Gender differences in loneliness, anger, depression, self-management ability and biomarkers of chronic illness in chronically ill mid-life adults in Appalachia.
Appl Nurs Res
; 45: 55-62, 2019 02.
Article
em En
| MEDLINE
| ID: mdl-30683252
ABSTRACT
AIMS:
This study describes gender differences and relationships among loneliness, anger, depression, self-management ability and biomarkers of chronic illness in chronically ill mid-life adults in Appalachia.BACKGROUND:
Loneliness predicts poor health, functional decline, and mortality in adults. Though self-management ability is linked to improved health outcomes, a gap existed when examining how loneliness impacts self-management ability (SMA).METHODS:
This cross-sectional study recruited 90 patients from a primary care center. Instruments measured loneliness, anger, depression, and SMA. Measures were taken for BMI, blood pressure, and glucose. Descriptive and hierarchical multiple regression was used to test hypotheses.RESULTS:
Participants were majority female (68%), white (89%), married (52%), employed (66%), and impoverished (70%). They were moderately lonely (Mâ¯=â¯41.29, SD 12.13) and men were lonelier than women (pâ¯<â¯.01). Men and women did not differ on anger, depressive symptoms, or SMA. Anger (5.64, SD 7.32) and depressive symptoms (Mâ¯=â¯5.89, SD 5.54) were low. Loneliness positively correlated with anger (râ¯=â¯0.415, pâ¯<â¯.01) and depression (râ¯=â¯0.558, pâ¯<â¯.01), and inversely related to subscales of SMA (pâ¯<â¯.01) [taking initiative (TI), investment behavior (IB), variety (V), multifunctionality (MF), self-efficacy (SE), and positive frame of mind (PM)]. After controlling for age, anger, and depression, loneliness was explanatory for poorer SMA (R squared changeâ¯=â¯0.32, F change (1, 67)â¯=â¯47.67, pâ¯<â¯.001).CONCLUSIONS:
Loneliness impacts SMA and should be included in the care planning or study of chronically ill adults who struggle with self-management.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pobreza
/
Adaptação Psicológica
/
Doença Crônica
/
Depressão
/
Autogestão
/
Ira
/
Solidão
Tipo de estudo:
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article