2023-09-28 14:46:10 +00:00
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abstract: 'Background:Co-morbidity is a major late-life challenge with poor
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outcomes, yet many older people are resilient. We consider an
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ecopsychosocial framework of resilience to investigate this disparity.
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This theorises that sources of resilience may be personal, social and
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structural. We explored older people''s responses and reactions to
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significant life experiences, to understand resilience development for
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managing later life health challenges. Methods:We applied a two-stage,
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cross-sectional mixed-methods design to the Cognitive Function and
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Ageing Studies Wales (CFAS Wales). Participants'' defined quantitatively
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as resilient (high level of well-being despite co-morbidity) were
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identified in the wave 1 dataset. A sub-sample of the resilient
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participants aged 65+ were randomly selected for semi-structured
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interviews (N= 20). Qualitative thematic analyses were both inductive
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and deductive. Results:The analyses revealed four primary life
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experiences reflecting different developmental trajectories. ``Early
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years as formative{''''} and ``work and employment as formative{''''}
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occurred at normative developmental stages in the life-course. In
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contrast non-normative life events such as loss, bereavement, illness of
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self, and others underpinned the themes of ``adverse events and
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experiences{''''} and ``caring experiences.{''''} Four potential mechanisms
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for resilience were central to these life experiences, reflecting
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reactions, actions, and development: ``character and self-identity;{''''}
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``approach to life and insight;{''''} ``meaningful relationships and
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belonging.{''''} Conclusions:This work contributes further theoretical
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insights into the ecopsychosocial resilience framework. It highlights
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the process of interdependence between the individual and the wider
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environment, suggesting how the availability and accessibility of
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resources and human agency (protective factors), can influence, and be
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influenced by, the timing of significant events and experiences. In
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doing so, it corroborates international healthy ageing policy which
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recognises resilience as important for a public health response to
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support older people to adjust to changes and losses experienced in
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later life. It highlights the importance of current and future policies
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and services for supporting the management of adverse events earlier in
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the life-course, and recommends that policies and services take a ``long
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view{''''} on population health and well-being and consider the whole
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life-course, in addition to specific points in the ageing process.'
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affiliation: 'Windle, G (Corresponding Author), Bangor Univ, Sch Hlth Sci, Dementia
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Serv Dev Ctr Wales Res Ctr, Bangor, Gwynedd, Wales.
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Windle, Gill; MacLeod, Catherine, Bangor Univ, Sch Hlth Sci, Dementia Serv Dev Ctr
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Wales Res Ctr, Bangor, Gwynedd, Wales.
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Bennett, Kate M., Univ Liverpool, Sch Psychol, Liverpool, Merseyside, England.'
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article-number: '502314'
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author: Windle, Gill and Bennett, Kate M. and MacLeod, Catherine and Team, CFAS WALES
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Res
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author-email: g.windle@bangor.ac.uk
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author_list:
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- family: Windle
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given: Gill
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- family: Bennett
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given: Kate M.
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- family: MacLeod
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given: Catherine
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- family: Team
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given: CFAS WALES Res
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da: '2023-09-28'
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doi: 10.3389/fmed.2020.502314
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eissn: 2296-858X
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files: []
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journal: FRONTIERS IN MEDICINE
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keywords: 'resilience; health; life course; adverse events; co-morbidites; healthy
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ageing'
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keywords-plus: ILL-HEALTH; SATISFACTION; ADVERSITY; DEMENTIA; CARERS; AGE
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language: English
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month: SEP 22
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number-of-cited-references: '48'
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orcid-numbers: MacLeod, Catherine/0000-0002-9314-7380
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papis_id: aba0021aad42ac7b3b9eeadecd980b43
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ref: Windle2020influencelife
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researcherid-numbers: 'Bennett, Kate/JCP-4878-2023
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'
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times-cited: '9'
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title: The Influence of Life Experiences on the Development of Resilience in Older
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People With Co-morbid Health Problems
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000575145300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '13'
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volume: '7'
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web-of-science-categories: Medicine, General \& Internal
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year: '2020'
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