Sleep Quality in relation to Social Support and Resilience Among Rural Empty-nest older adults in China

2021 ◽  
Author(s):  
Xiaonan Hao ◽  
Manman Li ◽  
Jing Li ◽  
Miaohua Lv ◽  
Yuan Qin ◽  
...  
Author(s):  
Christina M Marini ◽  
Stephanie J Wilson ◽  
Suyoung Nah ◽  
Lynn M Martire ◽  
Martin J Sliwinski

Abstract Objectives Although the adverse link between rumination and sleep quality is well established, much of the literature neglects the role of social factors. This study examined the role of older adults’ perceived social support from spouses and from family/friends in modifying the association between trait rumination and sleep quality. Existing hypotheses suggest that social support may play three unique roles, each tested within the current study: (H1) support may act as a protective factor that buffers negative effects of rumination on sleep quality, (H2) support may curtail rumination and, in turn, promote sleep quality, and (H3) rumination may erode support and, in turn, undermine sleep quality. Method Data came from 86 partnered older adults in independent-living or retirement communities (Mage = 75.70 years). We utilized three waves of interview data collected annually between 2017 and 2019. The first hypothesis was tested using moderation in multilevel models; the second two hypotheses were evaluated with prospective associations using multilevel mediation. Results Negative effects of high-trait rumination on time-varying sleep quality were attenuated among those who reported high, stable levels of support from their spouses. Perceived family/friend support did not yield the same protective effect. There was no evidence that support preempted, or was eroded by, rumination. Discussion Perceived spousal support may act as a psychosocial resource that mitigates negative effects of trait rumination on older adults’ sleep quality. Interventions aimed at mitigating maladaptive outcomes of rumination on sleep quality for older adults should consider spousal support as a key target.


2021 ◽  
Vol 15 ◽  
pp. 183449092110526
Author(s):  
Ran Xu ◽  
Yao Lin ◽  
Baoshan Zhang

Sleep quality and perceived social support (PSS) are acknowledged to play indispensable roles in enhancing the adaptation of later life and improving the health condition and well-being of older adults. Both have received widespread attention from researchers. Some researchers have begun focusing on physical factors or health-related behaviors, such as sleep, that have significant effects on PSS. Good sleep quality has been widely established to be significantly associated with a high level of PSS. However, research on the temporal effects of sleep quality on PSS is limited, and the potential health mechanisms of the relationship between sleep quality and PSS in older adults are mixed. This study aims to investigate the temporal relationship between sleep quality and PSS, including the mediating role of depressed mood in the relationship between sleep quality and PSS in older adults. A total of 281 older adults completed the self-reported questionnaires assessing sleep quality, PSS, and depressed mood at three time-points: at intake, a 6-month follow-up, and a 12-month follow-up. Cross-lagged panel analysis using structural equation modeling indicated that sleep quality at Times 1 and 2 positively predicated PSS at Times 2 and 3, respectively. In addition, the longitudinal mediation analysis showed that depressed mood mediated the effect of sleep quality on PSS. The study found that sleep quality influences PSS through depressed mood in older adults, which enriched the theoretical basis of the field. Findings also offer some practical implications. Particularly for community practitioners, the current findings suggest that improving sleep quality can be a strategy for improving psychological health and social functioning (e.g., PSS) in older adults.


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 562-562
Author(s):  
Christina Marini ◽  
Stephanie Wilson ◽  
Suyoung Nah ◽  
Lynn Martire ◽  
Martin Sliwinski

Abstract Rumination is a maladaptive coping strategy that gives rise to and sustains stress. Individuals who ruminate more, therefore, tend to sleep more poorly. Studies of rumination and sleep often neglect the role of social context. Social support may buffer the degree to which rumination predicts poorer sleep quality. Further, individuals with more support may ruminate less, resulting in better sleep quality. Finally, rumination may also erode social support, resulting in poorer sleep quality. The current study tested these three hypotheses within a sample of 131 partnered older adults. We examined support from spouses and friends/family separately. Findings indicated that spousal (not family/friend) support buffered the negative association between rumination and sleep quality. Neither type of support predicted rumination; however, rumination predicted lower levels of family/friend (not spousal) support. Thus, spousal support protects older adults’ sleep quality from rumination, and support from their peripheral ties may be more vulnerable to rumination.


2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S527-S527
Author(s):  
Christina M Marini ◽  
Stephanie J Wilson ◽  
Lynn Martire

Abstract Rumination, the act of dwelling on negative, unwanted thoughts, can stoke depression and disrupt sleep, both of which may threaten older adults’ well-being. In line with a support buffering hypothesis, a previous study of younger and middle-aged adults found that social support mitigated the positive association between rumination and negative mood. To extend this research, we distinguished between spousal and family/friend support as moderators of rumination’s links both to depressive symptoms and sleep quality among older adults. Data came from a sample of 128 adults who were, on average, 77 years old at study onset. Rumination was measured via the Rumination-Reflection Questionnaire. Perceived support was measured by items utilized in multiple nationally representative studies of older adults. Depressive symptoms were measured via the NIH PROMIS measure, and sleep quality was measured via items from the Pittsburgh Sleep Quality Index. Results indicated that support from family/friends (but not spouses) buffered the positive association between rumination and depressive symptoms, even after controlling for depressive symptoms six months prior. Conversely, when sleep quality served as the outcome, support from spouses (but not family/friends) buffered the negative association between rumination and sleep quality, even after controlling for sleep quality six months prior. Findings highlight the potential for specific sources of social support to buffer different consequences of rumination on older adults’ health and well-being.


2021 ◽  
Author(s):  
Mostafa Araj-Khodaei ◽  
Sarvin Sanaie ◽  
Seyed Aria Nejadghaderi ◽  
Mark J M Sullman ◽  
Sirous Samei Sis ◽  
...  

Abstract Background: Population aging and its consequences area substantial global concern. The growth in the numbers of older people is one of the most important factors increasing the burden of non-communicable diseases (NCDs) on society. The Tabriz Older People Survey (TOPS) aimed to understand the socio-demographics, health-related behaviors, and health profile of older adults. Methods: This cross-sectional study was conducted on a representative sample of 1362 community dwelling older adults in Tabriz, the most populated city in the northwest of Iran. The sampling method was probability proportionate to size (PPS). Data collection was conducted in the households of the participants from summer 2019 to winter 2020. Trained interviewers administered the questionnaire, which measured socio-demographics, anthropometrics, social support, sleep quality, mental health, past medical history, dietary habits, traditional medicine, physical activity, and other health-related behaviors. Results: The sample of 1362 consisted of 56.4% fameless and 54.4% were young older people (60-69 years old). Almost half of the sample were completely illiterate. There was no daily walking in 13.3% of the sample, with women reporting a more sedentary lifestyle than males. Out of the 1362 participants, 135 (9.9%) were current smokers, which was higher in males (20.9% vs. 1.5%) and more than 88% of people who lived alone were women. In terms of sleep quality, anxiety, depression, cognitive status, daily functioning, and social support, men were significantly better than women. Hypertension and stroke were the most and least common underlying diseases (81.0% vs. 6.2%). Conclusions: The findings suggest that older women are significantly worse than older males in terms of social and disability related measures, as well as having a higher burden from some NCDs. The results of this study might help regional health policymakers to identify targets for improving the quality of life among community-housed geriatrics.


2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Chichen Zhang ◽  
Shujuan Xiao ◽  
Huang Lin ◽  
Lei Shi ◽  
Xiao Zheng ◽  
...  

Abstract Background Previous research has found a link between sleep quality and psychological distress. However, the underlying mechanisms of this connection have still not been well explored. The aim of this study was to examine the roles of activities of daily living (ADL), physical activity, and perceived social support in the link between sleep quality and psychological distress among older adults. Methods Three thousand two hundred fifty valid individuals (aged 60 years or above) participated in face-to-face questionnaire-based surveys. Older individuals were assessed using the Pittsburgh Sleep Quality Index, Barthel Index, International Physical Activity Questionnaire, Perceived Social Support Scale, and Depression Anxiety Stress Scale-21. The PROCESS macro developed by Hayes was used to conduct moderated mediation analysis. Results In older adults, sleep quality had a substantial direct influence on psychological distress. ADL mediated the association between sleep quality and psychological distress. Physical activity significantly reduced ADL’s mediating influence on the relationship between sleep quality and psychological distress. Furthermore, perceived social support moderated the direct relationship between sleep quality and psychological distress, as well as the second half of the mediating effect of the ADL. Moreover, physical activity and perceived social support were preventive factors that might successfully mitigate the detrimental effects of poor sleep quality on ADL and psychological distress. Conclusions The findings contribute to existing understanding by clarifying the fundamental mechanisms that link sleep quality and psychological distress. These results may provide a valuable reference to the Chinese government for improving mental health in older individuals.


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