Steeling in Later Life: Exploring Age-Specific Effects of Varying Levels of Stress on Psychological Resilience.

The steeling effect suggests that "optimal" stress positively affects well-being by enhancing resilience. However, there is lack of longitudinal investigations in diverse age groups. The aim was to explore steeling in later life and potential predictors. The sample consisted of N = 195 participants. A 1-year longitudinal survey study was conducted. Sociodemographics, experienced stress, resilience resources, and satisfaction with life were assessed. Latent profile analysis was used to identify profiles that differ in the change of resilience resources over time and to examine differences between the profiles across the other study variables. Three profiles emerged: decreased resources (Decrease), stability of resources (Maintenance), and increased resources (Increase). "Decrease" was characterized by low, Maintenance by moderate, and Increase by high stress. Age influenced profile membership. While the results failed to support the classic steeling effect, with high stress associated with increased resilience resources, optimal stress was associated with the maintenance of resilience resources.

"Some call it resilience": A profile of dynamic resilience-related factors in older adult survivors of childhood institutional adversity and maltreatment.

BACKGROUND: Childhood adversity and maltreatment can have lasting negative effects into later life. However, emerging research suggests that certain factors may facilitate resilience in adults with experiences of childhood adversity and maltreatment. OBJECTIVE: Using conceptual models of resilience, this qualitative study investigated factors associated with resilience in older adult survivors of childhood institutional adversity and maltreatment. PARTICIPANTS AND SETTING: Participants consisted of 17 adults, 10 females and 7 males, aged between 50-77 years (mean age = 60 years). All participants had experienced childhood adversity and maltreatment within institutional care settings during childhood and/or adolescence. METHODS: In-depth, semi-structured interviews were conducted, lasting between 60-120 min. Transcribed interviews were analysed using the Framework Analysis method. RESULTS: Nine themes were derived from the data, including core, internal, and external resilience factors: Individual characteristics, personality characteristics, support systems, goal attainment, adaptive belief systems, processing, influential events and experiences, recognition and collective identity, and access to services. CONCLUSIONS: Results support a dynamic concept of resilience that can be understood not only as an inherent trait, but also as a learnable set of behaviours, thoughts, and attitudes, which can be supported by external resources in an older adults' environment. These findings add a novel contribution to the literature in the identification of a distinct cluster of personal and contextual factors underpinning resilience in this sample of survivors of childhood institutional adversity and maltreatment, which may inform the psychological treatment of this population and provide a focus for further research.

The curvilinear relationship of early-life adversity and successful aging: the mediating role of mental health.

OBJECTIVES: The steeling effect suggests that early-life adversity can have a beneficial impact later in life. However, little is known about its underlying mechanisms and long-term outcomes . The study aimed to examine the role of early-life adversity (ELA) on successful aging, and whether this relationship can be explained by mental and physical health. METHOD: Socio-demographics, early-life adversity (ELA), individual quality of life (iQoL), and mental and physical health of 270 individuals (Mage = 66.82 years, 71.5% female) were assessed. Polynomial regressions and mediation analyses were conducted. RESULTS: Significant inverse U-shaped associations were found between ELA and iQoL (ß = -.59, p = .005) and between ELA and mental health (ß = -.64, p = .002), but not between ELA and physical health. Furthermore, mental health significantly mediated the relationship between ELA and iQoL (b = -.84, BCa CI [-1.66, -.27]). CONCLUSION: Highest level of individual quality of life (i.e. successful aging) was related to a moderate amount of ELA. Additionally, mental health significantly mediated this relationship. These findings suggest that some amount of ELA could be beneficial for successful aging. Resource-focused interventions are needed to improve health and promote successful aging for an underdetected, at-risk subgroup with low early-life adversity.

Sense of Coherence and Stress-Related Resilience: Investigating the Mediating and Moderating Mechanisms in the Development of Resilience Following Stress or Adversity.

Background: Trauma, stress, and adversity are well-known for having lasting negative effects on health. Yet, not all individuals go on to develop psychopathology or impaired health. However, little is known about the underlying mechanisms which influence the development of stress-related resilience. Sense of coherence-revised (SOC-R) may play a role in this process, as it is formed through overcoming stress or adversity. It may also influence the steeling effect, which suggests that previous exposure to moderate adversity increases resilience to later adversities. Objectives: This study aimed to examine the mediating and moderating roles of SOC-R in the relationship between stress or adversity, and psychological health and well-being. It further aimed to investigate the role of SOC-R in steeling processes. Methods: The study used a longitudinal design, with data collection at baseline and one-year follow-up. Participants included (N = 238) Swiss older adults (Mage = 68.3 years). Standardized questionnaires assessed early-life adversity, recent chronic stress, SOC-R, and current health and well-being. Mediation and moderation analyses examined the mechanisms underpinning stress-related resilience and curvilinear associations assessed steeling. Results: Results showed that the Manageability subscale of SOC-R significantly moderated the relationship between chronic stress and general mental health (b = 0.04, 95% CI [0.007, 0.082], t = 2.32, p < 0.05). Furthermore, SOC-R significantly mediated the relationship for general mental health (GMH) and satisfaction with life (SWL) with childhood emotional neglect (GMH: b = -0.056, 95% BCa CI [-0.126, -0.002]; SWL: b = -0.043, 95% BCa CI [-0.088, -0.004]), childhood physical neglect (GMH: b = -0.100, 95% BCa CI [-0.232, -0.002]; SWL: b = -0.081, 95% BCa CI [-0.181, -0.002]), and chronic stress (GMH: b = -0.052, 95% BCa CI [-0.100, -0.001]; SWL: b = -0.055, 95% BCa CI [-0.097, -0.020]). No curvilinear associations were observed between stress or adversity and SOC-R. Conclusions: This study expands on the limited research on stress-related resilience by examining the role of SOC-R in the interactions between adversity, stress, and health. Future research should examine SOC-R in samples with a greater range and different types of adversity. Overall, findings suggest that SOC-R is an important mechanism underpinning the development of stress-related resilience.

Evaluation of the revised Sense of Coherence scale in a sample of older adults: A means to assess resilience aspects.

OBJECTIVES: The present study evaluated the revised Sense of Coherence (SOC-R) scale in a sample of older adults, using an extended range of psychological concepts. It further examined the psychometric properties of the revised scale and tested the theoretical assumptions underpinning the SOC-R concept. METHOD: The SOC-R scale was evaluated in 268 Swiss older adults (mean age = 66.9 years), including n = 15 heavily traumatized former indentured child labourers. Standardised questionnaires collected information on positive and negative life experiences, resources, current health, and well-being.  Results: Confirmatory Factor Analysis indicated good model fit for a second-order three-factor model of SOC-R with the factors manageability, balance, and reflection. Satisfactory convergent and discriminant correlations were shown with related psychological concepts, including neuroticism (r = -.32, p < .01), optimism (r = .31, p < .01), and general self-efficacy (r = .49, p < .01). SOC-R was not observed to differ by age group. Moderation analyses indicated that SOC-R moderated the relationship between certain early-life adversities and mental health. CONCLUSION: The study provides support for the psychometric properties and theoretical assumptions of SOC-R and suggests that SOC-R is a valid and reliable measure suitable for use with older adults. Future studies should employ longitudinal designs to examine the stability of SOC-R.

Evaluation of the revised sense of coherence scale in a representative German sample.

BACKGROUND AND OBJECTIVES: To evaluate the Revised Sense of Coherence (SOC-R) scale in a large representative German sample. DESIGN: A nationwide household survey involving a total of 2510 face-to-face interviews. METHODS: In addition to the SOC-R, childhood trauma and maltreatment (CTM), lifetime traumatic events (Childhood Trauma Questionnaire, CTQ, and the Life Events Checklist for DSM-5, LEC-5), and mental health (Patient Health Questionnaire, PHQ-4) were assessed. RESULTS: The final sample consisted of N = 2373 participants (52.3% females; M = 48.24 years). Confirmatory factor analyses confirmed a three-factor structure for the SOC-R ('manageability', 'balance', 'reflection') with acceptable indices (RMSEA .066; 90% CI [.062, .071]). Reliability analyses revealed good internal consistency (α = .87). Construct validity was supported by significant but low correlations with psychopathology. Gender marginally influenced SOC-R (t = 1.99, p = .05). Moderation analyses revealed that SOC-R exerted a protective impact on depression in the context of CTQ (t = 2.29, p < .05) and lifetime traumatic events (t = -2.37, p < .05). CONCLUSIONS: This study supports the psychometric properties of the SOC-R and emphasizes the importance of considering salutogenic effects to better understand interindividual differences in the effect of adversity.