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A Longitudinal Study on Multidimensional Resilience to Physical and Psychosocial Stress in Elderly Mexicans


Höltge, Jan; Samper-Ternent, Rafael; García-Peña, Carmen; Gutiérrez-Robledo, Luis Miguel (2020). A Longitudinal Study on Multidimensional Resilience to Physical and Psychosocial Stress in Elderly Mexicans. Journal of Aging and Health:Epub ahead of print.

Abstract

Objectives: To identify trajectories of depression and daily disability in the context of serious falls and widowhood and to predict those trajectories before the events occurred. Methods: Longitudinal data were used from the Mexican Health and Aging Study. Trajectories were estimated using latent class growth analysis. Internal and socio-ecological resources were analyzed as predictors of the trajectories. Results: Unfavorable (worsening of symptoms and chronic high symptoms) and favorable (improvement of symptoms and stable low symptoms (resistance)) trajectories were identified. Favorable trajectories were more likely for daily disability. Persons who showed resistance in depression also tended to show resistance in daily disability. Net worth, cognition, and subjective well-being were early predictors for most trajectories. Discussion: Besides resistance, individuals rather show different co-occurring trajectories in the studied outcomes. While some factors could be identified that lead to favorable trajectories in both stressful contexts, the study also shows the necessity for context-specific research and praxis.

Abstract

Objectives: To identify trajectories of depression and daily disability in the context of serious falls and widowhood and to predict those trajectories before the events occurred. Methods: Longitudinal data were used from the Mexican Health and Aging Study. Trajectories were estimated using latent class growth analysis. Internal and socio-ecological resources were analyzed as predictors of the trajectories. Results: Unfavorable (worsening of symptoms and chronic high symptoms) and favorable (improvement of symptoms and stable low symptoms (resistance)) trajectories were identified. Favorable trajectories were more likely for daily disability. Persons who showed resistance in depression also tended to show resistance in daily disability. Net worth, cognition, and subjective well-being were early predictors for most trajectories. Discussion: Besides resistance, individuals rather show different co-occurring trajectories in the studied outcomes. While some factors could be identified that lead to favorable trajectories in both stressful contexts, the study also shows the necessity for context-specific research and praxis.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:08 Research Priority Programs > Dynamics of Healthy Aging
Dewey Decimal Classification:150 Psychology
Scopus Subject Areas:Social Sciences & Humanities > Health (social science)
Social Sciences & Humanities > Sociology and Political Science
Social Sciences & Humanities > Life-span and Life-course Studies
Language:English
Date:30 June 2020
Deposited On:11 Aug 2020 12:38
Last Modified:12 Aug 2020 20:00
Publisher:Sage Publications
ISSN:0898-2643
OA Status:Closed
Publisher DOI:https://doi.org/10.1177/0898264320932777
PubMed ID:32602776

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