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What makes you good and happy? Effects of internal and external resources to adaptation and psychological well-being for the disabled elderly in Taiwan
- Authors:
- HSU Hui-Chuan, TUNG Ho-Jui
- Journal article citation:
- Aging and Mental Health, 14(7), September 2010, pp.851-860.
- Publisher:
- Taylor and Francis
This study explores the reasons why some elderly people can adapt to disability and maintain a high degree of psychological well-being by investigating the effect of internal adaptation and external resources on psychological well-being. Data were collected by face-to-face interviews with physically disabled elderly people, including institutional and community-based long-term care service users in middle Taiwan. The number of persons interviewed was 563, of whom 505 completed the survey and met the disability criteria. Internal resources (coping strategies and self-management of health) and external resources (social support and environmental support) were hypothesised to be related to difficulty in adapting to disability, and had a further impact on depressive symptoms and life satisfaction. The results showed that acceptance-action coping strategies were beneficial in the adaptation process and in psychological well-being, and self-management of health was positively related to successful adaptation. Social support and environmental support were beneficial to adaptation and psychological well-being, although the effects were modest. In general, the effect of internal resources was larger than the external resources to adaptation and psychological well-being.