Stress and depression among Chinese new urban older adults: A moderated mediation model

2020 ◽  
Vol 48 (9) ◽  
pp. 1-10
Author(s):  
Yang Sun ◽  
Huijuan Wang ◽  
Libin Zhang ◽  
Zhaoliang Li ◽  
Shaobo Lv ◽  
...  

We explored the relationship between stress and depression among 296 new urban older adults in China aged 60 years and older, along with the moderating effect of relocation duration and the mediating effect of anxiety. Participants completed the Depression Anxiety Stress Scales–simplified Chinese version. Results show that stress was a risk factor for depression, relocation duration moderated the relationship between stress and depression, and this moderating effect was mediated by anxiety. The importance of focusing on and preventing mental health problems among new urban older adults in China is discussed, with a focus on stress-induced anxiety and depression, and the feasibility of intervention at different stages postrelocation.

2021 ◽  
Author(s):  
Cher Yi Tan ◽  
Jia Yi Ng ◽  
Mei-Hua Lin ◽  
Min Hooi Yong

BACKGROUND The COVID-19 pandemic compelled many countries including Malaysia to impose movement restrictions to curb spreading the virus. Evidence shows that prolonged isolation has negative effects on both physical and mental health. OBJECTIVE Our aims were to examine (1) the mediating effect of perceived social isolation (SI) and fear of social isolation (FSI) on the relationship between gratitude and anxiety, and (2) to explore the moderating effect of age, education and socioeconomic status on the mediation model. METHODS We collected data from 427 participants currently living in Malaysia during the movement restriction order (Mage = 37.90, SD = 16.51, 313 females) from an online survey containing questions pertaining to isolation and gratitude. RESULTS Our mediation analysis showed that gratitude has a positive effect on overcoming anxiety as it also lowers feelings of SI and FSI (B = -.229, β = .128, bootstrap SE = .049, 95% bootstrap CI = [-.332, -.138]). The moderated mediation analyses revealed the indirect effect of gratitude on anxiety through SI was significant for young adults (B = -.148, β = .083, 95% bootstrap CI [-.274, -.042]) and middle-aged (B = -.099, β = -.055, 95% bootstrap CI [-.177, -.033]) but not for older adults (B = -.026, β = -.015, 95% bootstrap CI [-.129, .047]). Results were similar for FSI in that it was significant for middle aged and not significant for older adults (all CIs does not include zero). However the mediation effect was not significant for young adults (B = -.020, β = -.011, 95% bootstrap CI [-.066, .016]). When we examined the moderating effect of education and SES in the parallel mediation model, results showed that the mediation effect of SI and FSI for those with lower levels of education was significant for all SES levels (all CIs did not contain zero). As for those with medium levels of education, the conditional indirect effect of SI and FSI was significant only for low and medium levels of SES but not for high SES. CONCLUSIONS Our findings highlight the importance of having some coping mechanism and social connection during the pandemic to have higher wellbeing and quality of life, especially for middle-aged sample and people from low education and SES background. CLINICALTRIAL None


Healthcare ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1588
Author(s):  
Sunhwa Shin ◽  
Eunhye Lee

The purpose of this study was to confirm the relationship between internal health locus of control, mental health problems, and subjective well-being in adults during the prolonged COVID-19 pandemic. In particular, the mediating effect of mental health problems on the relationship between internal health locus of control and subjective well-being was examined. A cross-sectional descriptive design was conducted via online survey. The participants were 600 adults over 20 years of age living in South Korea. The collected data were analyzed using hierarchical regression analysis and SPSS Process Macro (Model 4). As a result of the study, the internal health locus of control had a significant negative effect on mental health problems. In addition, in the process of the internal health locus of control affecting subjective well-being, the mediating effect of mental health problems was significantly shown. In the period of an infectious disease pandemic such as COVID-19, it is necessary to establish a strong internal health locus of control of individuals and to promote monitoring and treatment introduction for those with a low internal health locus of control. In addition, it was discussed that controlling mental health problems can improve subjective well-being, which is life satisfaction and happiness.


2018 ◽  
Vol 39 (5) ◽  
pp. 665-678 ◽  
Author(s):  
Matthew Valle ◽  
Micki Kacmar ◽  
Martha Andrews

Purpose The purpose of this paper is to examine the effects of ethical leadership on surface acting, positive mood and affective commitment via the mediating effect of employee frustration. The authors also explored the moderating role of humor on the relationship between ethical leadership and frustration as well as its moderating effect on the mediational chain. Design/methodology/approach Data were collected in two separate surveys from 156 individuals working fulltime; data collections were separated by six weeks to reduce common method variance. The measurement model was confirmed before the authors tested the moderated mediation model. Findings Ethical leadership was negatively related to employee frustration, and frustration mediated the relationships between ethical leadership and surface acting and positive mood but not affective commitment. Humor moderated the relationship between ethical leadership and frustration such that when humor was low, the relationship was stronger. Research limitations/implications Interestingly, the authors failed to find a significant effect for any of the relationships between ethical leadership and affective commitment. Ethical leaders can enhance positive mood and reduce surface acting among employees by reducing frustration. Humor may be more important under conditions of unethical leadership but may be distracting under ethical leadership. Originality/value This study demonstrates how frustration acts as a mediator and humor serves as a moderator in the unethical behavior-outcomes relationship.


2019 ◽  
Vol 30 (09) ◽  
pp. 772-780 ◽  
Author(s):  
Hashir Aazh ◽  
Ali A. Danesh ◽  
Brian C. J. Moore

AbstractParental mental illness is a risk factor for mental health disorders in the offspring. However, the relationship between parental illness in childhood and mental health disorders in adulthood among patients with tinnitus and/or hyperacusis is not known.The aim was to explore the relationship between parental mental health in childhood and anxiety and depression for patients experiencing tinnitus and/or hyperacusis.This was a retrospective cross-sectional study with a correlational design.Two hundred eighty-seven consecutive patients who attended a Tinnitus and Hyperacusis Therapy Specialist Clinic in the United Kingdom were included. Their average age was 52.5 years.The association was explored between anxiety and depression measured via the Generalized Anxiety Disorder questionnaire (GAD-7) and the Patient Health questionnaire (PHQ-9) and responses to the question “While you were growing up during the first 18 years of life did your parent(s) have depression or mental illness?”Thirty-nine percent of patients (111/287) responded “yes” to the question about their parents’ mental health, which is about double the incidence in the general population. Regression analysis showed that parental mental illness significantly increased the risk of anxiety and depression, with unadjusted odds ratios (ORs) of 2.7 (95% confidence interval [CI]: 1.5–4.9, p = 0.001) for the PHQ-9 and 2.6 (95% CI: 1.4–4.8, p = 0.002) for the GAD-7. However, when the models were adjusted for the effects of age, gender, tinnitus handicap as measured via the Tinnitus Handicap Inventory, hyperacusis handicap as measured via the Hyperacusis questionnaire, uncomfortable loudness levels, GAD-7 scores (for the depression model only), and PHQ-9 scores (for the anxiety model only), parental mental health was only significantly associated with depression, with an OR of 2.7 (95% CI: 1.08–6.7, p = 0.033).Audiologists offering tinnitus and hyperacusis rehabilitation should screen patients for parental mental illness in childhood, especially for those with comorbid depression, and make onward referral to appropriate mental health services when needed. Future research should analyze the breadth and type of adverse childhood experiences among patients with tinnitus and hyperacusis and their relationship with mental problems and treatment efficacy.


10.2196/15683 ◽  
2020 ◽  
Vol 22 (7) ◽  
pp. e15683
Author(s):  
Sabrina Sze Man Lam ◽  
Stephen Jivraj ◽  
Shaun Scholes

Background There is uncertainty about the impact of internet use on mental health in older adults. Moreover, there is very little known specifically about the impact of particular purposes of internet use. Objective This study aims to investigate the longitudinal relationship between two distinct concepts of mental health with the frequency of internet use among older adults: the moderating role of socioeconomic position (SEP) and the association between specific purposes of internet use. Methods Longitudinal fixed and random effects (27,507 person-years) models were fitted using waves 6-8 of the English Longitudinal Study of Ageing to examine the relationship between different aspects of internet use (frequency and purpose) and two mental health outcomes (depression and life satisfaction). The potential moderating effect of SEP on these associations was tested using interaction terms. Results Infrequent internet use (monthly or less vs daily) was predictive of deteriorating life satisfaction (β=−0.512; P=.02) but not depression. Education and occupational class had a moderating effect on the association between frequency of internet use and mental health. The associations were stronger in the highest educational group in both depression (P=.09) and life satisfaction (P=.02), and in the highest occupational group in life satisfaction (P=.05) only. Using the internet for communication was associated with lower depression (β=−0.24; P=.002) and better life satisfaction (β=.97; P<.001), whereas those using the internet for information access had worse life satisfaction (β=−0.86; P<.001) compared with those who did not. Conclusions Policies to improve mental health in older adults should encourage internet use, especially as a tool to aid communication.


2021 ◽  
Author(s):  
Yujie Zhang

Abstract Background Many previous studies have proved that positive psychology can promote mental health. However, little is known about how and when it promotes mental health in older adults. Methods The data of this study were sourced from the 2017 wave of Chinese General Social Survey (CGSS), involving 1,537 older adults aged 60 and above. OLS regression model was used to explore the impact of positive psychology on mental health of the elderly. Moreover, stata 16.0 was used to measure the moderating effect of individualism on the relationship between positive psychology and mental health. Results After controlling for demographic characteristics, socio-economic status and lifestyle factors, the regression results suggest that positive psychology was associated with mental health (coefficient = 0.112, p < 0.01). In addition, the positive relationship was significantly stronger for people who were older, married, lived in urban areas, with higher education and higher subjective social class position, and higher exercise frequency. Moreover, the moderating effect analysis results suggest that individualism strengthened the relationship between positive psychology and mental health. Conclusions This study reveals that positive psychology has a positive effect on mental health among the elderly, and the positive health effect shows significant age, marital status, living areas, education background, social class position and physical exercise inequalities. Furthermore, this study also provides new evidence indicating that individualism positively moderates the relationship between positive psychology and mental health. Promoting positive psychology can be a promising way for China to promote psychological care for the elderly in the future.


2021 ◽  
Vol 22 (2) ◽  
pp. 154-167
Author(s):  
Seyed Mohammad Sadegh Hosseini ◽  
◽  
Sahar Nurani Gharaborghe ◽  

Objective: One of the essential aspects of life in patients with Multiple Sclerosis (MS) is leisure time activities. One of the duties of occupational therapists is the evaluation and implementation of therapeutic interventions in the field of leisure for patients with neurological disorders such as MS. However, before presenting any intervention for increasing the ability of MS patients to spend their leisure time, it is necessary to study the concept of this field scientifically and systematically and identify and evaluate the factors affecting it. Many symptoms of MS, such as fatigue and mental health problems, may affect leisure activities. This study examines the relationship of leisure time activities with fatigue and mental health problems (stress, anxiety, and depression) in MS patients. Materials & Methods: This research is a cross-sectional study. The study population consisted of all MS patients referred to Imam Khomeini Clinic, Mobasher Kashani Hospital, and MS Association in Hamadan City, Iran, in 2019. Of them, 99 (70 women, 29 men) with a Mean±SD age of 32.28±8.26 years were selected by using a convenience sampling method and based on the inclusion and exclusion criteria. For data collection, we used the MS leisure questionnaire, Fatigue Severity Scale (FSS), Visual Analog Fatigue Scale (VAFS), Expanded Disability Status Scale (EDSS), and Depression-Anxiety-Stress Scale (DASS). After obtaining written informed consent from the patients, the study questionnaires were completed by them. The collected data were analyzed in SPSS v. 16. The Spearman correlation test was used to examine the relationship of leisure time activities with fatigue and mental health problems. Results: There was a significant relationship between leisure activities and fatigue tests of VAFS (P=0.003) and FSS (P=0.001). Fatigue showed a high negative correlation with all leisure domains (r=0.350, P=0.001) of difficult, social, spiritual/religious, out-of-home physical, and art/cultural activities and reduced them. The overall score of DASS was significantly correlated with leisure time spiritual/religious activity (r= -0.263), out-of-home physical activity (r= -0.213) and art/cultural activity (r= -0.205). Regarding its subscales, anxiety showed a significant correlation only with leisure time social activities (r= -0.259), stress with spiritual/religious activities (r= -0.212), and depression with all domains of leisure time activities except for difficult activities (P≤0.005) Conclusion: Leisure time activities are associated with fatigue and mental health problems (stress, anxiety, and depression) in MS patients. Stress and anxiety only affect their leisure time social activities. Fatigue or mental health problems can reduce the amount of leisure time.


2020 ◽  
Vol 6 (4) ◽  
pp. 148
Author(s):  
Asma Nisar ◽  
Ghulam Abid ◽  
Natasha Saman Elahi ◽  
Muhammad Ahsan Athar ◽  
Saira Farooqi

Employee voice is a constructive and change-oriented communication that aims to improve a situation. In line with conservation of resource theory, our research proposed a moderated mediation model by examining the indirect effect of compassion on voice behavior through the mediating effect of affective commitment, and also examined the conditional effect of managerial support in the mediated relationship of compassion and voice behavior. Data were obtained from employees and their immediate supervisor in the public sector in three times at regular intervals of one week within a 2-month span of time. By using PROCESS macro on an actual sample of employees (300) and supervisors (19), our study found that compassion is positively associated with affective commitment that, in turn, is positively associated with voice behavior. Our study also found that affective commitment mediates the relationship between compassion and voice behavior. Furthermore, managerial support negatively moderates the relationship between affective commitment and voice behavior as well as mediating effect of affective commitment between compassion and voice behavior. The study finding adds to the deeper understanding of the pivotal construct, i.e., voice behavior. In addition to recommendations for more empirical research on voice behavior, theoretical and practical implications are given.


2021 ◽  
pp. 1-14
Author(s):  
Mervat Mohammed Elsaied

OBJECTIVE: The purpose of this paper is to investigate the effect of empowering leadership (EL) on work passion by developing a moderated mediation model. The model focuses on the mediating effect of intrinsic motivation (IM) in the relationship between EL and work passion, as well as the moderating effect of role clarity (RC) in influencing the mediation. METHODS: Data were obtained from a sample of 515 workers, who work in 17 five-star hotels in Sharm El-Sheikh. RESULTS: Findings reveal that IM fully mediates the positive relationship between EL and work passion. It also concluded that RC moderated the mediated relationship between EL and work passion via IM, with individuals with higher RC benefiting more from the mediation. CONCLUSION: The findings have far-reaching implications for both employees and leaders. Furthermore, they add to our understanding of self-determination theory and cognitive evaluation theory in terms of consolidating employees’ work passion.


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