General self-efficacy and frailty in hospitalized older patients: The mediating effect of loneliness

Li, Xuejia; Kang, Yang; An, Yangxin; Liu, Min; Yan, Chunyan

doi:10.1016/j.gerinurse.2022.10.019

Cited by 6 publications

(6 citation statements)

References 27 publications

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“…study agreed withLi et al, 2022, Lin CH et al, 2022Doba et al, 2016. That frail elderly show low levels of self-e cacy; elderly with high coping self-e cacy is associated with lower odds of pre-frailty/frailty even with chronic disease.On the other hand, dispositional Optimism -by de nition-is the generalized, relatively stable tendency to expect good outcomes across important life domains(Scheier et al, 2018).…”

supporting

confidence: 77%

“…Coping self-e cacy is a domain-speci c concept of con dence to cope effectively with di culties in the areas of problem solving, emotional regulation and obtaining support from one's social network (Chesney et al, 2006). This is especially important in addressing "frailty identity crisis" along the life course of frail elderly, thus in uence easy transitioning and alleviate unpleasant drawbacks (Li et al, 2022). Self-e cacy is malleable and was successfully targeted in health-related interventions, making it a potentially useful intervention goal for the treatment of frailty.…”

Section: Introductionmentioning

confidence: 99%

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Self-efficacy and Optimism in frail elderly men without functional disability attending geriatric outpatient clinic in Mansoura university: a case-control study.

Ageez

2023

Preprint

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Background Psychological frailty including cognitive, mood, and motivational components has a major impact on the well- being of frail elderly. Therefore, there is an increasing scientific interest in studying different domains of psychological frailty. Unfortunately, the psychological components of frailty are not completely evaluated and currently there is no consensus regarding appropriate intervention. This study aimed to evaluate self-efficacy and optimism in frail elderly without functional disability. This case-control study was conducted between August 2022 and March 2023, and included 70 elderly male community dwelling participants aged ≥ 60 years. The participants were divided into 2 groups: frail and non-frail defined by AVILA modification of Fried criteria. Self-efficacy scale (SES) and Revised-Life orientation test (R-LOT) were applied for all participants.Results Those with physical frailty had lower self-efficacy and optimism scores. R-LOT and SES had moderate diagnostic accuracy in predicting frailty; AUC for both tools were 0.75 and 0.71, respectively.Conclusions Psychological determinants of frailty are as equally important to be addressed as factors affecting physical frailty. self-efficacy and optimism are both affected in frail elderly. The Self-efficacy scale (SES) and the Revised-Life orientation test (R-LOT) should be applied as a measure of psychological resilience during comprehensive assessment of physical frailty to improve overall well-being and resilience among frail elderly.

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supporting

confidence: 77%

Section: Introductionmentioning

confidence: 99%

Self-efficacy and Optimism in frail elderly men without functional disability attending geriatric outpatient clinic in Mansoura university: a case-control study.

Ageez

2023

Preprint

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“…Previous studies have explored the mediating relationship between negative psychology and behaviour in diabetes distress. 33 Older patients with DM experiencing high levels of diabetes distress exhibit more pronounced negative psychological factors associated with their disease compared with those with significantly lower levels of diabetes distress. These individuals tend to employ ineffective coping strategies in response to feelings of loneliness and engage in suboptimal health promotion behaviours.…”

Section: Discussionmentioning

confidence: 95%

Diabetes distress as mediators of loneliness and health promotion behaviour: a cross-sectional study

Zhou,

Deng,

Guo

et al. 2023

BMJ Open

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ObjectivesThe purpose of this study was to explore whether diabetes distress mediated the relationship between loneliness and health promotion in older adults with diabetes.DesignA cross-sectional study.SettingThe study was conducted at three tertiary hospitals in Changsha, Hunan Province, China.ParticipantsThe sample included 140 patients with diabetes (65 years and older, mean age 72.6 years, SD=4.6).MethodsWe employed path models to analyse data on diabetes distress, loneliness and health promotion behaviours. We collected diabetes distress, loneliness and health promotion behaviour with self-reported questionnaires including the Diabetes Distress Scale, the University of California at Los Angeles (UCLA) Loneliness Scale and the Elderly Health Promotion Scale from January 2022 to October 2022. Mediation analysis was performed by SPSS V.26.0’s PROCESS macro.ResultThe findings of this study indicated diabetes distress acted as a mediator between loneliness and health promotion behaviour. According to bootstrapping results, the total effect of loneliness on health promotion behaviour was significantly negative (β=−0.312, p=0.006). Loneliness significantly and negatively correlated with diabetes distress (β=−0.043, p<0.001), while diabetes distress significantly and negatively correlated with health promotion behaviours (β=−2.724, p=0.008). Both the indirect effect and the direct effect of loneliness on health promotion behaviour were significant.ConclusionOur study illustrated that loneliness was negatively associated with health promotion behaviours, and diabetes distress acted as a mediator in this relationship. It is suggested that healthcare providers should prioritise the identification and management of diabetes distress in older patients with diabetes who experience loneliness to improve health promotion behaviours and optimise disease management outcomes.

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“…For example, according to Volz et al (2018), patients from two German inpatient rehabilitation centers who believed in their GSE to deal with adversity in new and stressful situations were less likely to manifest depressive symptoms after stroke. In another study conducted by Li et al(2022), patients who were 60 years or older and had higher overall self-efficacy were found to be less vulnerable to experiencing fragility, possibly because older adults were generally better able to adapt to stress and changes in life optimistically. Research conducted by Chen et al(2019) has also shown that strong views about managing stress or overcoming obstacles in life were typically held by students who exhibited high levels of GSE when it came to creating learning objectives, choosing resources, and self-evaluation.…”

Section: Literature Review General Self-efficacymentioning

confidence: 96%

The Impact of Leader-Member Exchange on General Self-Efficacy: Evidence from China

Cui

2024

AJMA

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Extant research has witnessed an increasing interest in understanding antecedents and outcomes of General Self-Efficacy (GSE); however, academic studies have not yet explored the role of Leader-Member Exchange (LMX) in giving rise to GSE. By drawing on Social Comparative Theory, the current study aims to examine the impact of LMX on GSE. The current study used a cross-sectional research design with survey methodology. Data were collected from 114 students in three universities in the eastern region of China. The findings indicated that LMX did not predict GSE, β = - .12, t(112) = -1.26, p = .21. To conclude, the current study might be essential for building the basics for comprehending how LMX affects GSE among university students in the eastern region of China.

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General self-efficacy and frailty in hospitalized older patients: The mediating effect of loneliness

Cited by 6 publications

References 27 publications

Self-efficacy and Optimism in frail elderly men without functional disability attending geriatric outpatient clinic in Mansoura university: a case-control study.

Self-efficacy and Optimism in frail elderly men without functional disability attending geriatric outpatient clinic in Mansoura university: a case-control study.

Diabetes distress as mediators of loneliness and health promotion behaviour: a cross-sectional study

The Impact of Leader-Member Exchange on General Self-Efficacy: Evidence from China

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