A conceptual model for achieving well-being in adults with mild cognitive impairment

•Older people coping wih Mild Cognitive Impairment have low well-being.•The concept of well-being is complex and consists of objective, subjective, personal, social, positive, and negative influences that work in conjunction.•Social support mediates the correlation between existing and lacking resou...

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Bibliographic Details
Published in:Geriatric nursing (New York) 2021-11, Vol.42 (6), p.1467-1473
Main Authors: Saad, Odelyah, Zysberg, Leehu, Heinik, Jeremia, Ben-Itzhak, Ron, Zisberg, Anna
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adaptation, Psychological
Cognition
Cognitive Dysfunction
Cognitive function
Humans
Independent Living
Instrumental activities of daily living
Observational descriptive study
Resource theory
Subjective social support
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Summary:•Older people coping wih Mild Cognitive Impairment have low well-being.•The concept of well-being is complex and consists of objective, subjective, personal, social, positive, and negative influences that work in conjunction.•Social support mediates the correlation between existing and lacking resources and well-being. Low well-being is common among people with Mild Cognitive Impairment (MCI). We propose a model to examine how different types of resources work together to maintain well-being in people with MCI. Participants included 121 community dwelling adults over the age of 60 who were diagnosed with MCI. Structural equation modeling assessed suggested relationships between resources and well-being. Emotional intelligence, general mental ability, morbidity, economic status, basic activities of daily living, and age were correlated to well-being in a triple mediation process through cognitive function, instrumental activities of daily living, and social support. Model fit was excellent (RMSEA-0.04; IFI-.96; CFI-.96; CMIN/DF-1.23), Achieving well-being when coping with MCI requires a combination of objective resources and subjective evaluation of the situation. Ultimately, social support determines an individual's level of well-being. Findings suggest the need to understand what kind of social support is required by those coping with MCI.
ISSN:0197-4572
1528-3984
DOI:10.1016/j.gerinurse.2021.09.016