Resilience in low-income African American women living and aging with HIV

Women are living with HIV into middle and older age and are likely to face multiple comorbidities and stressors as they age. This study focused on understanding how women who experience multiple forms of oppression and ongoing adversity are still able to adapt and stand strong. Using a theoretical framework of resilience and a feminist research ideology, interviews of eight middle-aged and older African American women living with HIV were analyzed. Despite experiences of HIV-related discrimination, trauma, and violence, these women demonstrated a remarkable ability to adapt and maintain support. Implications for research and practice are discussed.     

Social adversity in pregnancy and trajectories of women’s depressive symptoms: A longitudinal study

Background

Sound evidence has linked the experience of adversity with depression. Less is known about this association over time.

Resilience of Greek Youth at an Educational Transition Point: The Role of Locus of Control and Coping Strategies as Resources

Variable- and person-focused approaches were applied to study the resilient outcomes of 326 Greek male and female 1st year university students at a major educational transition point. Results indicated that resilience was related to both cognitive and behavioural psychosocial resources in late adolescence. Locus of control emerged as an important resource which affected adaptation in the face of difficulties. Active and avoidance coping strategies significantly influenced adaptation, as did adversity. Under low adversity, avoidance coping was used; under high adversity, however, both active and avoidance coping were used equally. Resilient and adapted young people utilised more resources than the maladaptive youths, and demonstrated significantly higher levels of positive adaptation. Excelling-resilient adolescents utilised coping resources expertly.     

Gender differences in the associations of self esteem, stress and social support with functional health status among older adults with heart disease

This study explored and compared the role of self esteem, stress and social support in maintenance or improvement in physical and psychosocial functioning over 12 months in older men and women with cardiovascular disease. Data from 502 adults over 60 years of age showed that self esteem and stress were both significantly associated with functioning when demographic and clinical factors were controlled. Men were significantly more likely than women to maintain or improve in functioning. Self esteem, stress, compliance with medication regimens, and marital status were significantly associated with maintenance or improvement of functioning among women. Only age and stress were significantly associated with maintenance or improvement in functioning among men. Findings indicated that: (1) stress and self esteem were stronger predictors of functioning, especially among women, than demographic and clinical factors; and (2) women in the highest quartile of the self esteem distribution were approximately five times as likely to maintain or improve their functioning as women in the lowest quartile.     

Children’s Resilience-Related Beliefs as a Predictor of Positive Child Development in the Face of Adversities: Implications for Interventions to Enhance Children’s Quality of Life

This paper reports the findings of a longitudinal childhood resilience study which investigated the relationship between resilience-related beliefs and positive child development. Three waves of data collection (T1, T2, and T3) were completed in January 2005, July 2005, and January 2006 with a sample of 843 grade 4 pupils, drawn from six primary schools in Hong Kong, and their parents or guardians. At T1, parents/guardians responded to a 24-item inventory of life adversities affecting their children since birth; at T1 and T3, they completed a 25-item Parental Assessment of Child’s Habit, which provided parental evaluation of children’s performance at home and in school. At T1, T2, and T3, children responded to a 58-item Child and Youth Resilience Measure, a 9-item scale on Chinese cultural beliefs about adversity, and an 11-item Chinese Resilience Measure for Children and Adolescents in Hong Kong. Regression analyses, based on linear mixed models, controlling for gender, T1 and T2 scores, personal variables, and random effects of schools, were conducted to test and validate the hypothesis that children’s resilience beliefs are predictive of positive child development, and that this predictive relationship is stronger with increasing adversity in children’s lives. Implications of these findings for the development of resilience-based interventions to enhance the quality of life of children facing adversities are examined.     

The Status of Family Resilience: Effects of Sustainable Livelihoods in Rural China

Family resilience is the capacity of a family to mitigate adversity using its resources, structure, and internal connections. In rural China, where sustainable livelihoods are changing rapidly because of urbanization and migration, it is not clear how family resilience interacts with sustainability of livelihoods. This study of rural Chinese families classifies individual’s perceived family resilience and discusses how sustainable livelihoods influence this classification. A multilevel survey of rural families reveals three categories of perceived resilience in families: perceived optimistic families, perceived cooperative families, and perceived pessimistic families. Sustainable livelihoods, including natural, social, financial, and human capitals, have significant impacts on this classification of perceived family resilience. We conclude that rural families in China vary in their levels of family resilience, and the more physical and financial capital they have, the more internal cooperation there is within families. The more natural and traditional social capital families have, the less internal cooperation there is within families. The more human resources families have, the more resilience they have.

     

The Crisis of Legacy:

This study examines the life-satisfaction of a group of elderly women religious (Catholic sisters). It focuses on the lifelong development experienced by the women and presents their self erceptions as women aging in a community with few young members. The findings indicate that certain common factors influenced the women's early life decisions to enter the convent, that their worklives are important to their personal development, and their retirement is that of the nontraditional woman. In terms of late-life satisfaction, the women rated hieh in health, family involvements and spiritual achievement. There is concern, however, for the legacy that they leave: this is resolved through passive mastery. Excerpts from the in-depth interviews provide the context for discussion.     

Assisted living, elderly women and sense of self: communicating the impact of reduction of long-standing activities

Through the use of in-depth interviews this study examines elderly women's communication about transitioning to assisted living and personal sense of self. A combination of communication and aging theory and socio historical factors aid in understanding the communication elderly women use to describe themselves within the context of life events prior to and after becoming an assisted living resident. Findings reveal that decrease in long-standing feminine sphere (traditionally female household) tasks due to the transition to assisted living is the major factor leading to the inability to communicate the sense of self. Inability to adjust and accept the downsizing of feminine sphere activities leads to several mental, physical and social implications.     

Assessing the Predictive Value of Fertility Expectations Through a Cognitive–Social Model

This paper grounds its analysis in a novel model (Bachrach and Morgan in Popul Dev Rev, 39:459–485, 2013) that suggests that responses to questions about fertility intentions may reflect distinct phenomena at distinct points in the life course. The model suggests that women form "true" intentions when their circumstances make the issue of childbearing salient and urgent enough to draw the cognitive resources needed to make a conscious plan; before this, women report intentions based on cognitive images of family and self. We test the implications of this model for reported fertility expectations using NLSY79 data that measure expectations throughout the life course. We find that early in the life course, before marriage and parenthood, women’s fertility expectations are associated with family background and cognitive images of family and future self. Later in the life course, as women experience life course transitions that confer statuses normatively associated with childbearing—such as marriage—and parenthood itself, their reported expectations are better predictors of their fertility than before they passed these life course milestones. Our empirical results provide support for a model which has important implications for both the measurement and conceptualization of women’s intended and expected fertility.     

A Data-Driven Approach to Construct Survey-Based Indicators by Means of Evolutionary Algorithms

Despite growing understanding of resilience as a process associated with both individual capacities and physical and relational resources located in social ecologies, most instruments designed to measure resilience overemphasize individual characteristics without adequately addressing the contextual resources that support resilience processes. Additionally, most resilience studies have focused on children and youth, without significant attention to social ecological factors that promote post-risk adaptation for adults and how this is measured. Consequently, a key issue in the continued study of adult resilience is measurement instrument development. This article details adaptation of the Child and Youth Resilience Measure for use with an adult population. The article draws on data from a mixed methods study exploring the resilience processes of Irish survivors of clerical institutional abuse. The sample included 105 adult survivors (aged 50–99) who completed the RRC-ARM and the Warwick–Edinburgh Mental Well-being Scale (WEMWBS) during the first phase of the study. Exploratory factor analysis, Cronbach Alpha and MANOVA were conducted on the data. EFA identified five factors; social/community inclusion, family attachment and supports, spirituality, national and cultural identity, and personal competencies. The RRC-ARM shows good internal reliability and convergent validity with the WEMWBS, with significant differences on scale scores for men and women, as well as place of residence. This exploratory adaptation supports the potential of the RRC-ARM as a measure of social ecological resilience resources for adult populations and may have particular applications with vulnerable communities. Further validation is required in other contexts and specifically with larger samples.     

A Longitudinal Study of Chinese Cultural Beliefs About Adversity,Psychological Well-Being,Delinquency And Substance Abuse in Chinese Adolescents With Economic Disadvantage

This longitudinal study examines the relationships between Chinese cultural beliefs about adversity and psychological well-being and problem behavior in 199 Chinese adolescents with economic disadvantage. Results showed that endorsement of Chinese cultural beliefs about adversity was concurrently related to measures of adolescent psychological well-being (existential well-being, mastery, life satisfaction, self-esteem and general psychiatric morbidity) and problem behavior (substance abuse and delinquency) at Time 1 and Time 2. Partial correlation and multiple regression analyses showed that while Chinese beliefs about adversity at Time 1 predicted changes in developmental outcomes at Time 2 (except self-esteem), developmental outcome variables at Time 1 did not predict changes in endorsement of Chinese cultural beliefs about adversity at Time 2. The present findings suggest that identification with Chinese cultural beliefs about adversity is an important factor that influences the psychosocial adjustment of Chinese adolescents experiencing economic disadvantage.     

A Longitudinal Study of Chinese Cultural Beliefs About Adversity, Psychological Well-Being, Delinquency And Substance Abuse in Chinese Adolescents With Economic Disadvantage

This longitudinal study examines the relationships between Chinese cultural beliefs about adversity and psychological well-being and problem behavior in 199 Chinese adolescents with economic disadvantage. Results showed that endorsement of Chinese cultural beliefs about adversity was concurrently related to measures of adolescent psychological well-being (existential well-being, mastery, life satisfaction, self-esteem and general psychiatric morbidity) and problem behavior (substance abuse and delinquency) at Time 1 and Time 2. Partial correlation and multiple regression analyses showed that while Chinese beliefs about adversity at Time 1 predicted changes in developmental outcomes at Time 2 (except self-esteem), developmental outcome variables at Time 1 did not predict changes in endorsement of Chinese cultural beliefs about adversity at Time 2. The present findings suggest that identification with Chinese cultural beliefs about adversity is an important factor that influences the psychosocial adjustment of Chinese adolescents experiencing economic disadvantage.     

童年逆境对老年人抑郁的影响研究

文章基于中国健康与养老追踪调查(CHARLS)面板数据研究童年逆境对老年人抑郁的影响机理。研究发现童年时期严重的躯体或情感虐待、父母关系差、家庭社会经济地位低、经历重大创伤等四类童年逆境均会显著提高老年人抑郁的发生风险。研究显示在童年时期父母偶尔的打骂不会严重影响儿童身心发展,但经常打骂则可能会产生长期负面影响;父母关系差对儿童虽然不是实质性伤害,但也会造成长期且深远的影响,其负面影响超过了躯体或情感虐待;家庭社会经济地位低是负面影响最大的逆境事件,童年时期社会经济地位低可能通过累积劣势机制对个体整个生命历程产生影响;经历重大创伤可能提高老年抑郁风险,但其影响小于童年时期社会经济地位低、父母关系差等因素。童年逆境对老年人抑郁的影响存在显著的"剂量-反应"效应,逆境事件越多老年人受抑郁影响的风险越高。分性别来看,长期逆境状况对女性的影响大于男性,而重大创伤对男性的长期影响更大。分城乡来看,四类童年逆境事件对农村样本均有显著影响,但仅家庭社会经济地位因素对于城镇样本有影响,表明社会经济地位可能是十分重要的中间机制。     

Assisted Living,Elderly Women and Sense of Self: Communicating the Impact of Reduction of Long-Standing Activities

ABSTRACT

Through the use of in-depth interviews this study examines elderly women's communication about transitioning to assisted living and personal sense of self. A combination of communication and aging theory and socio historical factors aid in understanding the communication elderly women use to describe themselves within the context of life events prior to and after becoming an assisted living resident. Findings reveal that decrease in long-standing feminine sphere (traditionally female household) tasks due to the transition to assisted living is the major factor leading to the inability to communicate the sense of self. Inability to adjust and accept the downsizing of feminine sphere activities leads to several mental, physical and social implications.     

Consistency and Continuity in Material and Psychosocial Adversity Among Australian Families with Young Children

Prior studies on longitudinal continuity of adversity have mostly examined persistence of individual adversity, rather than of families and have focussed mainly on material disadvantage. However, adversity is multi-dimensional, and in the case of families with children, it includes psychosocial as well as material elements. While both material and psychosocial elements are recognized as critical to child development, these aspects of family adversity are often studied in isolation and there is a dearth of longitudinal evidence on the extent to which such factors are transient or persistent. Using the first three waves (2004–2005, 2006–2007, 2008–2009) of the longitudinal study of Australian children this paper investigated the consistency and continuity of multiple adversity in families with children using material and psychosocial indicators. First, longitudinal factor analysis determined that a consistent factor structure of multiple adversity adequately fit the data longitudinally. Second, cross-tabular analysis showed significant changes in the prevalence of specific adversities over waves. In particular adversity related to changes in family composition and social support followed an increasing trend. Adversity in two material elements—economic status and hardship—decreased over time. Third, variance-components models revealed that though aggregate scores of material and psychosocial adversity indicated a high degree of continuity over time, continuity in disaggregated measures showed that within families a great deal of variability in adversity occurs, with intra-class correlations ranging from 0.27 to 0.84. The more persistent forms of adversity—family, substance use, economic adversity—are areas where targeted interventions are feasible while employment conditions and time pressure are more transient and may require intervention at the population level to reduce overall prevalence of the adversities. Our study has reinforced the need to assess psychosocial adversity in studies of families with children as a balance to the more commonly utilized material adversity.     

Developing Prospective Measures of Adversity Among Australian Families with Young Children

Most studies of children’s development and parents’ wellbeing have not dealt effectively with the complexity of multiple disadvantage. Traditional approaches have typically used a limited set of outcomes and predictors. Even studies utilizing multiple risk factors have often treated these as confounders, adjusting for their influence, while concentrating on a primary association of interest. Such strategies do not illuminate the real world essence of disadvantage, i.e. that adversities co-occur more than expected by chance and that multiple disadvantage is common. The main aim of the present paper is to address this neglected topic and develop summary measures of adversity using the 2004–2005 data from Wave 1 of the Longitudinal Study of Australian Children. Information was obtained from families of 5,107 babies (0–1 years) and families of 4,983 children (4–5 years). The prevalence of multiple disadvantage among families with young children and the degree to which summary adversity measures are associated with each other and with family and child outcomes is then estimated. Using factor analysis, 12 lower-order constructs and two higher-order components of adversity were developed, labelled (1) material and (2) psychosocial adversity. Findings show that the two component scores were more strongly associated with outcomes than were the more specific construct scores and that psychosocial adversity was somewhat more relevant to family wellbeing and child development than material adversity.     

Older women, their children, and grandchildren: a feminist perspective on family relationships

Using gerontological and feminist frameworks, we explored the relationships older women have with their children and grandchildren. In-depth, qualitative interviews were conducted with 34 women, ranging in age from 55 to 88. From our analyses of the women's perceptions of their family relationships, two themes were prevalent: the centrality of children and the peripherality of grandchildren in their everyday lives. The women had varying degrees of involvement with their children and grandchildren, and these relationships contributed to their sense of self and family. Their relationships were not stagnant, but were continually reshaped as both the women and their family members proceeded through the life course.     

The experience of loneliness of battered old women

The present article is part of a larger study examining the life stories of battered old women (Buchbinder & Winterstein, 2003; Winterstein, 2002). It is based on long in-depth interviews with twenty-one aging women who lived with violence for a significant portion of their lives. While the larger study examines a broad range of their experience, including loneliness, regret, expectations of the future, and an attempt to build a monument to their suffering, the present study focuses on loneliness, which appears to constitute the central theme of their existential experience. Content analysis of the interviews shows that loneliness is experienced on all ecological levels, including the self, the family of origin, the violent partner, the children, and the extended family. It also permeates the social relationships of the women and becomes the predominant motif of their social interactions. The combination of loneliness, violence, and old age creates suffering that colors everyday life and becomes not only the constant background against which life unfolds but also the governing variable in their experience. Their cognitive maps, emotional world, and overall sense of self, as well as their sense of existential continuity in the world are all affected by loneliness.     

Older Women,Their Children,and Grandchildren: A Feminist Perspective on Family Relationships

SUMMARY

Using gerontological and feminist frameworks, we explored the relationships older women have with their children and grandchildren. In-depth, qualitative interviews were conducted with 34 women, ranging in age from 55 to 88. From our analyses of the women's perceptions of their family relationships, two themes were prevalent: the centrality of children and the peripherality of grandchildren in their everyday lives. The women had varying degrees of involvement with their children and grandchildren, and these relationships contributed to their sense of self and family. Their relationships were not stagnant, but were continually reshaped as both the women and their family members proceeded through the life course.     

Older women's body image and embodied experience: an exploration

This paper presents and analyzes findings from unstructured interviews with women aged 61 to 92 regarding their perceptions and feelings about their aging bodies. The data are discussed in light of the existing literature on women's body image which has largely ignored the experiences of women in later life and which has tended to focus on adolescent and middle-aged women. Given the fact that beauty is equated with youthfulness and thinness in our society, older women face unique challenges as they strive to construct and maintain positive evaluations of self. The women in the study exhibit the internalization of ageist beauty norms even as they assert that health is more important to them than physical attractiveness and comment on the 'naturalness' of the aging process.