Evidence map›Paper›PMID 42192476›Full record

ArticleBMC psychology2026

Between vulnerability and agency: inner dilemmas and adaptive self-reinvention among widowed older adults living alone in Southwestern China.

Yan Hong, Dehui Kong, Yali Lu, Ya Lu, Yu Luo

Abstract read
In one paragraph

Article in BMC psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yan HongSchool of Nursing, Army Medical University, Chongqing, 400038, China.
Dehui KongSchool of Nursing, Army Medical University, Chongqing, 400038, China.
Yali LuDepartment of Gastroenterology, The First Affiliated Hospital of Army Medical University, Chongqing, 400038, China.
Ya LuSchool of Nursing, Army Medical University, Chongqing, 400038, China.
Yu LuoSchool of Nursing, Army Medical University, Chongqing, 400038, China. luoyuhlgl@tmmu.edu.cn.

Funding

the National Social Science Fund of China 19XRK001
6 · The paper itself

Abstract

backgroundAgainst the current backdrop of low fertility and high internal migration in China, the traditional living arrangement in which widowed older adults co‑reside with adult children has become increasingly constrained. Many older adults now live alone following spousal loss. Existing studies have typically examined the consequences of widowhood in isolation or described the advantages and disadvantages of living alone in static terms, without integrating both dimensions into a dynamic, person‑centered framework of psychological adaptation. Therefore, situated within the sociocultural context of southwestern China, this study aimed to explore the dynamic relationship between vulnerability and agency among this population.

methodsThis study employed a qualitative descriptive design. Semi‑structured in‑depth interviews were conducted individually with 16 widowed older adults living alone between September and December 2023. The data were analyzed using thematic analysis.

resultsTwo overarching themes emerged from the data analysis: "inner dilemmas" and "adaptive self‑reinvention". The theme of inner dilemmas comprised four subthemes: constrained agency, unspoken sorrow, digital alienation, and remarriage ambivalence. Adaptive self‑reinvention included four corresponding subthemes: proactive planning, peer interaction, digital adaptation, and meaning reconstruction.

conclusionThe core experience of widowed older adults living alone reflects a dynamic relationship between vulnerability and agency. Within this tension, they navigate persistent inner dilemmas while simultaneously engaging in a process of adaptive self‑reinvention. This reinvention does not signify the elimination of dilemmas, but represents a continuous effort to preserve autonomy and sustain meaning in later life. Therefore, it is essential to foster supportive social environments that alleviate psychological burdens while also encouraging the use of proactive, adaptive coping strategies in this population.

Indexed as

Adaptation, PsychologicalWidowhoodAgedAged, 80 and overChinaFemaleHumansMaleQualitative ResearchSense of AgencyLived experienceLiving aloneOlder adultsQualitative researchWidowhood

Identifiers

PMID42192476
PMCPMC13390220

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.