Cited by 97Aging and Gerontology ResearchAging, Health, and DisabilityResilience and Mental Health

Complex Interplay Between Health and Successful Aging: Role of Perceived Stress, Resilience, and Social Support

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Moore, Raeanne C., Eyler, Lisa T., Mausbach, Brent T., Zlatar, Zvinka Z., Thompson, Wesley K., Peavy, Guerry, Fazeli, Pariya L., Jeste, Dilip V.·2015·The American Journal of Geriatric Psychiatry

Abstract

Psychological and psychosocial resources, including resilience and social support, have traditionally been studied in the context of the stress paradigm and, more recently, in the context of successful aging. This study used moderated mediation analyses to examine the role of perceived stress in the relationships between physical and mental health functioning and self-rated successful aging (SRSA) and whether differences between people in level of resilience and social support changes the role of perceived stress in these relationships. A cross-sectional study of 1,006 older adults (mean age: 77 years) completed scales addressing SRSA, physical and mental health functioning, perceived stress, resilience, and social support. Results indicated that the strength of relationships between both physical and mental health functioning and SRSA were reduced after accounting for variation in level of perceived stress. The role of perceived stress in the association between mental health functioning and SRSA was found to be stronger among participants with the highest levels of resilience, and the influence of perceived stress on the degree of relationship between physical health functioning and SRSA was stronger among those with greatest social support. These findings suggest that interventions to reduce perceived stress may help break the link between disability and poor well-being in older adults. The findings further suggest that the impact of such interventions might differ depending on psychological resources (i.e., resilience) for mental health disabilities and external resources (i.e., social support) for those with physical health problems. The complex interplay of these factors should be taken into account in clinical settings.

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Authors
Moore, R. C., Eyler, L. T., Mausbach, B. T., Zlatar, Z. Z., Thompson, W. K., Peavy, G., Fazeli, P. L., & Jeste, D. V.
Affiliations
University of California San Diego (US)
Corresponding author
Moore, Raeanne C.
Venue
The American Journal of Geriatric Psychiatry
Publisher
Elsevier BV
Published
2015-06
Volume
23
Issue
6
Pages
622-632
ISSN
1064-7481 (ISSN-L)
OpenAlex
W2056946634
Cited by
97
References
27
Citations by year
2026: 4 · 2025: 5 · 2024: 15 · 2023: 13 · 2022: 4 · 2021: 11 · 2020: 13 · 2019: 3 · 2018: 11 · 2017: 10 · 2016: 7 · 2015: 1
FWCI
9.03
Type
journal article
Language
en
Open access
Locations
  • American Journal of Geriatric Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • Sam and Rose Stein Institute for Research on Aging
  • John A. Hartford Foundation
  • North Central Research Station (UL1RR031980)
  • National Institutes of Health (P30MH066248, T32 MH019934)
Topics
  • Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
Keywords
successful aging, perceived stress, resilience, social support, older adults, mental health functioning, psychological resources, stress interventions
MeSH terms
Aged, Aged, 80 and over, Aging, Cross-Sectional Studies, Female, Health Status, Humans, Male, Social Support, Stress, Psychological, Resilience, Psychological

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