scholarly journals The relationship between social deprivation and a frailty index of cumulative deficits in French middle-aged caregivers

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Jonathan Giovannelli ◽  
Anthony Pinon ◽  
Manon Lenain ◽  
Anne-Laure Cleys ◽  
Brigitte Lefebvre ◽  
...  
Keyword(s):  
Missing Values ◽  
Social Deprivation ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
The North ◽  
Standard Procedures ◽  
Cumulative Deficit ◽  
The Relationship

Abstract Background The Institut Pasteur de Lille, in the north of France, has implemented a large, multidisciplinary health check, which aims to identify frailty in middle-aged caregivers. We aimed to construct an adapted frailty index of cumulative deficit (FI-CD) and study the associated factors, in particular socioeconomic factors. Methods The cross-sectional study included caregivers aged 45 to 65. A 34-item FI-CD including deficits adapted to a middle-aged population (related to cognition and autonomy, dietetics, physical activity, comorbidities, functional signs, lab values and paraclinical examinations) was constructed in accordance with standard procedures. It was calculated as a ratio of deficits present out of the total number of possible deficits, giving a continuous score between 0 and 1. Scores > 0.25 and >  0.4 were classified as frailty and severe frailty, respectively. Univariate and multivariate associations were studied using linear regressions. Results One hundred and seventeen caregivers were included; among them, 111 were analyzed due to missing values. The mean FI-CD was 0.22 ± 0.08. Forty (36%) individuals were classified as frailty and three (2.7%) as severe frailty. In multivariate analysis, FI-CD was significantly associated with age (beta [95% confidence interval] = 0.005 [0.002; 0.009] per 1-year increase, p = 0.005) and social deprivation (beta = 0.054 [0.007; 0.102], p = 0.025). A significant interaction was observed between and age and social deprivation (p = 0.036). The adjusted relationship between FI-CD and age was beta = 0.010 [0.002; 0.019], p = 0.017 in precarious caregivers, and beta = 0.003 [− 0.001; 0.007], p = 0.19 in non-precarious caregivers. Conclusions The study suggested that the 34-item FI-CD could have clinical utility in the management of middle-aged caregivers. Social deprivation appeared as an important factor associated with frailty, highlighting the importance of early care and social support for precarious caregivers.

Frailty in Caregivers and Its Relationship with Psychological Stress and Resilience: A Cross-Sectional Study Based on the Deficit Accumulation Model

2021 ◽  
pp. 1-8
Author(s):  
M. F.S. Bersani ◽  
F.S. Bersani ◽  
F. Sciancalepore ◽  
M. Salzillo ◽  
M. Cesari ◽  
...  
Keyword(s):  
Psychological Stress ◽  
Frailty Index ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Deficit Accumulation ◽  
Cross Sectional ◽  
Accumulation Model ◽  
Emotional Strain ◽  
Relationship Of ◽  
The Relationship

Background: Studies increasingly suggest that chronic exposure to psychological stress can lead to health deterioration and accelerated ageing, thus possibly contributing to the development of frailty. Recent approaches based on the deficit accumulation model measure frailty on a continuous grading through the “Frailty Index” (FI), i.e. a macroscopic indicator of biological senescence and functional status. OBJECTIVES: The study aimed at testing the relationship of FI with caregiving, psychological stress, and psychological resilience. DESIGN: Cross-sectional study, with case-control and correlational analyses. PARTICIPANTS: Caregivers of patients with dementia (n=64), i.e. individuals a priori considered to be exposed to prolonged psychosocial stressors, and matched controls (n=64) were enrolled. MEASUREMENTS: The two groups were compared using a 38-item FI condensing biological, clinical, and functional assessments. Within caregivers, the association of FI with Perceived Stress Scale (PSS) and Brief Resilience Scale (BRS) was tested. RESULTS: Caregivers had higher FI than controls (F=8.308, p=0.005). FI was associated directly with PSS (r=0.660, p<0.001) and inversely with BRS (r=-0.637, p<0.001). Findings remained significant after adjusting for certain confounding variables, after excluding from the FI the conditions directly related to psychological stress, and when the analyses were performed separately among participants older and younger than 65 years. CONCLUSIONS: The results provide insight on the relationship of frailty with caregiving, psychological stress, and resilience, with potential implications for the clinical management of individuals exposed to chronic emotional strain.

scholarly journals Internet and Social Isolation: A Comparative Study of the Effect of Internet Use on Social Isolation Between Young and Middle-Aged Individuals

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Maryam Hashempour-Sadeghian ◽  
Mohammad Taghi Abbasi Shavazi
Keyword(s):  
Social Isolation ◽  
Internet Use ◽  
Cross Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
Significance Level ◽  
Received Social Support ◽  
The Relationship ◽  
The City ◽  
People Today

Background: One of the symptoms of mental health disorders is social isolation which refers to unfavorable social relationships with other people. Today, Internet use is an important predictor of social isolation. Objectives: The present study aimed to investigate the relationship between Internet use and social isolation (objective-subjective) in young and middle-aged individuals in the city of Shiraz. Methods: This cross-sectional study was conducted on 600 young and middle-aged (15 - 65 years old) individuals in Shiraz, Iran. Data were collected using three questionnaires (objective isolation with four subscales, subjective isolation with two subscales, and the amount of Internet use). Regression analyses were used to analyze the data. Results: Regression analysis showed that in objective isolation, Internet use increased just two subscales, including network diversity (P < 0.001) and the level of social participation (P < 0.001). It can be argued that the Internet has partly reduced social isolation in the objective dimension. In the subjective dimension, Internet use has increased the received social support (P < 0.001). Thus, Internet use would reduce the level of social isolation in the subjective dimension (P < 0.001). Although the significance level of the relationship between Internet use and social isolation is almost the same in both generations, the intensity of middle-aged relationships is higher than that in young people. Conclusions: Internet use has reduced social isolation; however, considering the low intensity of the reduction of isolation, it is argued that Internet use does not isolate people but just does not upgrade them much.

scholarly journals The Relationship Between Social Support, Aging Expectations, and Health Behavior in Middle Age

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 409-409
Author(s):  
Hyun-E Yeom ◽  
Misook Jung ◽  
Eunyoung Park
Keyword(s):  
Social Support ◽  
Health Behavior ◽  
Social Relations ◽  
Healthy Aging ◽  
Cross Sectional Study ◽  
Middle Aged ◽  
Cross Sectional ◽  
Age Related ◽  
Attitudes Toward Aging ◽  
The Relationship

Abstract Midlife is a critical period when individuals need to actively engage in healthy behaviors for healthy aging. Although both social relations and attitudes toward aging are factors related to health behavior, little is known about their relationships based on age-related differences. The purposes of this study were to investigate the influence of social support affecting health behavior through expectations regarding aging and to examine how age affects the relationship. A cross-sectional study was conducted with data from 245 midlife Koreans (mean age= 51.5) collected by a self-administered survey. Data were analyzed using the PROCESS macro in SPSS. Social support was significantly related to expectations regarding aging (r= -.135, p=.034) and health behavior (r= .223, p&lt;.000). There was age-related difference in the relationship between social support and expectations regarding aging (β= .007, p=.038), indicating that the relationship was much stronger in the younger group. In addition, the influence of social support on health behavior through expectations regarding aging was significant in relatively young middle-aged individuals. Our findings emphasize the importance of supportive social relationships, which could affect expectations regarding aging linked to health behavior, especially for young middle-aged individuals. It is necessary to develop psycho-cognitive programs to activate social interaction and to improve positive attitudes toward aging for more active engagement in health behaviors in midlife individuals.

Minerals Intake Distributions in a Large Sample of Iranian at-Risk Population Using the National Cancer Institute Method: Do They Meet Their Requirements?

2015 ◽  
Vol 85 (3-4) ◽  
pp. 129-144 ◽  
Author(s):  
Zahra Heidari ◽  
Awat Feizi ◽  
Leila Azadbakht ◽  
Nizal Sarrafzadegan
Keyword(s):  
At Risk ◽  
National Cancer Institute ◽  
Population Based ◽  
Cross Sectional Study ◽  
Normal Function ◽  
Dietary Intakes ◽  
Middle Aged ◽  
Cross Sectional ◽  
Nutritional Interventions ◽  
High Prevalence

Abstract. Background: Minerals are required for the body’s normal function. Aim: The current study assessed the intake distribution of minerals and estimated the prevalence of inadequacy and excess among a representative sample of healthy middle aged and elderly Iranian people. Methods: In this cross-sectional study, the second follow up to the Isfahan Cohort Study (ICS), 1922 generally healthy people aged 40 and older were investigated. Dietary intakes were collected using 24 hour recalls and two or more consecutive food records. Distribution of minerals intake was estimated using traditional (averaging dietary intake days) and National Cancer Institute (NCI) methods, and the results obtained from the two methods, were compared. The prevalence of minerals intake inadequacy or excess was estimated using the estimated average requirement (EAR) cut-point method, the probability approach and the tolerable upper intake levels (UL). Results: There were remarkable differences between values obtained using traditional and NCI methods, particularly in the lower and upper percentiles of the estimated intake distributions. A high prevalence of inadequacy of magnesium (50 - 100 %), calcium (21 - 93 %) and zinc (30 - 55 % for males > 50 years) was observed. Significant gender differences were found regarding inadequate intakes of calcium (21 - 76 % for males vs. 45 - 93 % for females), magnesium (92 % vs. 100 %), iron (0 vs. 15 % for age group 40 - 50 years) and zinc (29 - 55 % vs. 0 %) (all; p < 0.05). Conclusion: Severely imbalanced intakes of magnesium, calcium and zinc were observed among the middle-aged and elderly Iranian population. Nutritional interventions and population-based education to improve healthy diets among the studied population at risk are needed.

Coping Style as a Mediator of the Relationship Between Depressive Symptoms and Deliberate Self-Harm

Crisis ◽  
2011 ◽  
Vol 32 (5) ◽  
pp. 272-279 ◽  
Author(s):  
Allison S. Christian ◽  
Kristen M. McCabe
Keyword(s):  
Depressive Symptoms ◽  
Undergraduate Students ◽  
Cross Sectional Study ◽  
Self Report ◽  
Hierarchical Regression ◽  
Cross Sectional ◽  
Deliberate Self Harm ◽  
Self Blame ◽  
Self Harm ◽  
The Relationship

Background: Deliberate self-harm (DSH) occurs with high frequency among clinical and nonclinical youth populations. Although depression has been consistently linked with the behavior, not all depressed individuals engage in DSH. Aims: The current study examined maladaptive coping strategies (i.e., self-blame, distancing, and self-isolation) as mediators between depression and DSH among undergraduate students. Methods: 202 students from undergraduate psychology courses at a private university in Southern California (77.7% women) completed anonymous self-report measures. Results: A hierarchical regression model found no differences in DSH history across demographic variables. Among coping variables, self-isolation alone was significantly related to DSH. A full meditational model was supported: Depressive symptoms were significantly related to DSH, but adding self-isolation to the model rendered the relationship nonsignificant. Limitations: The cross-sectional study design prevents determination of whether a casual relation exists between self-isolation and DSH, and obscures the direction of that relationship. Conclusions: Results suggest targeting self-isolation as a means of DSH prevention and intervention among nonclinical, youth populations.

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