Fragilidad, apoyo social, y bienestar subjetivo en adultos mayores mexicanos.
DOI:
https://doi.org/10.21134/pssa.v14i1.10Keywords:
bienestar subjetivo, adultos mayores, fragilidad, Apoyo socialAbstract
El presente estudio analizó si el apoyo social es un mediador de la relación entre fragilidad y bienestar subjetivo en adultos mayores. Se seleccionó una muestra no probabilística de 1949 adultos mayores (67.9% mujeres y 32.1% hombres) con un promedio de edad de 68.5 años (DE=5.58). Se utilizó la Escala de Bienestar Subjetivo EBS-8, además, se aplicó una escala para valorar el apoyo social que fue diseñada exprofeso para este estudio, también se utilizó un cuestionario que permite ubicar a los adultos mayores en niveles clínicos de fragilidad y se empleó un cuestionario de datos sociodemográficos. Los resultados mostraron coeficientes de correlación significativos entre el bienestar subjetivo con la fragilidad y con el apoyo social; además se encontró que existe un efecto indirecto significativo de la fragilidad en el bienestar subjetivo a través del apoyo social, lo que confirma la relevancia del apoyo social en adultos mayores.
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References
Appau, S., Churchill, S. A., & Farrell, L. (2019). Social integration and subjective wellbeing. Applied Economics, 51(16), 1748-1761. https://doi.org/10.1080/00036846.2018.1528340
Aranda, B. C., & Pando, M. M. (2013). Conceptualización del apoyo social y las redes de apoyo social. Revista de Investigación en Psicología, 16(1), 233-245. https://doi.org/10.15381/rinvp.v16i1.3929
Beygi, Z., Solhi, M., Irandoost, S. F., & Hoseini, A. F. (2023). The relationship between social support and happiness in older adults referred to health centers in Zarrin Shahr, Iran. Heliyon, 9, e19529. https://doi.org/10.1016/j.heliyon.2023.e19529
Borson, S., Scanlan, J. M., Chen, P., & Ganguli, M. (2003). The Mini‐Cog as a screen for dementia: validation in a population‐based sample. Journal of the American Geriatrics Society, 51(10), 1451-1454. https://doi.org/10.1046/j.1532-5415.2003.51465.x
Calleja, N., & Mason, T. A. (2020). Escala de Bienestar Subjetivo (EBS-20 y EBS-8): Construcción y validación. Revista Iberoamericana de Diagnóstico y Evaluación-e Avaliação Psicológica, 2(55), 185-201. https://doi.org/10.21865/RIDEP55.2.14
Cesari, M., Landi, F., Vellas, B., Bernabei, R., & Marzetti, E. (2014). Sarcopenia and physical frailty: two sides of the same coin. Frontiers in Aging Neuroscience, 6, 192. https://doi.org/10.3389/fnagi.2014.00192
Chou, W. M., Tange, C., Nishita, Y., Tomida, M., Shimokata, H., Otsuka, R., ... & Arai, H. (2023). Effect of different types of social support on physical frailty development among community-dwelling older adults in Japan: Evidence from a 10-year population-based cohort study. Archives of Gerontology and Geriatrics, 108, 104928. https://doi.org/10.1016/j.archger.2023.104928
Crocker, T. F., Brown, L., Clegg, A., Farley, K., Franklin, M., Simpkins, S., & Young, J. (2019). Quality of life is substantially worse for community-dwelling older people living with frailty: systematic review and meta-analysis. Quality of Life Research, 28, 2041-2056. https://doi.org/10.1007/s1113 6-019-02149 -1)
Diener, E., & Suh, E. (1997). Measuring quality of life: Economic, social, and subjective indicators. Social Indicators Research, 40, 189-216. https://doi.org/10.1023/A:1006859511756
Diener, E., Lucas, R. E., & Oishi, S. (2018). Advances and open questions in the science of subjective well-being. Collabra: Psychology, 4(1), 15. https://doi.org/10.1525/collabra.115
Duppen, D., Van der Elst, M. C., Dury, S., Lambotte, D., De Donder, L., & D-SCOPE. (2019). The social environment’s relationship with frailty: evidence from existing studies. Journal of Applied Gerontology, 38(1), 3-26. https://doi.org/10.1177/0733464816688310
Fang, J., Ren, J., Ren, L., Qiu, X., Yuan, S., Wang, W., & Wang, J. (2022). Perceived social support and associated factors among community-dwelling older adults with frailty and pre-frailty in Hangzhou, China. Frontiers in Psychiatry, 13, 944293. https://doi.org/10.3389/fpsyt.2022.944293
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., Seeman, T., Tracy, R., Kop, W. J., Burke, G., & McBurnie, M. A. (2001). Frailty in older adults: evidence for a phenotype. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 56(3), M146-M156. https://doi.org/10.1093/gerona/56.3.M146
García-González, J. J., García-Peña, C., Franco-Marina, F., & Gutiérrez-Robledo, L. M. (2009). A frailty index to predict the mortality risk in a population of senior Mexican adults. BMC Geriatrics, 9(47), 1-8. https://doi.org/10.1186/1471-2318-9-47
García-Peña, C., Ávila-Funes, J. A., Dent, E., Gutiérrez-Robledo, L., & s-Zepeda, M. (2016). Frailty prevalence and associated factors in the mexican health and aging study: A comparison of the frailty index and the phenotype. Experimental Gerontology, 79, 55-60. http://dx.doi.org/10.1016/j.exger.2016.03.016.
Golovchanova, N., Owiredua, C., Boersma, K., Andershed, H., & Hellfeldt, K. (2021). Presence of meaning in life in older men and women: The role of dimensions of frailty and social support. Frontiers in Psychology, 12, 730724. https://doi.org/10.3389/fpsyg.2021.730724
Hayes, A.F. (2012). PROCESSS: A versatile computational tool for observer variable mediation, moderation, and conditional process modeling [White Paper]. http://www.afhayes.com/public/process2012.pdf
Havlicek, L., & Peterson, N. (1976). Robustness of the pearson correlation against violations of assumptions. Perceptual and Motor Skills, 43, 1319-1334. https://doi.org/10.2466/pms.1976.43.3f.1319.
Hoogendijk, E. O., Smit, A. P., van Dam, C., Schuster, N. A., de Breij, S., Holwerda, T. J., ... & Andrew, M. K. (2020). Frailty combined with loneliness or social isolation: an elevated risk for mortality in later life. Journal of the American Geriatrics Society, 68(11), 2587-2593. https://doi.org/10.1111/jgs.16716
House, J. S., Umberson, D., & Landis, K. R. (1988). Structures and processes of social support. Annual Review of Sociology, 14(1), 293-318. https://doi.org/10.1146/annurev.so.14.080188.001453
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1-55. https://doi.org/10.1080/10705519909540118
Imamatsu, Y., Oe, N., Ito, E., Iwata, Y., Arimoto, A., Kobayashi, K., & Tadaka, E. (2023). Subjective well-being and related factors among independent, healthy, community-dwelling older adults in Japan. Healthcare, 11(15), 2211. https://doi.org/10.3390/healthcare11152211
Instituto Nacional de Estadística y Geografía. (2023, 6 de Julio). Encuesta Nacional sobre Salud y Envejecimiento en México (ENASEM) y Encuesta de Evaluación Cognitiva 2021. https://www.inegi.org.mx/programas/enasem/2021/
Instituto Nacional de Estadística y Geografía. (2022, 30 de septiembre). Estadísticas a propósito del día internacional de las personas adultas mayores. http://inegi.org.mx>EAP_ADULMAY2022
Martín-María, N., Miret, M., Caballero, F. F., Rico-Uribe, L. A., Steptoe, A., Chatterji, S., & Ayuso-Mateos, J. L. (2017). The impact of subjective well-being on mortality: a meta-analysis of longitudinal studies in the general population. Psychosomatic Medicine, 79(5), 565-575. https://doi.org/10.1097/PSY.0000000000000444
Mitnitski, A. B., Mogilner, A. J., & Rockwood, K. (2001). Accumulation of deficits as a proxy measure of aging. The Scientific World Journal, 1, 323-336. https://doi.org/10.1100/tsw.2001.58
Norman, G. (2010). Likert scales, levels of measurement and the “laws” of statistics. Advances in Health Sciences Education, 15(5), 625–632. https://doi.org/10.1007/s10459-010-9222-y
Pérez-Zepeda, M. U., Godin, J., Armstrong, J. J., Andrew, M. K., Mitnitski, A., Kirkland, S., Rockwood, K., & Theou, O. (2023). Higher frailty levels are associated with lower cognitive test scores in a multi-country study: evidence from the study on global ageing and adult health. Frontiers in Medicine, 10, 1166365. https://doi.org/10.3389/fmed.2023.1166365
Rafnsson, S. B., Shankar, A., & Steptoe, A. (2015). Longitudinal influences of social network characteristics on subjective well-being of older adults: findings from the ELSA study. Journal of Aging and Health, 27(5), 919-934. https://doi.org/10.1177/0898264315572111
Rockwood, K., Song, X., MacKnight, C., Bergman, H., Hogan, D. B., McDowell, I., & Mitnitski, A. (2005). A global clinical measure of fitness and frailty in elderly people. CMAJ, 173(5), 489-495. https://doi.org/10.1503/cmaj.050051
Şahin, D. S., Özer, Ö., & Yanardağ, M. Z. (2019). Perceived social support, quality of life and satisfaction with life in elderly people. Educational Gerontology, 45(1), 69-77. https://doi.org/10.1080/03601277.2019.1585065
Schonhardt, S., Sullivan, S., & Shisler Marshall, R. (2023). A focused review of multidimensional well-being assessments. Journal of Wellness, 4(2), 5. https://doi.org/10.55504/2578-9333.1140
Sharifian, N., Sol, K., Zahodne, L. B., & Antonucci, T. C. (2022). Social relationships and adaptation in later life. Comprehensive Clinical Psychology, 52-72. https://doi.org/10.1016/B978-0-12-818697-8.00016-9
Siette, J., Pomare, C., Dodds, L., Jorgensen, M., Harrigan, N., & Georgiou, A. (2021). A comprehensive overview of social network measures for older adults: A systematic review. Archives of Gerontology and Geriatrics, 97, 104525. https://doi.org/10.1016/j.archger.2021.104525
Steverink, N. (2019). Trajectories of well-being in later life. Oxford Research Encyclopedia of Psychology. https://doi.org/10.1093/acrefore/9780190236557.013.424
Theou, O., Cann, L., Blodgett, J., Wallace, L. M. K., Brothers, T. D., & Rockwood, K. (2015). Modifications to the frailty phenotype criteria: Systematic review of the current literature and investigation of 262 frailty phenotypes in the Survey of Health, Ageing, and Retirement in Europe. Ageing Research Reviews, 21, 78-94. https://doi.org/10.1016/j.arr.2015.04.001
Theou, O., Pérez-Zepeda, M. U., van der Valk, A. M., Searle, S. D., Howlett, S. E., & Rockwood, K. (2021). A classification tree to assist with routine scoring of the Clinical Frailty Scale. Age and Ageing, 50(4), 1406-1411. https://doi.org/10.1093/ageing/afab006
Union Nations. (2022, Julio). World Population Prospects 2022: Summary of Results. https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/undesa_pd_2022_wpp_key-messages.pdf
Wang, X. (2016). Subjective well-being associated with size of social network and social support of elderly. Journal of Health Psychology, 21(6), 1037-1042. https://doi.org/10.1177/1359105314544136
Xue, Q. L. (2011). The frailty syndrome: definition and natural history. Clinics in Geriatric Medicine, 27(1), 1-15. https://doi.org/10.1016/j.cger.2010.08.009
Zhang, Z., Zhang, J., Zhao, N., & Yang, Y. (2019). Social network size and subjective well-being: the mediating role of future time perspective among community-dwelling retirees. Frontiers in Psychology, 10, 2590. https://doi.org/10.3389/fpsyg.2019.02590
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