1
|
Akosile CO, Mgbeojedo UG, Okoye EC, Odole AC, Uwakwe R, Ani UK. Social Support as a Correlate of Depression and Quality of Life Among Nigerian Older Adults: a Cross-Sectional Study. J Cross Cult Gerontol 2024; 39:173-188. [PMID: 38710976 DOI: 10.1007/s10823-024-09506-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/25/2024] [Indexed: 05/08/2024]
Abstract
Reduced social support has been associated with presence of depression and reduced quality of life among older adults. The relationships may be better understood by exploring the interactions of individual domains among the constructs. This cross-sectional survey involved a consecutive sample of 206 (116 females and 90 males) older adults living in a Southern Nigeria community. The Multidimensional Scale of Perceived Social Support, Geriatric Depression Scale, and World Health Organization Quality of Life-OLD Questionnaire, were used to measure social support, depression, and quality of life respectively. Data was analyzed using frequency counts, percentages, mean, standard deviation, multiple regression and Spearman rank-order correlation coefficient, at 0.05 alpha level. Prevalence rate of depression among participants was 45.5%. Social support was perceived to be low by 37.4% of participants with the lowest mean social support score coming from friends domain. Participants' quality of life was generally fairly good (> 60%) with the lowest scores coming from the intimacy domain. Significant correlations between social support domains and each of quality of life (p < 0.05) and depression were respectively positive and negative; but weakest for the friend and strongest for significant others domains. All quality of life domains were significantly correlated with social support except the death and dying domain. All the domains of social support (family and significant other) were significant predictors of depression except the friend domain. Significant others around individual older adults particularly those with depression ought to be educated on the importance of their roles. Stakeholders including healthcare providers may create and support programmes for improved social networking for the older adults in order to enhance their general wellbeing and quality of life.
Collapse
Affiliation(s)
- Christopher O Akosile
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Awka, Anambra State, Nigeria
| | - Ukamaka Gloria Mgbeojedo
- Department of Medical Rehabilitation, College of Medicine, University of Nigeria, Enugu Campus, Enugu, Enugu State, Nigeria.
- Medical Rehabilitation Department, University of Nigeria, Enugu Campus, Nsukka, Enugu State, Nigeria.
| | - Emmanuel C Okoye
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Awka, Anambra State, Nigeria
| | - Adesola C Odole
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Oyo State, Nigeria
| | - Richard Uwakwe
- Department of Psychiatry, Faculty of Medicine, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Awka, Anambra State, Nigeria
| | - Umezulike K Ani
- Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Awka, Anambra State, Nigeria
| |
Collapse
|
2
|
Hu J, Cheung CKJ. Social identity and social integration: a meta-analysis exploring the relationship between social identity and social integration. Front Psychol 2024; 15:1361163. [PMID: 38638525 PMCID: PMC11024453 DOI: 10.3389/fpsyg.2024.1361163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2024] [Accepted: 03/19/2024] [Indexed: 04/20/2024] Open
Abstract
Social identity formation is crucial for psychosocial development, particularly in the case of migrating adults. A body of research exploring how social identity influences social integration among migrants shows that social identity affects social integration through a range of moderators and procedures. This study reports on a meta-analysis of 33 studies with 47 cases (total N = 33,777; Fisher's z = 0.33, moderate effects) examining the relationship between social identity and social integration in research conducted from 2005-2020. The research findings suggest that social identity can affect social integration directly without any moderators, indicating that most of the identified moderators in the previous studies are sample-specific variables. More importantly, the effects of various aspects of identities exert similar degrees of impact (moderate effect) on social integration; in other words, the usefulness of analyzing different aspects of social identity on social integration is challenged.
Collapse
Affiliation(s)
- Jieyi Hu
- School of Humanities, Jinan University, Guangdong, China
| | - Chau Kiu Jacky Cheung
- Department of Social and Behavioral Sciences, City University of Hong Kong, Hong Kong SAR, China
| |
Collapse
|
3
|
McNaughton DT, Roseen EJ, Downie A, Jenkins H, Øverås CK, Young JJ, Fink HA, Stone KL, Cawthon P, Hartvigsen J. Stressful life events and low back pain in older men: A cross-sectional and prospective analysis using data from the MrOS study. Eur J Pain 2024; 28:263-272. [PMID: 37632158 PMCID: PMC10841215 DOI: 10.1002/ejp.2174] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Revised: 07/17/2023] [Accepted: 08/09/2023] [Indexed: 08/27/2023]
Abstract
BACKGROUND Stressful life events, such as loss of a partner, loss of a pet or financial problems, are more common with increasing age and may impact the experience of pain. The aim of the current study is to determine the cross-sectional and prospective association between stressful life events and low back pain reporting in the Osteoporotic Fracture in Men Study, a cohort of older men aged ≥65 years. METHODS At a study visit (March 2005-May 2006), 5149 men reported whether they had experienced a stressful life event or low back pain in the prior 12 months. Following that visit, data on low back pain patients were gathered through triannual questionnaires every 4 months for 1 year. Multivariable logistic regression analyses estimated the association of stressful life events with recent past low back pain or future low back pain. RESULTS N = 2930, (57%) men reported at least one stressful life event. The presence of a stressful life event was associated with greater odds of any low back pain (OR = 1.42 [1.26-1.59]) and activity-limiting low back pain (OR = 1.74 [1.50-2.01]) in the same period and of any low back pain (OR = 1.56 [1.39-1.74]) and frequent low back pain (OR = 1.80 [1.55-2.08]) in the following year. CONCLUSION In this cohort of men, the presence of stressful life events increased the likelihood of reporting past and future low back pain. SIGNIFICANCE Stressful life events such as accident or illness to a partner are common in later life and may impact the experience of pain. We present cross-sectional and prospective data highlighting a consistent association between stressful life events and low back pain in older men. Further, there is evidence to suggest that this relationship is upregulated by an individual's living situation. This information may be used to strengthen a biopsychosocial perspective of an individual's pain experience.
Collapse
Affiliation(s)
- David T McNaughton
- School of Psychological Sciences, Macquarie University, Sydney, Australia
| | - Eric J Roseen
- Section of General Internal Medicine, Department of Medicine, Boston University Chobanian & Avedision School of Medicine and Boston Medical Center, Boston, Massachusetts, USA
| | - Aron Downie
- Department of Chiropractic, Macquarie University, Sydney, Australia
| | - Hazel Jenkins
- Department of Chiropractic, Macquarie University, Sydney, Australia
| | - Cecilie K Øverås
- Department of Public Health and Nursing, Norwegian University of Science and Technology (NTNU), Trondheim, Norway
- Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
| | - Justin J Young
- Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- Schroeder Arthritis Institute, Krembil Research Institute, University Health Network, Toronto, Canada
| | - Howard A Fink
- Geriatric Research Education and Clinical Center, Veterans Affairs Health Care System, Minneapolis, Minnesota, USA
| | - Katie L Stone
- Research Institute, San Francisco, California, USA
- Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA
| | - Peggy Cawthon
- Research Institute, San Francisco, California, USA
- Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, California, USA
| | - Jan Hartvigsen
- Center for Muscle and Joint Health, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark
- Chiropractic Knowledge Hub, Odense, Denmark
| |
Collapse
|
4
|
Youngcharoen P, Saraboon Y, Aree-Ue S. Factors influencing health status in older people with knee osteoarthritis. Jpn J Nurs Sci 2019; 17:e12262. [PMID: 31617329 DOI: 10.1111/jjns.12262] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2018] [Revised: 12/24/2018] [Accepted: 01/20/2019] [Indexed: 11/27/2022]
Abstract
AIM To examine a causal model of health status among older people with knee osteoarthritis. METHODS A cross-sectional, correlational design was used with a convenience sample of 220 older Thai people with knee osteoarthritis (mean age 68.96 years; SD = 6.22). Participants were asked to complete a demographic questionnaire, the Pain Catastrophizing Scale, the Tampa Scale of Kinesiophobia, The Medical Outcomes Study Social Support Survey, and the Arthritis Impact Measurement Scales 2-Short Form. Structural Equation Model was used to examine a hypothesized model. RESULTS Using Chi-square, hypothesized model was statistically nonsignificant. A model of health status fitted with the empirical data and explained 19.2% of variance. Pain catastrophizing had negative direct effect on self-efficacy and health status. Pain catastrophizing also had negative indirect effect on health status through self-efficacy. Self-efficacy and social support had positive direct effects on health status. However, pain-related fear had no direct or indirect effect on health status. CONCLUSION Lower level of pain catastrophizing can improve self-efficacy. Increasing of self-efficacy and social support can then lead to improvement on health status. This study highlighted the effect of psychosocial factors on health status. It is necessary to develop a program to minimize pain catastrophizing, improve social support, and promote self-efficacy to improve the health status of older people with knee osteoarthritis.
Collapse
Affiliation(s)
- Phichpraorn Youngcharoen
- Division of Adult and Gerontological Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Yuwadee Saraboon
- School of Health Nursing, Mahidol University Amnatcharoen Campus, Amnatcharoen, Thailand
| | - Suparb Aree-Ue
- Division of Adult and Gerontological Nursing, Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| |
Collapse
|
5
|
Chen ML, Hu J, McCoy TP, Letvak S, Ivanov L. Effect of a Lifestyle-Based Intervention on Health-Related Quality of Life in Older Adults with Hypertension. J Aging Res 2018; 2018:6059560. [PMID: 29854460 PMCID: PMC5964590 DOI: 10.1155/2018/6059560] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2018] [Accepted: 04/02/2018] [Indexed: 11/22/2022] Open
Abstract
The purpose of this study was to examine the effect of a six-month lifestyle-based intervention on health-related quality of life (HRQOL) in older adults with hypertension. A secondary analysis of a randomized controlled trial was conducted to test the differences between the intervention and control groups on HRQOL (N=196). The results indicated that there were no statistically significant differences between the intervention and control groups on change in HRQOL, but the final regression models were statistically significant. SF-36 mental component summary (MCS) score at baseline, stress at baseline, and change in stress were significant predictors for predicting change in the SF-36 MCS. SF-36 physical component summary (PCS) at baseline and change in stress were significant predictors for predicting change in the SF-36 PCS. The findings suggest that the development of an effective intervention in improving HRQOL should be considered within individual, interpersonal, societal, and cultural factors for future research and clinical practice.
Collapse
Affiliation(s)
- Mei-Lan Chen
- Byrdine F. Lewis College of Nursing and Health Professions, Georgia State University, Atlanta, GA 30303, USA
- Gerontology Institute, Georgia State University, Atlanta, GA 30303, USA
| | - Jie Hu
- College of Nursing, The Ohio State University, Columbus, OH 43210, USA
| | - Thomas P. McCoy
- School of Nursing, University of North Carolina at Greensboro, Greensboro, NC 27402, USA
| | - Susan Letvak
- School of Nursing, University of North Carolina at Greensboro, Greensboro, NC 27402, USA
| | - Luba Ivanov
- College of Nursing, Chamberlain University, Downers Grove, IL 60515, USA
| |
Collapse
|
6
|
López Ramos Y, Fernández Muñoz JJ, Navarro-Pardo E, Murphy M. Confirmatory Factor Analysis for the Multidimensional Scale of Perceived Social Support in a Sample of Early Retirees Enrolled in University Programs. Clin Gerontol 2017; 40:241-248. [PMID: 28452640 DOI: 10.1080/07317115.2016.1199077] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
OBJECTIVE The aims of this study were twofold-first, to use confirmatory factor analysis (CFA) to help assess which of the previously identified factor structures (identified through exploratory factor analysis) best fits a Spanish-language version of the Multidimensional Scale of Perceived Social Support (MSPSS), and second, to validate the MSPSS (and its subscales) for use among early retirees. METHODS The psychometric properties of the MPSS were analyzed in a sample of 991 Spanish early retirees enrolled in university programs. Participants had an average age of 62.7 years (SD = 5.89). An exploratory factor analysis and second-order confirmatory factor analysis were developed to identify the factorial solution and the best model fit. RESULTS The three factors identified were MSPSS significant others, MSPSS friends, and MSPSS family. Regarding reliability and validity, internal consistency indices were above .92 and the correlation between perceived social support subscales and measures of satisfaction with life in retirement were significantly positive. CONCLUSION The Spanish language version of the MSPSS demonstrates acceptable psychometric properties in relation to internal structure and reliability, and all but one of the goodness-of-fit indices emerging from the CFA also supported this factor structure. The practical implications of the scale in different populations and the problems in relation to the three-factor solution and the index values obtained are discussed.
Collapse
|
7
|
“‘Call Security’: Locks, Risk, Privacy and Autonomy in Long-term Residential Care”. AGEING INTERNATIONAL 2017. [DOI: 10.1007/s12126-017-9289-3] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
8
|
Thomas PA. The Impact of Relationship-Specific Support and Strain on Depressive Symptoms Across the Life Course. J Aging Health 2015; 28:363-82. [PMID: 26092652 DOI: 10.1177/0898264315591004] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
OBJECTIVE This study integrates stress process theory into a life course framework to examine how support and strain from particular relationship types (spouse/partner, children, mother, and friends/relatives) influence trajectories of depressive symptoms among different age groups, net of support and strain from other relationship types. METHOD Latent growth curve models were used on nationally representative panel data (N = 3,617) from the Americans' Changing Lives survey (1986, 1989, 1994, and 2001/2002). RESULTS Net of support and strain from other relationships, support from a spouse was related to fewer depressive symptoms among each age group. Friendships were important for depressive symptoms among younger and older adults, whereas only support/strain from family relationships influenced depressive symptoms among adults in midlife. DISCUSSION Findings demonstrate the importance of support and strain in multiple types of network members for the mental health of adults across the life course.
Collapse
|
9
|
LaRocca MA, Scogin FR. The Effect of Social Support on Quality of Life in Older Adults Receiving Cognitive Behavioral Therapy. Clin Gerontol 2015; 38:131-148. [PMID: 27011418 PMCID: PMC4801227 DOI: 10.1080/07317115.2014.990598] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
The current study extends the findings of Scogin et al. (2007) by exploring the role of social support in changes in quality of life resulting from home-delivered cognitive behavioral therapy (CBT). One hundred thirty-seven participants, characterized primarily as rural, low resource, and frail, were randomly assigned to either CBT or a minimal support control condition. Hierarchical regression revealed that positive change in satisfaction with social support was associated with improvement in quality of life beyond the effects of the CBT treatment. In addition, pretreatment satisfaction with social support, and change in satisfaction with social support moderated the effect of CBT on quality of life. These results suggest that bolstering social support concomitant to CBT may increase quality of life.
Collapse
|
10
|
Kahana E, Kelley-Moore J, Kahana B. Proactive aging: a longitudinal study of stress, resources, agency, and well-being in late life. Aging Ment Health 2012; 16:438-51. [PMID: 22299813 PMCID: PMC3825511 DOI: 10.1080/13607863.2011.644519] [Citation(s) in RCA: 76] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
OBJECTIVES Using the Proactivity Model of Successful Aging, we examined how internal and external resources contribute to the maintenance of psychological well-being and social activities among older adults who experience normative stressors of aging. Outcome variables in this study are collectively referred to as quality of life (QOL). We also examined the mediating role of proactive adaptations between internal and external resources and QOL indicators. METHOD Based on five annual interviews of a sample of 1000 community-dwelling older adults in Florida (effective N = 561), we tested the lagged effects of stressors on two indicators of QOL, four years later. In the full longitudinal model, using structural equations, we estimated the direct effects of internal and external resources on QOL, along with indirect effects through proactive adaptations. RESULTS Stressors negatively influenced QOL four years later. Internal and external resources led to better QOL four years later, both directly and indirectly through proactive adaptations of marshaling support and planning for the future. CONCLUSION These findings lend support to the Proactivity Model of Successful Aging by documenting the value of proactive adaptations (i.e., exercise, planning ahead, and marshaling support) as proximate influences on QOL outcomes (i.e., depressive symptomatology and social activities). Findings suggest that older adults can maintain successful aging even in the face of health-related and social stressors by invoking accumulated resources to deal actively with the challenges of aging.
Collapse
Affiliation(s)
- Eva Kahana
- Department of Sociology, Case Western Reserve University, Cleveland, OH, USA.
| | | | | |
Collapse
|
11
|
Paukert AL, Pettit JW, Kunik ME, Wilson N, Novy DM, Rhoades HM, Greisinger AJ, Wehmanen OA, Stanley MA. The roles of social support and self-efficacy in physical health's impact on depressive and anxiety symptoms in older adults. J Clin Psychol Med Settings 2010; 17:387-400. [PMID: 21110074 PMCID: PMC3053526 DOI: 10.1007/s10880-010-9211-6] [Citation(s) in RCA: 33] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Physical illness may precipitate psychological distress among older adults. This study examines whether social support and self-efficacy moderate the associations between physical health and depression and anxiety. Predictions were tested in 222 individuals age 60 or older presenting for help with worry. Physical health was assessed through self-report (subjective) and physical diagnoses (objective). Objective physical health did not have a significant association with depression or anxiety. Worse subjective physical health was associated with increased somatic anxiety, but not with depression or worry. The relationship between subjective physical health and depressive symptoms was moderated by self-efficacy and social support. As predicted, when self-efficacy was low, physical health had its strongest negative association with depressive symptoms such that as physical health improved, depressive symptoms also improved. However, the moderation effect was not as expected for social support; at high levels of social support, worse physical health was associated with increased depressive affect.
Collapse
Affiliation(s)
- Amber L Paukert
- Department of Veteran's Affairs Medical Center, 1660 South Columbian Way, Mail Stop: S-123-HBPC, Seattle, WA 98108, USA.
| | | | | | | | | | | | | | | | | |
Collapse
|
12
|
Luzuka TN, Gwandure C. Integration and Social Identity of Foreign African Professionals in South African Organisations. JOURNAL OF PSYCHOLOGY IN AFRICA 2008. [DOI: 10.1080/14330237.2008.10820200] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|