Health  Vol.5 No.4 , April 2013
Meaning in life and well-being of older stroke survivors in Chinese communities: Mediating effects of mastery and self-esteem
ABSTRACT

The study aims to examine the role of mastery and self-esteem as a potential mediator of the relationship of meaning in life and well-being among older Chinese stroke survivors. A cross-sectional study was conducted in 214 community-dwelling older stroke survivors (128 men and 86 women), ranging from 60 years to 88 years old. The meaning in life, mastery, self-esteem and subjective well-being were measured. The results indicated that: 1) The meaning in life and subjective well-being of stroke survivors were significantly positive correlated; 2) Mastery and self-esteem played partial mediating roles between existential vacuum and subjective well-being; Self-esteem played full a mediating role between suffer acceptance and subjective well-being; Mastery played a full mediating role between life control and subjective well-being; Mastery played a partial mediating role between death acceptance and subjective well-being; Self-esteem also played a partial mediating role between mastery and subjective well-being.


Cite this paper
Shao, J. , Shen, J. , Zhang, Q. and Lin, T. (2013) Meaning in life and well-being of older stroke survivors in Chinese communities: Mediating effects of mastery and self-esteem. Health, 5, 743-748. doi: 10.4236/health.2013.54098.
References
[1]   Clarke, P.J. and Black, S.E. (2005) Quality of life following stroke: Negotiating disability, identity, and resources. Journal of Applied Gerontology, 24, 319-336. doi:10.1177/0733464805277976

[2]   Wang, Y.J. (2004) Stroke unit. Scientific and Technological Literature Publishing House, Beijing.

[3]   Yin, L. (2008) 2007 year book of health in the People’s Republic of China. People’s Medical Publishing House, Beijing.

[4]   Su, D.F. (2008) Stroke prevention from perspective of basic research. Chinese Journal of Geriatric Heart Brain and Vessel Diseases, 10, 86-87.

[5]   Wilson, I.B. and Cleary, P.D. (1995) Linking clinical variables with health-related quality of life: A conceptual model of patient outcomes. Journal of the American Medical Association, 273, 59-65. doi:10.1001/jama.1995.03520250075037

[6]   Shao, J.J., Shen, J.L., Lin, T., et al. (2010) Relationship between compliance and quality of life of senior survivors of stroke in the community. Chinese Journal of Clinical Psychology, 18, 622-625.

[7]   Clarke, P. (2009) Understanding the experience of stroke: A mixed-method research ageda. The Gerontologist, 49, 293-302. doi:10.1093/geront/gnp047

[8]   Reker, G.T., Peacock, E.J. and Wong, E.T. (1987) Meaning and purpose in life and well-being: A life-span perspective. Journal of Gerontology, 42, 44-49. doi:10.1093/geronj/42.1.44

[9]   Frankl, V.E. (1963) Man’s search for meaning: An introduction to logotherapy. Pocket Books, New York.

[10]   Li, H. (2006) Self-transcendence meaning of life moderates in the relation between college stress and psychological well-being. Acta Psychological Sinica, 38, 422- 427.

[11]   Zika, S. and Chamberlain, K. (1992) On the relation between meaning in life and subjective well-being. British Journal of Psychology, 83, 133-145. doi:10.1111/j.2044-8295.1992.tb02429.x

[12]   Affleck, G., Tennen, H., Croog, S., et al. (1987) Causal attribution, perceived benefits, and morbidity after a heart attack: An 8-year study. Journal of Consulting and Clinical Psychology, 55, 29-35. doi:10.1037/0022-006X.55.1.29

[13]   Jim, H.S. and Andersen, B.L. (2007) Meaning in life mediates the relationship between social and physical functioning and distress in cancer survivors. British Journal of Health Psychology, 12, 363-381. doi:10.1348/135910706X128278

[14]   Thomoson, N.J., Coker, J., Krause, J. and Henry, E. (2003) Purpose in life as a mediator of adjustment after Spinal Cord Injury. Rehabilitation Psychology, 48, 100-108. doi:10.1037/0090-5550.48.2.100

[15]   Ho, M.Y., Cheung, F.M. and Cheung, S.F. (2010) The role of meaning in life and optimism in promoting well-being. Personality and Individual Differences, 48, 658- 663. doi:10.1016/j.paid.2010.01.008

[16]   Zhang, S.Y., Xu, Y. and Yang, H.K. (2010) The connotation, measurement and function of meaning in life. Advances in Psychological Science, 18, 1756-1761.

[17]   Taylor, S.E. (1983) Adjustment to threatening events: Theory of cognitive adaptation. American Psychologist, 38, 1161-1173. doi:10.1037/0003-066X.38.11.1161

[18]   Champion, V., Williams, S.D., Miller, A., et al. (2007) Quality of life in long-term survivors of ovarian germ cell tumors: A gynecologic oncology group study. Gynecologic Oncology, 105, 687-694. doi:10.1016/j.ygyno.2007.01.042

[19]   Fung, L.C.L., Liu, M.L. and Chau, J.P. (2006) Relationship between self-esteem and the occurrence of depression following a stroke. Journal of Clinical Nursing, 15, 505-506. doi:10.1111/j.1365-2702.2006.01328.x

[20]   Keppel, C.C. and Crowe, S.F. (2000) Changes to body image and self-esteem following stroke in young adults. Neuropsychological Rehabilitation, 10, 15-31. doi:10.1080/096020100389273

[21]   Das, A.K. (1998) Frankl and the realm of meaning. Journal of Humanistic Education and Development, 36, 199- 211. doi:10.1002/j.2164-4683.1998.tb00392.x

[22]   Janoff-Bulman, R. (1992) Shattered assumptions: Towards a new psychology of trauma. Free Press, New York.

[23]   Forbes, D.A. (2001) Enhancing mastery and sense of coherence important determinants of health in older adults. Geriatric Nursing, 22, 29-32. doi:10.1067/mgn.2001.113532

[24]   Fife, B.L. (2005) The role of constructed meaning in adaptation to the onset of life-threatening illness. Social Science and Medicine, 61, 2132-2143. doi:10.1016/j.socscimed.2005.04.026

[25]   Nilsson, L., Jansson, L. and Norberg, A. (1999) Crisis phenomena after stoke reflected in an existential perspective. International Journal of Aging and Human Development, 49, 259-277. doi:10.2190/UUAE-TQ52-LUQ3-JVLR

[26]   Ellis-Hill, C.S., Payne, S. and Ward, C. (2000) Self-body split: Issues of identity in physical recovery following a stroke. Disability and Rehabilitation, 22, 725-733. doi:10.1080/09638280050191990

[27]   Wu, Y.S. (2009) Development of meaning in life scale for terminal cancer patients. Master Thesis, Guangxi Medical University, Nanning.

[28]   Shao, J.J. (2011) The relationship between meaning in life and well-being in older adult stroke survivors. Ph.D. Thesis, Beijing Normal University, Beijing.

[29]   Ho, Y.C. (1990) The life attitude profile: A study of reliability and validity. Bulletin of National Taiwan Normal University, 35, 71-94.

[30]   Pearlin, L.I. and Schooler, C. (1978) The structure of coping. Journal of Health and Social Behavior, 24, 2-15. doi:10.2307/2136319

[31]   Rosenberg, M. (1965) Self-esteem scale. In: Wang, X.D. and Wang, X.L., Eds., Rating Scales for Mental Health, Chinese Mental Health Journal, Beijing, 318-320.

[32]   Diener, E., Diener, M. and Diener, C. (1995) Factors predicting the subjective well-being of nations. Journal of Personality and Social Psychology, 68, 653-663. doi:10.1037/0022-3514.68.4.653

[33]   Hau, K.T., Wen, Z.L. and Chen, Z.J. (2004) Structural equation model and its applications. Educational Science Publishing House, Beijing.

[34]   Baron, R.M. and 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. doi:10.1037/0022-3514.51.6.1173

 
 
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