نوع مقاله : مقاله پژوهشی
نویسندگان
گروه روانشناسی، دانشکده علوم تربیتی و روانشناسی، واحد اصفهان (خوراسگان)، دانشگاه آزاد اسلامی، اصفهان، ایران.
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Life satisfaction is considered one of the key variables in mental health among older adults and is associated with various factors. Consequently, the present study aimed to determine the relationship between distress tolerance and perceived social support with life satisfaction among older adults residing in nursing homes. This descriptive correlational study included a population consisted of all older adults living in nursing homes in Isfahan, Iran in 2024. A total of 150 individuals were selected using a convenience sampling method. The measures included Simons and Gaher’s stress tolerance, Zimet’s perceived social support, and Diener’s satisfaction with life questionnaires. Data were analyzed using Pearson’s correlation coefficient and multiple regression analysis in SPSS version 26 software. The results indicated a significant relationship between distress tolerance and perceived social support with life satisfaction among nursing home residents (p<.001), which together explained 90.1% of the variance in life satisfaction. Perceived social support had a greater contribution to this prediction. In conclusion, by identifying the variables of distress tolerance and perceived social support, it is possible to predict the life satisfaction of nursing home residents. Based on the findings, it is recommended that greater attention be given to these psychological variables by professionals working in the field of aging psychology.
EXTENDED ABSTRACT
Introduction
The complexities of modern life have reduced the capacity of family members to care for older adults. Consequently, the number of older adults residing in nursing homes has been steadily increasing. In such circumstances, one critical factor influencing mental health in aging, namely life satisfaction, can undergo significant changes. Life satisfaction among older adults is influenced by demographic and clinical characteristics, including age, leisure activities, family and social relationships, income, and employment status. Research has shown that lower distress tolerance is associated with reduced life satisfaction, and there is a significant positive correlation between distress tolerance and life satisfaction. Furthermore, perceived social support has a direct and significant relationship with life satisfaction and is identified as a predictive variable for life satisfaction. Despite the identified relationships between these variables and life satisfaction, no study has examined these relationships to date among older adults residing in nursing homes. Therefore, this study aims to address the research gap by exploring the relationship between distress tolerance, perceived social support, and life satisfaction in nursing home residents.
Method
This descriptive correlational study targeted all older adults residing in nursing homes in Isfahan, Iran during 2024. A sample of 150 individuals (48 men and 102 women) was selected from Sadeghieh Nursing home in Isfahan through convenience sampling, based on the formula for correlational studies proposed by Fidell and Tabachnick (2007). Inclusion criteria included: (1) age 65 or older, (2) a minimum of three months of residency in the nursing home, (3) basic reading and writing literacy, and (4) willingness and consent to participate in the study. Exclusion criteria included: (1) acute psychiatric disorders, and (2) physical limitations or illnesses preventing participation in the study. Eligible participants who agreed to cooperate were asked to carefully complete Simons and Gaher’s stress tolerance, Zimet’s perceived social support, and Diener’s satisfaction with life questionnaires. Any ambiguities encountered during the survey were addressed patiently. For data analysis, descriptive statistics (mean and standard deviation) were used to present the status of predictive and criterion variables, while inferential statistics included Pearson’s correlation and multiple regression analyses performed using SPSS software version 26.
Results
To assess the normality of the research data, skewness and kurtosis indices were utilized. Based on the results, the skewness and kurtosis values were within the acceptable range (-2 to 2). Therefore, the assumption of normality was met. The tolerance values for all predictor variables exceeded 0.1, and the variance inflation factors were less than 10, indicating no multicollinearity issues in the regression model. Additionally, the Durbin-Watson test value was 1.96 (within the acceptable range of 1.5 to 2.5), confirming that the assumption of residual independence was met. The results of the Pearson’s correlation test revealed a significant positive relationship between distress tolerance, including its components (emotional distress tolerance, absorption by negative emotions, subjective evaluation of distress, and regulation of efforts to alleviate distress) with life satisfaction (p<.01). Furthermore, a significant positive relationship was found between perceived social support and its components (family support, friend support, and support from significant others) with life satisfaction (p<.01).
The predictor variables, including distress tolerance and perceived social support, played a significant role in predicting life satisfaction among older adults residing in nursing homes. Using the enter method of multiple regression, a significant model was obtained (Adjusted R²=.901, P<.001, F=341.042), accounting for 90.1% of the variance in life satisfaction among older adults in nursing homes. Perceived social support was the strongest predictor of life satisfaction. Among the components of distress tolerance, absorption by negative emotions, subjective evaluation of distress, and regulation of efforts to alleviate distress significantly contributed to predicting life satisfaction, with absorption by negative emotions having the highest contribution. All components of perceived social support (family support, friend support, and support from significant others) significantly predicted life satisfaction, with family support having the greatest contribution.
Conclusion
Distress tolerance refers to individual differences in the ability to endure emotional discomfort. The greater this endurance, the higher the distress tolerance. Consequently, the greater the capacity to experience and tolerate psychological situations and negative emotional states (inevitable aspects of life), the more positively it impacts an individual's life satisfaction. In fact, in later adulthood, life satisfaction reflects a successful aging process. The foundation of life satisfaction in older adulthood lies in addressing basic needs, coping with adversities, and accepting challenging past and present circumstances.
Perceived social support refers to an individual’s evaluation of the availability of support in times of need. This perception significantly influences physical and mental well-being, life satisfaction, and quality of life. It is recognized as a moderating factor in coping with stressful life situations. As one of the strongest psychological coping resources, perceived social support aids individuals in effectively handling high-stress conditions. Thus, perceived social support creates an essential psychological adaptation mechanism for older adults, influencing how they accept and feel satisfied with their current life circumstances.
Ethical Consideration
Ethical Code
To comply with ethical research standards, the ethical approval code was obtained (IR.IAU.KHUISF.REC.1403.102) from the Ethics Committee of Islamic Azad University, Isfahan (Khorasgan) Branch.
Financial Support
This study received no financial support.
Authors’ Contributions
N.M: Conceptualization, Methodology, Software, Validation, Formal analysis, Data curation, Writing-Original draft; H.T: Writing-Review & editing, Project administration
Conflict of Interest
The authors had no conflicts of interest.
Acknowledgments
The authors express their gratitude to the older adults who participated in the study, and to the Research Department of Islamic Azad University, Isfahan (Khorasgan) Branch, the Welfare Organization of Isfahan Province, and the authorities and staff of Sadeghieh Nursing home for their cooperation in granting permissions and facilitating the execution of this research.
References
Asadi Bijaeyeh, J., Amiri Majd, M., Ghamari, M., & Fathi aghdam, Gh. (2021). The Effectiveness of the self-compassion training on life satisfaction and resilience of the elderly women. Aging Psychology, 7(1), 55-67. https://doi.org/10.22126/jap.2021.6210.1509 [Persian]
Bartels, S. J., Naslund, J. A. (2013). The Underside of the silver tsunami-older adults and mental health care. New England Journal of Medicine, 368(6), 493-96. https://doi.org/10.1056/nejmp1211456
Bayani, A., Mohammad koocheky, A., & Goodarzi, H. (2007). The Reliability and validity of the satisfaction with life scale. Developmental psychology: Iranian psychologists, 3(11), 259-265. https://www.sid.ir/paper/101405/fa. [Persian]
Besharat, M. (2019). Multidimensional scale of perceived social support: questionnaire, instruction and scoring. developmental psychology: Iranian Psychologists, 15(59), 447-449. [Persian]
Beutel, M. E., Glaesmer, H., Decker, O., Fischbeck, S., & Brahler, E. (2009). Life satisfaction, distress tolerance and resiliency across the life span of women. Menopause, 16(6), 1132-1138. https://doi.org/10.1097/gme.0b013e3181a857f8
Bi shop, A. J., & Martin, P. (2006). Happiness congruence older adulthood. A Structural model of life satisfaction. Aging and mental Health, 10, 445-453. https://doi.org/10.1080/13607860600638388
Boland, R., & Verduin, M. L. (2021). Kaplan and Sadock's Synopsis of Psychiatry (12th Edition): Behavioral Sciences/Clinical Psychiatry.
Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic Medicine, 38(5), 300-314. https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-016-0369-0
Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The Satisfaction with life scale. Journal of Personality Assessment, 49(1), 71-75. https://doi.org/10.1207/s15327752jpa4901_13
Fukuzawa, A., & Sugawara, I. (2023). Social support and participation as factors relating to ikigai and life satisfaction in lonely older Japanese. Ageing International, 48, 465-481. https://doi.org/10.1007/s12126-022-09486-6
Gülacti F. (2010). The effect of perceived social support on subjective well-being. Procedia -Social and Behavioral Sciences, 2(2), 3844-3849. https://psycnet.apa.org/doi/10.1097/00006842-197609000-00003
Haji hasani, M., & Naderi, N. (2020). Death anxiety in the elderly: the role of spiritual health and perceived social support. Aging psychology, 6(4), 309-319. https://jap.razi.ac.ir/article_1606.html. [Persian]
Hashemi, N., Sayafi, S., & Andami, A. (2019). The Relationship between cognitive emotion regulation strategies and distress tolerance with life satisfaction in addicted students: the mediating role of resilience. etiadpajohi, 13 (53), 157-176. [Persian]
Hu, T., Zhang, D., Wang, J., Mistry, R., Ran, G., & Wang, X. (2014). Relation between emotion regulation and mental health: A meta‐analysis review. Psychological Reports, 114(2), 341–362. https://doi.org/10.2466/03.20.pr0.114k22w4
Jalim, H., Kee, D., Thorpe, L., & Hee Lee, C. (2016). Multidimensional construct of life satisfaction in older adults in Korea: a six-year follow-up study. BMC Geriatrics, 16(197), 1-14. https://bmcgeriatr.biomedcentral.com/articles/10.1186/s12877-016-0369-0
Jamalzadeh, R., & Golzari, M. (2014). The Effectiveness of hope therapy on increasing happiness and life satisfaction among elderly women residing in nursing home of borujen. Woman and Society, 5(18), 31-48. https://jzvj.marvdasht.iau.ir/article_598.html. [Persian]
Karami, J., Sanjabi, A., & Karimi, P. (2017). The Prediction of life satisfaction among the elderly based on resilience and happiness. Aging Psychology, 2(4), 229-236. [Persian]
Karimi, T., Nouhi, E., & Iranmanesh, S. (2014). Comparing Life satisfaction of elderly between nursing home residents and seniors living in their own homes in Isfahan. Iranian Journal of Geriatric Nursing, 1(1), 43-54. http://jgn.medilam.ac.ir/article-1-56-fa.html. [Persian]
KavehFarsani, z., Kaveh, M., & Ghodrati Jabloo, S. (2021). The Relationship between savouring beliefs, optimism, and subjective happiness in the elderly: the mediating role of life satisfaction. Aging Psychology, 7(3), 229-245. https://doi.org/10.22126/jap.2021.6345.1522. [Persian]
Langeland, E., & Wahl, A. K. (2009). The Impact of social support on mental health service users' sense of coherence: a longitudinal panel survey. The International Journal of Nursing Studies, 46(6), 830-837. https://linkinghub.elsevier.com/retrieve/pii/S0020-7489(09)00003-0
Mirzaie, M., & Darabi, S. (2017). Population aging in iran and rising health care costs. Salmand: Iranian Journal of Ageing, 12(2), 156-169. http://salmandj.uswr.ac.ir/article-1-1226-fa.html. [Persian]
Mohamadi, A., & Mohamadi Yousef nezhad, Y. (2022). The study of the relationship between perceived social support and loneliness with life satisfaction and life expectancy for elderly in Shiraz. Iranian Journal of Psychology and Behavioral Sciences, (30), 94-108. https://psyj.ir/afile/phpoLtg2j.pdf. [Persian]
Mombeini, I., & Bereyhe Bereyhi, H. (2022). Life satisfaction in the elderly: The Role of mental health and loneliness. Aging Psychology, 8(3), 287-298. https://doi.org/10.22126/jap.2022.8287.1656 [Persian]
Momeni, K., & Rafiee, Z. (2018). Correlation of social support and religious orientation with life satisfaction in the elderly. Salmand: Iranian Journal of Aging, 13(1), 50-61. http://salmandj.uswr.ac.ir/article-1-1189-fa.html. [Persian]
Momeni, Kh., Amani, R., Janjani, P., Majzoobi, M. R., & Hadian Hamedani, K. (2021). The Relationship between attachment styles with positive and negative affect in the elderly: The Mediating role of reminiscence styles. Aging Psychology, 7(4), 407-422. https://doi.org/10.1186/s12877-022-03053-z. [Persian]
Motamedi, A. (2007). Successful Aging, Shahrekord: Shahrekord University.
Nakahara, J. (2013). Effects of social activities outside the home on life satisfaction among elderly people living alone. International Journal of Psychological Studies, 5(1), 112-120. http://dx.doi.org/10.5539/ijps.v5n1p112
Nayebzadeh, Sh., Shehni Yailagh, M., & Mousavi nia, S. M. (2023). Investigating the effect of distress tolerance on mental health and academic performance: regarding the mediating role of emotion regulation in female students. Knowledge & Research in Applied Psychology, 24 (3), 175-189. https://doi.org/10.30486/jsrp.2022.1963939.3536
Park, J., Roh, S., & Yeo, Y. (2012). Religiosity, social support, and life satisfaction among elderly Korean immigrants. Gerontologist, 52(5), 641-549. https://doi.org/10.1093/geront/gnr103
Riahi, M., Ali Verdinia, A., & Pourhossein, S. Z. (2011). Examining the relationship between social support and mental health. Social Welfare, 10(39), 85-121.
Sadegh Moghaddam, L., Delshad Novbaghi, A., Farhadi, A., Nazari, Sh., Eshghizadeh, M., Chopan Vafa, F., & Niazi Ivari, M. (2015). Life satisfaction in older adults: role of perceived social support. JSUMS, 22(6), 1043-1051.https://jsums.medsab.ac.ir/article_790.html. [Persian]
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Wolters Kluwer Healt.
Sadri Damirchi, E., Honarmand Ghojebegloo, P., Amir, S. M. B., & Gholizade, B. (2019). Predicting risk-taking behaviors based on the role of perceived social support components, emotional expression and brain- behavioral systems in addicts. The Internal Medicine Today Journal, 25(4), 282-297. http://imtj.gmu.ac.ir/article-1-3237-fa.html. [Persian]
Safara, M., Safadoust, T., Mosavinezhad, S. M., & Gholamnejad, H. (2022). The Relationship between spiritual intelligence and general health in the elderly: The Mediating role of mindfulness. Aging Psychology, 8(4), 375-387. https://doi.org/10.22126/jap.2022.8160.1644. [Persian]
Safarzadeh, S., Savari, K., & Dashtbozorgi, Z. (2017). Comparison of distress tolerance, coping styles, spiritual intelligence and happiness among elderly men and women. Aging psychology, 2(4), 237-248. https://jap.razi.ac.ir/article_651.html. [Persian]
Saulsman, L., & Nathan, P. (2012). Facing your Feelings. Learning to tolerate Distress. Perth. Western Australiai center for clinical Interventions. https://www.cci.health.wa.gov.au/-/media/CCI/Consumer-Modules/Facing-Your-Feelings/Facing-Your-Feelings---04---Tolerating-Distress.pdf
Schimmack, U., Radhakrishnan, P., Oishi, S., Dzokoto, V., & Ahadi, S. (2002). Culture, personality, and subjective well-being: integrating process models of life satisfaction. Journal of Personality and Social Psychology, 82(4), 582-593. https://psycnet.apa.org/doi/10.1037/0022-3514.82.4.582
Simons, J. S., & Gaher, R. M. (2005). The Distress tolerance scale: development and validation of a self-report measure. Motiv Emotion, 29(2), 83-102. https://psycnet.apa.org/doi/10.1007/s11031-005-7955-3
Simons, R. M., Sistad, R. E., Simons, J. S. & Hansen, J. (2018). The role of distress tolerance in the relationship between cognitive schemas and alcohol problems among college students. Addict Behaviour, 78, 1-8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5989717/
Tabachnick, B., & Fidell, L. (2007). Using multivariate statistics. (6thedn) New York. NY: Allyn and Bacon. https://hisp.htmi.ch/pluginfile.php/77114/mod_resource/content/0/Using%20Multivariate%20Statistics%20(Tabachnick%20and%20Fidell).pdf
Tofangchi, M., Raeisi, Z., Ghomrani, A., & Rezaee, H. (2021). Developing the distress tolerance promotion package and comparing its effectiveness with compassion-focused therapy on self-criticism, fear of negative evaluation, and anxiety in women with chronic tension-type headaches. Journal of Psychological Science, 20(100), 621-634. http://psychologicalscience.ir/article-1-1047-fa.html. [Persian]
United Nations, Department of Economic and Social Affairs, Population Division. (2017). World Population Prospects: The 2017 Revision, Key Findings and Advance Tables. Working Paper No.ESA/P/WP/248. .https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/files/documents/2020/Jan/un_2017_world_population_prospects-2017_revision_databooklet.pdf
Usefynezhad, A., Safara, M., & Salmabadi, M. (2019). The Role of forgiveness and tolerance of distress on life satisfaction in elderly people in qazvin. IJRN, 6 (2), 41-47. http://ijrn.ir/article-1-368-fa.html. [Persian]
Zanjari, N., Elsagh, A., Sadeghi, R., & Noori, M. (2018). Factors affecting life satisfaction of the elderly people in tehran. Journal of Social Work Research, 5(16), 101-126. https://doi.org/10.22054/rjsw.2018.11706 [Persian]
Zoghi tavana, sh., & Ashori, h. (2023). Investigating the relationship between resilience and perceived social support with life satisfaction of elderly women who are members of the daily care center for the elderly in Lahijan city. The 12th International Conference of Psychology, Counseling and Educational Sciences, Budapest, Hungary. https://conferencenama.com/doc/8958. [Persian]
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The Multidimensional scale of perceived social support. Journal of Personality Assessment, 52, 30-41. https://psycnet.apa.org/doi/10.1207/s15327752jpa5201_2
کلیدواژهها [English]