions, resilience and quality of life. Conclusions Adolescents’ quality of life was indirectly affected by negative emotions via resilience, and less affected by negative emotions and more affected by resilience with the improvement of social support. The theoretical and practical implications of these results are discussed.
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Affiliation(s)
- Yaoguo Geng
- School of Education, Zhengzhou University, China
| | - Jingjing Gu
- School of Education, Zhengzhou University, China
| | - Xueli Zhu
- School of Education, Zhengzhou University, China
| | - Minqi Yang
- School of Education, Zhengzhou University, China.,School of Marxism, Zhengzhou University, China
| | - Dan Shi
- School of Education, Zhengzhou University, China
| | - Jing Shang
- School of Marxism, Zhengzhou University, China
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Association of Formal and Informal Social Support With Health-Related Quality of Life Among Chinese Rural Elders. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17041351. [PMID: 32093116 PMCID: PMC7068316 DOI: 10.3390/ijerph17041351] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/26/2020] [Revised: 02/14/2020] [Accepted: 02/16/2020] [Indexed: 12/03/2022]
Abstract
Objectives: To explore the association of formal and informal social support with health-related quality of life (HRQOL) among Chinese rural elders and further investigate the influence of quantity and quality of social support on their HRQOL. Methods: The sample of 4189 Chinese rural elders over 60 years old was acquired from the 2015 China Health and Retirement Longitudinal Study (CHARLS). The HRQOL was evaluated by EQ-5D-3L questionnaire. The social support assessment was mainly based on the social support rating scale (SSRS), and Tobit regression analysis was used to explore the impact of social support on HRQOL. Results: The average EQ-5D index score (0 to 1) of the Chinese rural elders was 0.78 ± 0.16. Participants who were male or with better education were found to have higher scores. Those elders living alone, suffering from chronic diseases or disabled acquired lower scores. As for formal social support, higher medical or pension insurance and more social activities statistically significantly possessed higher scores. As for informal social support, higher number of offspring had a significant association with lower scores, while more contact with children and financial support from family were shown to be statistically significantly associated with higher scores after controlling for sociodemographic characteristics. The quality of social support is more important than its quantity. An interesting finding was that the EQ-5D index scores did not support the Chinese traditional belief that ‘the more children, the more blessings’. Conclusions: The EQ-5D index scores of the rural elders in China is above the median level based on the scores of EQ-5D. Social support is significantly associated with elderly peoples’ quality of life. The results would be significant for accurately improving the life quality of Chinese rural elders from the perspective of social support.
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Cao Q, Qian Y, Yang C. Resilience and quality of life among empty nesters in China: the mediating role of the source of support. The Journal of General Psychology 2020; 147:261-276. [PMID: 31985359 DOI: 10.1080/00221309.2020.1718586] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
This study aims to explore the correlations among resilience, social support, and quality of life (QOL) in empty nesters to comprehend whether various sources of social support indirectly affected the correlation between resilience and QOL. We used hierarchical multiple regression analysis and structural equation modeling method in this study. Resilience and support from both family members and friends significantly correlated with the QOL. Besides, both types of support played vital roles in the mediating effects on the correlation between resilience and QOL among empty nesters residing in China. Hence, the hypothesis proposed was confirmed partially. Furthermore, this study offers a comprehensive understanding of overall mental and physical health among empty nesters.
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Affiliation(s)
| | - Yiyun Qian
- Changzhou Technical Institute of Tourism and Commerce
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44
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Kalaitzaki AE, Pattakou-Parasiri V, Foukaki EM. Depression, negative relating with the oldest child, and the mediating role of resilience in community elders' psychological well-being: a pilot study in Greece. Psychogeriatrics 2020; 20:70-78. [PMID: 31060107 DOI: 10.1111/psyg.12461] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Revised: 03/18/2019] [Accepted: 03/31/2019] [Indexed: 11/30/2022]
Abstract
AIM This study examined the role of both positive and negative aspects of social relationships with partners, friends, and children on the psychological well-being of Greek elders, as well as the potential mediating role of resilience. METHODS The sample included 100 Greek older community-dwellings recruited from three care centres. They completed questionnaires consisted of the Scales of Psychological Well-Being, the shortened Family Members' Interrelating Questionnaire, the Significant Others Scale, the Brief Symptom Inventory, and the Brief Resilience Scale. RESULTS The findings suggested that mental health (i.e. depression), rather than physical frailty, and a negative relationship with the oldest child, rather than a lack of social support from family or friends in general, have detrimental effects in elders' well-being. In contrast, resilience has a positive effect on well-being that mediates the association between negative relating with the oldest child and well-being. Elderly parents perceived their child's relating more negatively than their own relating towards the child, and it was the child's negative relating to them, rather than their relating toward the child, that predicted their psychological well-being. An interdisciplinary approach to the care of the geriatric population is highlighted. CONCLUSIONS To improve elders' well-being and enhance successful ageing, the determinants of well-being should be key targets of ageing research. Policy, prevention, and intervention actions should address the modifiable variables of any underlying emotional and social issues among elderly people (i.e. depression, negative relating with children, and resilience).
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Affiliation(s)
- Argyroula E Kalaitzaki
- Social Work Department, School of Health and Welfare, Technological Educational Institute of Crete, Heraklion, Greece
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45
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Ran L, Kong H, Du M, He J, Zhong Q, Ran Y, Si Y, Zhang J, Yao C, Luo H, Ye Q. Comparison of health-related quality of life between the Han and Yi ethnicity elderly in the Yi autonomous areas of Yunnan Province. BMC Geriatr 2019; 19:326. [PMID: 31766992 PMCID: PMC6878633 DOI: 10.1186/s12877-019-1257-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2019] [Accepted: 08/25/2019] [Indexed: 11/28/2022] Open
Abstract
Background The purpose of this research was to assess the health-related quality of life (HRQOL) and functional abilities of Yi and Han elderly who resided in Yi Autonomous prefecture or Counties in Yunnan Province, as well as to compare their differences in HRQOL, functional abilities and other factors. Methods A total of 1636 older subjects, which included 863 Han and 773 Yi, were recruited from 10 Yi Autonomous regions. Their HRQOL and functional capabilities were assessed by the MOS 36-Item Short Form Health Survey (SF-36), activities of daily living (ADL), and instrumental activities of daily living (IADL) scales. Results The Han elderly performed better in every domain of SF-36 than the Yi elderly. Both of the two ethnic groups could perform their ADL independently but the Yi elderly showed greater dependency in IADL abilities. The HRQOL was positively associated with their ADL, IADL, and education levels. Moreover, age, health insurance status, and living arrangement were negatively correlated with HRQOL. Conclusion The HRQOL and IADL capabilities of the Han elderly were higher than that of the Yi counterparts in the Yi Autonomous regions. The HRQOL of both the two ethnic groups was positively connected with ADL, IADL abilities as well as education levels, whereas it was negatively correlated with age and health insurance. The elderly-care policy on the Yi autonomous areas should focus more on the HRQOL, ADL improvement, education background, age needs, and health insurance, etc.
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Affiliation(s)
- Lingyun Ran
- Nursing School of Kunming Medical University, Kunming, Yunnan, China.
| | - Hongqian Kong
- Qujing Center for Disease Control and Prevention, Kunming, Yunnan, China
| | - Mengqi Du
- Steinhardt School of New York University, New York, USA
| | - Jianhui He
- Public Health School of Kunming Medical University, Kunming, China.
| | - Qiong Zhong
- The Sixth Affiliated Hospital of Kunming Medical University, Kunming, Yunnan Province, China
| | - Yuanyuan Ran
- Hunan University of Finance and Economics, Changsha, China
| | - Yanping Si
- Nursing School of Kunming Medical University, Kunming, Yunnan, China
| | - Jiang Zhang
- The Third Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Cheng Yao
- Nursing School of Kunming Medical University, Kunming, Yunnan, China
| | - Huineng Luo
- The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
| | - Qin Ye
- The First Affiliated Hospital of Kunming Medical University, Kunming, Yunnan, China
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Kulakaç N, Sayılan AA. Determining the quality of life and the sleep quality in patients with benign prostate hyperplasia. INTERNATIONAL JOURNAL OF UROLOGICAL NURSING 2019. [DOI: 10.1111/ijun.12215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Nurşen Kulakaç
- Department of NursingGümüşhane University Faculty of Health Sciences Gümüşhane Turkey
| | - Aylin Aydın Sayılan
- Department of NursingKırklareli University Vocational School of Health Sciences Kırklareli Turkey
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Cao Q, Zhou Y. Association between social support and life satisfaction among people with substance use disorder: the mediating role of resilience. J Ethn Subst Abuse 2019; 20:415-427. [PMID: 31544654 DOI: 10.1080/15332640.2019.1657545] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The purpose of this cross-sectional study was to assess the correlation between social support and life satisfaction among individuals with substance use disorder and investigate the mediating effect of resilience between these variables. A total of 513 individuals with substance use disorder aged 19-65 years were recruited from two compulsory detoxification units in Nanjing, China. Participants were requested to independently complete the Satisfaction with Life Scale, the Multidimensional Scale of Perceived Social Support, and the Connor-Davidson Resilience Scale. A correlation matrix was used to analyze various characteristics. The relationship among social support, resilience, and life satisfaction was evaluated with hierarchical regression analysis and the bootstrap method, based on a structural equation model. Social support was significantly associated with life satisfaction in individuals with substance use disorder. Moreover, resilience played an intermediary role between social support and life satisfaction in individuals with substance use disorder. Our results confirm resilience partially mediates the association between social support and life satisfaction. These findings provide a clearer understanding regarding the impact of resilience and social support on life satisfaction in individuals with substance use disorder.
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Affiliation(s)
- Qilong Cao
- Business School, Changzhou University, Changzhou, Jiangsu Province, People's Republic of China
| | - You Zhou
- The Graduate School of Humanities and Social Science, University of Melbourne, Melbourne, Victoria, Australia
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Zhong X, Liu Y, Pu J, Tian L, Gui S, Song X, Xu S, Zhou X, Wang H, Zhou W, Chen J, Qi X, Xie P. Depressive symptoms and quality of life among Chinese medical postgraduates: a national cross-sectional study. PSYCHOL HEALTH MED 2019; 24:1015-1027. [PMID: 31179736 DOI: 10.1080/13548506.2019.1626453] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
High workloads and heavy academic pressure can have significant implications for the risk for depression and poor quality of life (QoL). This study aimed to investigate QoL and depressive symptoms in medical students undergoing postgraduate neurology specialty training in China. The survey covered demographic characteristics, the 8-itemMedical Outcomes Study Short-Formquestionnaire (SF-8), and the 2-itemPrimary Care Evaluation of Mental Disorders depression screening tool. Logistic regression analysis was used to investigate the determinants of QoL and depressive symptoms. Participants were 1,814 postgraduates from 249 hospitals in 27 Chinese provinces. The mean SF-8 physical and mental component summary scores were 78.17 (standard deviation [SD] 15.20) and 68.33 (SD 17.15), respectively. One-third of respondents had depressive symptoms, and those without depressive symptoms had significantly higher QoL scores. The multivariate regression analysis showed that factors independently associated with depressive symptoms were being in the second year of study, a lower household income, and less sleep time. Although QoL among our sample of Chinese medical students undergoing postgraduate neurology specialty training was favorable relative to other comparable populations, one-third of respondents had depressive symptoms. Accurate measures should be taken to change this situation.
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Affiliation(s)
- Xiaogang Zhong
- a School of Public Health and Management , Chongqing Medical University , Chongqing , China.,b Institute of Neuroscience , Chongqing Medical University , Chongqing , China
| | - Yiyun Liu
- b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,c Department of Neurology , The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
| | - Juncai Pu
- b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,c Department of Neurology , The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
| | - Lu Tian
- a School of Public Health and Management , Chongqing Medical University , Chongqing , China.,b Institute of Neuroscience , Chongqing Medical University , Chongqing , China
| | - Siwen Gui
- b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,d College of Biomedical Engineering , Chongqing Medical University , Chongqing , China
| | - Xuemian Song
- b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,d College of Biomedical Engineering , Chongqing Medical University , Chongqing , China
| | - Shaohua Xu
- b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,c Department of Neurology , The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
| | - Xinyu Zhou
- b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,c Department of Neurology , The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
| | - Haiyang Wang
- b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,d College of Biomedical Engineering , Chongqing Medical University , Chongqing , China
| | - Wei Zhou
- a School of Public Health and Management , Chongqing Medical University , Chongqing , China.,b Institute of Neuroscience , Chongqing Medical University , Chongqing , China
| | - Jianjun Chen
- b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,c Department of Neurology , The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
| | - Xunzhong Qi
- b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,c Department of Neurology , The First Affiliated Hospital of Chongqing Medical University , Chongqing , China
| | - Peng Xie
- a School of Public Health and Management , Chongqing Medical University , Chongqing , China.,b Institute of Neuroscience , Chongqing Medical University , Chongqing , China.,c Department of Neurology , The First Affiliated Hospital of Chongqing Medical University , Chongqing , China.,e China Neurologist Association, Chinese Medical Doctor Association , Beijing , China
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Xu D, Gao J, Chen L, Mou H, Wang X, Ling J, Wang K. Development of a quality of life questionnaire for nursing home residents in mainland China. Qual Life Res 2019; 28:2289-2297. [PMID: 30997594 DOI: 10.1007/s11136-019-02180-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/08/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To develop and validate a quality of life (QOL) questionnaire for nursing home (NH) residents in mainland China. METHODS A cross-sectional study including a development sample (n = 176) and validation sample (n = 371) of NH residents aged 60 and older was conducted between 2015 and 2016 in Jinan, Shandong Province, China. Resident interviews, literature reviews, expert panels, and pilot studies were used to identify QOL domains and items pertinent to NH life. Exploratory and confirmatory factor analysis were used to develop and validate a QOL questionnaire. Reliability (internal consistency, spilt-half reliability, and test-retest reliability) and validity (construct and criterion validity) were evaluated for the questionnaire. RESULTS The self-report Chinese NH QOL questionnaire had 9 domains and 38 items including physical health (4 items), food enjoyment (6 items), security (3 items), environmental comfort (5 items), autonomy (2 items), meaningful activity (3 items), interrelationship (6 items), family relationships (3 items), and mood (6 items). The nine-factor model was confirmed with the following fit indices: χ2/df = 1.872, root mean square error of approximation = 0.049, comparative fit index = 0.913, and Tucker-Lewis index = 0.903. The 38-item NH QOL questionnaire showed satisfactory construct validity, criterion validity, internal consistency (Cronbach's alpha = 0.89, spilt-half reliability = 0.73, test-retest reliability = 0.76). CONCLUSIONS The NH QOL questionnaire appears to be a reliable and valid instrument and should be incorporated into a set of quality measures for use with NH residents in mainland China.
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Affiliation(s)
- Dongjuan Xu
- School of Nursing, Shandong University, No. 44, Wenhua Xi Road, Jinan, 250012, Shandong, China.,School of Nursing, Purdue University, West Lafayette, IN, USA
| | - Jie Gao
- School of Nursing, Shandong University, No. 44, Wenhua Xi Road, Jinan, 250012, Shandong, China
| | - Liqin Chen
- Department of Nursing Care, Henan Vocational College of Nursing, Anyang, Henan, China
| | - Huanyu Mou
- School of Nursing, Shandong University, No. 44, Wenhua Xi Road, Jinan, 250012, Shandong, China
| | - Xiaorong Wang
- Department of Gerontology, Jinan Central Hospital, Jinan, Shandong, China
| | - Jiying Ling
- College of Nursing, Michigan State University, East Lansing, MI, USA
| | - Kefang Wang
- School of Nursing, Shandong University, No. 44, Wenhua Xi Road, Jinan, 250012, Shandong, China.
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