scholarly journals The association between sleep quality and psychological distress among older Chinese adults: a moderated mediation model

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Chichen Zhang ◽  
Shujuan Xiao ◽  
Huang Lin ◽  
Lei Shi ◽  
Xiao Zheng ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Older Adults ◽  
Psychological Distress ◽  
Sleep Quality ◽  
Perceived Social Support ◽  
Moderated Mediation ◽  
Mediating Effect ◽  
Chinese Government ◽  
Older Individuals

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.

scholarly journals The Role of Social Support in the Relationship between Urinary Incontinence and Psychological Distress in Older Adults

2005 ◽  
Vol 24 (3) ◽  
pp. 285-294 ◽  
Author(s):  
Laurie M. Corna ◽  
John Cairney
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Psychological Distress ◽  
Canadian Community Health Survey ◽  
Mediating Effect ◽  
Four Dimensions ◽  
Community Health Survey ◽  
Tangible Support ◽  
The Relationship

ABSTRACTWhile an association between UI and psychological distress among older adults has been established in the literature, the mechanisms underlying this relationship remain less clear. Using a sample of 4,689 older adults from the Canadian Community Health Survey (1.1), we test the potential mediating and moderating effects of four dimensions of social support on the UI–distress relationship. Incontinent older adults are significantly more likely to report higher levels of distress than continent adults. Although we do not find support for a mediating effect of any of the dimensions of social support, we do report a significant interaction between one dimension of social support (tangible support) and UI. A buffering effect of tangible support is evident for continent – but not incontinent – respondents. These findings emphasize the need to assess the types of social support and the context in which they operate.

scholarly journals Verification of the Mediating Effect of Social Support on Physical Activity and Aging Anxiety of Korean Pre-Older Adults

2020 ◽  
Vol 17 (21) ◽  
pp. 8069
Author(s):  
Ahra Oh ◽  
Jiyoun Kim ◽  
Eunsurk Yi ◽  
Jongseob Shin
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Older Adults ◽  
Senior Citizens ◽  
Mediating Effect ◽  
Elderly Persons ◽  
Social Support Scale ◽  
Aging Anxiety ◽  
Activity Questionnaires ◽  
The Relationship

There is a lack of research on Korean prospective elderly persons. In particular, there is little research regarding whether social support has a mediating effect on the relationship between physical activity and aging anxiety. Accordingly, this study investigated how social support affected physical activity and aging anxiety in 778 prospective senior citizens (55 to 65 years old) out of a total of 1447 senior citizens who participated in the Embrain Panel Power and Panel Marketing Interactive. Participants completed the IPAQ (International Physical Activity Questionnaires), Social Support Scale, and Aging Anxiety Scale. Physical activity in these Korean pre-older adults affected aging anxiety (p < 0.001), with a fixed effect of physical activity on social support (p < 0.001). Further, social support affected aging anxiety (p < 0.001). Social support was also an important parameter in the relationship between physical activity and aging anxiety. In conclusion, high physical activity of pre-older Korean persons lowered their anxiety regarding aging. Social support acted as a mediator that lowered anxiety regarding aging in the most active pre-older persons.

scholarly journals Relationship among sleep quality, depressed mood, and perceived social support in older adults: A longitudinal study

2021 ◽  
Vol 15 ◽  
pp. 183449092110526
Author(s):  
Ran Xu ◽  
Yao Lin ◽  
Baoshan Zhang
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Sleep Quality ◽  
Depressed Mood ◽  
Perceived Social Support ◽  
Equation Modeling ◽  
Physical Factors ◽  
Potential Health ◽  
The Relationship

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.

scholarly journals Fatigue in adults with primary antiphospholipid syndrome: findings from a mixed-methods study

Lupus ◽  
2020 ◽  
Vol 29 (8) ◽  
pp. 924-933
Author(s):  
Lindsay M Bearne ◽  
Julie Bieles ◽  
Sofia Georgopoulou ◽  
Josie Andrews ◽  
Amy Tully ◽  
...  
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Mixed Methods ◽  
Sleep Quality ◽  
Antiphospholipid Syndrome ◽  
Perceived Social Support ◽  
Mixed Methods Study ◽  
Common Symptom ◽  
Primary Antiphospholipid Syndrome ◽  
Management Interventions

Objective This study aimed to explore the experience and impact of fatigue in adults with primary antiphospholipid syndrome (pAPS). Methods This sequential, explanatory mixed-methods study enrolled adults with a six-month or more history of pAPS. Consenting participants completed the Functional Assessment of Chronic Illness Therapy–Fatigue subscale (FS), Multi-Dimensional Perceived Social Support Scale, Patient Health Questionnaire (PHQ9), Pittsburgh Sleep Quality Index (PSQI), International Physical Activity Questionnaire (IPAQMETS). Relationships between FS and other variables were explored with multiple linear regression. Interviews were conducted with a subgroup of participants, and the data were analysed thematically. Results A total of 103 participants were recruited ( Mage = 50.3 years; standard deviation = 10.1 years; 18 males). Of these, 62% reported severe fatigue. Greater fatigue was associated with lower mood, physical inactivity, poorer sleep quality and lower perceived social support. The best-fit model explained 56% of the variance in FS (adjusted R2 = 0.560, F(3, 74) = 33.65, p > 0.001) and included PHQ9 and IPAQMETS as significant predictors, and PSQI as a non-significant predictor. Twenty participants completed interviews. Three key themes were identified: characteristics of fatigue, impact on life and coping strategies. Conclusion Fatigue was a common symptom of pAPS and challenging to manage. Other factors, particularly mood and physical activity, influenced fatigue. Evidence-based self-management interventions are needed.

Risk of Psychological Distress Among Community-Dwelling Older Adults Experiencing Spousal Loss in Ghana

2019 ◽  
Vol 60 (3) ◽  
pp. 416-427 ◽  
Author(s):  
Razak M Gyasi ◽  
David R Phillips
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Social Support ◽  
Older Adults ◽  
Psychological Distress ◽  
Older Persons ◽  
Well Being ◽  
Community Dwelling ◽  
Full Sample ◽  
Spousal Loss

Abstract Background Spousal loss, common in older age, has been linked to negative mental health outcomes and well-being, yet the mechanisms linking spousal loss and mental health are still unclear. Objective To investigate whether physical activity, social support, and gender modify the psychological distress effects of marital loss among community-dwelling older persons in Ghana. Methods Data from a 2016/2017 Ageing, Health, Psychological Well-being, and Health-seeking Behavior Study (N = 1,200) were examined. OLS regression models examined associations between spousal loss and psychological distress outcomes and interaction terms. Results Spousal loss (widowhood and divorce/separation) was associated with psychological distress (measured by the Kessler Psychological Distress Scale [KPDS-10]) for the full sample (β = .798, p &lt; .001), women (β = .831, p &lt; .001) and for men (β = .533, p &lt; .05). After adjusting for potential confounders, the associations between spousal loss and psychological distress persisted for the full sample (β = .727, p &lt; .001) and females only (β = .730, p &lt; .001). In particular, when experiencing spousal loss, those with meaningful social support (β = −.856, p &lt; .005) and engaged in physical activity (β = −.258, p &lt; .001) were less likely to be psychologically distressed. Conclusions Spousal loss precipitates an independent risk of psychological distress in older age particularly among women, but social support and physical activity engagements moderate the relationship. These findings support the premise that providing opportunities to improve social support and regular physical activity may buffer the effects of psychological distress among older persons experiencing spousal loss. Providing support for older adults in times of divorce and widowhood, and working towards changes in social attitudes towards divorce are important considerations.

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