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      Role of Perceived Social Support on the Association between Physical Disability and Symptoms of Depression in Senior Citizens of Pakistan

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          Abstract

          An emerging body of literature has implied that perceived social support is known as an upstream element of cognitive health. Various dimensions of perceived social support may have divergent influence on physical and cognitive health in later life. The present study aimed to investigate the mediating role of perceived social support on the relationship between physical disability and symptoms of depression in senior citizens of Pakistan. The data were collected from three metropolitan cities (Lahore, Faisalabad, Multan) in the Punjab province of Pakistan and 100 participants were approached from each city with a total sample size of 300. The results demonstrated that family support, friends’ support, and significant others’ support mediated the association between physical disability and symptoms of depression, with an indirect effect of 0.024, 0.058, and 0.034, respectively. The total direct and indirect effect was 0.493. Physical disability was directly associated with symptoms of depression and greater physical disability predicted a higher level of symptoms of depression. Perceived social support, including family support, friends’ support, and significant others’ support, showed an indirect association with symptoms of depression. Furthermore, family support and friends’ support were more significantly associated with symptoms of depression as compared to significant others’ support. The research discoveries have better implications for health care professionals, hospice care workers, and policy makers. A holistic approach is required to prevent senior citizens from late-life mental disorders.

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          Stress, Coping, and Social Support Processes: Where Are We? What Next?

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            The disablement process

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              Aging, Disability and Frailty

              Despite multiple and often overlapping definitions of disability and frailty, both are common clinical characteristics of aged individuals though not identical. The geriatric syndrome of frailty is described as status of global impairment of physiological reserves involving multiple organ systems. The clinical correlate of frailty manifests as increased vulnerability, impaired capability to withstand intrinsic and environmental stressors, and limited capacity to maintain physiological and psychosocial homeostasis. Geriatric frailty is found in 20–30% of the elderly population over 75 years and increases with advancing age. It was reported to be associated with long-term adverse health-related outcomes – increased risk of geriatric syndromes, dependency, disability, hospitalization, institutional placement, and mortality. The clinical phenotype of frailty manifests as multi-system pathologies characterized by low physical activity, global weakness with low muscle strength, fatigability/exhaustion, overall slowness particularly of gait, loss of weight among others. These above-mentioned clinical symptoms could be explained by (or related to) some ‘preclinical’ diagnoses such as sarcopenia, osteopenia, nonspecific balance disorders, nutritional problems, and overall deconditioning. More recent studies found the frailty clinical phenotype to be associated with pathologic laboratory markers (IL-6, CRP, 25-hydroxyvitamin D, IGF-1, D-dimers), which suggest possible pathogenesis involving hormonal dysregulation, immuno-aging, pro-coagulation and pro-inflammatory status. In the article, current recommendations for future research strategies of frailty syndrome will be discussed.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                25 February 2020
                March 2020
                : 17
                : 5
                : 1485
                Affiliations
                [1 ]Department of Sociology, College of Humanities and Social Sciences, Huazhong Agricultural University, Wuhan 430070, China; azam_tariq@ 123456webmail.hzau.edu.cn
                [2 ]Institute of Social & Cultural Studies, University of the Punjab, Lahore 54000, Pakistan; nadeem544abbas@ 123456gmail.com
                [3 ]College of Economics and Management, Huazhong Agricultural University, Wuhan 430070, China; sajjad@ 123456webmail.hzau.edu.cn
                [4 ]Department of Social Security, College of Humanities and Social Sciences, Huazhong Agricultural University, Wuhan 430070, China; 18627064001@ 123456163.com
                [5 ]Department of Computer Science and Engineering, Shanghai Jiao Tong University, Shanghai 200240, China; Muhammad_imran@ 123456sjtu.edu.cn
                Author notes
                [* ]Correspondence: tianbeihai@ 123456mail.hzau.edu.cn ; Tel.: +86-189-7156-9599
                Author information
                https://orcid.org/0000-0002-0235-9469
                https://orcid.org/0000-0003-0671-3215
                Article
                ijerph-17-01485
                10.3390/ijerph17051485
                7084927
                32106585
                1a94f59b-ff54-40e9-9add-c62c6dca6455
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 12 January 2020
                : 22 February 2020
                Categories
                Article

                Public health
                perceived social support,mediator,symptoms of depression,physical disability,senior citizens

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