A conceptual model was developed and tested that examined the relationships between respondent characteristics, stressors, psychological well-being measures, and intervening life domain appraisals. The model was tested using data from elderly members of a Detroit area HMO. An innovative focus of the study was comprehensive consideration of the array of stressors impinging on the elderly. Stressors examined included recent negative life events, cumulative life crises, living with an ill family member, and social isolation. Domain appraisals in the model concerned satisfaction with activities, relationships, health, and income. Support was found for the hypothesis that stressors affect well-being indirectly through domain satisfactions.
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References
1.
Aneshensel, Carol S.
, Carolyn M. Rutter, and Peter A. Lachenbruch. 1991. "Social Structure, Stress, and Mental Health."American Sociological Review56:166-178.
2.
Antonovsky, Aaron
. 1974. "Conceptual and Methodological Problems in the Study of Resistance Resources and Stressful Life Events." Pp. 245-258 in Stressful Life Events: Their Nature and Effects, edited by B. S. Dohrenwend and B. P. Dohrenwend. New York: Wiley.
3.
Antonovsky, Aaron
. 1979. Health, Stress, and Coping. San Francisco: Jossey-Bass.
4.
Ardigo, Achille
. 1990. "Sedentary Life and Nutrition: A Sociologist's Point of View." Pp. 1-7 in Sedentary Life and Nutrition. Vol. 38. Edited by F. Fabris, L. Pernigotti, and E. Ferrario. New York: Raven.
5.
Arling, Greg1987. "Strain, Social Support, and Distress in Old Age."Journal of Gerontology42:107-113.
6.
Avison, William R.
and Ian H. Gotlib. 1994a. "Future Prospects for Stress Research." Pp. 317-332 in Stress and Mental Health: Contemporary Issues and Prospects for the Future, edited by W. Avison and I. Gotlib. New York: Plenum.
7.
Avison, William R.
, and Ian H. Gotlib. eds. 1994b. Stress and Mental Health: Contemporary Issues and Prospects for the Future. New York: Plenum.
8.
Bauer, Patricia A.
and Morris A. Okun. 1983. "Stability of Life Satisfaction in Late Life."The Gerontologist23:261-265.
9.
Bearon, Lucille B.1989. "No Great Expectations: The Underpinnings of Life Satisfaction for Older Women."The Gerontologist29:772-778.
10.
Berkman, Lisa F.
, Cathy S. Berkman, Stanislav Kasl, Daniel H. Freeman, Lina Leo, Adrian M. Ostfeld, Joan Cornoni-Huntley, and Jacob A. Brody. 1986. "Depressive Symptoms in Relation to Physical Health and Functioning in the Elderly."American Journal of Epidemiology124:372-388.
11.
Blakemore, Ken
. 1990. "Does Age Matter? The Case of Old Age in Minority Ethnic Groups." Pp. 158-175 in Becoming Old and Being Old: Sociological Approaches to Later life, edited by B. Bytheway, T. Keil, P. Allat, and A. Bryman. Newbury Park, CA: Sage.
12.
Bremner, J. Douglas
, Steven M. Southwick, and Dennis S. Charney. 1995. "Etiological Factors in the Development of Posttraumatic Stress Disorder." Pp. 149-186 in Does Stress Cause Psychiatric Illness? edited by C. Mazure. Washington, DC: American Psychiatric Press.
13.
Brown, George W.
and Tirril Harris. 1978. Social Origins of Depression. New York: Free Press.
14.
Bulcroft, Kris A.
and Richard A. Bulcroft. 1991. "The Timing of Divorce: Effects on Parent-Child Relationships in Later Life."Research on Aging13:226-243.
15.
Campbell, Angus
, Philip E. Converse, and Willard L. Rodgers. 1976. The Quality of American Life. New York: Russell Sage.
16.
Chappell, Neena L.
, and Mark Badger. 1989. "Social Isolation and Well-Being."Journal of Gerontology44:S169-S176.
17.
Chiriboga, David A.1992. "Paradise Lost: Stress in the Modem Age." Pp. 35-71 in Stress and Health among the Elderly, edited by M. Wykle, E. Kahana, and J. Kowal. New York: Springer.
18.
Cohen, Sheldon
and Gail M. Williamson. 1988. "Perceived Stress in a Probability Sample of the United States." Pp. 31-67 in The Social Psychology of Health, edited by S. Spacapan and S. Oskamp. Newbury Park, CA: Sage.
19.
Coleman, Peter
. 1990. "Adjustment in Later Life." Pp. 89-122 in Aging in Society: An Introduction to Social Gerontology, edited by J. Bond and P. Coleman. London and Newbury Park, CA: Sage.
20.
Dewe, Philip J.1992. "Applying the Concept of Appraisal to Work Stressors: Some Exploratory Analysis."Human Relations45:143-164.
21.
Duke University Center for the Study of Aging and Human Development
. 1978. Multidimensional Functional Assessment: The OARS Methodology. Durham, NC: Duke University Press.
22.
Elwell, F.
and A. D. Maltbie-Crannell. 1981. 'The Impact of Role Loss upon Coping Resources and Life Satisfaction of the Elderly."Journal of Gerontology36:223-232.
23.
Ensel, Walter M.1986. "Sex, Marital Status, and Depression: The Role of Life Events and Social Support." Pp. 231-247 in Social Support, Life Events, and Depression, edited by N. Lin, A. Dean, and W. Ensel. Orlando, FL: Academic Press.
24.
Feist, Gregory J.
, Todd E. Bodner, John F. Jacobs, Marilyn Miles, and Vickie Tan. 1995. "Integrating Top-Down and Bottom-Up Structural Models of Subjective Well-Being: A Longitudinal Investigation."Journal of Personality and Social Psychology68:138-150.
25.
Finch, John F
, Morris A. Okun, Manuel Barrera, Jr., Alex J. Zautra, and John H. Reich. 1989. "Positive and Negative Social Ties among Older Adults: Measurement Models and the Prediction of Psychological Distress and Well-Being."American Journal of Community Psychology17:585-605.
26.
Fiske, Marjorie
and David A. Chiriboga. 1990. Change and Continuity in Adult Life. San Francisco: Jossey-Bass.
27.
French, Sheryl L.
, V. J. Knox, and W. L. Gekoski. 1992. "Confounding as a Problem in Relating Life Events to Health Status in Elderly Individuals."American Journal of Community Psychology20: 243-252.
28.
Gall, Terry L.
and David P. Evans. 1987. 'The Dimensionality of Cognitive Appraisal and Its Relationship to Physical and Psychological Well-Being."The Journal of Psychology121:539-546.
29.
Gatz, Margaret
. 1992. "Stress, Control, and Psychological Interventions." Pp. 209-222 in Stress and Health Among the Elderly, edited by M. Wykle, E. Kahana, and J. Kowal. New York: Springer.
30.
George, Linda K.1981. "Subjective Well-Being: Conceptual and Methodological Issues." Pp. 345-382 in Annual Review of Gerontology and Geriatrics, edited by C. Eisdorfer. New York: Springer.
31.
George, Linda K.
and Elizabeth C. Clipp. 1991. "Subjective Components of Aging Well."Generations15:57-60.
32.
George, Linda K.
and Richard Landerman. 1984. "Health and Subjective Well-Being: A Replicated Secondary Data Analysis."International Journal of Aging and Human Development19:133-156.
33.
Goldstein, Michael S.
and Margo-Lea Hurwicz. 1989. "Psycho-social Distress and Perceived Health Status among Elderly Users of a Health Maintenance Organization."Journal of Gerontology44:154-156.
34.
Hammen, Constance L.1995. "Stress and the Course of Unipolar and Bipolar Disorders." Pp. 87-110 in Does Stress Cause Psychiatric Illness? edited by C. Mazure. Washington, DC: American Psychiatric Press.
35.
Holmes, Thomas H.
and Rahe, Richard H.1967. "The Social Readjustment Rating Scale."Journal of Psychosomatic Research11:213-218.
36.
Jerusalem, Matthias
and Ralf Schwarzer. 1992. "Self-efficacy as a Resource Factor in Stress Appraisal Processes." Pp. 195-213 in Self-Efficacy: Thought Control of Action, edited by Ralf Schwarzer. Washington, DC: Hemisphere.
37.
Kahana, Boaz
. 1992. "Late Life Adaptation in the Aftermath of Extreme Stress." Pp. 151-171 in Stress and Health among the Elderly, edited by M. L Wykle, E. Kahana, and J. Kowal. New York: Springer.
38.
Kahana, Eva
and Barbara Felton. 1976. "Continuity and Change in Coping Strategies in a Longitudinal Analysis." Presented at the annual meetings of the Gerontological Society of America, New York, November.
39.
Kahana, Eva
, Boaz Kahana, and Rosalie Young. 1985. "Influences of Diverse Stresses on Health and Well-Being of Community Aged." Paper presented at the annual meetings of the Gerontological Society of America, New Orleans, LA, November.
40.
Kahana, Eva
, Asuman Kiyak, and Jersey Liang. 1980. "Menopause in the Context of Other Life Events." Pp. 167-178 in The Menstrual Cycle, edited by A. Dann, E. Graham, and C. Beecher. New York: Springer.
41.
Kasl, Stanislav V.1992. "Stress and Health among the Elderly: Overview of Issues." Pp. 5-34 in Stress and Health among the Elderly, edited by M. Wykle, E. Kahana, and J. Kowal. New York: Springer.
42.
Kessler, Ronald C.1979. "Stress, Social Status, and Psychological Distress."Journal of Health and Social Behavior20:259-273.
43.
Kessler, Ronald C..1982. "A Disaggregation of the Relationship between Socioeconomic Status and Psychological Distress."American Sociological Review47:752-764.
44.
Kessler, Ronald C.
, and Magee, W. J.1994. "Childhood Family Violence and Adult Recurrent Depression."Journal of Health and Social Behavior35:13-27.
45.
Kiyak, Asuman
, Jersey Liang, and Eva Kahana. 1976. "A Methodological Inquiry into the Schedule of Recent Life Events." Paper presented at the meeting of the American Psychological Association, Washington, DC, August.
46.
Krause, Neal
. 1988. "Stressful Life Events and Physician Utilization."Journal of Gerontology43:53-61.
47.
Krause, Neal
. 1991. "Stressful Events and Life Satisfaction among Elderly Men and Women."Journal of Gerontology46:584-592.
48.
La Greca, Anthony J.
, Ronald L. Akers, and Jeffrey W. Dwyer. 1988. "Life Events and Alcohol Behavior among Older Adults."The Gerontologist28:552-558.
49.
Langner, Thomas S.1962. "A Twenty-Two Item Screening Score of Psychiatric Symptoms Indicating Impairment."Journal of Health and Human Behavior3:269-276.
50.
Lawton, M. Powell
. 1972. "The Dimensions of Morale." Pp. 144-165 in Research Planning and Action for the Elderly, edited by D. P. Kent, R. Kastenbaum, and S. Sherwood. New York: Human Sciences Press.
51.
Lawton, M. Powell
. 1975. "The Philadelphia Geriatric Center Morale Scale: A Revision."Journal of Gerontology30:85-89.
52.
Lawton, M. Powell
. 1984. "Health and Subjective Well-Being: Substantive Discussion."International Journal of Aging and Human Development19:157-166.
53.
Lawton, M. Powell
. 1989. "Environmental Proactivity and Affect in Older People." Pp. 135-163 in The Social Psychology of Aging, edited by S. Spacapan and S. Oskamp. Newbury Park, CA: Sage.
54.
Lazarus, Richard S.
and Susan Folkman. 1984. Stress, Appraisal and Coping. New York: Springer.
55.
Lazarus, Richard S.
and Susan Folkman. "Transactional Theory and Research on Emotions and Coping."European Journal of Personality1:141-170.
56.
Lester, Naomi
, Linda E. Nebel, and Andrew Baum. 1994. "Psychophysiological and Behavioral Measurement of Stress: Applications to Mental Health." Pp. 291-314 in Stress and Mental Health: Contemporary Issues and Prospects for the Future, edited by W. Avison and I. Gotlib. New York: Plenum.
57.
Lin, Nan
, Alfred Dean, and Walter Ensel, eds. 1986. Social Support, Life Events, and Depression. Orlando, FL: Academic Press.
58.
Lin, Nan
and Walter M. Ensel. 1984. "Depression-Mobility and Its Social Etiology: The Role of Life Events and Social Support."Journal of Health and Social Behavior25:176-188.
59.
Lin, Nan
and Walter M. Ensel. "Life Stress and Health."American Sociological Review54:382-399.
60.
Lubben, James E.1989. "Gender Differences in the Relationship of Widowhood and Psychological Well-Being among Low Income Elderly." Pp. 161-189 in Women in the Later Years: Health, Social, and Cultural Perspectives, edited by L. Grau and I. Susser. New York: Harrington Park.
61.
Marden, Parker G.
and Robert G. Bunight. 1972. "Social Consequences of Physical Impairment in an Aging Population." Pp. 445-464 in Research Planning and Action for the Elderly, edited by D. P. Kent, R. Kastenbaum, and S. Sherwood. New York: Hunan Sciences Press.
62.
Markush, Robert E.
and Rachel V. Favero. 1974. "Epidemiologic Assessment of Stressful Life Events, Depressed Mood, and Psychophysiologic Symptoms: A Preliminary Report." Pp. 171-190 in Stressful Life Events: Their Nature and Effects, edited by B. S. Dohrenwend and B. P. Dohrenwend. New York: Wiley.
63.
Mazure, Carolyn M.
, ed. 1995. Does Stress Cause Psychiatric Illness?Washington, DC: American Psychiatric Press.
64.
Mazure, Carolyn M.
and Benjamin G. Druss. 1995. "A Historical Perspective on Stress and Psychiatric Illness." Pp. 1-42 in Does Stress Cause Psychiatric Illness?, edited by C. M. Mazure. Washington, DC: American Psychiatric Press.
65.
McLean, Diane E.
and Bruce G. Link. 1994. "Unraveling Complexity: Strategies to Refine Concepts, Measures, and Research Designs in the Study of Life Events and Mental Health." Pp. 15-42 in Stress and Mental Health Contemporary Issues and Prospects for the Future, edited by W. Avison and I. Gotlib. New York: Plenum.
66.
McLeod, Jane D.
and Ronald C. Kessler. 1990. "Socioeconomic Status Differences in Vulnerability to Undesirable Life Events."Journal of Health and Social Behavior31:162-172.
67.
Mirowsky, John
and Catherine E. Ross. 1989. Social Causes of Psychological Distress. New York: Aldine.
68.
Mutran, Elizabeth
and Donald C. Reitzes. 1984. "Intergenerational Support Activities and Well-Being among the Elderly: A Convergence of Exchange and Symbolic Interaction Perspectives."American Sociological Review49:117-130.
69.
Myers, Jerome K.
, Jacob J. Lindenthal, and Max P. Pepper. 1975. "Life Events, Social Integration, and Psychiatric Symptomatology."Journal of Health and Social Behavior16:421-427.
70.
Okun, Morris A.
, Joseph F. Melichar, and Martin D. Hill. 1990. "Negative Daily Events, Positive and Negative Social Ties, and Psychological Distress among Older Adults."The Gerontologist30:193-199.
71.
Pearlin, Leonard I.1989. "The Sociological Study of Stress."Journal of Health and Social Behavior30:241-256.
72.
Pearlin, Leonard I.
and Joyce S. Johnson. 1977. "Marital Status, Life Strains, and Depression."American Sociological Review42:704-715.
73.
Pearlin, Leonard I.
, Elizabeth G. Menaghan, Morton A. Lieberman, and Joseph T. Mullan. 1981. "The Stress Process."Journal of Health and Social Behavior22:337-356.
74.
Pearlin, Leonard I.
and Joseph T. Mullan. 1992. "Loss and Stress in Aging." Pp. 117-132 in Stress and Health among the Elderly, edited by May L. Wykle, Eva Kahana, and Jerome Kowal. New York: Springer.
75.
Pfeiffer, E.1976. Multidimensional Functional Assessment: The OARS methodology. Durham, - N.C.: Duke University, Center for the Study of Aging and Human Development
76.
Revicki, Dennis A.
and Jim P. Mitchell. 1990. "Strain, Social Support, and Mental Health in Rural Elderly Individuals."Journal of Gerontology45:267-274.
77.
Riddick, Carol Cutler
. 1985. "Life Satisfaction for Older Female Homemakers, Retirees, and Workers."Research on Aging7:383-394.
78.
Romaniuk, Michael
, William J. McAuley, and Greg Arling. 1983. "An Examination of the Prevalence of Mental Disorders among the Elderly in the Community."Journal of Abnormal Psychology92:458-467.
79.
Rook, Karen S.1984a. "The Negative Side of Social Interaction: Impact on Psychological Well-Being."Journal of Personality and Social Psychology46:1097-1108
80.
Rook, Karen S..1984b. "Research on Social Support, Loneliness, and Social Isolation: Toward an Integration." Pp. 239-264 in Review of Personality and Social Psychology. Vol. 5. Edited by P. Shaver. Beverly Hills: Sage.
81.
Ross, Catherine
and John Mirowsky. 1979. "A Comparison of Life Event Weighting Schemes: Change, Undesirability, and Effect-Proportional Indices."Journal of Health and Social Behavior20:166-177.
82.
Rozzini, Renzo
, Angelo Bianchetti, Corrado Carabellese, Mariarosa Inzoli, and Marco Trabucchi. 1988. "Depression, Life Events, and Somatic Symptoms."The Gerontologist28:229-232.
83.
Schwarzer, Ralf
and Anja Leppin. 1992. "Social Support and Mental Health: A Conceptual and Empirical Overview." Pp. 435-458 in Life Crises and Experiences of Loss and Adulthood, edited by L. Montada, F. Sigrun-Heide, and M. J. Lerner. Hillsdale, NJ: Lawrence Erlbaum.
84.
Selye, Hans
. 1950. The Physiology and Pathology of Exposure to Stress; a Treatise Based on the Concepts of the General-Adaptation-Syndrome and the Diseases of Adaptation. Montreal: Acta.
85.
Selye, Hans
. 1956. The Stress of Life. New York: McGraw-Hill.
86.
Smallegan, Marian
. 1989. "Level of Depression Symptoms and Life Stresses for Culturally Diverse Older Adults."The Gerontologist29:45-50.
87.
Stephens, Mary Ann
and Jennifer M. Kinney. 1989. "Caregiving Stress Instruments: Assessment of Content and Measurement Quality."Gerontology Review2:40-53.
88.
Wheaton, Blair
. 1983. "Stress, Personal Coping Resources, and Psychiatric Symptoms: An Investigation of Interactive Models."Journal of Health and Social Behavior24:208-229.
89.
Wheaton, Blair
. 1990. "Life Transitions, Role Histories, and Mental Health."American Sociological Review55:209-223.
90.
Wheaton, Blair
. 1994. "Sampling the Stress Universe." Pp. 77-114 in Stress and Mental Health: Contemporary Issues and Prospects for the Future, edited by W. Avison and I. Gotlib. New York: Plenum.
91.
Wykle, May L.
, Eva Kahana, and Jerome Kowal, eds. 1992. Stress and Health Among the Elderly. New York: Springer.
