Sense of coherence can predict hope in older adults: a cross-lagged analysis

Lin, Yao; Zhang, Baoshan; Xu, Ran

doi:10.1080/13607863.2021.1872488

Cited by 10 publications

(5 citation statements)

References 40 publications

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“…This present study revealed some increase towards a pessimistic belief for the future during the pandemic compared to pre-pandemic, but not signi cantly (data not shown). SoC has been associated with hope in older adults (41), and SoC within families has been related to high hope and lower anxiety and depression (42). This is consistent with the signi cant associations between SoC and respectively belief in the future and anxiety in this study.…”

Section: Discussionsupporting

confidence: 89%

Sense of Coherence, mental health, and hair cortisol concentrations among older people during the COVID -19 pandemic: a cross-sectional study

Koppner,

Lindelöf,

Iredahl

et al. 2024

Preprint

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Background A person’s sense of coherence (SoC) is likely to affect coping when exposed to a life changing event like the COVID − 19 pandemic, which impacted the older population especially hard, an age group that already suffers from a lot of mental illness. Thus, the aim of this study is to investigate the associations between SoC and mental health in older adults using both screening scales and hair cortisol concentrations (HCC). Method A cross-sectional design studying a cohort of 70–80 years old, N = 260, set in Swedish primary care during the pandemic years 2021–2022. Instruments used are sense of coherence 13 (SoC-13), EQ-5D-3L, Geriatric depression scale 20 (GDS-20), Hospital anxiety and depression scale (HADS), and Perceived stress scale 10 (PSS-10). Sociodemography and factors concerning SoC, and mental health are explored. HCC are measured using radioimmunoassay. Outcome measures are factors independently associated to SoC. Linear regression models were performed with SoC as dependent variable, and priory path analyses explored whether associations with SoC were direct, or indirect via anxiety. Results SoC was significantly associated to anxiety (p < 0.001), perceived economic status (p = 0.003), belief in the future (p = 0.001), and perceived negative mental effect from the COVID − 19 pandemic (p = 0.002). The latter was 95% indirectly associated with SoC, and perceived economic status together with belief in the future was 82% directly associated with SoC. HCC and sex were not significantly associated to SoC, but women had somewhat higher HCC than men, though not significantly, and women reported significantly lower quality of life (p = 0.03), and more symptoms of anxiety (p = 0.001) and depression (p < 0.001). Conclusion Anxiety, belief in the future, perceived negative effect on mental health due to the pandemic, and perceived economic status were significantly associated with SoC. Anxiety is suggested to be important in explaining the association between perceived negative mental effect from the COVID-19 pandemic and SoC. Women reported significantly poorer mental health and life quality than men.

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Section: Discussionsupporting

confidence: 89%

Sense of Coherence, mental health, and hair cortisol concentrations among older people during the COVID -19 pandemic: a cross-sectional study

Koppner,

Lindelöf,

Iredahl

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…This present study revealed some increase towards a pessimistic belief in the future during the pandemic compared to pre-pandemic, but not significantly (data not shown). SoC has been associated with hope in older adults [ 53 ], and high SoC within families has been related to high hope and lower anxiety and depression [ 54 ]. This is consistent with the significant associations between SoC and belief in the future, respectively, anxiety in this study.…”

Section: Discussionmentioning

confidence: 99%

Sense of coherence, mental health, and hair cortisol concentrations among older people during the COVID -19 pandemic: a cross-sectional study

Koppner,

Lindelöf,

Iredahl

et al. 2024

BMC Public Health

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Background A person’s sense of coherence (SoC) is likely to affect coping when exposed to a life changing event like the COVID -19 pandemic, which impacted the older population especially hard, an age group that already suffers from a lot of mental illness. Thus, the aim of this study was to investigate the associations between SoC and mental health in older adults using both screening scales and hair cortisol concentrations (HCC). Method A cross-sectional design studying a cohort of 70–80 years old, N = 260, set in Swedish primary care during the pandemic years 2021–2022. Instruments used are sense of coherence 13 (SoC-13), EQ-5D-3L, Geriatric depression scale 20 (GDS-20), Hospital anxiety and depression scale (HADS), and Perceived stress scale 10 (PSS-10). Sociodemography and factors concerning SoC, and mental health are explored. HCC are measured using radioimmunoassay. Outcome measures are factors independently associated with SoC. Linear regression models were performed with SoC as dependent variable, and priory path analyses explored whether associations with SoC were direct, or indirect via anxiety. Results SoC was significantly associated with anxiety (p < 0.001), perceived economic status (p = 0.003), belief in the future (p = 0.001), and perceived negative mental effect from the COVID -19 pandemic (p = 0.002). The latter was 96% indirectly associated with SoC (p < 0.001), whereas perceived economic status together with belief in the future was 82% directly associated with SoC (p = 0.17). HCC and sex were not significantly associated with SoC, but, noticeably, high HCC was equally distributed between women and men. Women reported significantly lower quality of life (p = 0.03), and more symptoms of anxiety (p = 0.001) and depression (p < 0.001). Conclusion Anxiety, belief in the future, perceived negative effect on mental health due to the pandemic, and perceived economic status were significantly associated with SoC. Anxiety is suggested to be important in explaining the association between perceived negative mental effect from the COVID-19 pandemic and SoC. Women reported significantly poorer mental health and life quality than men.

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“…We used repeated measures analysis of variance [ 14 ] to analyze both the development of Joint Awareness and QoL. Cross-lagged analysis [ 15 ] was employed to examine the temporal order and overall causal direction of Joint Awareness and QoL. Model fit was evaluated by chi-squared statistic, Comparative Fit Index (CFI), Tucker-Lewis index (TLI), Root Mean Square Error of Approximation (RMSEA), and Standardized Root Mean Square Residual (SRMR) [ 16 ], where CFI > 0.95, TLI > 0.90, RMSEA < 0.10, and SRMR ≤ 0.08 indicate a normal fit for each measure [ 17 ].…”

Section: Methodsmentioning

confidence: 99%

The dynamic impact of Joint Awareness on Quality of Life after Total Knee Arthroplasty: a longitudinal study

Zhang

et al. 2022

J Orthop Surg Res

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Background Joint Awareness is thought to be closely linked to Quality of Life (QoL) for patients undergoing Total Knee Arthroplasty (TKA), yet to date there have been no longitudinal studies to explore how Joint Awareness actually affects QoL. The purpose of this study was therefore to examine the development of Joint Awareness and QoL after TKA as well as the dynamic impact of Joint Awareness on QoL. Methods A total of 342 patients were followed up at 3 months (T1), 6 months (T2), and 12 months (T3) after TKA. Joint Awareness was evaluated using the Forgotten Joint Score-12 (FJS-12), and QoL was measured by SF-36. We used repeated measures analysis of variance to estimate the development of Joint Awareness and QoL and employed a cross-lagged model to examine the dynamic relationship between Joint Awareness and QoL. Results Both Joint Awareness and QoL improved with postoperative time (p < 0.001). Importantly, T1 Joint Awareness positively predicted T2 physical QoL (p < 0.001), and T2 Joint Awareness positively predicted T3 physical QoL (p < 0.001). Nevertheless, Joint Awareness had no predictive effect on mental QoL (p = 0.082–0.931). Conclusions In different periods after TKA, Joint Awareness and QoL both increased monotonically, and Joint Awareness positively predicted physical QoL. These findings indicate that focusing on Joint Awareness may be a priority when trying to improve the postoperative life of patients.

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Sense of coherence can predict hope in older adults: a cross-lagged analysis

Cited by 10 publications

References 40 publications

Sense of Coherence, mental health, and hair cortisol concentrations among older people during the COVID -19 pandemic: a cross-sectional study

Sense of Coherence, mental health, and hair cortisol concentrations among older people during the COVID -19 pandemic: a cross-sectional study

Sense of coherence, mental health, and hair cortisol concentrations among older people during the COVID -19 pandemic: a cross-sectional study

The dynamic impact of Joint Awareness on Quality of Life after Total Knee Arthroplasty: a longitudinal study

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