Well-Being and Institutional Care in Older Adults: Cross-Sectional and Time Effects of Provided and Received Support

PLoS One. 2016 Aug 22;11(8):e0161328. doi: 10.1371/journal.pone.0161328. eCollection 2016.

Abstract

Background: The aim of the study was to examine the cross-sectional and longitudinal effects of provided and received support on older adults' subjective well-being (positive affect and depression) and to examine whether being a recipient of institutional care moderates these effects.

Methods: Social support (provided and received), positive affect, and depressive symptoms were assessed twice (at baseline and 1 month later) for 277 older adults (age 77.39 ± 9.20 years, 67.50% women, 65% residents of an institutional care facility).

Findings: Two structural equation models were analyzed: cross-sectional (at baseline) and longitudinal (after 1 month). The first model revealed a significant positive relationship between providing and receiving support and positive affect, and a negative relationship between receiving support and depression. However, being a recipient of institutional care appeared to be a significant moderator in the longitudinal model. Specifically, the findings indicated effects of both providing and receiving support on positive affect but only for noninstitutionalized older adults.

Discussion: Although both types of support may be beneficial for older adults, their effects depend on the nature of social exchange and the dimensions of well-being. This suggests that such factors should be systematically investigated in future research.

MeSH terms

  • Affect / physiology*
  • Aged
  • Aged, 80 and over
  • Assisted Living Facilities
  • Community Networks
  • Cross-Sectional Studies
  • Depression / prevention & control
  • Depression / psychology*
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Quality of Life / psychology*
  • Social Support*

Grants and funding

The study was supported by a grant from the Polish Ministry of Education and Science for University of Social Sciences and Humanities statutory research (Grant No. 25504/E-560/M/2013), AK. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.