Skip to main content

Advertisement

Log in

Health Within Limitations: Qualitative Study of the Social Aspects of Resilience in Old Age

  • Published:
Ageing International Aims and scope Submit manuscript

Abstract

Ageing can be conceptualized as a series of transitions, each bringing about gains or losses. The actual experience of a life event is dependent also on a person’s resilience, which is importantly reflected in his/her subjective health. Although recognizing the importance of personal factors, this article focused on the social resources for resilience. The main aim was to identify the social conditions of resilient healthy ageing that could be promoted among elderly and at the wider societal level. A twelve-week fall prevention training for the elderly recruited from the Pensioners’ Association of Slovenia, senior clubs and day care centres within the Ljubljana region was organized at the University of Ljubljana, Faculty of Health Sciences. The convenience sample of 25 relatively healthy and active people (average age 70.1 years) participated and were included also in the qualitative study. They agreed to take part in semi-structured interviews. The suggested themes were ageing, health/illness and healthcare. Interviews were recorded and transcribed verbatim. Transcriptions were analysed following the qualitative content analysis. When confronting adversity, the participants’ exposed the importance of socializing, active engagement in social support networks and intergenerational ties. These social coping resources/strategies were analytically identified as thematic categories of the central concept - engagement in social life. Through identified social aspects of resilience, the findings importantly contributed to clarify some of the dimensions of social determinants of health. From the quality of life perspective, it is important that state and community authorities acknowledge the elderly’s perceptions and form policy interventions to secure and enhance circumstances which allow their engagement in social life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Almedom, A. M. (2005). Resilience, hardiness, sense of coherence, and posttraumatic growth: All paths leading to »light at the end of the tunnel«? Journal of Loss and Trauma, 10, 253–265.

    Article  Google Scholar 

  • Antonovsky, A. (1987). Unravelling the mystery of health - how people manage stress and stay well. San Francisco: Jossey-Bass Publishers.

    Google Scholar 

  • Aspinwall, L. G., & Taylor, S. E. (1997). A stitch in time: Self-regulation and proactive coping. Psychological Bulletin, 121(3), 417–436.

    Article  Google Scholar 

  • Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: the model of selective optimization with compensation. In P. B. Baltes & M. M. Baltes (Eds.), Successful ageing: Perspectives from the behavioural sciences (pp. 1–34). New York: CUP.

    Chapter  Google Scholar 

  • Bode, C., De Ridder, D. T. D., & Bensing, J. M. (2006). Preparing for aging: Development, feasibility and preliminary results of an educational program for midlife and older based on proactive coping theory. Patient Education and Counselling, 61, 272–278.

    Article  Google Scholar 

  • Butler, J., & Ciarrochi, J. (2007). Psychological acceptance and quality of life in the elderly. Quality of Life Research, 16(4), 607–615.

    Article  Google Scholar 

  • Dalgren, G., & Whitehead, M. (1991). Policies and strategies to promote social equity in helath. Stockholm: Istitute for Futures Studies.

    Google Scholar 

  • Denzin, N. K., & Lincoln, Y. S. (2005). Introduction: the discipline and practice of qualitative research. In N. K. Denzin & Y. S. Lincoln (Eds.), The sage handbook of qualitative research (3rd ed., pp. 1–33). Thousand Oaks: Sage.

    Google Scholar 

  • De Ridder, D., & Kerssens, J. (2003). Owing to the force of circumstances? the impact of situational features and personal characteristics on coping patterns across situations. Psychology and Health, 18(2), 217–236.

    Article  Google Scholar 

  • Dowrick, C., Kokanovic, R., Hegarty, K., Griffiths, F., & Gunn, J. (2008). Resilience and depression: Perspectives from primary care. Health, 12(4), 439–452.

    Google Scholar 

  • Earvolino-Ramirez, M. (2007). Resilience: A concept analysis. Nursing Forum, 42(2), 73–82.

    Article  Google Scholar 

  • Findeisen, D. (2010). Univerza za tretje življenjsko obdobje v Ljubljani: stvaritev meščanov in vez med njimi. (Ljubljana’s Third age university: a creation of its townspeople, and the tie between the two) Ljubljana: Društvo za izobraževanje za tretje življenjsko obdobje.

  • Gattuso, S. (2003). Becoming a wise old woman: Resilience and wellness in later life. Health Sociology Review, 12(2), 171–177.

    Article  Google Scholar 

  • George, L. K. (2005). Stress and coping. In M. L. Johnson (Ed.), The Cambridge handbook of age and ageing (pp. 292–299). Cambridge: CUP.

    Google Scholar 

  • Graneheim, U. H., & Lundman, B. (2004). Qualitative content analysis in nursing research. Nurse Education Today, 24, 105–112.

    Article  Google Scholar 

  • Hall, P. A., & Lamont, M. (Eds.). (2013). Social resilience in the neoliberal era. New York: CUP.

    Google Scholar 

  • Hildon, Z., Smith, G., Natuveli, G., & Blane, D. (2008). Understanding adversity and resilience at older ages. Sociology of Health and Illness, 30(5), 726–740.

    Article  Google Scholar 

  • Hlebec, V., Filipovič Hrast, M., & Kogovšek, T. (2010). Social networks in Slovenia: Changes during the transition period. European Societies, 12(5), 697–717.

    Article  Google Scholar 

  • Hooyman, N. R., & Kiyak, H. A. (Eds.). (2008). Social gerontology. Boston: Pearson/Allyn & Bacon.

    Google Scholar 

  • Jelenc-Krašovec, S., & Kump, S. (2009). Adult learning activities, social networks and different neighbourhoods. European Societies, 11(2), 257–282.

    Article  Google Scholar 

  • Kavčič, M., Filipovič, H. M., & Hlebec, V. (2012). Starejši ljudje in njihove strategije shajanja s tveganji za zdravje (Older people and their strategies for coping with health risks). Zdravstveno Varstvo, 51, 163–72.

    Google Scholar 

  • Kahana, E., & Kahana, B. (1996). Conceptual and empirical advances in understanding aging well through proactive adaptation. In V. L. Bengtson (Ed.), Adulthood and ageing: Research on continuities and discontinuities (pp. 18–40). New York: Springer.

    Google Scholar 

  • King, G., Cathers, T., Brown, E., Specht, J. A., Willoughby, C., Miller Polgar, J. M., et al. (2003). Turning points and protective processes in the lives of people with chronic disabilities. Qualitative Health Research, 13(2), 184–206.

    Article  Google Scholar 

  • MacKean, R., & Abbott-Chapman, J. (2012). Older people’s perceived health and wellbeing: the contribution of peer-run community-based organizations. Health Sociology Review, 21(1), 47–57.

    Article  Google Scholar 

  • Marmot, M., & Wilkinson, R. G. (Eds.). (2006). Social Determinants of Health (2nd ed.). Oxford: OUP.

    Google Scholar 

  • Ministry of labour, family and social affairs. (2006). Strategija varstva starejših do 2010. (Strategy for elderly care until 2010) Ljubljana: Ministrstvo za delo, družino in socialne zadeve. Available via http://www.mddsz.gov.si/fileadmin/mddsz.gov.si/pageuploads/dokumenti__pdf/strategija-SI-starejsi.pdf, accessed on January 9, 2014.

  • Mohaupt, S. (2009). Review article: Resilience and social exclusion. Social Policy & Society, 8(1), 63–71.

    Article  Google Scholar 

  • Nygren, B., Alex, L., Jonsen, E., Gustafson, Y., Norberg, A., & Lundman, B. (2005). Resilience, sense of coherence, purpose in life and self-transcendence in relation to perceived physical and mental health among the oldest old. Aging and Mental Health, 9(4), 354–362.

    Article  Google Scholar 

  • Ong, A. D., & Bergeman, C. S. (2004). Resilience and adaptation to stress in later life: Empirical perspectives and conceptual implications. Ageing International, 29(3), 219–246.

    Article  Google Scholar 

  • Ouwehand, C., De Ridder, D. T. D., & Bensing, J. M. (2006). Situational aspects are more important in shaping proactive coping behaviour than individual characteristics: A vignette study among adults preparing for ageing. Psychology and Health, 21(6), 809–25.

    Article  Google Scholar 

  • Ouwehand, C., De Ridder, D. T. D., & Bensing, J. M. (2007). A review of successful ageing models: Proposing proactive coping as an important additional strategy. Clinical Psychology Review, 27(8), 873–884.

    Article  Google Scholar 

  • Pahor, M., Domajnko, B., & Hlebec, V. (2011). Social support in the case of illness: intergenerational solidarity. Zdravniški Vestnik, 80(2), 75–83.

  • Richardson, G. E. (2002). The metatheory of resilience and resiliency. Journal of Clinical Psychology, 58(3), 307–321.

    Article  Google Scholar 

  • Rutter, M. (1985). Resilience in the face of adversity: Protective factors and resistance to psychiatric disorder. British Journal of Psychiatry, 147, 598–611.

    Article  Google Scholar 

  • Statistical office of the Republic of Slovenia. (2007). Dejstva o ženskah in moških v Sloveniji. (Facts about women and men in Slovenia). Ljubljana: Statistični urad Republike Slovenije. Available via http://www.stat.si/doc/pub/Dejstva_zenske_moski.pdf, accessed on January 9, 2014.

  • Statistical office of the Republic of Slovenia. (2013). Prebivalstvena piramida. (The population pyramid) Ljubljana: Statistični urad Republike Slovenije. Available via, accessed on January 9, 2014.

  • World Health Organization. (1999). Exploding the myths. Available via http://whqlibdoc.who.int/hq/1999/who_hsc_ahe_99.1.pdf, accessed on January 9, 2014.

  • Zavod Ypsilon. (2013). Simbioza med generacijami: zaključno poročilo. (Symbiosis among generations: final report of the project) Ljubljana: Zavod Ypsilon. Available via http://cdn.simbioza.eu/uploads/files/_zakljucnoporocilosimbioza2013.pdf, accessed on April 29, 2014.

Download references

Acknowledgments

The research was part of the project “Active and healthy ageing” that was supported by the Slovenian Research Agency (project code: L3-0191) and Krka d.d., Novo mesto.

Conflict of Interest

Barbara Domajnko and Majda Pahor declare that they have no conflict of interest.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000. The whole research project was approved by The National Medical Ethics Committee of the Republic of Slovenia. Informed consent was obtained from all individual participants included in the study.

Ethical Treatment of Experimental Subjects (Animal and Human)

No animal or human studies were carried out by the authors for this article.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Barbara Domajnko.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Domajnko, B., Pahor, M. Health Within Limitations: Qualitative Study of the Social Aspects of Resilience in Old Age. Ageing Int 40, 187–200 (2015). https://doi.org/10.1007/s12126-014-9201-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12126-014-9201-3

Keywords

Navigation