Perceived autonomy support, psychological needs satisfaction, depressive symptoms and apathy in French hospitalized older people

Gratitude and depressive symptoms in Chinese nurses: From a self-determination theory perspective

BACKGROUND

A common psychological problem among nurses is depression, potentially affecting their well-being and job performance. It is vital to explore how to alleviate nurses' depressive symptoms.

AIM

The current research explored the mediating impact of basic psychological needs satisfaction on the link of gratitude with depressive symptoms.

METHODS

The nurses in this study were from mainland China. A total of 724 subjects completed an online questionnaire, which included measures of depressive symptoms, basic psychological needs satisfaction and gratitude.

RESULTS

Our research found that gratitude was negatively linked to depressive symptoms. Furthermore, basic psychological needs satisfaction had a partial mediation effect on the link of gratitude with depressive symptoms after controlling for five demographic variables. These results suggest that gratitude may influence depressive symptoms via basic psychological needs satisfaction.

LINKING EVIDENCE TO ACTION

Our study found that basic psychological need satisfaction partially mediates the gratitude-depression relationship in nurses. The result means that hospital administrators and nurse leaders should design gratitude interventions to alleviate nurses' depressive symptoms. They also help nurses decrease depressive symptoms by creating an environment that meets their basic psychological needs.

[The supportive environment in SRH: characteristics that promote self-determination]

Hospitalization is an important stage in the life of the elderly. All too often, this experience is accompanied by both physical and psychological decline. Based on self-determination theory, the aim was to qualitatively characterize support for self-determination in follow-up care and rehabilitation services (behaviours and attitudes of healthcare professionals, and patients' perception of them).

Investigating the relationship between satisfaction of basic psychological needs, general health, and some background variables in the Iranian older adults: a cross-sectional study

BACKGROUND

Promoting the health and mental health (MH) of the older adults making up a large part of the world's population in the coming years can provide the necessary conditions for their health and well-being of them. This study aimed to investigate the relationship between the satisfaction of basic psychological needs (BPNs), general health (GH), and some variables in Iranian older adults.

METHODS

The present descriptive-correlational study was conducted on 780 older adults from Sarpol-e Zahab (Kermanshah) in 2019 including the study by multi-stage cluster random sampling. The data collection tool was BPNs satisfaction and GH questionnaire and a researcher-made questionnaire of individual and background information. Was used for data analysis using the SPSS version 16 program and descriptive statistics and tests Pearson correlation coefficient, chi-square test, independent-sample T-test, and multivariate linear regression.

RESULTS

In the present study, participating a total of 780 older adult men aged 73.0 ± 29.32 years. There was a significant relationship between the satisfaction of BPNs and GH (p <  0.001). Also, 41% of the older adults were in poor GH and 30% were high in BPNs. Multiple logistic regression showed that the BPNs, age, income satisfaction, weather, and war zone were strong predictors of GH. the adjusted R2 value of 0.55 shows that the model described 55% of changes in the GH score.

CONCLUSION

According to the findings of the study on the relationship between the satisfaction of BPNs and GH, providing insurance, social and economic support by developing health policies, creating supportive health environments, strengthening community action, and developing individual skills in the older adults can help improve their MH and that of the community.

Does Basic Psychological Need Satisfaction Matter to College Students' Sustained Volunteering? A Mixed-Methods Study

Based on the self-determination theory (SDT), this study used a mixed-methods (i.e., quantitative and qualitative approaches) design to explore the role of basic psychological need satisfaction (BPNS) played in sustained volunteering. Quantitative analysis of 803 college student volunteers revealed that competence and relatedness need satisfaction had significant associations with sustained volunteering, while autonomy need satisfaction did not. Furthermore, latent profile analyses identified five profiles of BPNS: low (Profile 1), relatively low (Profile 2), moderate (Profile 3), low autonomy-high competence and relatedness (Profile 4), and high (Profile 5). Volunteers in Profile 4 and Profile 5 reported higher sustained volunteering than those in other profiles. Subsequent qualitative synthesis of interview data from 33 college student volunteers found that competence need satisfaction (45.58%) was mentioned most frequently among the factors promoting sustained volunteering, then followed by relatedness (27.43%) and autonomy need satisfaction (11.06%). These findings highlight the important role of BPNS, especially competence and relatedness need satisfaction, in promoting college students' long-term volunteering.

Psychological Effects of Motivational Aquatic Resistance Interval Training and Nutritional Education in Older Women

Several studies have demonstrated the positive effects of physical exercise programs on physical and mental health throughout life. It is necessary to know the factors that contribute to the well-being of older adults in order to achieve healthy aging. The aim of this study was to evaluate the relationship between well-being perception and the use of autonomy supportive coaching behaviours across a motivational aquatic resistance interval training program. Thirty-four women over 65 years of age from the province of Alicante, Spain, participated, and were randomly assigned to: motivational aquatic resistance interval training group (MART; age: 69.6 ± 5.01 years, height: 1.62 ± 7.88 m, weight: 75.3 ± 12.8 kg) and control group (CG; age: 67.7 ± 3.60 years, height: 1.54 ± 5.47 m, weight: 66.9 ± 10.2 kg). The MART program was conducted for 14 weeks, with three training sessions/week. The CG did not perform any physical activity during the study. Perception of autonomy support was assessed through the Autonomy-Supportive Coaching Questionnaire (ASCQ), Psychological needs by the Basic Psychological Needs in Exercise Scale (BPNES), Intrinsic motivation to exercise was assessed through Intrinsic Motivation Inventory (IMI) and Perception of Physical Activity by the International physical activity questionnaire (IPAQ). In MART, compared to CG, significant differences were observed in BPNS, IMI and IPAQ questionnaires used, except in the ASCQ. The differences were significant in all three cases in BPNS (p < 0.05 in autonomy and competence and p = 0.001 in relationship with others), obtaining better scores after intervention than previously. As for the IMI scale, significant differences were also obtained in both subscales. The level of physical activity also improved significantly, with higher scores on the IPAQ after the intervention than before (p < 0.001). In conclusion, when practitioners perceive greater well-being, satisfaction of their basic psychological needs, greater self-selection, volition, and autonomy instead of pressure, demand and control, the result is better behaviour with greater psychological well-being, adherence and consequent health benefits.

Strength use and nurses' depressive symptoms: The mediating role of basic psychological needs satisfaction

AIMS

This study aimed to reveal the role of satisfying basic psychological needs in the relationship between strength use and depressive symptoms in nurses.

BACKGROUND

There is a high prevalence of depressive symptoms among nurses. Previous studies on different groups have reported that strength use is beneficial for alleviating individuals' depressive symptoms.

METHOD

A total of 475 participating Chinese nurses completed questionnaires. Hypotheses were tested using the PROCESS macro.

RESULTS

Strength use was positively correlated with basic psychological needs satisfaction overall and negatively correlated with depressive symptoms. Furthermore, autonomy and relatedness satisfaction acted as mediating mechanisms through which strength use influenced depressive symptoms.

CONCLUSIONS

Autonomy and relatedness satisfaction can mediate the influence of strength use on depressive symptoms in nurses.

IMPLICATIONS FOR NURSING MANAGEMENT

Focus should be placed on improving nurses' strength use level to reduce their depressive symptoms. Hospital managers should create an organisational environment conducive to meeting nurses' basic psychological needs and thereby reduce their depressive symptoms.

Causality Orientations and Supportive/Controlled Environment: Understanding Their Influence on Basic Needs, Motivation for Health and Emotions in French Hospitalized Older Adults

Objectives

From a self-determination theory perspective, the purpose of this cross sectional study was to better understand how to motivate hospitalized older adults’ behaviors and test an integrative model of the role of causality orientations and a supportive/controlled environment on basic need satisfaction, motivation for health oriented physical activity, positive and negative affective states, depressive symptoms, apathy, and boredom.

Methods

Older adults (N = 146; M_age = 81.27 years, SD = 7.75, 74.7% female) in French hospital units completed self-report questionnaires and socio-demographic data were also collected.

Results

Partial least squares path modeling results showed that participants’ autonomy orientation positively associated with the perception of a supportive environment was related to need satisfaction, autonomous motivation for health-oriented physical activity, and high scores on positive affective states. Conversely, participants’ impersonal orientation positively associated with the perception of a controlled environment was related to undermining need satisfaction, controlled motivation for health-oriented physical activity, and amotivation, and high scores on both negative affective states, and boredom.

Conclusion

The present results indicate that taking into account personality factors in hospital units can be useful and health professionals should take an interest both in the patients’ causality orientations and the supportive nature of the environment in order to understand better how to motivate patients’ behaviors. The present study points to the need to focus on all motivational dynamics which allow patients’ need satisfaction.

Older people's perceived autonomy in residential care: An integrative review

Autonomy has been recognised as a key principle in healthcare, but we still need to develop a consistent understanding of older people’s perceived autonomy in residential care. This study aimed to identify, describe and synthesise previous studies on the perceived autonomy of older people in residential care. Ethical approval was not required, as this was a review of published literature. We carried out an integrative review to synthesise previous knowledge published in peer-review journals in English up to September 2019. Electronic and manual searches were conducted using the CINAHL, Philosopher’s Index, PubMed, SocINDEX, Scopus and Web of Science databases. The data were analysed using the constant comparison method. The review identified 46 studies. Perceived autonomy referred to the opportunities that older people had to make their own choices about their daily life in residential care, and achieving autonomy promoted both health and quality of life. Autonomy was linked to older people’s individual capacities, including their level of independence, physical and mental competence, personal characteristics, and whether relatives shared and supported their perceived autonomy. Professionals could facilitate or hinder older peoples’ autonomy in a number of ways, including providing opportunities for autonomy, how daily care needs and activities were managed, and controlling older people’s choices. Professionals’ characteristics, such as education and attitudes, and the older people’s living environments were also associated with their perceived autonomy and included organisational characteristics and physical and social care facilitators. Older people’s perceived autonomy promoted health and quality of life in residential care. However, their autonomy was associated with a number of protective and restrictive individual and environmental factors, which influenced whether autonomy was achieved.

Change of depressive symptoms in a French nine-year longitudinal study of aging: Gender differences and relationships between social support, health status and depressive symptoms

OBJECTIVES

The aims of this study were to examine the trajectory of depressive symptoms among older French people, to investigate the role of gender in the developmental trajectory of depressive symptoms and to explore whether the linear increase in depressive symptoms might be accentuated or attenuated at time points during which the older adults' scores on social support and health satisfaction scales were higher than their individual averages.

METHODS/MATERIALS

Data were used from a subsample of older adults living at home who participated in a longitudinal study initiated by researchers from the University of Tours. They were collected at five time points over a 9-year period (T1: 2003; T2: 2005; T3: 2007; T4: 2009; T5: 2011). This study included 707 participants, and multilevel growth curve analysis was used on measures of depressive symptoms, gender differences, social support and health satisfaction.

RESULTS

Results indicated (1) a significant positive linear effect of age on depressive symptoms; (2) that women reported significantly higher scores of depressive symptoms than men at 63 years old (i.e., intercept) and that this gender difference remained constant across age; (3) that the slope of depressive symptoms appeared to increase at time points during which participants had higher levels of social support and to decrease when they had greater health satisfaction.

CONCLUSION

This study provides pertinent information about the change of depressive symptoms in older people living at home and particularly highlights the interest in studying gender, social support and health satisfaction.

Adaptation et validation d'une échelle de satisfaction des besoins psychologiques fondamentaux auprès de personnes âgées gabonaises

Cette étude a pour objectif d'adapter et de valider une échelle de satisfaction des besoins psychologiques fondamentaux chez les personnes âgées (ESBP-PA). Un total de 270 participants gabonais âgés de 60 à 100 ans ont répondu au questionnaire composé de l'ESBP-PA et d'une échelle du bien-être psychologique. L'analyse factorielle exploratoire réalisée a permis d'extraire trois facteurs correspondant aux trois types de besoins psychologiques. La consistance interne, estimée par l'alpha de Cronbach et la fiabilité composite, est satisfaisante pour les trois dimensions. En ce qui concerne la validité convergente, l'analyse de corrélation a soutenu des liens significatifs entre la satisfaction des trois besoins et le bien-être psychologique. Ces résultats rendent compte des bonnes qualités psychométriques de l'instrument. Celui-ci peut être utilisé pour mesurer la satisfaction des besoins d'autonomie, de compétence et d'appartenance sociale.

A Person-Centered Representation of Basic Need Satisfaction Balance at Work

Abstract. This study examines how a global overarching need satisfaction construct, together with three specific dimensions (autonomy, competence, and relatedness needs satisfaction) combine within different profiles of workers among two independent samples ( n = 1,419 and n = 677). In addition, this research investigates the role of job demands and resources in the prediction of profile membership, and documents the relation between these profiles and maladaptive outcomes (anxiety and physical fatigue). The results revealed four distinct profiles. Job resources (e.g., participation, organizational support, and work scheduling autonomy) predicted an increased likelihood of membership in the normative profile in both samples. The globally dissatisfied yet moderately autonomous profile was also associated with the highest anxiety levels relative to all other profiles.

Longitudinal Associations of Autonomy, Relatedness, and Competence With the Well-being of Nursing Home Residents

Background and Objectives

As proposed by the self-determination theory, satisfying nursing home residents’ needs for autonomy, relatedness, and competence may improve their well-being. This is the first study to test the longitudinal relations of the satisfaction of these three basic psychological needs to the subjective well-being of nursing home residents and to determine whether a balance among the satisfaction of the three needs is important for well-being.

Research Design and Methods

Participants in this longitudinal survey study included 128 physically frail residents (mean age 85 years) at four Dutch nursing homes. Satisfaction of the three basic psychological needs was measured at baseline, and depressive feelings and life satisfaction 5–8 months later. Absolute differences between the three basic need satisfaction scores were summed to create a score of need satisfaction balance.

Results

All three needs were related to both well-being measures over time, although autonomy had the strongest relationships. Only autonomy and competence were uniquely associated with depressive feelings, and only autonomy was uniquely associated with life satisfaction. The need satisfaction balance score was related to well-being independent of the autonomy and relatedness scores.

Discussion and Implications

These results confirm that all three basic psychological needs are important for nursing home residents’ well-being, with autonomy having the strongest and most consistent relationship to their well-being. Additionally, high satisfaction of one need does not compensate for low satisfaction of another. Supporting residents’ needs for autonomy, relatedness, and competence should, therefore, have a central role in nursing home culture-change interventions.

Depression partially mediated the relationship between basic psychological needs and quality of life among people living with HIV

Few studies have examined the relationship between basic psychological needs (BPN), depression and quality of life (QOL) in people living with HIV (PLWH). This cross-sectional study (N = 65; 37% females, 37% Caucasian, mean age = 55 ± 6 years, mean CD4 count = 668 ± 368 cells/mm³, average duration of HIV = 18 ± 4 years) found that BPN frustration was related with lower QOL. The strength of this relationship was reduced after controlling for depression. This suggests that depression partially mediated the relationship between BPN and QOL. BPN and depression may be specific targets for psychosocial interventions aimed at improving QOL in PLWH to promote successful aging.