A Systematic Review on Psychosocial Determinants of Elderly Subjective Wellbeing

Open access

Abstract

The persistent increase in longevity has impelled social scientists to concentrate on the factors that can improve later life health and wellbeing. Extant literature indicates that filial responsibility, self-esteem, emotional regulation, attachment, parent-adult child relationship quality and religiosity are among those contributing factors for elderly subjective wellbeing. A systematic review was conducted to synthesize available evidence regarding the psychosocial determinants of elderly subjective wellbeing. Google Scholar, Science Direct and PubMed were searched for potentially relevant articles published from 2011 to 2017. Eighteen out of 216 full-text papers met the inclusion criteria and were critically appraised. The internal validity and quality of selected studies were assessed using STROBE and SIGN checklists. The findings of the current review suggest that filial responsibility, emotional regulation, self-esteem, attachment, and parent-adult child relationship quality were consistent determinants of elderly wellbeing; whereas findings on religiosity were equivocal. Further, self-esteem and emotional regulation emerged as significant cognitive-emotional underlying factors for the association between family relations and elderly wellbeing. In conclusion, despite methodological limitations of selected studies, this review was able to identify a number of psychosocial determinants of elderly subjective wellbeing. A comprehensive knowledge of these determining factors can contribute to a better understanding of empirical connections and identification of gaps in literature as well as directions for future studies.

Augusto-Landa, J. M., Pulido-Martos, M., & Lopez-Zafra, E. (2011). Does perceived emotional intelligence and optimism/pessimism predict psychological well-being? Journal of Happiness Studies, 12, 463-474.

Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. Successful aging: Perspectives from the behavioral sciences, 1(1), 1-34.

Banjare, P., Dwivedi, R., & Pradhan, J. (2015). Factors associated with the life satisfaction amongst the rural elderly in Odisha, India. Health and Quality of Life Outcomes, 13(201). https://doi.org/10.1186/s12955-015-0398-y.

Brummett, B. H., Boyle, S. H., Siegler, I. C., Williams, R. B., Mark, D. B., & Barefoot, J. C. (2005). Ratings of positive and depressive emotion as predictors of mortality in coronary patients. International Journal of Cardiology, 100, 213-216.

Carter, S. E., & Walker, R. L. (2014). Anxiety symptomatology and perceived health in African American adults: moderating role of emotion regulation. Cultural Diversity & Ethnic Minority Psychology, 20(3), 307-15. https://doi.org/10.1037/a0035343.

Cole, M. G., & Dendukuri, N. (2003). Risk factors for depression among elderly community subjects: a systematic review and meta-analysis. American Journal of Psychiatry, 160(6), 1147-1156.

Coleman, P. G., Carare, R, O., Petrov, I., Forbes, E., Saigal, A., Spreadbury,J, H., Yap, A., & Kendrick, T. (2011). Spiritual belief, social support, physical functioning and depression among older people in Bulgaria and Romania. Aging & Mental Health, 15(3), 327-333. https://doi.org/10.1080/13607863.2010.519320.

Crewdson, J. A. (2016). The effect of loneliness in the elderly population: A review. Healthy Aging & Clinical Care in the Elderly, (8), 1-8.

Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542-575.

Diener, E., Oishi, S., & Lucas, R. E. (2002). Subjective well-being: The science of happiness and life satisfaction. In C.R. Snyder & S.J. Lopez (Ed.), Handbook of Positive Psychology. Oxford and New York: Oxford University Press.

Diener, E., Suh, E.M., Lucas, R.E., Smith, H.L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125(2), 276-302.

Extremera, N., & Rey, L. (2015). The moderator role of emotion regulation ability in the link between stress and well-being. Frontiers in Psychology, 6, 1-9. https://doi.org/10.3389/fpsyg.2015.01632.

Fernández-Fernández, V., Márquez-González, M., Losada-Baltar, A., & Romero-Moreno, R. (2013). Frequency of leisure activities and depressive symptomatology in elderly people: the moderating role of rumination. International Psychogeriatrics, 26(2), 297-305. https://doi.org/10.1017/S1041610213001877.

Gull, F., & Dawood, S. (2013). Religiosity and Subjective Well-Being amongst Institutionalized Elderly in Pakistan. Health Promotion Perspectives, 3(1), 124-128. https://doi.org/10.5681/hpp.2013.014

Ju, H., Shin, J. W., Kim, C. W., Hyun, M. H., & Park, J. W. (2013). Mediational effect of meaning in life on the relationship between optimism and well-being in community elderly. Archives of Gerontology and Geriatrics, 56(2), 309-313. http://dx.doi.org/10.1016/j.archger.2012.08.008.

Ju, H., Shin, J.W., Kim, C.W., Hyun, M.H, & Park, J.W. (2012). Mediational effect of meaning in life on the relationship between optimism and well-being in community elderly. Archives of Gerontology and Geriatrics, 56, 309-313. http://dx.doi.org/10.1016/j.archger.2012.08.008.

Ju, Y. J., Han, K. T., Lee, T. H., Kim, W., Kim, J., & Park, E. C. (2016). Does relationship satisfaction and financial aid from offspring influence the quality of life of older parents?: a longitudinal study based on findings from the Korean longitudinal study of aging, 2006-2012. Health and quality of life outcomes, 14(1), 108. https://doi.org10.1186/s12955-016-0509-4.

Kafetsios, K., & Sideridis, G. D. (2006). Attachment, social support and well-being in young and older adults. Journal of health psychology, 11(6), 863-875. https://doi.org/10.1177/1359105306069084.

Karreman, A., & Vingerhoets, A. J. (2012). Attachment and well-being: The mediating role of emotion regulation and resilience. Personality and Individual differences, 53(7), 821-826. https://doi.org/10.1016/j.paid.2012.06.014.

Koopmans, T. A., Geleijnse, J. M., Zitman, F. G., & Giltay, E. J. (2010). Effects of happiness on all-cause mortality during 15 years of follow-up: The Arnhem Elderly Study. Journal of Happiness Studies, 11, 113-124.

Lun, V. M. C., & Bond, M. H. (2013). Examining the relation of religion and spirituality to subjective well-being across national cultures. Psychology of Religion and Spirituality, 5(4), 304-315. https://doi.org/10.1037/a0033641.

Marquine, M. J., Maldonado, Y., Zlatar, Z., Moore, R. C., Martin, A. S., Palmer, B. W., & Jeste, D. V. (2015). Differences in life satisfaction among older community-dwelling Hispanics and non-Hispanic Whites. Aging & mental health, 19(11), 978-988. https://doi.org/10.1080/13607863.2014.971706.

Merz, E. M., & Consedine, N. S. (2012). Ethnic group moderates the association between attachment and wellbeing in later life. Cultural Diversity and Ethnic Minority Psychology, 18(4), 404. https://doi.org/10.1037/a0029595.

Momtaz, Y.A., Y., Hamid, T. A., Ibrahim, R., Yahaya, N., & Abdullah, S. S. (2012). Moderating effect of Islamic religiosity on the relationship between chronic medical conditions and psychological well‐being among elderly Malays. Psychogeriatrics, 12(1), 43-53. doi:

Myers, D.G & Diener, E.D. (1995). Who is happy? Psychological Science, 6(1), 10-19.

Nolen-Hoeksema, S., & Aldao, A. (2011). Gender and age differences in emotion regulation strategies and their relationship to depressive symptoms. Personality and individual differences, 51(6), 704-708. https://doi.org/10.1016/j.paid.2011.06.012.

Numbisi, P. C., & Chepkirui, N. (2015). The Impact of Loneliness on the Mental Health of the Elderly: Literature Review. Retrieved from: http://www.theseus.fi/handle/10024/103630.

Nunes, R. P., de Melo, R. L. P., da Silva Júnior, E. G., & do Carmo Eulálio, M. (2016). Relationship between coping and subjective well-being of elderly from the interior of the Brazilian Northeast. Psicologia: Reflexão e Crítica, 29(1), 33. https://doi.org/10.1186/s41155-016-0032-x.

Peterson, T. L., Chatters, L. M., Taylor, R. J., & Nguyen, A.W. (2014). Subjective well-being of older African Americans with DSM IV psychiatric disorders. Journal of Happiness Studies, 15(5), 1179-1196.

Pokorski, M., & Warzecha, A. (2011). Depression and religiosity in older age. European journal of medical research, 16(9), 401. https://doi.org/10.1186/2047-783X-16-9-401.

Prakash, R. S., Hussain, M. A., & Schirda, B. (2015). The role of emotion regulation and cognitive control in the association between mindfulness disposition and stress. Psychology and aging, 30(1), 160. http://dx.doi.org/10.1037/a003854.

Pu, J., Hou, H., & Ma, R. (2017). The mediating effects of self-esteem and trait anxiety mediate on the impact of locus of control on subjective well-being. Current Psychology, 36(1), 167-173. http://dx.doi.org/10.1007/s12144-015-9397-8.

Rami, S. (2013). Social support, emotional well-being, and emotion regulation: A mediation model, (Bachelor thesis). University of Michigan. Retrieved from: https://deepblue.lib.umich.edu/handle/2027.42/102761.

Reczek, C., & Zhang, Z. (2016). Parent-child relationships and parent psychological distress: How do social support, strain, dissatisfaction, and equity matter?. Research on aging, 38(7), 742-766. https://doi.org/10.1177/0164027515602315.

Ronneberg, C. R., Miller, E. A., Dugan, E., & Porell, F. (2014). The protective effects of religiosity on depression: A 2-year prospective study. The Gerontologist, 56(3), 421-431. https://doi.org/10.1093/geront/gnu073.

Rote, S., Hill, T. D., & Ellison, C. G. (2012). Religious attendance and loneliness in later life. The Gerontologist, 53(1), 39-50. https://doi.org/10.1093/geront/gns063.

Shao, J., Zhang, Q., Lin, T., Shen, J., & Li, D. (2014). Well-being of elderly stroke survivors in Chinese communities: mediating effects of meaning in life. Aging & mental health, 18(4), 435-443. https://doi.org/10.1080/13607863.2013.848836.

Sun, F., Park, N. S., Roff, L. L., Klemmack, D. L., Parker, M., Koenig, H. G., & Allman, R. M. (2012). Predicting the trajectories of depressive symptoms among southern community-dwelling older adults: The role of religiosity. Aging & mental health, 16(2), 189-198. https://doi.org/10.1080/13607863.2011.602959

Takagi, E., & Saito, Y. (2013). A longitudinal analysis of the impact of family support on the morale of older parents in Japan: does the parent's normative belief in filial responsibilities make a difference?. Ageing & Society, 33(6), 1053-1076. https://doi.org/10.1017/S0144686X1200044X.

Tu, Y., & Yang, Z. (2016). Self-control as mediator and moderator of the relationship between social support and subjective well-being among the Chinese elderly. Social Indicators Research, 126(2), 813-828. DOI 10.1007/s11205-015-0911-z.

United Nations, (2017). World Population Prospects: The 2017 Revision, Key Findings and Advance Tables. Department of Economic and Social Affairs, Population Division. (ESA/P/WP/248). New York, USA. Retrieved from: http://www.un.org/en/sections/issues-depth/ageing/

Von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gotzsche, P. C., & Vandenbroucke, J. P. (2008). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. Preventive medicine, 45(4), 247-251.

Ward, R. A. (2008). Multiple parent-adult child relations and well-being in middle and later life. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63(4), S239-S247. https://doi.org/63/4/S239.

Wiesmann, U., & Hannich, H. J. (2014). A salutogenic analysis of the well-being paradox in older age. Journal of Happiness Studies, 15(2), 339-355. Doi:10.1007/s10902-013-9425-z.

World Health Organization. (2011). Global Health and Aging (NIH publication no. 11-7737). National Institutes of Health, US Department of Health and Human Services. Retrieved from: http://www.who.int/ageing/publications/global_health.pdf.

Yunong, H. (2012). Family relations and life satisfaction of older people: a comparative study between two different hukous in China. Ageing & Society, 32(1), 19-40. https://doi.org/http://dx.doi.org/10.1017/S0144686X11000067.

Zhang, X., Chen, X., Ran, G., & Ma, Y. (2016). Adult children's support and self-esteem as mediators in the relationship between attachment and subjective well-being in older adults. Personality and Individual Differences, 97, 229-233. https://doi.org/10.1016/j.paid.2016.03.062.

Zimmer, Z., Jagger, C., Chiu, C. T., Ofstedal, M. B., Rojo, F., & Saito, Y. (2016). Spirituality, religiosity, aging and health in global perspective: A review. SSM-population health, 2, 373-381.