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Predicting Well-Being Among the Elderly: The Role of Coping Strategies.

ABSTRACT: Objectives:This study aims to offer a wider view on the role of coping strategies on elderly's well-being by means of literature-based competitive structural equation models (SEMs). Methods:857 older adults were surveyed. Measures included Ryff's scales of Psychological Well-being and the Coping Strategies Questionnaire. Competitive SEMs were tested. Results:In the retained model, the religious coping dimension was removed, and the remaining dimensions were defined by problem- and emotion-focused coping, which explained both psychological and subjective well-being factors (?2(46) = 165.910, p < 0.001; CFI = 0.906; GFI = 0.957; RMSEA = 0.058 [0.048,0.067]). Discussion:Results pointed to the relevance of coping strategies for achieving adequate well-being, with emotion-focused coping strategies being the ones with negative and highest predictive power over the two dimensions of well-being. Interventions aiming at improving old people's well-being should, put their focus on decreasing the use of emotion-coping strategies.

SUBMITTER: Galiana L

PROVIDER: S-EPMC7147488 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Predicting Well-Being Among the Elderly: The Role of Coping Strategies.

Galiana Laura L Tomás José M JM Fernández Irene I Oliver Amparo A

Frontiers in psychology 20200403

<h4>Objectives</h4>This study aims to offer a wider view on the role of coping strategies on elderly's well-being by means of literature-based competitive structural equation models (SEMs).<h4>Methods</h4>857 older adults were surveyed. Measures included Ryff's scales of Psychological Well-being and the Coping Strategies Questionnaire. Competitive SEMs were tested.<h4>Results</h4>In the retained model, the religious coping dimension was removed, and the remaining dimensions were defined by probl ...[more]

PMID: 32318005

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Project description:Background/aimsGrowing evidence suggests a negative effect of eosinophilic esophagitis (EoE) on patients' general health-related quality of life (HRQOL). However, the relevance and use of coping strategies and its relation to (disease specific) HRQOL as well as its determinants have not been studied well.MethodsAdult EoE patients were invited to complete standardized measures on general HRQOL (Short Form-36 Health Survey [SF-36]) and coping strategies (Utrechtse Coping Lijst [UCL]). Scores were compared to general population norms. The disease specific Adult Eosinophilic Esophagitis Quality of Life (EoE-QOL-A) measure was used to assess EoE-HRQOL. Socio-demographic-and clinical factors were also evaluated.ResultsIn total, 147 adult EoE patients (61% males), age 43 (interquartile range, 29-52) years were analyzed. Mental health-scores (SF-36) were significantly lower in EoE patients, whereas physical health-scores (SF-36) were similar in EoE patients (vs the general population; P = 0.010 and P = 0.240), respectively. The subdomain "disease anxiety" (EoE-QOL-A) was mostly affected, determinants were; female gender, younger age, severe clinical disease activity, higher number of food bolus extraction, and more recent EoE-diagnosis. Less effective coping styles (ie, passive/palliative reaction) were associated with a significant impact on each individual EoE-HRQOL-subdomain as well as lower scores of the Mental Health Component Scale in male EoE patients. Passive reaction in female EoE-patients correlated with impairment of the EoE-HRQOL-domains "emotional impact" and "disease anxiety." Active problem solving was significantly related to better perception of mental HRQOL (SF-36) in both males and females.ConclusionsEoE has a significant negative impact on mental HRQOL, with less effective coping strategies--specifically in males, being a relevant determinant. Thus, a pro-active approach towards coping mechanisms is needed in order to enhance HRQOL and manage patients' burden of EoE.

Dataset Information

Predicting Well-Being Among the Elderly: The Role of Coping Strategies.

Publications

Predicting Well-Being Among the Elderly: The Role of Coping Strategies.

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