122 lines
4.1 KiB
YAML
122 lines
4.1 KiB
YAML
|
abstract: 'Background:Co-morbidity is a major late-life challenge with poor
|
||
|
|
|
||
|
|
outcomes, yet many older people are resilient. We consider an
|
||
|
|
|
||
|
|
ecopsychosocial framework of resilience to investigate this disparity.
|
||
|
|
|
||
|
|
This theorises that sources of resilience may be personal, social and
|
||
|
|
|
||
|
|
structural. We explored older people''s responses and reactions to
|
||
|
|
|
||
|
|
significant life experiences, to understand resilience development for
|
||
|
|
|
||
|
|
managing later life health challenges. Methods:We applied a two-stage,
|
||
|
|
|
||
|
|
cross-sectional mixed-methods design to the Cognitive Function and
|
||
|
|
|
||
|
|
Ageing Studies Wales (CFAS Wales). Participants'' defined quantitatively
|
||
|
|
|
||
|
|
as resilient (high level of well-being despite co-morbidity) were
|
||
|
|
|
||
|
|
identified in the wave 1 dataset. A sub-sample of the resilient
|
||
|
|
|
||
|
|
participants aged 65+ were randomly selected for semi-structured
|
||
|
|
|
||
|
|
interviews (N= 20). Qualitative thematic analyses were both inductive
|
||
|
|
|
||
|
|
and deductive. Results:The analyses revealed four primary life
|
||
|
|
|
||
|
|
experiences reflecting different developmental trajectories. ``Early
|
||
|
|
|
||
|
|
years as formative{''''} and ``work and employment as formative{''''}
|
||
|
|
|
||
|
|
occurred at normative developmental stages in the life-course. In
|
||
|
|
|
||
|
|
contrast non-normative life events such as loss, bereavement, illness of
|
||
|
|
|
||
|
|
self, and others underpinned the themes of ``adverse events and
|
||
|
|
|
||
|
|
experiences{''''} and ``caring experiences.{''''} Four potential mechanisms
|
||
|
|
|
||
|
|
for resilience were central to these life experiences, reflecting
|
||
|
|
|
||
|
|
reactions, actions, and development: ``character and self-identity;{''''}
|
||
|
|
|
||
|
|
``approach to life and insight;{''''} ``meaningful relationships and
|
||
|
|
|
||
|
|
belonging.{''''} Conclusions:This work contributes further theoretical
|
||
|
|
|
||
|
|
insights into the ecopsychosocial resilience framework. It highlights
|
||
|
|
|
||
|
|
the process of interdependence between the individual and the wider
|
||
|
|
|
||
|
|
environment, suggesting how the availability and accessibility of
|
||
|
|
|
||
|
|
resources and human agency (protective factors), can influence, and be
|
||
|
|
|
||
|
|
influenced by, the timing of significant events and experiences. In
|
||
|
|
|
||
|
|
doing so, it corroborates international healthy ageing policy which
|
||
|
|
|
||
|
|
recognises resilience as important for a public health response to
|
||
|
|
|
||
|
|
support older people to adjust to changes and losses experienced in
|
||
|
|
|
||
|
|
later life. It highlights the importance of current and future policies
|
||
|
|
|
||
|
|
and services for supporting the management of adverse events earlier in
|
||
|
|
|
||
|
|
the life-course, and recommends that policies and services take a ``long
|
||
|
|
|
||
|
|
view{''''} on population health and well-being and consider the whole
|
||
|
|
|
||
|
|
life-course, in addition to specific points in the ageing process.'
|
||
|
|
affiliation: 'Windle, G (Corresponding Author), Bangor Univ, Sch Hlth Sci, Dementia
|
||
|
|
Serv Dev Ctr Wales Res Ctr, Bangor, Gwynedd, Wales.
|
||
|
|
|
||
|
|
Windle, Gill; MacLeod, Catherine, Bangor Univ, Sch Hlth Sci, Dementia Serv Dev Ctr
|
||
|
|
Wales Res Ctr, Bangor, Gwynedd, Wales.
|
||
|
|
|
||
|
|
Bennett, Kate M., Univ Liverpool, Sch Psychol, Liverpool, Merseyside, England.'
|
||
|
|
article-number: '502314'
|
||
|
|
author: Windle, Gill and Bennett, Kate M. and MacLeod, Catherine and Team, CFAS WALES
|
||
|
|
Res
|
||
|
|
author-email: g.windle@bangor.ac.uk
|
||
|
|
author_list:
|
||
|
|
- family: Windle
|
||
|
|
given: Gill
|
||
|
|
- family: Bennett
|
||
|
|
given: Kate M.
|
||
|
|
- family: MacLeod
|
||
|
|
given: Catherine
|
||
|
|
- family: Team
|
||
|
|
given: CFAS WALES Res
|
||
|
|
da: '2023-09-28'
|
||
|
|
doi: 10.3389/fmed.2020.502314
|
||
|
|
eissn: 2296-858X
|
||
|
|
files: []
|
||
|
|
journal: FRONTIERS IN MEDICINE
|
||
|
|
keywords: 'resilience; health; life course; adverse events; co-morbidites; healthy
|
||
|
|
|
||
|
|
ageing'
|
||
|
|
keywords-plus: ILL-HEALTH; SATISFACTION; ADVERSITY; DEMENTIA; CARERS; AGE
|
||
|
|
language: English
|
||
|
|
month: SEP 22
|
||
|
|
number-of-cited-references: '48'
|
||
|
|
orcid-numbers: MacLeod, Catherine/0000-0002-9314-7380
|
||
|
|
papis_id: aba0021aad42ac7b3b9eeadecd980b43
|
||
|
|
ref: Windle2020influencelife
|
||
|
|
researcherid-numbers: 'Bennett, Kate/JCP-4878-2023
|
||
|
|
|
||
|
|
'
|
||
|
|
times-cited: '9'
|
||
|
|
title: The Influence of Life Experiences on the Development of Resilience in Older
|
||
|
|
People With Co-morbid Health Problems
|
||
|
|
type: Article
|
||
|
|
unique-id: WOS:000575145300001
|
||
|
|
usage-count-last-180-days: '0'
|
||
|
|
usage-count-since-2013: '13'
|
||
|
|
volume: '7'
|
||
|
|
web-of-science-categories: Medicine, General \& Internal
|
||
|
|
year: '2020'
|