Professional Documents
Culture Documents
by
Eyal Bodens tein
A t h e s i s s u b m i t t e d t o t h e Faculty of Graduate
Studies in partial fulfilment of the requirements
for the degree of
Doctor of Philosophy
Key Words
Elderly, Existential Coping, Hassles, Well-Being
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by E y a l Bodens t e i n
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Adulthood .................................... .6
4 . The Choice of Existential coping Styles in the
Presen Study . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Literature Review . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
1 . Religiosity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
2 . Meaningfulness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
3 . Optimism/Hope ................................ 23
Hypotheses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4
Methodology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 5
1 . Sampling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 5
2 . S a m p l e S i z e .................................. 36
3 . Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
A . Sociodemographic Data . . . . . . . . . . . . . 36
B . Daily Kassles . . . . . . . . . . . . . . . . . . . . . 32
C . Spirituality . . . . . . . . . . . . . . . . . . . . . .39
D . Optimism . . . . . . . . . . . . . . . . . . . . . . . . . . 40
v
E . Meaningfulness . . . . . . . . . . . . . . . . . . . . 41
F . Perceived Well Being . . . . . . . . . . . . . . 4 4
G . Objective Health Measures . . . . . . . . .45
H . Self Reported Memory Measure . . . . . .47
4. Procedure. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
5. Data Analyses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
VI1 . Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
1 . Demographics and Descriptive Statistics. . . . . . Sr
2 . Hypotheses Testing . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
2 . Simultaneous Regressions . . . . . . . . . . 87
3 . Interaction Effects . . . . . . . . . . . . . . . 90
vi
G . T h e Moderating Effect of the Three
viii
1 6 Regression of Perceived Well-Being on Hassle
Intensity, Optimisrn, Meaningfulness, and
Spirituality for Group 1............................86
17. Regression of Perceived Well-Being on Hassle
Intensity, Optimism, Meaningfulness, and
Spirituality for Group 2.........,..................86
18. Results of simultaneous multiple regression analysis
of total hassle scores, spirituality, optimism, and
meaningfulness on perceived well-being. . . . . . . . . . . . . . 88
19. Results of simultaneous multiple regression analysis
of hassle frequency, spirituality, optimism, and
rneaningfulness on perceived well-being. . . . . . . . . . . . . .88
20. Results of simultaneous multiple regression analysis
of hassle intensity, spirituality, optimism, and
meaningfulness on perceived well-being. . . . . . . . . . . . . . 89
21. Hierarchical Regression Analyses of the Contribution
of Hassle Intensity Score, Existential styles and
Interaction Terms for Predicting Perceived
Psychological Well-Being. . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
& Lazarus,
1982; Wagner, 1990), although there are exceptions (Rowlison
4
3. O p t i m i s m :
Prior to reviewing this existential coping resource, the
reader should be made aware that in this thesis a measure of
optimism was used. As is reviewed below, there is no clear
distinction between hope and optimism. Several measures
which p u r p o r t to assess hope could be utilized to assess
optimism. Moreover, hope has religious connotations and may
be confounded with spirituality. Therefore, optimism is a
preferred term as it is more secular. Although the measure
utilized in the present investigation assesses optimism,
most of the discussion below review hope. These issues are
elaborated on below.
Carver, 1985).
positively correlated.
VI. Methodolom:
1. Sampling
2. Sample S i z e
Sample size was calculated using power analysis (Cohen &
3. Instruments
(For complete questionnaires, see Appendix BI
A. Sociodemographic Data
S u b j e c t s provided their age, gender, education level,
B. Daily Hassles:
In the present study daily hassles were assessed using the
Hassle Scale-Elderly Fom (HS-EF,Vezina & Giroux, 1988).
This scale assessed hassle frequency and hassle intensity
separately in order to avoid confounding the external and
objective source of stress L e . , frequency) with the
interna1 and subjective reactions to it (Reich & Parrelia,
1988) . The HS-EF is based on the original 117 item Hassles
everyday affairs", and "1 feel there are many more important
things in life than religionn. The possible range of scores
is £rom zero to forty, with high scores indicating higher
levels of spirituality.
D. û p t i m i s m
Optimisrn was assessed by the Life Orientation Test (LOT,
Scheier & Carver, 1985). The LOT was preferred over other
eight items plus four filler items (to sornewhat disguise the
purpose of the test). However, the filler items were dropped
given the lengthy nature of the present investigation and
possible fatigue of respondents. Respondents were asked to
indicate their degree of agreement with each item, using the
following format: 4 = strongly agree, 3 = agree, 2 =
neutral, 1 = disagree, and O = strongly disagree. Four items
are worded positively (e-g.,"In uncertain times 1 usually
expect the bestn} and four items are worded negatively
(e.g., "If something can go wrong, it will"), The latter
were reversed p r i o r to scoring (Scheier & Carver, 1985).
Possible range of scores is from zero to 32, with higher
scores indicating greater optimism. Psychometric properties
reported by Scheier and C a r v e r (1985) included a Cronbach
alpha of -76 and test-retest reliability of .79 over a four
week period.
E. Meaningfulnees
The meaningfulness items were derived from the Orientation
to Life Questionnaire (OLQ) (Antonovsky, 1987). The OLQ was
developed through extensive interviews which inquired into
various aspects of the respondent's life. The transcribed
interviews were assessed by raters familiar with the
salutogenic mode1 and the SOC definition. Antonovsky
developed the 29-item OLQ comprised of 11 comprehensibility,
10 rnanageability, and 8 rneaningfulness items. The eight
F. Perceived Well-Being
Well-being was assessed by the Perceived Well-Being (PWB)
Scale (Reker & Wong, 1984). According to its authors "(t)he
priority) :
1. Arthritis and rheumatism 2. Hypertension 3. Limb and
Using this checklist, the more items endorsed the poorer the
health. Therefore, to indicate good health rather than poor
47 -
your memory whether or not you locked the house after you
are away for more than 10 minutes?". The SMQ simplified this
item to "After leaving, can he/she remember whether he/she
locked his/her door?". In order to lessen possible
confusion, in the present investigation this item was
reworded as: "After leaving your house or apartment, could
you remember whether or not you locked the door?"
E. Data Analyses
This was a correlational study since none of the variables
could be manipulated experimentally. First, descriptive
statistics were used to summarize information such as age,
gender, education level, marital status, place of residence,
and religion. Cornparison of the participating subject groups
according to site and gender were performed to determine
whether there were any significant differences in the
variables of interest and whether a l 1 data could be analyzed
together. Statistical analysis included calculations of
psychometric properties (e.g., homogeneity of variance,
Cronbachts alpha) . Finally, correlation matrices and
regression analyses were used to determine the relative
contribution of each of the predictor variables to perceived
well-being. Exploratory regression analyses were used to
determine whether interaction effects existed and, if so,
the extent of their influence.
V f I . Results
meaningfulness ( t = 2.24, p ~ 0 5 ) .
Table 1
M SD t P
Age
f emales 12.13
males 12.82
Health
fernales 3 -14
males 3 .18
Hassle frequency
females 20.61
males 17.94
Hassle intensity
fernales 25.35
males 24.18
Spirituality
Opt imism
females 20.45 4.11
Perceived well-being
Meaningfulness
Years of
Formal education
Health 1.70 16,82
Spirituality
Optimism 3.03 16,81
Perceived physical
Well-being 1.66 15,75
Perceived psychological
Well-being 3.25 16,77 O. OOOS
Table 3
Variable S 2 Prob> Z
Optimism 731.00 -1.10 .27
Perceived Psychological
Weil-Being
57
Optimism
old-01d 19.61 3.99
Perceived well-being
old-01d 70.91 10.35
Meaningfulness
old-01d 44 - 2 5
young-old 45.24
old-old 33.13
young-old 32.18
Table 5
t - t e s t procedures comparincr respondente from Seniorsr
Centres and Seniorsr Bousinq
Variable
Centres
Homes
Spirituality
Centres
Homes
Hassle intensity
Centres
Homes
Hassle frequency
Centres 21.52 12.35
/Cont i n u e d
Health
Centres
Homes
Optimism
Centres
Homes
Meaningfuiness
Centres
Homes
Mernory
Centres
Homes
Perceived well-being
Centres 72.43
The mean age of the sample was 75.28 years, ranging from 65
to 91 years (SD = 6.65 years) . The mean educational level
was 12.25 years of school (SD = 3.18 years), with 12 years
being equivalent to high school education. Marital status
included 50 per cent widowed individuals, followed by
married (20%), never married (18%), and separated/divorced
respondents (12%). Most respondents resided alone (75%),
followed by those living with their spouse (19%), with peers
( 4 % ) , and with their children (2%). The majority of
Variable M
Age 75.28
Education 12.25
Health 3.15
Hassle i n t e n s i t y 25.15
Spirituality 25-00
Optimism 20.18
Meaning 44.78
Memory 32.58
Table 7
2 . Hypotheses Testing
Educat ion
Health
Total Hassle
Score
Hassle
Frequency
Hassle
Intensity
Spirituality
Opt imism
PWB a
Physical
PWB
Psychological
PWB
Meaningfulness -.O7 .08
Memory .11 .23*
Hassle Hassle
Frequency Intensity Spirit. Optimism
P m
Hassle
Frequency --
Hassle
Intensity 89**+* --
Spirituality -.O3 - .O3 --
Optimism - .2S** - .30** .29**
PWB - .24* - .38*** .21*
Physical
PWB - .24* - .35*** .17
Psychological
PWB - .11 - .23* .17
Meaningfulness -.14 - .25** .25**
Memory -.O7 - .11 .17
Physical Psychological
PWB PWB Meaningf ulness
Physical
PWB
Psychological
PWB .38*** --
Meaningfulness .37*** -62""" --
Memory .14 .10 .25*
1. Stepwise Regressions:
Tables 9, 10, and II present the results of stepwise
regression analyses where perceived well-being was regressed
on the three Existential styles and one of three hassle
indices (total hassle score, frequency or intensity). These
tables report the standardized beta weight, total variance
and the partial variance in perceived well-being associated
with each variable. According to Table 9, when total hassle
score was included, a three-variable model was associated
with 47 per cent of the variance in perceived well-being,
58, pc. 0001,
F ( 3 , 83) = X , and consisted of optimism,
rneaningfulness, and total hassle score. Optimism and
rneaningfulness were positively associated with perceived
well-being while the total hassle score was negatively
related. No other variables contributed significantly to
this model. Standardized beta weights indicate optimisrn
contributed most to the variance. According to Table 10,
when hassle frequency was substituted for the total hassle
score, optimism and meaningfulness were associated with 45
Table 9
Reqression of Perceived W e l l - B e i n c r on Total hassle Scores,
3 TOTAL HASSLE
SCORE 0.02 0.47 -0.13
F ( 3 , 8 3 )=24.Sl, p c . 0001
Note. * * p ~ 0 1 .* * * * p c.0001.
Table 10
Reqression of Perceived W e l l - B e i n c r on Hassle Frecnrency,
F(2,84)=34.80, pc.0001
3 HASSLE
Table 12
3 TOTAL HASSLE
SCORE 0.06 0.45 -0.25*
F ( 3 , 39)=10.49, pc.0001
Note. * p <.OS. ** p c.01. *** p c.001.
T a b l e 13
F ( 2 , 4 1 ) =22.08, pc .O001
Note. **** p c.0001.
Table 14
Resression of Perceived Well-Beina on Hassle Frequency,
.-tirniam. Meanincrfulneas, and Sairitualitv for Group 1
step variable P a r t i a l R~ @ -
b
1 OPTIMISM 0.25 0.25 0.41"""
F ( 2 , 40)=12.44, pc.0001
Table 15
s t e ~ variable P a r t i a l R' -
b
1 OPTIMISM 0-48 0.48 O .53****
2 MEANINGFULNESS 0.04 0.52 0.25
F ( 2 , 4 1 ) =22 - 0 8 , ps .O001
Table 16
F ( 3 , 40)=Il.7 2 , p c . 0001
Table 1 7
R e c i r e a s i o n of Perceived Well-Beinct on Haasle Intensitv,
Optimisrn, Meanin~fulness, and Spirituality for Group 2
2. Simultaneous Regression:
Table 18
meanincrfulness on ~erceivedwell-beinq
Variable -
b P a r t i a l R*
TOTAL HASSLE
SCORE -0.14 O.03
Table 1 9
Results of simultaneous multiple resression analysis of
2
on perceived well-beinq
Variable -
b P a r t i a l lt2
HASSLE
FREQUENCY -0.08 0.01
on ~erceivedwell-beinq
Variable Partial R~
EZASSLE
INTENS1TY
SPIRITUALITY
OPTIMISM
MEANINGFULNESS
Variable b R~ R~ change
Step 1
HASSLE INTENSITY
Step 2
SPIRITUALITY
Step 3
OPTIMISM
Step 4
MEAINGFULNESS
Step 5
Variable R~ R~ change
Step 1
HASSLE INTENSITY
Step 2
SPIRITUALITY
Step 3
OPTIMISM
Step 4
MEANINGFULNESS
Step 5
M E A N I N G F W E S S -EiASSLE INTENSITY
Step 7
heal th
Variable
M
TOTAL HASSLE SCORE
Better 487.25 618 -40
HASSLE FREQUENCY
Better 17.13
Poorer 23.06
HASSLE INTENSITY
Better 19.33
Poorex 30.52
OPTIMISM
Better
Poorer
SPIRITUALITY
Better
Poorer
99
Variable b R2 change
Step 1
Step 2
Step 3
Step 4
Step 5
MEANINGFULNESS .2a 49**+* .06**
Table 2 5
Step 1
TOTAL HASSLE SCORE - .14 .09**
Step 2
OPTIMISM
Step 3
SPIRITUALITY
Step 4
MEANINGFULNESS
Predictors
3 TOTAL HASSLE
SCORE 0.02
F(3,83)=24.51, pc.0001
Non-symptomatic Hassles
s t e ~ variable Partial R' @
1 OPTIMISM 0.38 0.38
2 MEANING O. 07 0.45
F ( 2 , 8 5 )=34.98, p c . 0001
2 TOTAL KASSLE
SCORE 0.03
F(21,84)=l4.34, pc.0001
Non-syrnptomatic Hassles
s t e ~ variable Partial R~
1 OPTIMI SM 0.22
F ( 1 , 8 6 )=24.82, p c . 0001
Hassles S c a l e - Elderly F o r m
step variable Partial R~
1 MEANING 0.38 0.38
Non-symptomatic Hassles
s t e ~ variable Partial R~
1 MEANING 0-38 0.38
2 OPTIMISM O. 09 0.47
The nature of religious coping may also account for the very
weak correlations between spirituality and hassles.
According to Kim, Nesselroade, and Featherman (i996), much
of the research into religious coping in old age involved
treating this Existentid style as a trait-like set of
attributes, while little research has examined situational
determinants and short-term variations i .e. , state
attributes). Schaefer and Gorsuch (1993) demonstrated
variations in religious coping style based on individual
characteristics and situational factors. Kim and his
colleagues (1996) discovered intraindividual variation on
world views and religious beliefs of elderly persons ( M = 77
of meaningfulness-
being .
Well-Being
This investigation confirmed the prominence of health
concerns in l a t e li£e. Although cause and effect cannot be
established, it is possible that with deteriorating health
one might become l e s s optirnistic about the future and
perceive less meaningfulness in life. An alternate, albeit
less plausible interpretation of these correlations is that
greater optimism could reduce the frequency (and subsequent
reported intensity) of health related hassles. Indeed, there
are daims attesting to the powerful effects of optimism as
b o t h prophylactic and as a cure of illness. However, lacking
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Snyder, C.R., Harris, C., Anderson, J.R., Holleran,
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Langelle, C., & Harney, P. (1991). The will and the ways:
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~ V ,570-585.
Staats, S. (1989). Hope: A cornparison of two self
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Staats, S. (1991). Quality of life and affect in older
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Staats, S., & Partlo, C.I. (1993). A brief report on
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391
any t ime .
Signature
Date
Appendix B: Measures as Administered to Respondents
Educalron level:
a. primary school -
b. junior school -
c. high school -
d. coIlegelunivers~ty-
e. none -
Pas t occupation(s)
Marital status:
a. rnarried
a. living together (cornmon-law) -
a. widowed
a. separa tedld ivorced
a. never married -
Place o f residence:
a. alone -
b . with spouse
c . with significantother -
d. with children
e. with peer(s) (specify number and gender) -
Religion:
Pro testant -
Catholic
Jew is h
Mos lem
Hindu
Buddhist
O ther
no religion (atheistlagnostic) -
Survey o f Health Prob lems
-1. Diabetes
-2. Thyro id d isorders
-3. Anemia
-4. Headaches
-5. Sig h t d isorders
-6. Hear ing d isorders
- 7. Hypertension
-8. Heartdisease
-9. Ac ute resp iratory illness
- 10. Influenza
-11. Bronchitis and emphysema
- 12. As thma
-13. Hayfever and other allerg les
-14. Dental trouble
-15. Gastric and duodenal ulcers
-16. Func tional digestive disorders
- 17. Sk in allergies and other skin disorders
- 18. Arthritis and rheumatism
-19. Back, limb and jointdisorders
-20. Trauma (acc idents and in jury)
-21. Cancer
-22. Other
151
2. Can you recall where you parked your car or where your ride will pick
you up7
3. Doyourecallyourtelephonenumberorthelicensenumberofyour
car3
4. Can you shop for groceries without a list and not forget any items'?
5. Doyouusuallyrememberwhereyouputyourglasses?
8. Ifsomeonecallsyou,canyougivehimdirectionstoyourhouse?
1 O. When you have left the supermarketare you able to recall whatchange
you received?
11. Can you describe what you did last Sunday afkrnoon?
12. Does your spouse have to rem ind you o f things he or she had asked
you to do7
14. Can you recali al1 o f your financial obligations (bills, bank accounts,
sav ings)?
that can contribute to irritate you, bother you, andlor cause you to wony.
First, circle the hassles that you have experienced during the past rnonth.
1. a little
2. modera tely
3. exbernely
if a hassle did not take place during the past month, mark nla.
4. Worryingaboutpaymentsofbillsorloans
(owing money)
155 -
5. Worrying about getting credit or money for
11. Home maintenance (taking care o f the house, car, etc.) nla 1 2 3
If some o f your hassles were not listed, please write them below and rate
1 2 3 4 5 6 7
1 2 3 4 5 6 7
EDMETtîîESIWISHINEVERWAKEXJP
1 2 3 4 5 6 7
- 1 0 / - 9 0 = -111
18.24, p = ,0001).
Steps 1-4
Step 7
MEANINGFULNESS
Variable b $ change
Steps 1-4
TOTAL HASSLE SCORE, OPTIMISM,
SPIRITUALITY,
AND MEANINGFULNESS 27*+**
Step 5
Step 6
Step 7
SPIRITUALITY -
MEANINGF-SS 1.01 .28**** .O1
SPIRITUALITY -
177 -
Step 7
OPTIMISM - MEANINGFULNESS -1.26 .52**** .02*
Mode1 3 (Interactions Order): ûptimism -Meaningfulnees,
Spirituality - Meaningfulnesa, û p t i m i s m - Spirituality
Variable b $ @ change
Steps 1-4
TOTAL HASSLE SCORE, OPTIMISM,
SPIRITWALITY,
AND MEANINGFULNESS
Step 5
OPTIMISM - MEANINGFULNESS -1.00
Step 6
SPIRITUALITY -
MEANINGFULNESS
Step 7
OPTIMISM - SPIRITUALITY
RELIGIOSITY
Model 4 (Interactions Order) : O p t i m i s m -Meaningfulness,
Optimism - Spirituality, Spirituality - Meaningfulness
Variable b $ R~
change
Steps 1-4
Step 5
OPTIMISM - MEANINGFULNESS
Step 6
OPTIMISM - SPIRITUALITY
RELIGIOSITY
Step 7
SPIRITUALITY -
MEANI NGFULNESS
/Cont inued
180
SPIRITUALITY -
MEANINGFUSJNESS
Step 6
OPTIMISM - SPIRITWALITY
RELIGIOSITY
Step 7
OPTIMISM - MEANINGFULNESS
/Cont inued
181
SPIRITUALITY -
MEANINGFULNESS
Step 6
OPTIMISM - MEANINGFULNESS
Step 7
OPTIMISM - SPIRITUALITY
-
PWB
Items
O ~ t i m i s m Items
BEST" WRONG'"RIGHT'~ FUTURE'^ MYWAY'~
PWB
ont inued
1 am often bored
1tems
Meaninqfulness Items
CARE" LIFEIS'~ UNTIL'~ MOST'^ OFTEN'~
PWB
Items O ~ t i m i s m Items
DOING~O ANTICIP~'
I t is exciting to be alive