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1.
Front Psychol ; 15: 1301978, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39380751

RESUMEN

Introduction: The study aims to analyze scientific publications on the association between social networks, social relationships, and social support for sports coaches. It seeks to identify the types and levels of social support provided by various agents, and to understand the impact of this support on coaches' wellbeing. The goal is to help coaches better utilize social support, thereby enhancing their quality of life, work, and performance. Methods: This study systematically reviewed 11 scientific articles to investigate the association between social support, social networks, and social relationships in sports coaches. It aimed to identify the types and levels of social support offered to coaches by family members, peers, and friends. Our research utilized the PRISMA guidelines for systematic reviews and assessed study quality using the STROBE Statement. Eligibility was determined by the PECOS criterion based on the search strategy terms. Results: Our findings indicate that social support has significant positive effects on sports coaches. It enhances selfcompassion, prevents burnout symptoms, boosts job and life satisfaction, and reduces stress levels. Organizational support, characterized by clear guidelines, guidance, and autonomy, yielded positive outcomes. Conversely, the absence of social support correlated with negative outcomes for coaches, including lower self-compassion, increased stress and burnout symptoms, reduced job and life satisfaction, and heightened work-family conflict. Coaches' social networks encompassed family members, peers, friends, and other sources, with friends perceived as the most influential. Maintaining an effective social support network is crucial for coaches' performance and psychological wellbeing. Discussion: This systematic review emphasizes the importance of social support for coaches in both their personal and professional lives, noting its positive effects and the negative consequences of its absence. Given the demanding nature of coaching, improving social support systems can enhance coaches' wellbeing and the success of sports activities.

2.
Longit Life Course Stud ; 15(4): 506-525, 2024 Aug 08.
Artículo en Inglés | MEDLINE | ID: mdl-39370996

RESUMEN

At the onset of the COVID-19 pandemic, the Survey of Health, Ageing, and Retirement in Europe (SHARE) was in a unique position to respond to the need for high quality survey data on people's changing living situations. Implemented as two telephone interviews in the summer of 2020 and 2021 in 27 European countries and Israel, the SHARE Corona Surveys present a great advantage by their integration into the longitudinal, multidisciplinary and ex-ante harmonised design of the SHARE study. This allows researchers to trace changes from the pre-pandemic period, through the different stages of the pandemic, and the post-pandemic situation. This article lays out the research aims and how the two Corona Surveys fit in the general design of SHARE. It presents the main design features of the SHARE Corona Surveys following the survey life cycle. It starts with information on procurement, contracting, funding, ethics, and data protection and sampling, followed by information on instrument design, translations, questionnaire content and interviewer training. Last, fieldwork, panel care and data processing are described. Focused on topics of health behaviour, health care, economics and social relationships, the balanced panel sample of the two SHARE Corona Surveys comprises more than 48,000 interviews and provides valuable information on how the 50+ population coped with the COVID-19 pandemic. The experience of implementing the SHARE Corona Surveys also offers insights into use of agile project management methods for large survey infrastructures and moving towards a multi-mode design in an ongoing panel data collection project.


Asunto(s)
COVID-19 , SARS-CoV-2 , Humanos , COVID-19/epidemiología , Europa (Continente)/epidemiología , Anciano , Persona de Mediana Edad , Pandemias , Jubilación/estadística & datos numéricos , Femenino , Masculino , Encuestas Epidemiológicas , Envejecimiento/psicología , Estudios Longitudinales , Encuestas y Cuestionarios , Conductas Relacionadas con la Salud
3.
Acta Psychol (Amst) ; 250: 104508, 2024 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-39361987

RESUMEN

Involvement of other people is beneficial, if not crucial, for adolescents' interest development. Our current understanding of how others can be involved in interest is mostly based on research into a particular kind of interest (e.g., STEM-interests) or particular contexts, most prominently school and hobby/affinity practices. This study explores the ways involvement of others unfolds when adolescents pursue different interests in and across different contexts. We studied all reported interests of nine purposefully selected adolescents over the course of almost three years using experience sampling reports of interest engagement (N = 3029 events) and interviews reflecting on interest pursuits (N = 174). We observed twelve manifestations of involvement during interest engagement, that differ in: (1) whether others were involved in a structural way; (2) who and (3) how involved others are; (4) if their involvement is necessary; and, lastly, (5) whether the interest engagement or involvement of others is foregrounded in adolescents' experience. We identified shifts in the presence of others, how they are involved, and their necessity for interest over time. Involved others appear to be consequential for if and how adolescents pursue their interests. These findings serve as a reminder to anyone concerned with adolescents' interest to be mindful of their own and others' role in adolescents' interest pursuits.

4.
Learn Behav ; 2024 Sep 23.
Artículo en Inglés | MEDLINE | ID: mdl-39313737

RESUMEN

New research is shedding light on the nuances and complexity of social relationships in our closest relatives, revealing cooperative intergroup relationships in bonobos, in contrast to lethal intergroup violence in chimpanzees. At the same time, intragroup relationships, at least among males, are characterized by higher frequencies of aggression and lower rates of coalitionary cooperation in bonobos than chimpanzees.

5.
Psychol Med ; : 1-11, 2024 Sep 04.
Artículo en Inglés | MEDLINE | ID: mdl-39228209

RESUMEN

BACKGROUND: Different aspects of social relationships (e.g., social network size or loneliness) have been associated with dementia risk, while their overlap and potentially underlying pathways remain largely unexplored. This study therefore aimed to (1) discriminate between different facets of social relationships by means of factor analysis, (2) examine their associations with dementia risk, and (3) assess mediation by depressive symptoms. METHODS: Thirty-six items from questionnaires on social relationships administered in Wave 2 (2004/2005) of the English Longitudinal Study of Ageing (n = 7536) were used for exploratory and confirmatory factor analysis. Factors were then used as predictors in Cox proportional hazard models with dementia until Wave 9 as outcome, adjusted for demographics and cardiovascular risk factors. Structural equation modeling tested mediation by depressive symptoms through effect decomposition. RESULTS: Factor analyses identified six social factors. Across a median follow-up time of 11.8 years (IQR = 5.9-13.9 years), 501 people developed dementia. Higher factor scores for frequency and quality of contact with children (HR = 0.88; p = 0.021) and more frequent social activity engagement (HR = 0.84; p < 0.001) were associated with lower dementia risk. Likewise, higher factor scores for loneliness (HR = 1.13; p = 0.011) and negative experiences of social support (HR = 1.10; p = 0.047) were associated with higher dementia risk. Mediation analyses showed a significant partial effect mediation by depressive symptoms for all four factors. Additional analyses provided little evidence for reverse causation. CONCLUSIONS: Frequency and quality of social contacts, social activity engagement, and feelings of loneliness are associated with dementia risk and might be suitable targets for dementia prevention programs, partly by lowering depressive symptoms.

6.
Fam Process ; 2024 Sep 17.
Artículo en Inglés | MEDLINE | ID: mdl-39289893

RESUMEN

In the present study, we examined the prospective associations of both spousal support and spousal strain with a wide range of health and well-being outcomes in married older adults. Applying the analytic template for outcome-wide designs, three waves of longitudinal data from the Health and Retirement Study (n = 7788, Mage = 64.2 years) were analyzed using linear regression, logistic regression, and generalized linear models. A set of models was performed for spousal support and another set of models for spousal strain (2010/2012, t1). Outcomes included 35 different aspects of physical health, health behaviors, psychological well-being, psychological distress, and social factors (2014/2016, t2). All models adjusted for pre-baseline levels of sociodemographic covariates and all outcomes (2006/2008, t0). Spousal support evidenced positive associations with five psychological well-being outcomes, as well as negative associations with five psychological distress outcomes and loneliness. Conversely, spousal strain evidenced negative associations with three psychological well-being outcomes, in addition to positive associations with three psychological distress outcomes and loneliness. The magnitude of these associations was generally small, although some effect estimates were somewhat larger. Associations of both spousal support and strain with other social and health-related outcomes were more negligible. Both support and strain within a marital relationship have the potential to impact various aspects of psychological well-being, psychological distress, and loneliness in the aging population.

7.
Artículo en Inglés | MEDLINE | ID: mdl-39175225

RESUMEN

OBJECTIVES: We investigate how adults of different ages experience changes in their social relationships during significant life events. Based on different goal priorities, younger adults may benefit more from establishing new social contacts during a significant life event, whereas older adults may benefit more from maintaining existing relationships. METHODS: To test these hypotheses, we conducted multilevel modelling with a sample of N = 6,688 participants aged 18 to 90 years who reported at least one significant life event in the past two years. RESULTS: Both establishing new social relationships and maintaining existing relationships during significant life events were associated with higher levels of well-being. As predicted, these associations were moderated by age. Establishing new social relationships was more strongly associated with mental health and life satisfaction in younger adults, whereas maintaining existing relationships was more strongly associated with subjective well-being, physical health, and loneliness in older adults. DISCUSSION: These findings provide valuable insights into the role of age in the change and stability of social relationships during significant life events.

8.
Behav Sci (Basel) ; 14(8)2024 Aug 05.
Artículo en Inglés | MEDLINE | ID: mdl-39199074

RESUMEN

Humor is generally known to effectively help individuals manage distress. Yet a variety of ways exist to engage in humor, and not all of them may be equally associated with desirable outcomes. The purpose of this study is to examine the extent to which dark humor is associated with the subjective well-being of United States military veterans. An online survey was announced on several social media pages populated by US veterans, to which 93 fully responded. Our findings indicate that the use of dark humor does not appear to be associated with a sense of connectedness, but the reported use of self-defeating types of dark humor was associated with lower levels of life satisfaction. Our hypothesis that increased feelings of connectedness to civilian and veteran/active-duty friends would predict increased reports of overall subjective well-being was supported. The implications of these findings for understanding the functions of dark humor are discussed.

9.
BMC Public Health ; 24(1): 2141, 2024 Aug 07.
Artículo en Inglés | MEDLINE | ID: mdl-39113011

RESUMEN

BACKGROUND: Frailty is a multifactorial syndrome; through this study, we aimed to investigate the physiological, psychological, and social factors associated with frailty and frailty worsening in community-dwelling older adults. METHODS: We conducted a cross-sectional and longitudinal study using data from the "Community Empowerment and Well-Being and Healthy Long-term Care: Evidence from a Cohort Study (CEC)," which focuses on community dwellers aged 65 and above in Japan. The sample of the cross-sectional study was drawn from a CEC study conducted in 2014 with a total of 673 participants. After excluding those who were frail during the baseline assessment (2014) and at the 3-year follow-up (2017), the study included 373 participants. Frailty assessment was extracted from the Kihon Checklist, while social relationships were assessed using the Social Interaction Index (ISI). Variable selection was performed using Least Absolute Shrinkage and Selection Operator (LASSO) regression and their predictive abilities were tested. Factors associated with frailty status and worsening were identified through the Maximum-min Hillclimb algorithm applied to Bayesian networks (BNs). RESULTS: At baseline, 14.1% (95 out of 673) participants were frail, and 24.1% (90 out of 373) participants experienced frailty worsening at the 3-years follow up. LASSO regression identified key variables for frailty. For frailty identification (cross-sectional), the LASSO model's AUC was 0.943 (95%CI 0.913-0.974), indicating good discrimination, with Hosmer-Lemeshow (H-L) test p = 0.395. For frailty worsening (longitudinal), the LASSO model's AUC was 0.722 (95%CI 0.656-0.788), indicating moderate discrimination, with H-L test p = 0.26. The BNs found that age, multimorbidity, function status, and social relationships were parent nodes directly related to frailty. It revealed an 85% probability of frailty in individuals aged 75 or older with physical dysfunction, polypharmacy, and low ISI scores; however, if their social relationships and polypharmacy status improve, the probability reduces to 50.0%. In the longitudinal-level frailty worsening model, a 75% probability of frailty worsening in individuals aged 75 or older with declined physical function and ISI scores was noted; however, if physical function and ISI improve, the probability decreases to 25.0%. CONCLUSION: Frailty and its progression are prevalent among community-dwelling older adults and are influenced by various factors, including age, physical function, and social relationships. BNs facilitate the identification of interrelationships among these variables, quantify the influence of key factors. However, further research is required to validate the proposed model.


Asunto(s)
Teorema de Bayes , Anciano Frágil , Fragilidad , Vida Independiente , Humanos , Estudios Transversales , Anciano , Masculino , Estudios Longitudinales , Femenino , Japón/epidemiología , Fragilidad/epidemiología , Anciano de 80 o más Años , Anciano Frágil/estadística & datos numéricos , Anciano Frágil/psicología , Evaluación Geriátrica/métodos , Factores de Riesgo , Pueblos del Este de Asia
10.
Z Gerontol Geriatr ; 2024 Aug 28.
Artículo en Alemán | MEDLINE | ID: mdl-39198313

RESUMEN

BACKGROUND: Life situation dimensions, such as financial resources, housing, health and social relationships, have a significant influence on the scope available to older people for coping with everyday life and participation and thus for a good life in old age. METHOD: As a basis for identifying current and future challenges posed by precarious living conditions in old age, current publicly available data and study results on the income situation, housing, health and care are reported as central dimensions of the living conditions of people aged 65 years and over in Germany. RESULTS: The study results presented provide indications as to which groups of older people live in particularly precarious living situations, which provide starting points for municipal action. Inequalities exist in the availability of income, affordable and accessible housing, social networks, health opportunities and care support services. Particular importance is attached to the risk of poverty, which goes hand in hand with the risk of disadvantages in the other dimensions analyzed.

11.
Obes Rev ; 25(11): e13819, 2024 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-39159971

RESUMEN

BACKGROUND: Social relationships impact health and may affect proximal determinants such as obesity. Our review examined empirical evidence of the impact of changes in social relationships on risk of obesity in aging adults, with attention to gender. METHODS: We systematically searched Medline, EMBASE, Scopus, CINAHL, and ProQuest Dissertations and reference lists of relevant reviews and papers published up to November 2022. Longitudinal studies examining changes in marital status, living arrangement, social participation, and social networks and anthropometric changes or incident obesity were deemed eligible. Relevant data were extracted and synthesized narratively. RESULTS: We identified 41,910 eligible titles, resulting in 252 full texts and 7 included studies. All studies were conducted in the United States and assessed marital transitions only; 3 studies included both women and men. Overall, compared with people who remain non-married, entering marriage leads to a significant increase in body mass index (BMI) for both genders. Conversely, transitioning out of marriage through widowhood or divorce leads to a decrease in weight (kg/lbs), waist circumference, and BMI for both genders. All seven studies were deemed to be of medium quality. CONCLUSIONS: Our review revealed a paucity of prospective evidence on social connections as determinants of obesity among aging adults. There is limited evidence that marital transitions are associated with changes in anthropometric measurements in aging individuals, but no evidence on the effects of changes in living arrangements, social participation, and social networks on anthropometric measurements. More research attention to the social determinants of obesity is warranted.


Asunto(s)
Obesidad , Humanos , Obesidad/psicología , Estudios Longitudinales , Masculino , Femenino , Matrimonio/psicología , Estado Civil , Apoyo Social , Índice de Masa Corporal
12.
Int J Aging Hum Dev ; : 914150241267994, 2024 Aug 06.
Artículo en Inglés | MEDLINE | ID: mdl-39105263

RESUMEN

This study examined how different sources of social support from family members (excluding partners), friends, and partners were associated with moderate and vigorous leisure-time physical activity (LTPA) among middle-aged and older adults. This study included married participants aged 45 or older (N = 2,155) from the Midlife in the United States secondary data set. Hierarchical linear regression was performed to investigate the relationship between the three sources of social support and moderate LTPA, and separately, with vigorous LTPA. Partner support (b = 0.19, p < .01), family support (b = -0.19, p < .01), and friend support (b = 0.26, p < .001) were all significantly associated with moderate LTPA. Only social support from friends was associated with vigorous LTPA (b = 0.24, p < .001). Our study emphasizes the significance of social support in influencing LTPA behaviors among middle-aged and older adults. Future programs promoting physical activity should incorporate social support from friends to have the greatest impact.

13.
Front Psychol ; 15: 1279623, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39149701

RESUMEN

Introduction: Adolescence is a special phase of life in which fundamentals of psychosocial functioning are formed. The present study investigates how adolescents' self-perception of social relationships in inclusive classes affect personality functioning. Furthermore, we examine whether the association between self-perceived social relationships and personality functioning is stronger for students with special educational needs in the domains of learning (SEN L) and social -emotional development (SED) than for students without SEN. Methods: At two measurement points questionnaire data was collected from 927 sixth- and seventh-graders from 20 primary and 20 comprehensive inclusive classes in Germany. Results: Results of longitudinal multilevel analyses show partially different results for sixth- and seventh-graders. Overall, students' perceived social relatedness predicted personality functioning. Students who perceived their social relationships more positively showed healthier personality functioning. Further, SEN SED represents a potential risk factor for personality functioning. But, we observed that differences in personality functioning between seventh-graders with SEN L or SED and those without SEN decreased over time. Furthermore, SEN does not appear to reinforce the association between low self-perception of social relationships and risky personality functioning. Discussion: The findings are discussed in the context of inclusive education and implications for future research as well as practice are given. Overall, our findings contribute to a better understanding of students' psychosocial development in inclusive learning environments.

14.
J Appl Gerontol ; : 7334648241273337, 2024 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-39177667

RESUMEN

Guided by the Rowe and Kahn model, the current study examined the longitudinal association of objective and subjective components of successful aging (SA) with individuals' life satisfaction and level of optimism across adulthood aiming to validate the related scanty existing research. Data were from waves 2 and 3 (2004-14) of the Midlife in the United States (MIDUS) study. Using structural equation modeling, we examined (N = 2,040) whether subjective life satisfaction (wave 2) has any effect on a composite measure of SA (wave 3) while controlling for baseline sociodemographic and health factors. We also examined the mediation effects of optimism in the above associations. Findings revealed that life satisfaction has a significant positive effect on SA; also, this effect is bidirectional. Further, high optimism positively mediated the bidirectional association between life satisfaction and SA. This study identified life satisfaction and optimism as having potentially positive impacts on achieving SA in middle-aged and older adults.

15.
Neurosci Biobehav Rev ; 164: 105820, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39032845

RESUMEN

Waves of research and public discourse have characterized adolescence as periods of developmental risk and opportunity. Underlying this discussion is the recognition that adolescence is a period of major biological and social transition when experience may have an outsized effect on development. This article updates and expands upon prior work suggesting that adolescence may be a sensitive period for sociocultural processing specifically. By integrating evidence from developmental psychology and neuroscience, we identify how trajectories of social and neurobiological development may relate to adolescents' ability to adapt to and learn from their social environments. However, we also highlight gaps in the literature, including challenges in attributing developmental change to adolescent experiences. We discuss the importance of better understanding variability in biology (e.g., pubertal development) and cultural environments, as well as distinguishing between sensitive periods and periods of heightened sensitivity. Finally, we look toward future directions and translational implications of this research.


Asunto(s)
Desarrollo del Adolescente , Humanos , Adolescente , Desarrollo del Adolescente/fisiología , Encéfalo/fisiología , Medio Social , Conducta Social
16.
Physiother Theory Pract ; : 1-11, 2024 Jul 01.
Artículo en Inglés | MEDLINE | ID: mdl-38949505

RESUMEN

BACKGROUND/PURPOSE: Therapeutic relationship and social support are critical components in physiotherapy that shape patient outcomes. However, defining these constructs, discerning their similarities and differences, and measuring them pose challenges. This article aims to facilitate scientific and clinical advancement on social support and the therapeutic relationship in physiotherapy by (a) providing conceptual clarity, (b) discussing measurement tools, and (c) offering practical recommendations for the deliberate incorporation of these constructs in clinical practice. METHODS: This is a perspective paper drawing on examples from existing research. KEY RESULTS: Assessing the nature and strength of social support and promoting naturally occurring social support networks are practical ways for physiotherapists to foster social support in physiotherapy clinical practice. Physiotherapists can offer direct support, facilitate the development of an individual's social skills, and promote participation in group activities. To strengthen the therapeutic relationship, it is important to maintain good communication, foster connectedness with the patient, demonstrate professional skills, and adopt a reflective practice. Physiotherapists are encouraged to establish clear roles and responsibilities, prioritize individualized patient-centered care, and involve patients in shared decision-making, ensuring congruence in goals and expectations. Willingness to dedicate time and energy within and beyond direct patient-therapist interactions can foster connections. Moreover, using the body - which is the main point of contact with patients - and physical touch can help physiotherapists to connect with patients. Finally, physiotherapists must be prepared to address and mend any conflicts which can impact the relationship's trajectory. CONCLUSION: Social support and therapeutic relationships are complementary aspects of one's health care, and it is crucial to purposefully account for both in physiotherapy practice to optimize person-centered care and rehabilitation outcomes.

17.
Reumatol Clin (Engl Ed) ; 20(6): 297-304, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38991823

RESUMEN

AIM: To describe the impact of the COVID-19 on the psychosocial health of patients with rheumatoid arthritis (RA), spondyloarthritis (SpA), and systemic lupus erythematosus (SLE). DESIGN: Longitudinal observational study of a series of patients with rheumatic disease. METHODS: The main outcome measure was impairment of the ability to participate in social activities, as measured using the PROMIS-APS instrument Short Form-8a. We evaluated social activities in various settings and performed a multivariate analysis to study the association between worsening of social participation during the COVID-19 pandemic and implicated factors. RESULTS: One hundred and twenty-five patients had completed the prospective follow-up: 40 with AR (32%), 42 with SpA (33.6%), and 43 with SLE (34.4%). Overall, poorer mean PROMIS scores were recorded after the COVID-19 pandemic for: satisfaction with social roles (p=0.029), depression (p=0.039), and ability to participate in social activities (p=0.024). The factors associated with ability to participate in social activities after the COVID-19 pandemic were older age (ß=-0.215; p=0.012), diagnosis of SLE (ß=-0.203; p=0.015), depression (ß=-0.295; p=0.003) and satisfaction with social roles (ß=0.211; p=0.037). CONCLUSION: The ability to participate in social activities after the COVID-19 pandemic is affected in patients with rheumatic disease, especially in SLE.


Asunto(s)
COVID-19 , Enfermedades Reumáticas , Humanos , COVID-19/psicología , COVID-19/epidemiología , Femenino , Masculino , Persona de Mediana Edad , Estudios Longitudinales , Adulto , Enfermedades Reumáticas/psicología , Artritis Reumatoide/psicología , Lupus Eritematoso Sistémico/psicología , Anciano , Participación Social , Estudios Prospectivos , Espondiloartritis/psicología , Depresión/epidemiología , Depresión/etiología , Pandemias
18.
Aging Ment Health ; : 1-9, 2024 Jul 29.
Artículo en Inglés | MEDLINE | ID: mdl-39069779

RESUMEN

OBJECTIVES: Social relationships are associated with various positive physical, psychological, and emotional outcomes in older adults. In line with the growing understanding of the role of subjective views of aging (VoA) for older adults' quality of life, the current work examines how daily fluctuations in VoA affect social relationships. Moreover, as the ability to mentalize others' states of mind (i.e. Theory of Mind) considerably enhances such relationships, this study assesses whether mentalization abilities mediate the VoA-social relationships link. METHOD: Eighty-two Israeli older adults (mean age = 73.44, SD = 8.64, range = 60-95) completed a baseline online questionnaire containing background information, and subsequently filled out daily online questionnaires assessing ageist attitudes, subjective age, mentalization abilities, and positive social relationships for 14 consecutive days. RESULTS: Positive VoA (reduced ageist attitudes and/or a young subjective age) were associated with enhanced mentalization and positive relationships on a given day and in time-lagged analyses. Moreover, mentalization mediated the effect of previous-day VoA on next-day positive social relationships. VoA also mediated the effect of previous-day mentalization on next-day positive social relationships. CONCLUSION: The study highlights the importance of mentalization capabilities for maintaining positive VoA/social relationships and expands the understanding of underlying factors associated with meaningful and close relationships in older adults.

19.
Cureus ; 16(6): e62775, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-39036254

RESUMEN

Background and objectives Heart failure (HF) significantly influences the quality of life, both physically and emotionally, as well as social and environmental relationships. One major objective of HF treatment is to maintain or improve the quality of life. The aims of the study were to assess the impact of HF on social relationships and the relationship with the environment, according to therapeutic class and the presence of comorbidities, and to identify predictive factors for the impairment of these dimensions of the quality of life. Materials and methods This study was based on a cross-sectional survey; 252 patients with HF who have referred themselves to the medical rehabilitation department of the "Avram Iancu" Clinical Hospital, Oradea, between February 2023 and February 2024 were included. The patients were divided into two groups (Group HF-S/V, patients undergoing treatment with sacubitril/valsartan; Group HF-CT, patients receiving conventional therapy). All patients were asked to complete two assessment tools: the Charlson Comorbidity Index (CCI) questionnaire and the World Health Organization Quality of Life Brief Version (WHOQOL-BREF) questionnaire. Results The mean values obtained per the domain of social relationships were significantly better for Group HF-CT (65.762 ± 12.519 versus 61.266 ± 12.428, p = 0.024). The mean values obtained on the domain of social relations and in relation to the environment were significantly better for Group HF-CT (65.762 ± 12.519 versus 61.266 ± 12.428, p = 0.024; 61.333 ± 13.461 versus 51.719 ± 16.769, p < 0.001). Both dimensions of the quality of life correlate with age and CCI (F = 7.793, p < 0.001, for social relationships; F = 16.821, p < 0.001, for relationship with the environment). Conclusions Social relationships and the relationship with the environment are affected in HF patients and correlate with age and comorbidity index, regardless of the type of therapy.

20.
BMC Psychiatry ; 24(1): 485, 2024 Jul 02.
Artículo en Inglés | MEDLINE | ID: mdl-38956575

RESUMEN

BACKGROUND: Suicide rates in older adults are much higher than those in younger age groups. Given the rapid increase in the proportion of older adults in Korea and the high suicide rate of this age group, it is worth investigating the mechanism of suicidal ideation for older adults. Generally, adverse childhood experiences are positively associated with suicidal ideation; however, it is not fully understood what mediating relationships are linked to the association between these experiences and current suicidal ideation. METHODS: The data from 685 older Korean adults were analyzed utilizing logistic regression, path analyses, and structural equation modeling. Based on our theoretical background and the empirical findings of previous research, we examined three separate models with mental health, physical health, and social relationship mediators. After that, we tested a combined model including all mediators. We also tested another combined model with mediation via mental health moderated by physical health and social relationships. RESULTS: The univariate logistic regression results indicated that childhood adversity was positively associated with suicidal ideation in older adults. However, multivariate logistic regression results demonstrated that the direct effect of childhood adversity became nonsignificant after accounting all variables. Three path models presented significant mediation by depression and social support in the association between childhood adversity and suicidal ideation. However, combined structural equation models demonstrated that only mediation by a latent variable of mental health problems was statistically significant. Social relationships moderated the path from mental health problems to suicidal ideation. CONCLUSIONS: Despite several limitations, this study has clinical implications for the development of effective strategies to mitigate suicidal ideation. In particular, effectively screening the exposure to adverse childhood experiences, early identification and treatment of depressive symptoms can play a crucial role in weakening the association between childhood adversity and suicidal ideation in older adults.


Asunto(s)
Experiencias Adversas de la Infancia , Estado de Salud , Apoyo Social , Ideación Suicida , Humanos , Masculino , Femenino , República de Corea/epidemiología , Anciano , Experiencias Adversas de la Infancia/psicología , Experiencias Adversas de la Infancia/estadística & datos numéricos , Salud Mental , Persona de Mediana Edad , Depresión/psicología , Depresión/epidemiología , Anciano de 80 o más Años
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