Evidence map›Paper›PMID 41023934›Full record

ArticleBMC geriatrics2025

Psychological resources and illness recovery in later life: independent associations of positive mental health and attitudes to aging.

Jianqian Wu, Yixuan Li, Qiuling Chao

Abstract read
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Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Jianqian WuSchool of Public Policy and Administration, Xi'an Jiaotong University, No.28 Xianning West Road, Xi'an, Shaanxi Province, 710049, China.
Yixuan LiSchool of New Media Art, Xi'an Polytechnic University, Xi'an, Shaanxi, China.
Qiuling ChaoSchool of Public Policy and Administration, Xi'an Jiaotong University, No.28 Xianning West Road, Xi'an, Shaanxi Province, 710049, China. cql@xjtu.edu.cn.

Funding

National Social Science Fund of China No.15BRK024
6 · The paper itself

Abstract

backgroundIllness recovery represents a critical correlate of functional independence and quality of life among aging populations. This cross-sectional study aimed to examine the independent associations between two distinct psychosocial resources-positive mental health (PMH) and attitudes to aging-and illness recovery outcomes in older adults.

methodsA cross-sectional survey was conducted among 1,200 older adults (mean age = 68.49 ± 7.09 years, 56.9% female) recruited from three provinces in China, with data collection spanning from October 2020 to April 2021. Participants completed (1) the Mental Health Continuum-Short Form (MHC-SF), (2) the Attitudes to Aging Questionnaire-12 (AAQ-12), and (3) the Illness Recovery Questionnaire. Statistical analyses were performed using R 4.4.3, employing logistic ridge regression and ridge regression.

resultsFlourishing was associated with higher odds of no-illness status (OR 1.249, 95%CI 1.098 to 1.424), lower odds of high treatment costs (OR 0.819, 95%CI 0.682 to 0.968), fewer treatment methods (β -0.157, 95%CI -0.272 to -0.031) and comorbidities (β -0.503, 95%CI -0.751 to -0.270). Positive attitudes to aging showed similar patterns, with higher odds of no-illness status (OR 1.170, 95%CI 1.019 to 1.320) and lower odds of illness aggravation (OR 0.912, 95%CI 0.866 to 0.976) and moderate-to-high treatment costs (OR 0.827, 95%CI 0.699 to 0.984), as well as reduced comorbidity burden (β -0.258, 95%CI -0.523 to -0.002). In contrast, languishing was associated with lower odds of minimal treatment costs (≤ CNY 500; OR 0.835, 95%CI 0.703 to 0.994). Negative attitudes to aging were associated with higher odds of illness aggravation (OR 1.128, 95%CI 1.013 to 1.251), non-recovery (OR 1.204, 95%CI 1.055 to 1.373), high treatment costs (OR 1.230, 95%CI 1.036 to 1.481), and extended treatment duration (OR 1.154, 95%CI 1.035 to 1.271), as well as greater number of treatment methods (β 0.175, 95%CI 0.050 to 0.307) and higher comorbidity burden (β 0.673, 95%CI 0.385 to 0.953).

conclusionsHigh positive mental health (flourishing) and positive attitudes to aging were significantly associated with better health and illness recovery outcomes among older adults. These findings emphasize the potential value of integrating positive mental health and positive attitudes to aging in clinical assessment and intervention. Further investigation of the biopsychosocial model incorporating positive psychology principles is warranted to elucidate a bio-positive-psychosocial medical model.

Indexed as

AgingAttitude to HealthMental HealthQuality of LifeAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAttitudes to agingFlourishingOlder adultsPositive mental healthRecovery from illness

Identifiers

PMID41023934
PMCPMC12482830

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.