scholarly journals Relationship between Psychological Distress and Prolonged Sedentary Bouts in the Elderly: Four Period Analysis

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 676
Author(s):  
Yutaka Owari

Background: Too much sitting is associated with low mental health in elderly individuals. We clarified the relationship between psychological distress and the rate of prolonged sedentary bouts (PSBs) among the elderly over four periods. Methods: In a secondary analysis, a sample population of 68 adults aged 65 years or older in Japan was used. The following proxy variables were used: PSB (mental health) and the Kessler 6 scale; K6 scores (psychological distress). Results: Using the cross-lagged effects models, from “2016 K6” to “2017 PSB” (p = 0.004), from “2017 K6” to “2018 PSB” (p < 0.001), and from “2018 K6” to “2019 PSB” (p = 0.021) were all significant; however, the reverse were not all significant in one period. In four periods, from “2016 PSB” to “2019 K6” (p = 0.025) was significant; however, the reverse was not significant. Fit indices were obtained: χ2 = 7.641 (p = 0.182), goodness of fit index (GFI) = 0.891, comparative fit index (CFI) = 0.901, and root mean square error of approximation (RMSEA) = 0.121 in structural equation modelling. Conclusions: Psychological distress may affect the rate of PSB after one year, and the rate of PSB may affect the rate of psychological distress after three years in elderly individuals.

Medicina ◽  
2019 ◽  
Vol 55 (7) ◽  
pp. 324 ◽  
Author(s):  
Yutaka Owari ◽  
Nobuyuki Miyatake

Background: Our purpose is to clarify whether psychological distress (PD) affects the rate of continuous sedentary behavior (CSB). Materials and Methods: In this secondary analysis, a sample population of 80 healthy older adults aged 65 years or older participated in a health club of college A from 2016 to 2017. We conducted Structural Equation Modeling (SEM) using the cross-lagged and synchronous effects models. We adopted the following as proxy variables: CSB (based on the ratio of 1.5 METs sessions or more continuing for over 30 min) CSB and PD (based on the Kessler psychological distress scale: K6). Results: “2016 K6” had a significant influence on “2017 CSB” (standardization factor (β) = 0.136, p = 0.020) using the cross-lagged effects model, and “2017 K6” significantly influenced “2017 CSB” (β = 0.166, p = 0.039) using the synchronous effects model. Fit indices were Adjusted Goodness-of-Fit Index (AGFI) = 0.990, Confirmatory Fit Index (CFI) = 1.000, and Root Mean Square Error of Approximation (RMSEA) = 0.000. Conclusion: The results suggest that PD may affect the ratio of CSB one year later.


2020 ◽  
Author(s):  
Amaneh Mahmoudian ◽  
Abbas Shamsalinia ◽  
Atefeh Alipour ◽  
Zahra Fotokian ◽  
fatemeh ghaffari

Abstract BackgroundThe aim of the present study was to determine the factors affecting the abuse of the elderly by family caregivers among the elderly with hemodialysis (HD) using structural equation modeling.MethodThe study is descriptive-cross sectional, which is conducted in 2018 in Iran. The sample size was 367 in both groups (the elderly and their family caregivers). Data collection was done using an individual-social information questionnaire for the older adults under hemodialysis and their family caregivers, the questionnaire of elder abuse by family caregivers to the older people under hemodialysis, Zarit Burden Interview and the scale of instrumental activities of Daily Living (IADL). Data were analyzed by the SEM method. The Fitness of proposed pattern was measured using the following indexes: Chi-squared degree of freedom ratio (CMIN/DF), Parsimonious Normed Fit Index (PNFI), Comparative Fit Index (CFI), Parsimonious Comparative Fit Index (PCFI), Incremental fit index (IFI), Goodness of Fit Index (GFI) and Root Mean Square Error of Approximation (RMSEA). The significant level in this study was considered p <0.05.ResultsThe results of the present study showed that more than 70% of the elderly suffer from elder abuse by family caregivers on average. The highest median elder abuse was related to emotional misbehavior (21.46±6.09) and financial misbehavior (19.07±5.33), respectively. 63.2% of caregivers have experienced moderate care burden. 81.4% of women and 80.5% of older men needed help with daily activities. The results showed that the caregivers’ level of education and care burden with standard beta coefficient of -0.251 and 0.200 and the level of elderly’s education and IADL with the best beta coefficient of -0.299 and -0.234, had the highest regression effect on elder abuse respectively. According to the results, the model-fit indices of the hypothesized model was meet the criteria, with the PNFI= 0.746, PCFI= 0.796, IFI= 0.963, GFI=0.970, CFI=0.967, and RMSEA= 0.075. The outcome was suitable for the recommended level, so the hypothetical model appeared to fit the data.ConclusionProviding psychological interventions for family caregivers can reduce the burden when the elderly suffers from other chronic illnesses.


Medicina ◽  
2019 ◽  
Vol 55 (9) ◽  
pp. 555
Author(s):  
Yutaka Owari ◽  
Nobuyuki Miyatake

Background and objectives: Psychological distress (PD) is associated with continuous sedentary behaviors (CSB; based on the ratio of 1.5 metabolic equivalents (METs) sessions or more continuing for over 30 min) in older adults, but the long-term relation is not sufficiently clarified. This study aims to clarify the long-term relationship between PD and the rate of CSB. Materials and Methods: In this secondary analysis, a sample population of 72 healthy elderly people aged 65 years or older participated in a health club of college A from 2016 to 2018. We conducted structural equation modeling (SEM) using the cross-lagged and synchronous effects models. We adopted the following as proxy variables: CSB and PD (based on the Kessler 6 scale (K6) scores). Results: “2016 K6” to“2017 CSB” (standardization factor (β = 0.141, p = 0.025), “2017 K6” to “2018 CSB” (β = 0.187, p < 0.001) and “2016 CSB” to “2018 CSB” (β = 0.188, p < 0.001) were all statistically significant using the cross-lagged effects models. Fit indices were adjusted goodness of fit index (AGFI) = 0.961, comparative fit index (CFI) = 1.000, and root mean square error of approximation (RMSEA) = 0.000. Conclusion: The results suggest that PD may affect the ratio of CSB one year later, and CSB may affect the ratio of PD two year later.


2018 ◽  
Author(s):  
rizka zulfikar

This research aims to find a structural equation model that can explain the relationship and influence of the environmental concern and Environmental Knowledge to green trust and green purchase intention towards green product. This study is a survey research using questionnaires as an instrument. Population and sample used in this study is public of South Kalimantan Province and taken as many as 150 respondents using non-purposivesampling method. The analysis technique used are : the instruments test, the construct validity and reliability test, the suitability of the model based on the goodness of fit index, pathways analysis and the Influence test according to the model of SEM that complies with the goodness of fit index to determine the effect of variable perception value and risk to public trust. The study found that: (1) Structural equation model of the correlation between the environmental concern and Environmental Knowledge to green trust and green purchase intention towards green product are comply with the criteria and standards of goodness of fit index, (2) (3) (4)


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Amaneh Mahmoudian ◽  
Abbas Shamsalinia ◽  
Atefeh Alipour ◽  
Zahra Fotoukian ◽  
Fatemeh Ghaffari

Abstract Background The objectives of the present study were to determine the prevalence of older adults with hemodialysis (HD) abuse by family caregivers and the factors affecting it. Method This is a correlational-causal study, which is conducted in 2018 in Iran. The sample size was 367 in both groups (the older adults and their family caregivers). Data collection was done using an individual-social information questionnaire for the older adults under hemodialysis and their family caregivers, the questionnaire of elder abuse by family caregivers to the older people under hemodialysis, Zarit Burden Interview and the scale of instrumental activities of daily living (IADL). Data were analyzed by the structural equation model (SEM) method. The Fitness of proposed pattern was measured using the following indexes: chi-square/degree of freedom ratio (CMIN/DF), Normed Fit Index (NFI), comparative fit index (CFI), goodness of fit index (GFI), and standardized root mean squared residual (SRMR). The significant level in this study was considered p < 0.05. Results The results of the present study showed that more than 70 % of the older adults suffer from elder abuse by family caregivers on average. The highest median elder abuse was related to emotional misbehavior (21.46 ± 6.09) and financial misbehavior (19.07 ± 5.33), respectively. Moderate care burden was experienced by 63.2 % of caregivers. The percentage of older women and men, who needed help with daily activities was 81.4 and 80.5 %, respectively. The results showed that the caregivers’ level of education and care burden with standard beta coefficient of -0.251 and 0.200 and the educational level of older adults and IADL with the best beta coefficient of -0.299 and − 0.234, had the highest regression effect on elder abuse respectively. According to the results, the model-fit indices of the hypothesized model was meet the criteria, with the NFI = 0.951, GFI = 0.970, CFI = 0.967, and SRMR = 0.041. The outcome was suitable for the recommended level, so the hypothetical model appeared to fit the data. Conclusions The results of the present study showed that the prevalence of elder abuse by family caregivers among the older adults under hemodialysis is high. Providing psychological counseling can reduce the consequences of elder abuse.


2021 ◽  
Vol 13 (6) ◽  
pp. 3396
Author(s):  
Óscar Gavín-Chocano ◽  
David Molero ◽  
Inmaculada García-Martínez

(1) Background: Early intervention professionals are involved in the reconceptualisation of their service due to the exceptional situation caused by the COVID-19 epidemic, within the family context and aware of the children’s needs, with an impact on their emotional well-being to ensure sustainability. An analysis of their socio–emotional profile and training is increasingly needed to face their professional development effectively; (2) Methods: In this study, 209 early intervention professionals participated (n = 209), with an average age of 37.62 (±9.02). The following instruments were used: Satisfaction with Life Scale (SWLS), Wong Law Emotional Intelligence Scale (WLEIS-S) and the Utrecht Work Engagement Scale (UWES-9). The purpose of the study was to examine the relationship between early intervention (EI) and engagement as predictors of greater life satisfaction using Structural Equation Modelling (SEM). (3) Results: There exists a relationship between some dimensions of the instruments used (p < 0.01). The model obtained good structural validity (χ² = 3.264; Root Mean Square Error of Approximation (RMSEA) =.021; Goodness-of-Fit Index (GFI) = 0.991; Comparative Goodness of Fit Index (CFI) = 0.999; Incremental Fit Index (IFI) = 0.999). Subsequently, the results described above were verified through Bayesian statistics, thereby reinforcing the evidence provided; (4) Conclusions: Findings highlight the importance of providing professionals with emotional tools and strategies, from the educational context, in order to carry out their activity effectively and ensure the sustainability within the current situation, while remaining fully engaged.


2021 ◽  
pp. 0192513X2199385
Author(s):  
Muna Osman ◽  
Dave Miranda

Feelings of alienation with parents and peers can lead to psychological distress, possibly because such feelings are stressful. Supportive siblings are known to foster mental health in youth, but research in emerging adulthood is limited. We hypothesized supportive sibling climate as a protective factor in the risks that stress from parent and peer alienation poses to psychological distress among emerging adults. A proposed moderated-mediation model was tested, across three samples, using latent moderated mediation structural equation modeling. Results indicated that parental and peer alienation were associated with more psychological distress, and stress partially mediated the link between parental (but not peer) alienation and psychological distress in two samples. However, a supportive sibling climate was not protective as it did not moderate the links among alienation, stress, and psychological distress. In sum, siblings seem beneficial, but perhaps it is not sufficient to protect emerging adults’ mental health against stress from parent and peer alienation.


2018 ◽  
Vol 2 (6) ◽  
pp. 665-679
Author(s):  
Rohmah Kurniawati ◽  
Waloyo Waloyo ◽  
Priyo Utomo

Konflik, perselisihan, dan pertentangan dapat terjadi dimana saja, kapan saja, antar siapa saja dan menyangkut hal apa saja, sehingga konflik pun dapat terjadi ditempat kerja. Dalam lingkungan kerja, konflik antar karyawan yang terjadi sebaiknya diselesaikan dengan baik karena konflik yang dapat diselesaikan akan menurunkan tingkat stres dan meningkatkan kinerja karyawan. Dari latar belakang tersebut maka penelitian ini bertujuan untuk mengetahui pengaruh penyelesaian konflik antar karyawan terhadap stres kerja dan kinerja karyawan pada PT. Perusahaan Gas Negara, Tbk Surabaya. Untuk mencapai tujuan penelitian maka teknik analisis yang digunakan adalah Structural Equation Modelling (SEM) dengan program AMOS 4.01. Variabel pada penelitian ini adalah penyelesaian konflik antar karyawan yang terdiri dari : variabel kerjasama, variabel bersaing, variabel menghindar, variabel akomodasi dan variabel kompromi, sedangkan variabel terikat yang digunakan adalah variabel stres kerja dan variabel kinerja karyawan. Data yang digunakan didasarkan pada hasil kuesioner yang dibagikan kepada responden, responden pada penelitian ini adalah karyawan PT. Perusahaan Gas Negara, Tbk Surabaya. Analisis hasil pengujian Goodness-Of Fit Index, menunjukkan data mempunyai kecocokan yang baik dengan model penelitian dengan hasil Chi Square = 154,229 dan koefisien determinan ( R2 ) dalam model SEM ditunjukkan oleh nilai AGFI = 0,792 yang masih berada di bawah Cut Off Value, namun sudah dapat dikatakan bahwa model sudah Fit dalam uji model SEM. Model menunjukkan terdapat pengaruh langsung antara variabel kerjasama, bersaing, menghindar, akomodasi dan kompromi terhadap stres kerja dan kinerja karyawan. Karyawan PT. Perusahaan Gas Negara, Tbk Surabaya lebih menyukai penyelesaian konflik dengan cara Kompromi hal ini didasarkan pada perhitungan dari data yang diolah bahwa penyelesaian konflik antar karyawan dengan cara ini memberikan kontribusi terbesar dalam menurunkan stres kerja, sedangkan penyelesaian konflik antar karyawan dengan cara bersaing memberikan kontribusi terbesar terhadap kinerja karyawan. Karyawan menganggap bahwa kedua cara ini dianggap sebagai cara yang efektif dalam menciptakan hubungan kerja dan terciptanya keharmonisan dalam berorganisasi.


2017 ◽  
Vol 48 (4) ◽  
pp. 629-641 ◽  
Author(s):  
T. Ford ◽  
C. Parker ◽  
J. Salim ◽  
R. Goodman ◽  
S. Logan ◽  
...  

BackgroundChildren with poor mental health often struggle at school. The relationship between childhood psychiatric disorder and exclusion from school has not been frequently studied, but both are associated with poor adult outcomes. We undertook a secondary analysis of the British Child and Adolescent Mental Health Surveys from 2004 and its follow-up in 2007 to explore the relationship between exclusion from school and psychopathology. We predicted poorer mental health among those excluded.MethodPsychopathology was measured using the Strengths and Difficulties Questionnaire, while psychiatric disorder was assessed using the Development and Well-Being Assessment and applying Diagnostic and Statistical Manual of Mental Disorders Fourth Edition (DSM IV) criteria. Exclusion from school and socio-demographic characteristics were reported by parents. Multi-variable regression models were used to examine the impact of individual factors on exclusion from school or psychological distress.ResultsExclusion from school was commoner among boys, secondary school pupils and those living in socio-economically deprived circumstances. Poor general health and learning disability among children and poor parental mental health were also associated with exclusion. There were consistently high levels of psychological distress among those who had experienced exclusion at baseline and follow-up.ConclusionsWe detected a bi-directional association between psychological distress and exclusion. Efforts to identify and support children who struggle with school may therefore prevent both future exclusion and future psychiatric disorder.


2016 ◽  
Vol 9 (2) ◽  
pp. 166
Author(s):  
Majid Golzarpour ◽  
Meroe Vameghi ◽  
Homeira Sajjadi ◽  
Gholamreza Ghaedamini Harouni

<p><strong>BACKGROUND:</strong> Worldwide, much evidence exists on the influence of parents’ socioeconomic conditions, including employment, on children’s health. However, the mechanisms for this affect are still being investigated. Few studies have been conducted in Iran to investigate this issue. This study investigated working conditions, job satisfaction, and mental health of employed people and the association between these variables and their children’s health.<strong></strong></p><p><strong>MATERIALS &amp; METHODS:</strong> In this correlational work, 200 male and female staff of the official part of Educational Organization and the schools of Mashhad with children aged 5-18 years was randomly selected. The data were gathered using a demographic questionnaire, the 20-item Minnesota Job Satisfaction Questionnaire, the 28-item General Health Questionnaire, and the 28-item Child Health Questionnaire. The data were then analyzed using SPSS. The associations under study were investigated by structural equation modeling in AMOS.<strong></strong></p><p><strong>RESULTS:</strong> Approximately 17% of the variation in the parents’ job satisfaction could be explained by the parents’ insurance, income, and work hours; 6% of the variation in their mental health was explained by job satisfaction, and 26% of the variation in children’s health was directly explained by the parents’ job satisfaction and mental health. However, approximately 32.2% of the variation in children’s health could be explained in the light of the direct effect of the parents’ mental health and direct and indirect effects of the parents’ job satisfaction. The goodness of fit index was 0.94.</p><p><strong>CONCLUSION:</strong> Parents’ job satisfaction was associated with and considerably explained children’s health. Although this finding may be partially related to the job satisfaction effect on mental health, the reasons for the affect of job satisfaction on children’s health and the potential mechanisms of this association require further studies.<strong></strong></p>


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