The relationship between coping strategies and psychological distress in Chinese older adults with multiple chronic conditions

2021 ◽  
Author(s):  
Cheng Cheng ◽  
Kerry Inder ◽  
Sally Wai‐chi Chan
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Coping Strategies ◽  
Chronic Conditions ◽  
Multiple Chronic Conditions ◽  
Chinese Older Adults ◽  
The Relationship

scholarly journals Illness perceptions and health outcomes among community-dwelling older adults with multiple chronic conditions

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 615-616
Author(s):  
Ayo Bankole
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Chronic Conditions ◽  
Illness Perceptions ◽  
Community Dwelling ◽  
Multiple Chronic Conditions ◽  
Targeted Interventions ◽  
Self Rated Health ◽  
The Past ◽  
The Relationship

Abstract Illness perceptions (IP) has been associated with self-management and health outcomes in individuals with chronic diseases such as heart disease and diabetes; however, there is less research on the relationship between IP and health outcomes in individuals with multiple chronic conditions (MCC). Older adults with MCC are more likely to experience poor outcomes such as hospitalizations and poor self-rated health yet, there is less understanding of the processes associated with these outcomes. The purpose of this study was to (1) explore the relationship between IP and self-rated health among older adults with MCC (2) explore the relationship between IP and the number of hospitalization within the past year among older adults with MCC. Understanding these relationships may be instrumental to designing targeted interventions to improve health outcomes for this population. 116 participants (ages 65-90) completed the illness perception of multimorbidity scale, modified general health subscale of the SF-36 questionnaire, and self-reported number of hospitalizations within the past year. Ordinal logistic regression was used for analysis. Older adults who reported negative IP were likely to report worse self-rated health and this relationship remained significant after controlling for age and number of chronic conditions {-0.032 (95% CI (-0.050 to 0.014) p< 0.05}. There was no significant relationship between IP and the number of hospitalization within the past year. The study results study suggest that IP is associated with self-rated health in older adults with MCC. IP may be useful to design targeted interventions to improve self-rated health in this population.

scholarly journals LONELINESS SHAPES THE RELATIONSHIP BETWEEN ICT USE AND PSYCHOLOGICAL ADJUSTMENT AMONG OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S530-S530
Author(s):  
Yang Fang ◽  
Anson Chau ◽  
Helene H Fung ◽  
Jean Woo
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Psychological Adjustment ◽  
Psychosocial Adjustment ◽  
Well Being ◽  
Smart Devices ◽  
Chinese Older Adults ◽  
Ict Use ◽  
Hong Kong Sar ◽  
The Relationship

Abstract Background: Given findings that generally support the benefits of information and communication technology (ICT) for older adults’ psychosocial adjustment, one might surmise that lonely older adults, who have a stronger need for psychological support, would reap more psychosocial benefits from ICT use. However, scant research has examined this view, much less the likelihood that ICT use might worsen the psychological well-being of lonely older adults, as has been shown to be the case in younger adults. Objective: To examine whether the association between ICT use and psychological adjustment (i.e., psychological distress and sense of community [SOC]) among older adults depends on their loneliness levels. Methods: A representative sample of 738 Hong Kong SAR Chinese older adults aged 60 years or older (56% female) was interviewed in 2017 on loneliness, frequency of ICT use (i.e., Internet and smart devices), psychological distress (6-item Kessler scale; K6), and SOC. Results: Regression analyses showed that loneliness significantly moderated the relationship between ICT use frequency and psychological adjustment (psychological distress and SOC); more frequent ICT use was associated with more psychological distress and less SOC, with higher levels of loneliness. Conclusion: These findings suggest that ICT use may be a mixed blessing for older adults, i.e., using more ICT might predict worse psychological adjustment among lonelier older adults. Efforts that promote ICT use among older adults should take their loneliness levels into account.

scholarly journals Development and validation of multimorbidity index predicting mortality among Chinese older adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 609-609
Author(s):  
Yan Luo ◽  
Zi-Ting Huang ◽  
Hui-wen Xu ◽  
Zi-Shuo Chen ◽  
He-Xuan Su ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Conditions ◽  
Predictive Performance ◽  
Multiple Chronic Conditions ◽  
Chinese Older Adults ◽  
Healthy Longevity ◽  
C Statistic ◽  
Validation Set ◽  
Development And Validation ◽  
Integrated Discrimination Improvement

Abstract This study aimed to construct a multimorbidity index among Chinese older adults. Participants aged 65-84 years (n=11,757) from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Fourteen self-reported chronic conditions were assessed at baseline. Outcome was all-cause mortality within five-year follow-up. We used restrictive association rules mining to identify the patterns of multiple chronic conditions associated with mortality. The weights of conditions and disease combinations were assigned using logistic regression adjusted by age and sex in training set. Multimorbidity index (MI) with individual diseases and multimorbidity index incorporating disease combinations (MIDC) were developed. We compared the performance of MI and MIDC with condition count and XGBoost algorithm in the validation set. There were no significant differences of c-statistics between condition count (0.687) and MI (0.692) or MIDC (0.689). The c-statistic of XGBoost algorithm (0.675) was the lowest among all models. The Integrated Discrimination Improvement (IDI) and categorical Net Reclassification Index (NRI) for MI (IDI: 0.01, P < 0.001; NRI: 0.01, P = 0.127), MIDC (IDI: 0.004, p = 0.002; NRI: 0.02, P = 0.033), and XGBoost model (IDI: 0.02, P < 0.001; NRI: 0.03, P = 0.004) were significantly positive compared with condition count. However, no significant differences for IDI and NRI were observed between MI and MIDC. Among Chinese older adults, weighted multimorbidity index with individual disease can better predict five-year mortality risk over condition count. There was little improvement in the predictive performance of the index after considering the joint effects of disease combinations.

scholarly journals Social Well-Being and Chronic Disease Condition among Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 891-891
Author(s):  
Jungkyung Min ◽  
Idethia Harvey ◽  
Yuchen Yeh
Keyword(s):  
Older Adults ◽  
Life Satisfaction ◽  
Chronic Disease ◽  
Religious Coping ◽  
Perceived Control ◽  
Chronic Conditions ◽  
Well Being ◽  
Self Esteem ◽  
Multiple Chronic Conditions ◽  
The Relationship

Abstract Aging is characterized by the decline in physical health, functional status, and loss of social roles and relationships that can challenge the quality of life. A protective factor that moderates the impact of these phenomena is psychological (e.g., social) well-being. Despite the high prevalence of chronic conditions among older adults, research exploring the relationship between social well-being and chronic disease is sparse. The study aims were to investigate the relationship between social well-being among older adults (N = 1,251, R = 65 – 92 years) who participated in the National Survey of Mid-life in the United States (MIDUS 3). This study used variables for the MIDUS 3 study to test a structural equation model to examine the hypothesized relationships between social well-being, chronic conditions, life satisfaction, self-esteem, active coping, optimism, and religious coping. The findings indicate that perceived control, self-esteem, active coping, optimism, and religious coping were statistically significant for the participants’ social well-being (β =.29, p <.001, β =.16, p<.001, β =.08, p<.05, β =.35, p<.001, and β =.07, p<.05, respectively). However, life satisfaction was not significantly associate with social well-being (β =.04, p >.05). For individuals’ diagnosed with more than one chronic condition, perceived control, self-esteem, and optimism statistically significant impact their social well-being (β = .33, p < .001, β =.17, p < .001, and β =.33, p < .001, respectively). Findings suggested that multiple chronic conditions influence social well-being. Chronic disease management programs may be useful in increasing social well-being among individuals with multiple chronic conditions.

Mediation of Coping Strategies among Patients with Advanced Cancer

2021 ◽  
pp. 105477382110032
Author(s):  
Nurul Huda ◽  
Yun-Yen ◽  
Hellena Deli ◽  
Malissa Kay Shaw ◽  
Tsai-Wei Huang ◽  
...  
Keyword(s):  
Psychological Distress ◽  
Coping Strategies ◽  
Advanced Cancer ◽  
Well Being ◽  
Cross Sectional ◽  
Correlational Research ◽  
Resampling Procedure ◽  
Relationship Of ◽  
Anxiety Depression ◽  
The Relationship

The purpose of this study was to test the mediating effects of coping on relationships of psychological distress and stress with anxiety, depression, and quality of life. A cross-sectional and correlational research study was used to recruit a sample of 440 patients with advanced cancer in Indonesia. A bootstrap resampling procedure was used to test the significance of the total and specific indirect effects of coping. Data analysis showed that problem-focused coping (PFC) mediated relationships of psychological distress and stress on depression, anxiety and functional well-being. PFC also mediated the relationship between stress and social well-being. Emotional-focused coping (EFC) mediated the relationship of stress with physical and emotional well-being. EFC also mediated the relationships between psychological distress and physical well-being. Thus, proper assessments and interventions should be tailored and implemented for patients in order to facilitate their use of coping strategies when needed in stressful situations.

scholarly journals The Importance of Studying Health Behavior in Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 827-827
Author(s):  
Jaime Hughes ◽  
Susan Hughes ◽  
Mina Raj ◽  
Janet Bettger
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Behavior Change ◽  
Chronic Conditions ◽  
Population Level ◽  
Multiple Chronic Conditions ◽  
Prior Work ◽  
Time Changes ◽  
The Impact ◽  
Over Time

Abstract Behavior change is an inherent aspect of routine geriatric care. However, most research and clinical programs emphasis how to initiate behavior change with less emphasis placed on skills and strategies to maintain behaviors over time, including after an intervention has concluded. This presentation will provide an introduction to the symposium, including a review of prior work and our rationale for studying the critical yet overlooked construct of maintenance in older adults. Several key considerations in our work include the impact of multiple chronic conditions, declines in cognitive and functional capacity over time, changes in environmental context and/or social support, and sustainability of community and population-level programs and services.

scholarly journals HEALTHCARE PROVIDERS’ EXPERIENCES IN CARING FOR OLDER ADULTS WITH MULTIPLE CHRONIC CONDITIONS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S317-S318
Author(s):  
Jenny Ploeg ◽  
Marie-Lee Yous ◽  
Kimberly Fraser ◽  
Sinéad Dufour ◽  
Sharon Kaasalainen ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Home Care ◽  
Family Caregivers ◽  
Chronic Conditions ◽  
Care Delivery ◽  
Healthcare Providers ◽  
Multiple Chronic Conditions ◽  
Team Approach ◽  
Personal Support

Abstract The management of multiple chronic conditions (MCC) in older adults living in the community is complex. Little is known about the experiences of interdisciplinary primary care and home providers who care for this vulnerable group. The aim of this study was to explore the experiences of healthcare providers in managing the care of community-living older adults with MCC and to highlight their recommendations for improving care delivery for this group. A qualitative interpretive description design was used. A total of 42 healthcare providers from two provinces in Canada participated in semi-structured interviews. Participants represented diverse disciplines (e.g., physicians, nurses, social workers, personal support workers) and settings (e.g., primary care and home care). Thematic analysis was used to analyze interview data. The experiences of healthcare providers managing care for older adults with MCC were organized into six major themes: (1) managing complexity associated with MCC, (2) implementing person-centred care, (3), involving and supporting family caregivers, (4) using a team approach for holistic care delivery, (5) encountering rewards and challenges in caring for older adults with MCC, and (6) recommending ways to address the challenges of the healthcare system. Healthcare providers highlighted the need for a more comprehensive integrated system of care to improve care management for older adults with MCC and their family caregivers. Specifically, they suggested increased care coordination, more comprehensive primary care visits with an interprofessional team, and increased home care support.

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