Psychological Resilience and the Onset of Activity of Daily Living Disability Among Older Adults in China: A Nationwide Longitudinal Analysis

Yang, Yuqiao; Wen, Ming

doi:10.1093/geronb/gbu068

Cited by 44 publications

(44 citation statements)

References 41 publications

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“…Previous studies have suggested that it is possible to develop or maintain resilience despite poor physical health [ 19 , 21 , 22 ]. Several studies have also suggested a causal relationship between resilience and well-being [ 18 – 20 ]. As resilience was not found to be significantly associated with HIV status, but was related to mental and physical health within our population, it may be possible to improve mental and physical well-being in adults with HIV through a resilience-based intervention.…”

Section: Discussionmentioning

confidence: 99%

“…This has been found in relation to chronic illness, health-care behaviours, and disability. Large longitudinal studies have also provided evidence that resilience may be a protective factor against the development of disability, chronic illness, depression, or low Health-related Quality of Life (HrQoL) [ 18 – 20 ], suggesting a possible causal relationship between high levels of resilience and overall well-being. Furthermore, many resilience studies focus on chronically ill populations, and have found evidence that it is possible to develop or maintain resilience despite poor physical health [ 19 , 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

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Resilience and Physical and Mental Well-Being in Adults with and Without HIV

et al. 2017

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Resilience has been related to improved physical and mental health, and is thought to improve with age. No studies have explored the relationship between resilience, ageing with HIV, and well-being. A cross sectional observational study performed on UK HIV positive (N = 195) and HIV negative adults (N = 130). Associations of both age and ‘time diagnosed with HIV’ with resilience (RS-14) were assessed, and the association of resilience with depression, anxiety symptoms (PHQ-9 and GAD-7), and problems with activities of daily living (ADLs) (Euroqol 5D-3L). In a multivariable model, HIV status overall was not related to resilience. However, longer time diagnosed with HIV was related to lower resilience, and older age showed a non-significant trend towards higher resilience. In adults with HIV, high resilience was related to a lower prevalence of depression, anxiety, and problems with ADLs. It may be necessary to consider resilience when exploring the well-being of adults ageing with HIV.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Resilience and Physical and Mental Well-Being in Adults with and Without HIV

et al. 2017

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“…The outcome of interest was ADL impairment, assessed using the Katz ADL Scale, which asks participants to rate the level of difficulty in performing six basic ADLs (bathing or showering, dressing, eating, getting in or out of bed or chairs, walking, using the toilet). Response options were “no difficulty,” “a little difficulty,” “some difficulty,” “a lot of difficulty,” and “unable to do.” Subjects were considered to have an activity limitation if they reported “a lot of difficulty” or that they were “unable to do” one or more basic ADLs . An alternative exploratory definition of ADL limitation using limitations in two or more basic ADLs was tested as well.…”

Section: Methodsmentioning

confidence: 99%

Associations Between Asthma Control and Airway Obstruction and Performance of Activities of Daily Living in Older Adults with Asthma

Woods

O’Conor

Martynenko³

et al. 2016

J American Geriatrics Society

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Background Asthma’s impact on functional limitations of older adults in the United States has not been fully described. Design Analyses were conducted with data from the Asthma Beliefs and Literacy in the Elderly (ABLE) study, a prospective cohort study of asthmatics aged 60 and older. Setting Patients were recruited from urban primary care and pulmonary specialty practices in New York City and Chicago between 2010 and 2012. Participants 380 women and 72 men, mean age 67.5 years (SD 6.8 range 60–98), 40% Latino, 30% black were included in the study. Measurements Characteristics of patients with limitations in activities of daily living (ADLs) were compared to those without ADL limitations using the chi-square test. Generalized estimating equations were used to model the relationships between poor asthma control (Asthma Control Questionnaire [ACQ] score of >1.5) and severity of airway obstruction (Forced Expiratory Volume in one second [FEV1]) and number of limitations of ADLs. Results Patients with one or more ADL limitations were more likely to be female (90% vs. 81%, P=0.02), Latino (58% vs. 32%, P<.001), have less than a high school education (53% vs. 27%, P<.001), an income ≤ $1350 per month (79% vs. 46%, P<.001) and be unmarried (78% vs. 64%, P=0.003). In the adjusted analysis, worse ACQ scores (odds ratio [OR] 1.6, 95% confidence interval [CI] 1.0–2.4 P<0.05) but not severity of airway obstruction (OR 1.1, 95% CI 0.6–1.9) was associated with greater ADL limitations. Conclusion Older adults reporting poor asthma control are more likely to have limitations in ADLs than those with controlled asthma, though one-time spirometry may not adequately identify those at risk for physical impairment from their asthma.

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“…Our data also show the mediating role of some interactive processes, such as resilience, in reducing the negative effects of internalized stigma on psychological quality of life. Previous longitudinal studies have shown that resilience is a factor that promotes successful ageing in people with physical disability [105]. In relation to motor disability, it is possible to identify different profiles of resilience, and low resilience profiles are related to a deficit in psychological adjustment and quality of life in general [69,106].…”

Section: Discussionmentioning

confidence: 99%

Psychological Quality of Life in People with Physical Disability: The Effect of Internalized Stigma, Collective Action and Resilience

Silván-Ferrero

Recio

Molero

et al. 2020

IJERPH

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Purpose: The main objective of this study was to examine the role of social identification, collective action and resilience in reducing the negative consequences of internalized stigma on the psychological quality of life of people with physical disability using path analysis. We propose a model with two paths: the first through social identification and collective action and the second via resilience. Method: A total of 288 Spanish people with physical disability aged between 18 and 82 years (46.4% males; mean [SD] of age = 45.1 [12.3] responded to the questionnaire. Data were collected for three months through an online survey. Results: The tested model adequately fit the data. We found that the relationship between internalized stigma and the psychological quality of life of people with physical disability was mediated by resilience. However, neither social identification nor collective action mediated the association between internalized stigma and quality of life among our participants. Conclusions: The results confirmed the negative association between internalized stigma and quality of life in the population with physical disability. The results show that some interactive processes, such as resilience, may contribute to decreasing the negative effects of internalized stigma. In contrast, no effects of identification with the group or collective action intention were found.

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Psychological Resilience and the Onset of Activity of Daily Living Disability Among Older Adults in China: A Nationwide Longitudinal Analysis

Cited by 44 publications

References 41 publications

Resilience and Physical and Mental Well-Being in Adults with and Without HIV

Resilience and Physical and Mental Well-Being in Adults with and Without HIV

Associations Between Asthma Control and Airway Obstruction and Performance of Activities of Daily Living in Older Adults with Asthma

Psychological Quality of Life in People with Physical Disability: The Effect of Internalized Stigma, Collective Action and Resilience

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