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Tim Windsor & Mydair Hunter

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1 Tim Windsor & Mydair Hunter
What makes people resilient to negative life events? Results from a survey of older South Australians Tim Windsor & Mydair Hunter

2 Overview Approaches to studying resilience
Resources for resilience among older South Australians Resilience and elder abuse Sources of strength and vulnerability

3 What is resilience? RESILENCE AS A RESOURCE
“The personal qualities that enables one to thrive in the face of adversity” (Connor & Davidson, 2003)

4 What is resilience? RESILIENCE AS AN OUTCOME
“An individual’s stability or quick recovery (or even growth) under significant adverse conditions” (Leipold & Greve, 2009)

5 What is resilience? RESILIENCE AS A PROCESS
“A dynamic process encompassing positive adaptation within the context of significant adversity” (Luthar et al., 2000) Links perspectives by considering how resources (or the lack thereof) contribute to resilient outcomes

6 Challenge (e.g., decline in health)
Outcome Improved/maintained well-being Vs. Decreased well-being Resources

7 Resources for resilience among older South Australians
Survey of older adults in South Australia recruited through seniors networks, online newsletters, local councils Completed online, or paper-and-pencil 263 respondents aged 50 to 100 Mean age 73 (SD = 12) 75% women 52% partnered

8 PSYCHOLOGICAL & SELF-REGULATORY
Health decline Widowhood Stopped driving Negative life events (past 12 months) Functional health (PF-10) Psychological distress (K6) Improved/maintained well-being Vs. Decreased well-being Resources SOCIAL SOCIO-ECONOMIC PSYCHOLOGICAL & SELF-REGULATORY

9 SOCIAL RESOURCES AS PREDICTORS OF PSYCHOLOGICAL DISTRESS
Results SOCIAL RESOURCES AS PREDICTORS OF PSYCHOLOGICAL DISTRESS Resource Main effect Social engagement Yes (-ve) Social contact frequency Social support Partner status Religiosity

10 Results SOCIAL RESOURCES AS PREDICTORS OF PSYCHOLOGICAL DISTRESS
Main effect Buffer – Life Events Buffer – functional health Social engagement Yes (-ve) No statistically reliable interactions Social contact frequency Social support Partner status Religiosity

11 SOCIO-ECONOMIC FACTORS AS PREDICTORS OF PSYCHOLOGICAL DISTRESS
Results SOCIO-ECONOMIC FACTORS AS PREDICTORS OF PSYCHOLOGICAL DISTRESS Resource Main effect Financial hardship Social advantage (IRSAD) Yes (-ve) Neighbourhood disorder Social cohesion Yes (+ve)

12 SOCIO-ECONOMIC FACTORS AS PREDICTORS OF PSYCHOLOGICAL DISTRESS
Results SOCIO-ECONOMIC FACTORS AS PREDICTORS OF PSYCHOLOGICAL DISTRESS Resource Main effect Buffer – Life Events Financial hardship Social advantage (IRSAD) Yes (-ve) Yes Neighbourhood disorder Social cohesion Yes (+ve)

13 Results BUFFERING EFFECTS OF SOCIO-ECONOMIC RESOURCES – relative social advantage/disadvantage

14 SOCIO-ECONOMIC FACTORS AS PREDICTORS OF PSYCHOLOGICAL DISTRESS
Results SOCIO-ECONOMIC FACTORS AS PREDICTORS OF PSYCHOLOGICAL DISTRESS Resource Main effect Buffer – LE Buffer – functional health Financial hardship Social advantage (IRSAD) Yes (-ve) Yes Neighbourhood disorder Social cohesion Yes (+ve)

15 Results BUFFERING EFFECTS OF SOCIO-ECONOMIC RESOURCES – Perceived neighbourhood social cohesion

16 PSYCHOLOGICAL AND SELF-REGULATORY RESOURCES
Psychological resources Beliefs that are beneficial for mental health Optimism, sense of control Self-regulatory resources Beliefs and behaviours that facilitate effective management of goal-directed activity Sense of purpose Coping flexibility Assimilative coping: Ability to purposefully and persistently engage with goals Accommodative coping: Ability to disengage from (and de-value) blocked goals and change self-evaluative standards

17 Results PSYCHOLOGICAL AND SELF-REGULATORY RESOURCES AS PREDICTORS OF PSYCHOLOGICAL DISTRESS Resource Main effect Sense of purpose Yes (-ve) Optimism Control beliefs Coping flexibility

18 Results PSYCHOLOGICAL AND SELF-REGULATORY RESOURCES AS PREDICTORS OF PSYCHOLOGICAL DISTRESS Resource Main effect Buffer – life events Sense of purpose Yes (-ve) Yes Optimism Control beliefs Coping flexibility

19 Results BUFFERING EFFECT S OF PSYCHOLOGICAL RESOURCES – coping flexibility

20 Results PSYCHOLOGICAL AND SELF-REGULATORY RESOURCES AS PREDICTORS OF PSYCHOLOGICAL DISTRESS Resource Main effect Buffer – LE Buffer – functional health Sense of purpose Yes (-ve) Yes Optimism Control beliefs Coping flexibility

21 Results BUFFERING EFFECTS OF PSYCHOLOGICAL RESOURCES – OPTIMISM

22 Summary Good functional health and psychological resources (optimism, sense of purpose, control beliefs, and the ability to flexibly manage goals) promote effective coping and resilient outcomes those living in lower SES areas may be more vulnerable to the effects of negative life events on psychological health. Many of the factors associated with resilience were intercorrelated, highlighting interconnectivity among the factors implicated in successful coping.

23 Psychological resources for resilience and elder abuse
Do psychological resources that protect against more general stress also protect against elder abuse?

24 Psychological resources for resilience and elder abuse
Do psychological resources that protect against more general stress also protect against elder abuse? Limited empirical evidence Theoretical perspectives?

25 Psychological resources for resilience and elder abuse
Do psychological resources that protect against more general stress also protect against elder abuse? Limited empirical evidence Theoretical perspectives? Lifespan approach Effective regulation of behaviour over decades could help older adults to avoid exposure to abuse (e.g., proactive planning, effective management of finances, support networks in place reducing risk of isolation)

26 Psychological resources for resilience and elder abuse
Do psychological resources that protect against more general stress also protect against elder abuse? Limited empirical evidence Theoretical perspectives? Lifespan approach Effective regulation of behaviour over decades could help older adults to avoid exposure to abuse (e.g., proactive planning, effective management of finances, support networks in place reducing risk of isolation) However: Once in an abusive situation, could resources usually associated with ageing well paradoxically make victims of abuse less likely to seek help?

27 WELL-BEING PARADOX: Despite ageing related losses, older adults are happier relative to middle-aged and younger adults (at least prior to late-life) Windsor, Burns, & Byles (2012)

28 Accounting for age-related advantages
Ageing related changes in social motivation Older adults as effective self-regulators

29 Ageing related changes in social motivation
Socio-emotional selectivity theory (e.g., Carstensen, 2006) With advancing age people become aware of limited time remaining less emphasis on the future and more emphasis on emotional experience in the present Centrality of close personal relationships

30 Ageing related changes in social motivation
Socio-emotional selectivity theory (e.g., Carstensen, 2006) With advancing age people become aware of limited time remaining less emphasis on the future and more emphasis on emotional experience in the present Centrality of close personal relationships Awareness of limited time remaining and desire to avoid conflict = reluctance to seek help for abuse?

31 Mysyuk et al. (2016). How older persons explain why they became victims of abuse
“When a close friend or family member was involved in the abusive situation the period of abuse before asking for help … was reported to be longer” (p. 5)

32 Older adults as effective self-regulators
Increasing reliance on accommodative coping Re-adjusting goals in response to losses

33 Older adults as effective self-regulators
Increasing reliance on accommodative coping Re-adjusting goals in response to losses Could an increasing acceptance of loss lead to increased stoicism/acceptance of abuse?

34 Mysyuk et al. (2016). How older persons explain why they became victims of abuse
“Other interviewees used a different strategy… they tried to continue their lives and overcome the negative effects by keeping themselves busy…these interviewees thought that they could deal with the abuse and its effects on their own” (p. 5).

35 Implications for prevention
Pillemer et al. (2016) Promising interventions Caregiver interventions (e.g., respite care, education, support) Money management programs Helplines Emergency shelter Multidisciplinary teams (effective coordination of available services)

36 Implications for prevention
Pillemer et al. (2016) Promising interventions Caregiver interventions (e.g., respite care, education, support) Money management programs Helplines Emergency shelter Multidisciplinary teams (effective coordination of available services) Providing resources for individuals

37 Individuals as active agents in shaping service effectiveness
Implications for prevention Pillemer et al. (2016) Promising interventions Caregiver interventions (e.g., respite care, education, support) Money management programs Helplines Emergency shelter Multidisciplinary teams (effective coordination of available services) Individuals as active agents in shaping service effectiveness

38 Implications for prevention
Pillemer et al. (2016) Promising interventions Caregiver interventions (e.g., respite care, education, support) Money management programs Helplines Emergency shelter Multidisciplinary teams (effective coordination of available services) Enhancing models of prevention by Recognising how aspects of motivation and behaviour that change with ageing could reduce or increase vulnerability Tailoring interventions accordingly

39 Acknowledgements South Australian Government Office for the Ageing (OFTA) Resilience report available for download from SA Health website


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