An Interaction Effect of Life-Threatening Experience, Self-Efficacy, and Financial Resources on Quality of Life Among Chinese Middle-Aged and Older Women

IF 1 Q4 GERONTOLOGY
Sik Yee Dion Leung, Chi Pun Ben Liu
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引用次数: 0

Abstract

The current study explores the interaction effect of adversities and self-efficacy at baseline on quality of life (QoL) at follow-up among middle-aged and older Chinese women. 531 women were interviewed in 2008 and 226 of them were re-interviewed a year later using Quality of Life Ladder (QoLL), General Self-Efficacy Scale (GSE), List of Threatening Experiences (LTE), Somatic Complaint Scale, and self-rated health. Respondents’ mean age at baseline was 55.7 (SD = 4.7, range: 50–78). Over a year’s time, respondents had a decline in quality of life and self-rated health (p < .001), experienced more life-threatening events (p < .05) and somatic complaints. The hierarchical multiple regression model, employed in the study, identifies three predictors of future quality of life after adding the interaction term ‘Previous LTE × Previous GSE × Previous household income’ — previous quality of life (β = .492, p < .001), previous LTE (β = -.292, p < .001), and the interaction term (β = .221, p < .05). This model explains 34.1% of the variance of future quality of life (Adjusted R2 = .341, p < .001). The findings suggests that respondents’ good self-appraisal of coping resources could moderate the impact of adversities on their future quality of life. Interventions for promoting positive psychological growth among middle-aged and older adults should cover four domains, i.e. event-related factors, environmental factors, personal factors, and cognitive and coping responses. Traditional Chinese wisdom emphasizes the importance of understanding the bad (‘Yin’—the shady side) and the good (‘Yang’—the sunny side) aspect of life events. Future research may explore the Yin Yang perspective on life-threatening experiences and its applications in cross-cultural quality of life studies in the era of globalization.

中国中老年妇女生命威胁经历、自我效能和经济资源对生活质量的交互作用
本研究旨在探讨基线逆境和自我效能感对中国中老年妇女随访生活质量的交互作用。2008年对531名妇女进行了访谈,其中226名在一年后使用生活质量量表(QoLL)、一般自我效能量表(GSE)、威胁经历表(LTE)、躯体抱怨量表和自评健康对其进行了再次访谈。受访者基线时的平均年龄为55.7岁(SD = 4.7,范围:50-78)。在一年的时间里,受访者的生活质量和自我评估的健康状况下降(p < .001),经历了更多的危及生命的事件(p < .05)和身体上的抱怨。研究中采用的分层多元回归模型,在加入交互项“以前的LTE ×以前的GSE ×以前的家庭收入”-以前的生活质量(β =)后,确定了未来生活质量的三个预测因素。492, p < .001),先前的LTE (β = -。292, p < .001),相互作用项(β =。221, p < 0.05)。该模型解释了34.1%的未来生活质量方差(调整后R2 =。341, p < .001)。研究结果表明,受访者对应对资源的良好自我评价可以缓和逆境对其未来生活质量的影响。促进中老年人积极心理成长的干预措施应涵盖四个领域,即事件相关因素、环境因素、个人因素和认知与应对反应。中国传统智慧强调了解生活事件的坏(“阴”——阴暗的一面)和好的(“阳”——阳光的一面)方面的重要性。未来的研究可以探索阴阳视角下的生命体验及其在全球化时代跨文化生活质量研究中的应用。
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来源期刊
Ageing International
Ageing International GERONTOLOGY-
CiteScore
2.70
自引率
6.70%
发文量
39
期刊介绍: As a quarterly peer-reviewed journal that has existed for over three decades, Ageing International serves all professionals who deal with complex ageing issues. The journal is dedicated to improving the life of ageing populations worldwide through providing an intellectual forum for communicating common concerns, exchanging analyses and discoveries in scientific research, crystallizing significant issues, and offering recommendations in ageing-related service delivery and policy making. Besides encouraging the submission of high-quality research and review papers, Ageing International seeks to bring together researchers, policy analysts, and service program administrators who are committed to reducing the ''implementation gap'' between good science and effective service, between evidence-based protocol and culturally suitable programs, and between unique innovative solutions and generalizable policies. For significant issues that are common across countries, Ageing International will organize special forums for scholars and investigators from different disciplines to present their regional perspectives as well as to provide more comprehensive analysis. The editors strongly believe that such discourse has the potential to foster a wide range of coordinated efforts that will lead to improvements in the quality of life of older persons worldwide. Abstracted and Indexed in: ABI/INFORM, Academic OneFile, Academic Search, CSA/Proquest, Current Abstracts, EBSCO, Ergonomics Abstracts, Expanded Academic, Gale, Google Scholar, Health Reference Center Academic, OCLC, PsychINFO, PsyARTICLES, SCOPUS, Social Science Abstracts, and Summon by Serial Solutions.
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