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Full-Length Research Report

The Impact of Social and Interpersonal Resources on Adjustment Disorder Symptoms in Older Age

Motivational Variables as Mediators?

Published Online:January 22, 2011https://doi.org/10.1024/1662-9647/a000022

Abstract

This study investigates self-efficacy and motivation regulation as possible mediators of the relationship between social and interpersonal resources (i.e., social network, social support, social acknowledgment as a victim, and disclosure) and adjustment disorder (AJD) symptoms in a sample of 121 adults aged 65–97 years. AJD was conceptualized as a form of stress-response syndrome, core symptoms of which are intrusions, avoidance, and failure to adapt after having experienced a critical event. Motivational variables mediated the relationship between social acknowledgment and AJD symptoms. Contrary to expectations, motivational variables were not found to mediate the link between reluctance to disclose and AJD symptoms. This study casts new light on the psychological processes that enable older adults to adjust to critical life events and to exhibit resilience, which is important for successful aging.

References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., revised). Washington, DC: APA. First citation in articleGoogle Scholar

  • Antonucci, T. C. (2001). Social relations: An examination of social networks, social support, and sense of control. In J. E. Birren, (Ed.), Handbook of the psychology of aging (5th ed., pp. 427–453). San Diego, CA: Academic Press. First citation in articleGoogle Scholar

  • Antonucci, T. C., Jackson, J. S. (1987). Social support, interpersonal efficacy, and health: A life course perspective. In L. L. Carstensen B. A. EdelsteinEds., Handbook of clinical gerontology (pp. 291–311). Elmsford, NY: Pergamon. First citation in articleGoogle Scholar

  • Antonucci, T. C., Fuhrer, R., Dartigues, J. (1997). Social relations and depressive symptomatology in a sample of community-dwelling French older adults. Psychology and Aging, 12, 189–195. First citation in articleCrossref, Google Scholar

  • Avlund, K., Lund, R., Holstein, B. E., Due, P., Rantala, R. S., Heikkinen, R. L. (2004). The impact of structural and functional characteristics of social relations as determinants of functional decline. Journal of Gerontology, 59b, 44–51. First citation in articleCrossref, Google Scholar

  • Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191–215. First citation in articleCrossref, Google Scholar

  • Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman. First citation in articleGoogle Scholar

  • Bandura, A. (1998). Personal and collective efficacy in human adaptation and change. In J. G. Adair, (Ed.), Advances in psychological sciences, Vol. 1: Social, personal, and cultural aspects (pp. 51–71). Hove, UK: Psychology Press/Erlbaum. First citation in articleGoogle Scholar

  • Baron, R. M., Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182. First citation in articleCrossref, Google Scholar

  • Beck, A. T., Rush, A. J., Shaw, B. F., Emery, G. (1987). Cognitive therapy of depression. New York: Guilford. First citation in articleGoogle Scholar

  • Beckmann, J., Kellmann, M. (2004). Self-regulation and recovery: Approaching an understanding of the process of recovery from stress. Psychological Reports, 95, 1135–1153. First citation in articleGoogle Scholar

  • Benight, C. C., Bandura, A. (2004). Social cognitive theory of posttraumatic recovery: The role of perceived self-efficacy. Behavior Research and Therapy, 42, 1129–1148. First citation in articleCrossref, Google Scholar

  • Benight, C. C., Harper, M. L. (2002). Coping self-efficacy perceptions as a mediator between acute stress response and long-term distress following natural disasters. Journal of Traumatic Stress, 15, 177–186. First citation in articleCrossref, Google Scholar

  • Berkman, L. F., Glass, T., Brissette, I., Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51, 843–857. First citation in articleCrossref, Google Scholar

  • Bisconti, T. L., Bergeman, C. S. (1999). Perceived social control as a mediator of the relationships among social support, psychological well-being, and perceived health. Gerontologist, 39, 94–103. First citation in articleCrossref, Google Scholar

  • Bley, S., Einsle, F., Maercker, A., Weidner, K., Joraschky, P. (2008). Anpassungsstörungen: Die Erprobung eines neuen diagnostischen Konzepts in einem ambulanten psychosomatischen Setting [Adjustment disorders: The exploration of a new diagnostic concept in an outpatient psychosomatic setting]. Psychotherapie, Psychosomatik & medizinische Psychologie, 58, 446–453. First citation in articleCrossref, Google Scholar

  • Casey, P., Dowick, C., Wilkinson, G. (2001). Adjustment disorders. Fault line in the psychiatric glossary. British Journal of Psychiatry, 179, 479–481. First citation in articleGoogle Scholar

  • Cordova, M. J., Cunningham, L. L. C., Carlson, C. R., Andrykowski, M. A. (2001). Social constraints, cognitive processing, and adjustment to breast cancer. Journal of Consulting and Clinical Psychology, 69, 706–711. First citation in articleCrossref, Google Scholar

  • Dalgard, O. S., Lund Haheim, L. (1998). Psychosocial risk factors and mortality: A prospective study with special focus on social support, social participation, and locus of control in Norway. Journal of Epidemiology and Community Health, 52, 476–481. First citation in articleCrossref, Google Scholar

  • Dobricki, M., Komproe, I. H., de Jong, J. T. V. M., Maercker, A. (2009). Adjustment disorders after severe life-events in four postconflict settings. Social Psychiatry and Psychiatric Epidemiology, 45, 39–46. First citation in articleCrossref, Google Scholar

  • Due, P., Holstein, B., Lund, R., Modvig, J., Avlund, K. (1999). Social relations: Network, support and relational strain. Social Science & Medicine, 48, 661–673. First citation in articleCrossref, Google Scholar

  • Esterling, B. A., L’Abate, L., Murray, E. J., Pennebaker, J. W. (1999). Empirical foundations for writing in prevention and psychotherapy: Mental and physical health outcomes. Clinical Psychology Review, 19, 79–96. First citation in articleCrossref, Google Scholar

  • Fiori, K. L., McIlvane, J. M., Brown, E. E., Antonucci, T. C. (2006). Social relations and depressive symptomatology: Self-efficacy as a mediator. Aging and Mental Health, 10, 227–239. First citation in articleCrossref, Google Scholar

  • First, M. B., Spitzer, R. L., Gibbon, M., Williams, J. B. (1997). Structured Clinical Interview for DSM-IV Axis I Disorders, clinician version. Washington, DC: American Psychiatric Publishing. First citation in articleGoogle Scholar

  • Forstmeier, S., Rüddel, H. (2007). Improving volitional competence is crucial for the efficacy of psychosomatic therapy: A controlled clinical trial. Psychotherapy and Psychosomatics, 76, 89–96. First citation in articleCrossref, Google Scholar

  • Furukawa, T. A., Harai, H., Hirai, T., Kitamura, T., Takahashi, K. (1999). Social Support Questionnaire among psychiatric patients with various diagnoses and normal controls. Social Psychiatry and Psychiatric Epidemiology, 34, 216–222. First citation in articleCrossref, Google Scholar

  • Fydrich, T., Geyer, M., Hessel, A., Sommer, G., Brähler, E. (1999). Fragebogen zur Sozialen Unterstützung (F-SozU): Normierung an einer repräsentativen Stichprobe [Social Support Questionnaire (F-SozU): Norms from a representative sample]. Diagnostica, 45, 212–216. First citation in articleLink, Google Scholar

  • Fydrich, T., Sommer, G., Menzel, U., Höll, B. (1987). Fragebogen zur Sozialen Unterstützung (Kurzform; SOZU-K-22) [Social Support Questionnaire (short form)]. Zeitschrift für Klinische Psychologie, 16, 434–436. First citation in articleGoogle Scholar

  • Gidron, Y., Peri, T., Connolly, J. F., Shalev, A. Y. (1996). Written disclosure in posttraumatic stress disorder: Is it beneficial for the patients? Journal of Nervous and Mental Disorders, 184, 505–507. First citation in articleCrossref, Google Scholar

  • Hardy, S. E., Concato, J., Gill, T. M. (2002). Stressful life events among community-living older persons. Journal of General Internal Medicine, 17, 841–847. First citation in articleCrossref, Google Scholar

  • Holohan, C. K., Holohan, C. J. (1987). Self-efficacy, social support, and depression in aging: A longitudinal analysis. Journal of Gerontology, 42, 65–68. First citation in articleCrossref, Google Scholar

  • Horowitz, M. J. (1997). Stress response syndromes (3rd ed.). Northvale, NJ: Aronson. First citation in articleGoogle Scholar

  • Jones, B., Müller, J., Maercker, A. (2006). Trauma and posttraumatic reactions in German development aid workers: Prevalences and relationship to social acknowledgment. International Journal of Social Psychiatry, 52, 91–100. First citation in articleCrossref, Google Scholar

  • Jopp, D., Rott, C. (2006). Adaptation in very old age: Exploring the role of resources, beliefs, and attitudes for centenarians’ happiness. Psychology and Aging, 21, 266–280. First citation in articleCrossref, Google Scholar

  • Kalbe, E., Kessler, J., Calabrese, P., Smith, R., Passmore, A. P., Brand, M., Bullock, R. (2004). DemTect: A new, sensitive cognitive screening test to support the diagnosis of mild cognitive impairment and early dementia. International Journal of Geriatric Psychiatry, 19, 136–143. First citation in articleCrossref, Google Scholar

  • Krueger, N. F., Jr., Dickson, P. R. (1993). Self-efficacy and perceptions of opportunities and threats. Psychological Reports, 72, 1235–1240. First citation in articleGoogle Scholar

  • Kuhl, J. (2000). A functional-design approach to motivation and self-regulation. In M. Boekaerts P. R. Pintrich M. ZeidnerEds., Handbook of self-regulation (pp. 111–169). San Diego, CA: Academic Press. First citation in articleCrossref, Google Scholar

  • Kuhl, J., Fuhrmann, A. (1998). Decomposing self-regulation and self-control: The Volitional Components Inventory. In J. Heckhausen C. S. DweckEds., Motivation and self-regulation across the life span (pp. 15–49). Cambridge, UK: Cambridge University Press. First citation in articleCrossref, Google Scholar

  • Lepore, S. J., Silver, R., Wortman, C. B., Waymont, H. A. (1996). Social constraints, intrusive thoughts, and depressive symptoms among bereaved mothers. Journal of Personality and Social Psychology, 70, 271–282. First citation in articleCrossref, Google Scholar

  • Luszczynska, A., Gutiérrez-Dona, B., Schwarzer, R. (2005). General self-efficacy in various domains of human functioning: Evidence from five countries. International Journal of Psychology, 40, 80–89. First citation in articleCrossref, Google Scholar

  • Mackinnon, D. P., Dwyer, J. H. (1993). Estimating mediated effects in prevention studies. Evaluation Review, 17, 144–158. First citation in articleCrossref, Google Scholar

  • Maercker, A., Müller, J. (2004). Social acknowledgment as a victim or survivor: A scale to measure a recovery factor of PTSD. Journal of Traumatic Stress, 17, 345–351. First citation in articleCrossref, Google Scholar

  • Maercker, A., Einsle, F., Köllner, V. (2007). Adjustment disorders as stress response syndromes: A new diagnostic concept and its first exploration in a medical sample. Psychopathology, 40, 135–146. First citation in articleCrossref, Google Scholar

  • Maercker, A., Forstmeier, S., Enzler, A., Krüsi, G., Helfenstein, E., Hörler, E. , ... Ehlert, U. (2008). Adjustment disorders, posttraumatic stress disorder, and depressive disorders in old age: Findings from a community survey. Comprehensive Psychiatry, 49, 113–120. First citation in articleCrossref, Google Scholar

  • Maughan, B., Rutter, M. (1997). Retrospective reporting of childhood adversity: Issues in assessing long-term recall. Journal of Personality Disorders, 11, 19–33. First citation in articleCrossref, Google Scholar

  • McCrae, R. R., Costa, P. T. (1988). Psychological resilience among widowed men and women: A 10-year follow-up of a national sample. Journal of Social Issues, 44, 129–142. First citation in articleCrossref, Google Scholar

  • Mendes de Leon, C. F., Glass, T., Beckett, L. A., Seeman, T. E., Evans, D. A., Berkman, L. F. (1999). Social networks and disability transitions across eight intervals of yearly data in the New Haven EPESE. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 54, 162–172. First citation in articleCrossref, Google Scholar

  • Müller, J., Beauducel, A., Raschka, J., Maercker, A. (2000). Kommunikationsverhalten nach politischer Haft in der DDR. Entwicklung eines Fragebogens zum Offenlegen der Traumaerfahrungen [Communication behavior after political imprisonment in the GDR: Development of a questionnaire on disclosure of trauma experiences]. Zeitschrift für Politische Psychologie, 4, 413–427. First citation in articleGoogle Scholar

  • Müller, J., Moergeli, H., Maercker, A. (2008). Disclosure and social acknowledgment as predictors of recovery from posttraumatic stress: A longitudinal study in crime victims. Canadian Journal of Psychiatry, 53, 160–168. First citation in articleCrossref, Google Scholar

  • Pennebaker, J. W. (1993). Putting stress into words: Health, linguistic, and therapeutic implications. Behavioral Research and Therapy, 31, 539–548. First citation in articleCrossref, Google Scholar

  • Rholes, W. S., Michas, L., Shroff, J. (1989). Action control as a vulnerability factor in dysphoria. Cognitive Therapy and Research, 13, 263–274. First citation in articleCrossref, Google Scholar

  • Russell, D. W., Cutrona, C. E. (1991). Social support, stress, and depressive symptoms among the elderly: Test of a process model. Psychology and Aging, 6, 190–201. First citation in articleCrossref, Google Scholar

  • Scholz, U., Gutierrez Dona, B., Sud, S., Schwarzer, R. (2002). Is general self-efficacy a universal construct? Psychometric findings from 25 countries. European Journal of Psychological Assessment, 18, 242–251. First citation in articleLink, Google Scholar

  • Seagal, D. L., Bogaards, J. A., Becker, L. A., Chatman, C. (1999). Effects on emotional expression on adjustment to spousal loss among older adults. Journal of Mental Health and Aging, 5, 297–310. First citation in articleGoogle Scholar

  • Smith, G. C., Kohn, S. J., Savage-Stevens, S. E., Finch, J. J., Ingate, R., Lim, Y. (2000). The effects of interpersonal and personal agency on perceived control and psychological well-being. Gerontologist, 40, 458–468. First citation in articleCrossref, Google Scholar

  • Smith, K. P., Christakis, N. A. (2008). Social networks and health. Annual Review of Sociology, 34, 405–429. First citation in articleCrossref, Google Scholar

  • Sobel, M. E. (1982). Asymptotic intervals for indirect effects in structural equation models. In S. Leinhart, (Ed.), Sociological methodology (pp. 290–313). San Francisco, CA: Jossey-Bass. First citation in articleCrossref, Google Scholar

  • Solomon, Z., Benbenishty, R., Mikulincer, M. (1991). The contribution of war time, prewar, and postwar factors to self-efficacy: A longitudinal study of combat stress reaction. Journal of Traumatic Stress, 4, 345–361. First citation in articleCrossref, Google Scholar

  • Strain, J. J., Smith, G. C., Hammer, J. S., McKenzie, D. P., Blumenfield, M., Muskin, P. , ... Schleifer, S. S. (1998). Adjustment disorder: A multisite study of its utilization and interventions in the consultation-liaison psychiatry setting. General Hospital Psychiatry, 20, 139–149. First citation in articleCrossref, Google Scholar

  • Stroebe, M., Stroebe, W., Schut, H., Zech, E., van den Bout, J. (2002). Does disclosure of emotions facilitate recovery from bereavement? Evidence from two prospective studies. Journal of Consulting and Clinical Psychology, 70, 169–178. First citation in articleCrossref, Google Scholar

  • Tedeschi, R. G., Calhoun, L. G. (2004). Posttraumatic growth: Conceptual foundations and empirical evidence. Psychological Inquiry, 15, 1–18. First citation in articleCrossref, Google Scholar

  • Uchino, B. N. (2009). What a lifespan approach might tell us about why distinct measures of social support have differential links to physical health. Journal of Social and Personal Relationships, 26, 53–62. First citation in articleCrossref, Google Scholar

  • Ware, J. E., Kosinski, M., Keller, S. D. (1996). A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220–233. First citation in articleCrossref, Google Scholar