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Gender and psychological well-being in older adults

Published online by Cambridge University Press:  27 May 2020

M. Pilar Matud Open the ORCID record for M. Pilar Matud [Opens in a new window] ,
Juan Manuel Bethencourt ,
Ignacio Ibáñez  and
Demelza Fortes
M. Pilar Matud*
Affiliation:
Universidad de La Laguna, La Laguna, Spain
Juan Manuel Bethencourt
Affiliation:
Universidad de La Laguna, La Laguna, Spain
Ignacio Ibáñez
Affiliation:
Universidad de La Laguna, La Laguna, Spain
Demelza Fortes
Affiliation:
Universidad de La Laguna, La Laguna, Spain
*
Correspondence should be addressed to: M. Pilar Matud, Universidad de La Laguna, Facultad de Psicología y Logopedia, Apartado 456. 38200 La Laguna, Spain. Phone: 3422317487; Fax: 3422317461. Email: [email protected].
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Abstract

Objectives:

Gender is an important social determinant of health, but gender has played only a marginal role in the geriatric and gerontology research and practice. The aim of this study was to examine the relevance of gender to the psychological well-being of older adults.

Design:

A cross-sectional study was conducted.

Setting:

The study was carried out in Spain.

Participants:

A total of 1,201 people aged between 65 and 94.

Measurements:

The participants completed sociodemographic data and four questionnaires: The Bem sex role inventory, the Ryff’s psychological well-being scale, the York self-esteem inventory, and the Social support scale.

Results:

Men scored higher than women in self-acceptance, autonomy, purpose in life, and environmental mastery. Hierarchical multiple regression analyses showed that, although the most important predictors of psychological well-being in both women and men were self-esteem and social support, both masculine/instrumental and feminine/expressive traits were associated with higher psychological well-being, although the effect size was higher for the masculine/instrumental trait. Furthermore, education was associated with psychological well-being in the case of females.

Conclusions:

Gender plays an important role in the psychological well-being of older adults. The results of this research are relevant for healthcare providers and policy-makers interested in promoting successful aging and increasing the well-being of older people.

Keywords

gender differencessocial supporthealth aging
Type
Original Research Article
Information
International Psychogeriatrics , Volume 32 , Special Issue 11: Issue Theme: Risk versus Protective Factors for Decline versus Well-Being , November 2020 , pp. 1293 - 1302
Copyright
© International Psychogeriatric Association 2020

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Footnotes

*

Juan Manuel Bethencourt’s name has been corrected. An erratum detailing this change has also been published (doi:10.1017/S1041610221002647).

References

Ahrens, C.J.C. and Ryff, C.D. (2006). Multiple roles and well-being: sociodemographic and psychological moderators. Sex Roles, 55, 801–815. doi:10.1007/s11199-006-9134-8CrossRefGoogle Scholar
Andrew, M.K., Fisk, J.D. and Rockwood, K. (2012). Psychological well-being in relation to frailty: a frailty identity crisis? International Psychogeriatrics, 24, 1347–1353. doi:10.1017/S1041610212000269CrossRefGoogle ScholarPubMed
Bem, S.L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155–162. doi:10.1037/h0036215CrossRefGoogle ScholarPubMed
Bem, S.L. (1981). Gender schema theory: a cognitive account of sex typing. Psychological Review, 88, 354–364. doi:10.1037/0033-295X.88.4.354CrossRefGoogle Scholar
Bem, S.L. (1993). The Lenses of Gender: Transforming the Debate on Sexual Inequality. New Haven: Yale University Press.Google Scholar
Boccardi, M. and Boccardi, V. (2019). Psychological wellbeing and healthy aging: Focus on telomeres. Geriatrics, 4, E25. doi:10.3390/geriatrics4010025CrossRefGoogle ScholarPubMed
Boyle, P.A., Buchman, A.S., Barnes, L.L. and Bennett, D.A. (2010). Effect of a purpose in life on risk of incident Alzheimer disease and mild cognitive impairment in community-dwelling older persons. Archives of General Psychiatry, 67, 304–310. doi:10.1001/archgenpsychiatry.2009.208CrossRefGoogle Scholar
Cámara, C. and Lobo, A. (2020). The assessment of self-esteem: a psychiatric perspective. International Psychogeriatrics, 32, 161–163. doi:10.1017/S1041610219001637CrossRefGoogle ScholarPubMed
Cohen, R., Bavishi, C. and Rozanski, A. (2016). Purpose in life and its relationship to all-cause mortality and cardiovascular events: a meta-analysis. Psychosomatic Medicine, 78, 122–133. doi:10.1097/PSY.0000000000000274CrossRefGoogle ScholarPubMed
Cohen, S. and Wills, T.A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98, 310–357. doi:10.1037/0033-2909.98.2.310CrossRefGoogle ScholarPubMed
Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575. doi:10.1037/0033-2909.95.3.542CrossRefGoogle ScholarPubMed
Ferguson, L.J. and Gunnel, K.E. (2016). Eudaimonic well-being: a gendered perspective. In Vittersø, J. (Ed.), Handbook of Eudaimonic Well-Being (pp 427–436). Switzerland: Springer.CrossRefGoogle Scholar
Fleming, P.J. and Agnew-Brune, C. (2015). Current trends in the study of gender norms and health behaviors. Current Opinion in Psychology, 5, 72–77. doi:10.1016/j.copsyc.2015.05.001CrossRefGoogle Scholar
Fredrickson, B.L. et al. (2015). Psychological well-being and he human conserved transcriptional response to adversity. PLoS ONE, 10(3), e0121839. doi:10.1371/journal.pone.0121839CrossRefGoogle Scholar
Gleason, M.E.J. and Lida, M. (2015). Social support. In Mikulincer, M., Shaver, P.R., Simpson, J.A. and Dovidio, J.F. (Eds.), APA handbook of personality and social psychology, Vol. 3: Interpersonal relations (pp. 351–370). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Hill, P.L. and Turiano, N.A. (2014). Purpose in life as a predictor of mortality across adulthood. Psychological Science, 25, 1482–1486. doi:10.1177/0956797614531799CrossRefGoogle ScholarPubMed
Holt-Lunstad, J., Smith, T B. and Layton, J.B. (2010). Social relationships and mortality risk: a meta-analytic review. PLoS Med, 7(7), e1000316. doi:10.1371/journal.pmed.1000316CrossRefGoogle ScholarPubMed
Hosseinpoor, A.R. et al. (2012) Social determinants of self-reported health in women and men: understanding the role of gender in population health. PLoS ONE, 7(4), e34799. doi:10.1371/journal.pone.0034799CrossRefGoogle ScholarPubMed
Josefsson, K., Andersson, M. and Erikstedt, A. (2016). Older adults’ self-rated health and differences by age and gender: a quantitative study. Healthy Aging Research, 5, 1. doi:10.12715/har.2016.5.1CrossRefGoogle Scholar
Karasawa, M. et al. (2011). Cultural perspectives on aging and well-being: a comparison of Japan and the United States. International Journal of Aging and Human Development, 73, 73–98. doi:10.2190/AG.73.1.dCrossRefGoogle ScholarPubMed
Kendig, H., Browning, C.J., Thomas, S.A. and Wells, Y. (2014). Health, lifestyle, and gender influences on aging well: an Australian longitudinal analysis to guide health promotion. Frontiers in Public Health, 2. doi:10.3389/fpubh.2014.00070CrossRefGoogle ScholarPubMed
Kim, E.S., Sun, J.K., Park, N. and Peterson, C. (2013). Purpose in life and reduced incidence of stroke in older adults: `The Health and Retirement Study'. Journal of Psychosomatic research, 74, 427–432. doi:10.1016/j.jpsychores.2013.01.013CrossRefGoogle ScholarPubMed
Lee, E.E. (2019). Aging successfully and healthfully. International Psychogeriatrics, 31, 439–441. doi:10.1017/S1041610219000012CrossRefGoogle ScholarPubMed
Li, R., Kao, C. and Wu, Y. (2015). Gender differences in psychological well-being: tests of factorial invariance. Quality of Life Research, 24, 2577–2581. doi:10.1007/s11136-015-0999-2CrossRefGoogle ScholarPubMed
Manandhar, M., Hawkes, S., Buse, K., Nosratid, E. and Magar, V. (2018). Gender, health and the 2030 agenda for sustainable development. Bulletin of the World Health Organization, 96, 644–653. doi:10.2471/BLT.18.211607CrossRefGoogle ScholarPubMed
Mao, X. and Han, W. (2018). Living arrangements and older adults’ psychological well‐being and life satisfaction in China: does social support matter? Family Relations, 67, 567–584. https://doi.org/10.1111/fare.12326CrossRefGoogle Scholar
Matud, M.P. (1998). Social Support Scale [Database record]. PsycTESTS. doi:10.1037/t12441-000CrossRefGoogle Scholar
Matud, M.P., Ibañez, I., Marrero, R.J. and Carballeira, M. (2003). Diferencias en autoestima en función del género [Gender differences on self-esteem]. Análisis y Modificación de Conducta, 29, 51–78.Google Scholar
Matud, M.P., López-Curbelo, M. and Fortes, D. (2019). Gender and psychological well-being. International Journal of Environmental Research and Public Health, 16(19), 3531. doi:10.3390/ijerph16193531CrossRefGoogle ScholarPubMed
Meléndez, J.C., Tomás, J.M. and Navarro, E. (2011). Actividades de la vida diaria y bienestar y su relación con la edad y el género en la vejez [Activities of daily living and well-being and their relationship with age and gender in old age]. Anales de Psicología, 27, 164–169.Google Scholar
Moreno, P.I., Dooley, L.N. and Bower, J.E. (2018). Unique associations of eudaimonic and hedonic wellbeing with psychosocial adjustment in breast cancer survivors, Journal of Psychosocial Oncology, 36, 649–657. doi:10.1080/07347332.2018.1471564CrossRefGoogle ScholarPubMed
Orth, U. (2017). The lifespan development of self-esteem. In Specht, J. (Ed.), Personality Development Across the Lifespan (pp. 181–195). London: Elsevier.CrossRefGoogle Scholar
Orth, U. and Robins, R.W. (2014). The development of self-esteem. Current Directions in Psychological Science, 23, 381–387. doi:10.1177/0963721414547414CrossRefGoogle Scholar
Orth, U., Erol, R.Y. and Luciano, E.C. (2018). Development of self-esteem from age 4 to 94 years: a meta-analysis of longitudinal studies. Psychological Bulletin, 144, 1045–1080. doi:10.1037/bul0000161CrossRefGoogle ScholarPubMed
Perrig-Chiello, P. and Hutchison, S. (2010). Health and well-being in old age: the pertinence of a gender mainstreaming approach in research. Gerontology, 56, 208–213. doi:10.1159/000235813CrossRefGoogle ScholarPubMed
Ryan, R.M. and Deci, E.L. (2001). On happiness and human potentials: a review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–166. doi:10.1146/annurev.psych.52.1.141CrossRefGoogle Scholar
Ryff, C.D. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57, 1069–1081. doi:10.1037/0022-3514.57.6.1069CrossRefGoogle Scholar
Ryff, C.D. (2013). Eudaimonic well-being and health: mapping consequences of self-realization. In Waterman, A. S. (Ed.), The Best Within Us: Positive Psychology Perspectives on Eudaimonia (pp. 77–98). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Ryff, C.D. (2014). Psychological well-being revisited: advances in the science and practice of eudaimonia. Psychotherapy and Psychosomatics, 83, 10–28. doi:10.1159/000353263CrossRefGoogle ScholarPubMed
Ryff, C.D. and Keyes, C.L. (1995). The structure of psychological well-being revisited. Journal of Personality and Social Psychology, 69, 719–727. doi:10.1037/0022-3514.69.4.719CrossRefGoogle ScholarPubMed
Steptoe, A., Deaton, A., Stone, A.A. (2015). Subjective wellbeing, health, and ageing. Lancet, 385, 640–648. doi:10.1016/S0140-6736(13)61489-0CrossRefGoogle ScholarPubMed
Stokes, J.E. (2019). Social integration, perceived discrimination, and self-esteem in mid- and later life: intersections with age and neuroticism. Aging & Mental Health, 23, 727–735. doi:10.1080/13607863.2018.1450834CrossRefGoogle ScholarPubMed
Tu, Y. and Yang, Z. (2016). Self-control as mediator and moderator of the relationship between social support and subjective well-being among the Chinese elderly. Social Indicators Research, 126, 813–828. doi:10.1007/s11205-015-0911-zCrossRefGoogle Scholar
Vafaei, A., Ahmed, T., Freire, A.N.F., Zunzunegui, M.V. and Guerra, R.O. (2016). Depression, sex and gender roles in older adult populations: the international mobility in aging study (IMIAS). PLoS ONE, 11(1), e0146867.doi:10.1371/journal. pone.0146867CrossRefGoogle Scholar
Van Dierendonck, D., Díaz, D., Rodríguez-Carvajal, R., Blanco, A. and Moreno-Jiménez, B. (2008). Ryff’s six-factor model of psychological well-being, a Spanish exploration. Social Indicators Research, 87, 473–479. doi:10.1007/s11205-007-9174-7CrossRefGoogle Scholar
Vivaldi, F. and Barra, E. (2012). Bienestar psicológico, apoyo social percibido y percepción de salud en adultos mayores. [Psychological well-being, perceived social support and health perception among older adults]. Terapia Psicológica, 30, 23–29. doi:10.4067/S0718-48082012000200002CrossRefGoogle Scholar
Von Soest, T., Wagner, J., Hansen, T. and Gerstorf, D. (2018). Self-esteem across the second half of life: the role of socioeconomic status, physical health, social relationships, and personality factors. Journal of Personality and Social Psychology, 114, 945–958. doi:10.1037/pspp0000123CrossRefGoogle ScholarPubMed
Whitley, B.E. (1983). Sex-role orientation and self-esteem: a critical meta-analytic review. Journal of Personality and Social Psychology, 44, 765–778. doi:10.1037/0022-3514.44.4.765CrossRefGoogle ScholarPubMed
Whitley, B.E. (1985). Sex-role orientation and psychological well-being: two meta-analyses. Sex Roles, 12, 207–225. doi:10.1007/BF00288048CrossRefGoogle Scholar
World Health Organization. (1948). Preamble to the Constitution of the World Health Organization. In Official records of the World Health Organization, No. 2 (p. 100). Geneva. Downloaded from https://apps.who.int/iris/bitstream/handle/10665/85573/Official_record2_eng.pdf;jsessionid=D1A99231305DE112C21C095B503DB9B5?sequence=1Google Scholar
World Health Organization. (2010). Gender, Women and Primary Health Care Renewal: A Discussion Paper. Geneva: World Health OrganizationGoogle Scholar
World Health Organization. (2019). World Health Statistics 2019: Monitoring Health for the SDGs, Sustainable Development Goals. Geneva: World Health Organization.Google Scholar
Worell, J. (1978). Sex roles and psychological well-being: perspectives on methodology. Journal of Consulting and Clinical Psychology, 46, 777–791. doi:10.1037/0022-006X.46.4.777CrossRefGoogle ScholarPubMed
Yoo, J. and Ryff, C.D. (2019). Longitudinal profiles of psychological well-being and health: findings from Japan. Frontiers in Psychology, 10:2746. doi:10.3389/fpsyg.2019.02746CrossRefGoogle Scholar
Zhang, D. et al. (2018). Meaning and its association with happiness, health and healthcare utilization: a cross-sectional study. Journal of Affective Disorders, 227, 795–802. doi:10.1016/j.jad.2017.11.082CrossRefGoogle ScholarPubMed