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Am J Geriatr Psychiatry 5:43-53, February 1997
© 1997 American Association for Geriatric Psychiatry
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Regular Article

Psychosocial Predictors of Mental Health in a Population of Elderly Women Test of an Explanatory Model

David Bienenfeld, M.D., Harold G. Koenig, M.D., M.H.Sc, David B. Larson, M.D., M.S.P.H., and Kimberly A. Sherrill, M.D., M.P.H.

The understanding of adjustment to aging calls for models that illustrate the interaction of psychosocial and health factors. The authors surveyed a group of retired Catholic sisters, examining the contributions of psychosocial f actors and religiousness to life satisfaction, psychological distress, and depression. Life satisfaction was best explained by a four-factor model that included mastery, social support, physical functioning, and religious commitment. General level of distress was best predicted by physical functioning, social support, and mastery, but not religiousness. Depression, on the other hand, was predicted by mastery, social support, and religious commitment. These data are consistent with a proposed model in which internal, external, and coping resources mediate the psychological impact of impaired functional status.




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