Physical and emotional well-being and the balance of needed and received emotional support: Age differences in a daily diary study

Fear of Falling Carries Over into Overprotection in Old Age: A Cross-Lagged Panel Analysis

Fear of falling might result in overprotection by one's social environment. In turn, feeling dependent could increase fear of falling. However, the association between fear of falling and perceived overprotection and its temporal order is unknown. This longitudinal study explores this potential mutual longitudinal association. This study presents secondary analyses from a larger trial. We tested the association between fear of falling and perceived overprotection in a cross-lagged path model controlled for falls, health-related quality of life, age, gender, and trial condition. N = 310 participants (M = 70 years, range: 64-92) completed self-reports at Time 1, 7 (Time 2), and 11 weeks (Time 3) after baseline assessment. We found a positive association from fear of falling to perceived overprotection (β = .12, 95% CI[0.02, 0.21], p = .02; β = .10; [0.01, 0.18], p = .03). The reversed cross-lagged paths were not significant. Findings suggest higher fear of falling translates into perceived overprotection, which may in turn increase loss of independence in old age.

Perceived Quality of Life in Intensive Care Medicine Physicians: A French National Survey

Purpose: There is a growing interest in the quality of work life (QWL) of healthcare professionals and staff well-being. We decided to measure the perceived QWL of ICU physicians and the factors that could influence their perception. Methods: We performed a survey coordinated and executed by the French Trade Union of Intensive Care Physicians (SMR). QWL was assessed using the French version of the Work-Related Quality of Life (WRQoL) scale, perceived stress using the French version of 10 item-Perceived Stress Scale (PSS-10) and group functioning using the French version of the Reflexivity Scale, the Social Support at Work Questionnaire (QSSP-P). Results: 308 French-speaking ICU physicians participated. 40% perceived low WRQoL, mainly due to low general well-being, low satisfaction with working conditions and low possibility of managing the articulation between their private and professional lives. Decreased QWL was associated with being a woman (p = .002), having children (p = .022) and enduring many monthly shifts (p = .022). Conclusions: This work highlights the fact that ICU physicians feel a significant imbalance between the demands of their profession and the resources at their disposal. Communication and exchanges within a team and quality of social support appear to be positive elements to maintain and/or develop within our structures.

Peer victimization and adolescent problematic social media use: The mediating role of psychological insecurity and the moderating role of family support

Peer victimization is a serious risk factor for the development of problematic social media use (PSMU) among adolescents. However, little is known about the mediating and moderating mechanisms underlying this association. The current study tested whether psychological insecurity mediated the relation between peer victimization and PSMU, and whether this mediating process was moderated by family support among adolescents. A large sample of 1506 Chinese adolescents (M_age = 13.74 years, SD = 0.98) completed self-report measures regarding peer victimization, psychological insecurity, family support, and PSMU. After controlling for age, gender, and family economic status, results indicated that increased peer victimization was associated with higher psychological insecurity, which in turn predicted a greater incidence of PSMU. Moreover, family support moderated the first part of the mediation process, such that the relation between peer victimization and psychological insecurity was exacerbated for adolescents with high family support. This study advanced the current understanding of the mediating and moderating mechanisms associating peer victimization with PSMU among adolescents.

Health sensitivity in the daily lives of younger and older adults: correlates and longer-term change in health

OBJECTIVES

How susceptible older adults' affect is to fluctuations in health (i.e., health sensitivity) indicates how well they adapt to everyday health challenges. Theory and evidence are inconsistent as to whether older adults are more or less health sensitive than younger adults. The role of health burden as correlate and outcome of health sensitivity and age differences therein is also unclear. We thus move the study of health sensitivity ahead from longitudinal inquiry to examine age differences, the role of health burden, and long-term implications of daily life health sensitivitMethods: We use data from COGITO where 101 younger adults (M_age = 25; range = 20-31) and 103 older adults (M_age = 71; range = 65-80) gave daily reports of physical symptoms and positive and negative affect during a ∼100-day micro-longitudinal phase, as well as reports of trait-level health two years before and after.

RESULTS

Extending earlier reports, older age and higher health burden were (independently) associated with lower health sensitivity in positive but not negative affect. Health sensitivity was unrelated to long-term changes in health burden.

CONCLUSION

We take our findings to indicate successful aging (older adults are not more emotionally vulnerable to health issues) and discuss habituation as a process underlying how age and health burden may reduce health sensitivity.

Adult Children's Daily Experiences With Parental Advice: The Importance of Life Problems and Relationship Quality

OBJECTIVES

Parents often provide advice to their adult children during their everyday interactions. This study investigated young adult children's daily experiences with parental advice in U.S. families. Specifically, the study examined how receiving advice and evaluations of parental advice were associated with children's life problems, parent-child relationship quality, and daily mood.

METHODS

Young adult children (aged 18-30 years; participant N = 152) reported whether they received any advice and perceived any unwanted advice from each parent (parent N = 235) for 7 days using a daily diary design (participant-day N = 948). Adult children also reported their positive and negative mood on each interview day.

RESULTS

Results from multilevel models revealed that adult children who reported a more positive relationship with their parents were more likely to receive advice from the parent, whereas adult children who had a more strained relationship with their parents were more likely to perceive advice from the parent as unwanted. Receiving advice from the mother was associated with increased positive mood, whereas unwanted advice from any parent was associated with increased negative mood. Furthermore, the link between unwanted advice and negative mood varied by children's life problems and parent-child relationship quality.

DISCUSSION

Indeed, parental advice is not "the more the better," especially when the advice is unsolicited. This study highlights the importance of perceptions of family support for emerging adults' well-being.

Managing social support needs in older age for childless Malaysians living in poverty

OBJECTIVE

To explore how older people manage social support needs when they are childless and living in poverty in the Malaysian context where social policy emphasises family as the primary provider of social support.

METHODS

Semi-structured interviews were completed with a purposive sample of 34 childless and older Malaysians living in poverty in Kuala Lumpur, Malaysia. A thematic content analysis focused on their reports of managing social support needs.

RESULTS

Key strategies were using existing resources, developing new networks and adjusting expectations. Agency played a vital role in avoiding institutional care.

CONCLUSIONS

This paper adds to research on childlessness in older age in varied policy and cultural contexts. It challenges assumptions about families providing social support and argues for policies to recognise older people as an individual unit rather than as part of a family to prolong independent living in the community.

Helping Amid the Pandemic: Daily Affective and Social Implications of COVID-19-Related Prosocial Activities

BACKGROUND AND OBJECTIVES

The novel coronavirus disease 2019 (COVID-19) pandemic may have prompted more engagement in prosocial activities, such as volunteering and support transactions. The day-to-day affective and social implications of these activities for adults of different ages are unknown. The current study examined associations of daily prosocial activities with affective and social well-being, and whether these associations varied by age.

RESEARCH DESIGN AND METHODS

Participants ages 18-91 in Canada and the United States (N = 1,028) completed surveys for 7 consecutive evenings about their daily experiences of COVID-19-related prosocial activities (formal volunteering, support provision, support receipt), positive and negative affect, and satisfaction with social activities and relationships. Analyses were conducted using multilevel modeling and accounted for a range of potential confounding factors (e.g., sociodemographics, work, family, caregiving, daily stressors).

RESULTS

Older age predicted more frequent formal volunteering, as well as more support provision and support receipt due to COVID-19. In particular, middle-aged and older adults provided more emotional support than younger adults, middle-aged adults provided the most tangible support, and older adults received the most emotional support. All three types of prosocial activities were associated with higher positive affect and greater social satisfaction on days when they occurred. Providing COVID-19-related support further predicted lower same-day negative affect. Age did not significantly moderate these associations.

DISCUSSION AND IMPLICATIONS

Older age was related to more frequent engagement in prosocial activities during the COVID-19 crisis. These activities were associated with improved daily affective and social well-being for adults of all ages.

Students’ experiences of study-related exhaustion, regulation of learning, peer learning and peer support during university studies

The present mixed-method longitudinal study examines students’ experiences of study-related exhaustion, regulation of learning, peer learning and peer support during university studies. At the first measurement point, 188 first-year students completed the questionnaire. At the second measurement point, 91 of the 188 students participated in the follow-up study at their fourth study year and completed the same questionnaire again. Of these, twelve students were interviewed. The results showed that experienced study-related exhaustion and self-regulation of content increased during studies. However, the results also showed a large individual variation in experienced study-related exhaustion. The students whose exhaustion decreased described experiences of peer support that helped them to develop their self-regulation skills. Students whose study-related exhaustion remained low evaluated their self-regulation skills as good. They experienced that they did not need other students’ support in the regulation of learning. The students whose study-related exhaustion increased or remained high described more problems in self-regulation. Most students relied on peer support because of self-regulation problems. However, not all students used other students’ support despite of problems in studying. It can be concluded that regulation skills have a key role in experienced study-related exhaustion during studies.

A Person-Centered Perspective on the Role of Peer Support and Extreme Peer Orientation in Youth with Type 1 Diabetes: A Longitudinal Study

BACKGROUND

Despite clear evidence that peers are crucial for youth development, research on the role of peers for youth with Type 1 diabetes (T1D) is scarce.

PURPOSE

The present study identified trajectory classes of perceived peer functioning in youth with T1D, based on peer support and extreme peer orientation (EPO). Further, classes were compared with respect to their trajectories of depressive symptoms, diabetes-specific distress, treatment adherence, and HbA1c values.

METHODS

Five hundred and fifty-nine youth (14-25 years) with T1D completed questionnaires at baseline, 1, 2, and 3 years later. Latent class growth analysis identified classes of perceived peer functioning. Multigroup latent growth curve modelling assessed whether these classes were characterized by different trajectories of general and diabetes-specific functioning.

RESULTS

A socially normative class (48%) was characterized by trajectories of high support and low EPO over time. A socially reserved class (29%) was characterized by low support and EPO, and a socially oriented class (17%) by high support and EPO. Finally, a socially vulnerable class (6%) was characterized by low support and high EPO. The normative class functioned significantly better over time than the other classes. The vulnerable class functioned significantly worse compared to the reserved class, despite experiencing equally low levels of support.

CONCLUSIONS

The results underscore the need to take youths' orientation toward the peer context into account alongside support when tapping into the role of peers, because individuals with low levels of support and EPO functioned substantially better than individuals with similar low levels of support but high levels of EPO.

Daily Stressors Facilitate Giving and Receiving of Emotional Support in Adulthood

The aims of the present study were to examine whether daily stressors are associated with engagement in emotional support and whether these associations differ by gender. Analyses were conducted using Wave 2 of Midlife in the United States data and its subproject National Study of Daily Experiences. The sample consisted of adults aged 33 to 84 (N = 1,622). Using multinomial multilevel analysis, we looked at the associations between lagged and concurrent daily stressors with engagement in emotional support. For concurrent associations, people who experienced stressors were more likely to both give and receive, solely give, and solely receive emotional support compared with those who did not have any stressors. Women were more likely to engage in both giving and receiving of emotional support compared with men when they experienced stressors during the same day. In terms of the lagged associations, both men and women who experienced stressors during the previous day were more likely to both give and receive emotional support the next day compared with those who did not experience any stressors during the previous day. These results suggest that experiencing daily stressors facilitates giving and receiving of emotional support at daily level in adulthood.

Social Support Networks and Quality of Life of Rural Men in a Context of Marriage Squeeze in China

A significant number of rural Chinese men are facing difficulties in finding a spouse and may fail to ever marry due to a relative scarcity of women in the adult population. Research has indicated that marriage squeeze is a stressful event which is harmful to men's quality of life, and also weakens their social support networks. Using data collected in rural Chaohu city, Anhui, China, this study explores the effects of social support networks on quality of life of rural men who experience a marriage squeeze. The results indicate that the size of social contact networks is directly and positively associated with the quality of life of marriage-squeezed men, and moderate the negative effect of age on quality of life. Having no or limited instrumental support network and social contact network are double-edged swords, which have direct negative associations with the quality of life of marriage-squeezed men, and have moderate effects on the relationship between marriage squeeze and quality of life.

Physicians in the USA: Attendance, Beliefs and Patient Interactions

While much religion-health research depends on social support explanations, little is known about whether religious support is also a part of clinical interactions. How many physicians include religious/spiritual topics in clinical conversations? What characteristics are related to inclusion or avoidance? Using a national sample (n = 1,144), this study provides an overview of religious beliefs and practices of physicians in the USA and their patient interactions. Physician attendance rates are related to the inclusion of religious/spiritual topics, but the religious/spiritual orientation of physicians more closely relates to religious/spiritual patient interactions. Further, some physician specialties have more religious/spiritual physicians than others, providing additional reason to think religious/spiritual patient conversations are not equally distributed throughout the medical landscape.