The Relationship Between Social Isolation, Psychological Resilience, and Psychological Well- Being Among Older People in the Community

Objective:To explore the relationship between social isolation,psychological resilience,and psychological well-being in community-dwelling older adults.Methods:A questionnaire survey was conducted with 265 community-dwelling older adults using the Social Isolation Scale for the Elderly(C-SIS),the 10-item Brief Psychological Resilience Scale,and the Comprehensive Happiness Questionnaire(MHQ).The results were statistically analyzed using SPSS 27.0.Results:The highest score on the Social Isolation Scale for Community Elderly was 23,with a mean entry score of 2.36±0.62.A score of 14 was the cut-off point,with scores of≤14 classified as social isolation.There were 136 cases with scores below 14,resulting in a social isolation incidence rate of 51.3%.The median(P50)psychological resilience score was 27,indicating a higher level of resilience.The total score on the Psychological Well-being Scale was 161,suggesting a moderate to slightly higher level of well-being.Social isolation had a direct negative effect on psychological well-being,while psychological resilience had a positive effect.Conclusion:Older adults should be supported in reducing the incidence of social isolation and increasing psychological resilience to enhance psychological well-being and promote successful aging.

Evaluating the role of transportation system in community seismic resilience

The swift recuperation of communities following natural hazards heavily relies on the efficiency of transporta-tion systems,facilitating the timely delivery of vital resources and manpower to reconstruction sites.This paper delves into the pivotal role of transportation systems in aiding the recovery of built environments,proposing an evaluative metric that correlates transportation capacity with the speed of post-earthquake recovery.Focusing on optimizing urban population capacity in the aftermath of earthquakes,the study comprehensively examines the impact of pre-earthquake measures such as enhancing building or bridge seismic performance on post-earthquake urban population capacity.The methodology is demonstrated through an analysis of Beijing’s transportation sys-tem,elucidating how enhancements to transportation infrastructure fortify the resilience of built environments.Additionally,the concept of a resource supply rate is introduced to gauge the level of logistical support available after an earthquake.This rate tends to decrease when transportation damage is significant or when the demands for repairs overwhelm available resources,indicating a need for retrofitting.Through sensitivity analysis,this study explores how investments in the built environment or logistical systems can increase the resource supply rate,thereby contributing to more resilient urban areas in the face of seismic challenges.

Community resilience:A multidisciplinary exploration for inclusive strategies and scalable solutions

This paper evaluates literature across multiple disciplines and stakeholder types to identify commonalities and contradictions in definitions for community resilience.It aims to support cross-disciplinary discourse to build an interdisciplinary understanding of community resilience.This work identifies the differences between mono-,multi-,inter-,and cross-disciplinary approaches to inform community resilience strategies in academic and practice-based contexts.Four themes for community resilience were identified through a review of cross-disciplinary literature.These include(1)diverse yet convergent definitions of community resilience and the evolution from equilibrium to adaptation to transformation;(2)equitable and inclusive strategies for the development of community resilience initiatives;(3)when and at what scale strategies should be implemented;and(4)community resilience as a process or an outcome.This work is valuable to those seeking to familiarise themselves with the concept of community resilience,including educators who deliver courses on community resilience and policy-makers.It is novel in that it presents an interdisciplinary framework for navigating the community resilience discourse beyond individual professional boundaries.

Impact of Social Determinants of Health on Self-Perceived Resilience: An Exploratory Study of Two Cohorts of Adults with Congenital Heart Disease

Social determinants of health(SDOH)affect quality of life.We investigated SDOH impacts on self-perceived resilience among people with adult congenital heart disease(ACHD).Secondary analysis of data from two com-plementary studies:a survey study conducted May 2021–June 2022 and a qualitative study conducted June 2020–August 2021.Resilience was assessed through CD-RISC10 score(range 0–40,higher scores reflect greater self-perceived resilience)and interview responses.Sociodemographic and SDOH(education,employment,living situa-tion,monetary stability,financial dependency,area deprivation index)data were collected by healthcare record review and self-report.We used linear regression with robust standard errors to analyze survey data and performed a thematic analysis of interview data.Survey participants(N=127)mean age was 42±14 years;51%were female,87%white.ACHD was moderate(75%)or complex(25%);41%functional class C or D.Resilience(mean 30±7)varied by monetary stability:compared to people with difficulty paying bills,resilience was 15.0 points higher(95%CI:6.9–23.1,p<0.001)for people reporting having enough money and 14.2 points higher(95%CI:5.9–22.4,p=0.001)for those reporting just enough money.Interview participants’(N=25)mean age was 32 years(range 22–44);52%were female,72%white.ACHD was moderate(56%)or complex(44%);76%functional class C or D.Participants discussed factors affecting resilience aligned with each of the major SDOH,prominently,economic stability and healthcare access and quality.Financial stability may be important for supporting self-perceived resi-lience in ACHD.This knowledge can inform the development of resilience interventions for this population.

Optimism,Social Support,and Caregiving Burden among the Long-Term Caregivers:The Mediating Effect of Psychological Resilience

Background:As the elderly population grows,the demand for long-term care services is increasing.Despite significant investments in care quality and workforce training,long-term care workers often face challenges such as work fatigue,heavy workloads,and inadequate support.These issues can impact job satisfaction,mental health,and care quality,leading to staff turnover.This study examines how optimism,social support,and psychological resilience relate to caregiving burden,aiming to understand their effects on caregivers’well-being and performance to enhance the quality of long-term care services.Methods:The participants were 542 long-term care workers.Descriptive statistics,t-tests,one-way ANOVA,and hierarchical regression were used for data analysis.Results:(1)Optimism and social support were significantly and positively correlated with psychological resilience and significantly and negatively associated with caregiving burden.(2)Regarding differences in optimism,social support,psychological resilience,and caregiving burden among long-term care workers,females scored significantly higher than males in“social support;”married workers scored significantly higher than unmarried workers in“optimism,”“social support,”and“psychological resilience”;workers aged 45–65 scored significantly higher than those aged 25–45 in“optimism”;workers aged 25–45 scored significantly higher than those aged 45–65 in“caregiving burden”;social workers scored significantly higher than nursing staff in“optimism.”(3)Psychological resilience partially mediated the relationship between social support and caregiving burden concerning explanatory and predictive power.Conclusions:These findings suggest that optimism,social support,and psychological resilience are essential factors in reducing the caregiving burden among long-term care workers.The study highlights the importance of promoting psychological resilience and providing social support to alleviate the burden of caregiving.

A Critical Review of Community Resilience Building Framework: Contexts of Climate Change and Disasters in Bangladesh

The concept of community resilience in the contexts of climate change and disasters draws increasing attention and interest from practitioners and researchers in recent development discourse. This paper provides a critical review of six selected frameworks of community resilience building operationalized in Bangladesh over the span of years. In other words, this study aims to contribute to the understanding of resilience through a systematic analysis of the dimensions and indicators of community resilience frameworks. The analysis shows that comprehensive and effective community resilience frameworks should incorporate the missing components linked to fundamental elements of good governance, economic growth, environmental sustainability, social transformation, and capacity development. The paper concludes by highlighting a few other areas of grave concern that need more appropriate attention, considering the severe threats posed by climate change and natural disasters in line with sustainable development goals. Finally, this study recommends further research regarding the effectiveness of these frameworks in different climatic and disaster contexts that can lead the concept into a new dimension of community resilience and sustainability.

Investigation of effects of hazard geometry and mitigation strategies on community resilience under tornado hazards using an Agent-based modeling approach

A large number of communities are impacted annually by the increasing frequency of tornado hazards resulting in damage to the infrastructure as well as disruption of community functions.The effect of the hazard geometry(center and angle of tornado path as well as the tornado width)is studied herein on how it influences the recovery of physical and social systems within the community.Given that pre-disaster preparedness including mitigation strategies(e.g.,retrofits)and policies(e.g.,insurance)is crucial for increasing the resilience of the community and facilitating a faster recovery process,in this study,the impact of various mitigation strategies and policies on the recovery trajectory and resilience of a typical US community subjected to a tornado is investigated considering different sources of uncertainties.The virtual testbed of Centerville is selected in this paper and is modeled by adopting the Agent-based modeling(ABM)approach which is a powerful tool for conducting community resilience analysis that simulates the behavior of different types of agents and their interactions to capture their interdependencies.The results are presented in the form of recovery time series as well as calculated resilience indices for various community systems(lifeline networks,schools,healthcare,businesses,and households).The results of this study can help deepen our understanding of how to efficiently expedite the recovery process of a community.

Community-Level resilience analysis using earthquake-tsunami fragility surfaces

This study introduces an advanced community-level resilience analysis methodology integrating 3D fragility sur-faces for combined successive earthquake-tsunami hazard and analysis.The methodology facilitates comprehen-sive evaluations of spatial damage,economic loss,and risk under multi-hazard conditions.This study compares earthquake-only analysis results to the successive earthquake-tsunami analysis at the community level to reveal-and quantify-significant disparities in damage and loss estimations between the analyses,emphasizing the need to consider both hazards in community planning even at lower seismic intensities.Critical assessment of the FEMA combinational rule demonstrates its limitations in accurately predicting losses and damage patterns at higher hazard intensities,highlighting the necessity for refined models that accurately account for hazard inter-actions.This research advances multi-hazard community-level resilience analysis by offering a robust framework for earthquake and tsunami assessment,underscoring the need for integration of detailed multi-hazard analy-ses into resilience planning.Finally,it suggests future directions for enhancing framework applicability across diverse community settings and structural types,aiming to improve community resilience.

Role of permafrost in resilience of social-ecological system and its spatio-temporal dynamics in the source regions of Yangtze and Yellow Rivers

Permafrost is one of the key components of terrestrial ecosystem in cold regions. In the context of climate change, few studies have investigated resilience of social ecological system(SER) from the perspective of permafrost that restricts the hydrothermal condition of alpine grassland ecosystem. In this paper, based on the structural dynamics, we developed the numerical model for the SER in the permafrost regions of the source of Yangtze and Yellow Rivers, analyzed the spatial-temporal characteristics and sensitivity of the SER, and estimated the effect of permafrost change on the SER. The results indicate that: 1) the SER has an increasing trend, especially after 1997, which is the joint effect of precipitation, temperature, NPP and ecological conservation projects; 2) the SER shows the spatial feature of high in southeast and low in northwest,which is consistent with the variation trends of high southeast and low northwest for the precipitation, temperature and NPP, and low southeast and high northwest for the altitude; 3) the high sensitive regions of SER to the permafrost change have gradually transited from the island distribution to zonal and planar distribution since 1980, moreover, the sensitive degree has gradually reduced; relatively, the sensitivity has high value in the north and south, and low value in the south and east; 4) the thickness of permafrost active layer shows a highly negative correlation with the SER. The contribution rate of permafrost change to the SER is-4.3%, that is, once the thickness of permafrost active layer increases 1 unit, the SER would decrease 0.04 units.

The indispensable role of resilience in rational landslide risk management for social sustainability

Landslide disasters reflect the conflict between human society and the natural environment,posing challenges to the sustainable development of mountain regions.Identification of potential landslides,estimation of the degree of damage and potential losses of elements at risk,and control of the loss are the major tasks of landslide risk management.Resilience is defined as a social system’s comprehensive abilities to cope with disasters,including the abilities to prepare,anticipate,preserve,absorb,respond,resist,recover,mitigate,learn,and adapt.As an indispensable role,resilience enables more rational landslide risk management for social sustainability.However,quantitative landslide risk management does not pay sufficient attention to the role of resilience.Hence,in this paper,the role of resilience in a landslide risk management framework is systematically discussed.A quantita-tive landslide risk management framework consists of hazard analysis,exposure analysis,risk estimation,risk evaluation,and risk control.In hazard analysis,resilience assessment could help identify potential landslides that could cause significant damage due to the poor resilience of the elements at risk.Resilience assessment in exposure analysis might aid in identifying the most vulnerable elements or regions to certain landslides.Consid-eration of resilience in risk estimation aids in the calculation of indirect losses and improves the results of direct losses analysis.In risk evaluation,resilience as a disaster-coping ability will impact the social system’s landslide risk tolerance threshold.Enhancing resilience is an essential strategy to reduce the vulnerability of social sys-tems.We also proposed that the efficient use of risk information will increase the accuracy of landslide resilience assessments.

Decoding rural connections:A comparative insight into social network analysis in rural communities of China and beyond

Social Network Theory and methods have emerged as pivotal tools for dissecting intricate interdisciplinary issues in rural communities.This study aims to systematically delineate the application characteristics and trends of Social Network Analysis(SNA)in rural community research.Using a twofold approach,we integrate a traditional literature review and CiteSpace bibliometric analysis to assess the application status and evolutionary trends of SNA methods in this context.The key findings include the following:①Chinese research trends:scholars predominantly concentrate on the“three rural”issues(related to agriculture,rural areas,and small-scale farmers)and social support mechanisms for vulnerable rural populations.With policy shifts,rural revitalization,tourism,governance,social trust,and multi-dimensional poverty are poised to emerge as hot topics for the future.For further refinement,we suggest that the application of SNA in rural community research could benefit from content expansion,long-term studies,and innovative modelling techniques.②Research by international scholars has been primarily directed toward the physical and mental health of rural residents,as well as socioeconomic issues.Despite these studies covering a range of typical cases across various nations,a conspicuous lack of thorough,systematic,and prolonged efforts focused on rural community development in specific regions remains.Additionally,health issues affecting rural residents are expected to sustain long-standing and focused international academic attention.This study contributes to a more nuanced understanding of the current applications and potential future directions of SNA in rural community studies,both in China and internationally.

Exploring Global Demands for Integrating Social Aspects into Community Healthcare: A Literature Review

Aging and crises like pandemics and climate change are global concerns that affect community environments. These social and natural changes influence people’s health worldwide. Aging impacts human health, including physical and mental aspects, and increases the need for care. Recent crises have affected not only the elderly but also younger populations, necessitating further efforts to develop a systematic community strategy. The goal of such a strategy is to maintain or enhance people’s well-being. As we face aging and crises like pandemics and climate change, it becomes essential to consider health holistically and globally, taking into account the community environment and social determinants without boundaries. The present study aimed to explore the necessary aspects of incorporating social determinants into clinical practice, enabling healthcare providers to view health from a holistic and planetary perspective. This approach facilitates the development of integrated community strategies. The study reviewed literature from PubMed, MEDLINE, and CINAHL databases, focusing on medicine, health, and welfare. An electronic search for English-language articles in peer-reviewed journals was conducted up to July 2024, using search terms such as “holistic health,” “planetary health,” and “social determinants.” Eight articles were identified through the search. After excluding three based on their titles, abstracts, and full texts, five articles were selected. The research focused on three areas: perceiving health in ecosystems, considering health-related policy in clinical situations, and addressing health in primary care settings. This study emphasizes the need for further research on innovative, integrated community strategies in the context of a globally aging society, focusing on non-medical aspects like pandemics, climate change, and social determinants to achieve a holistic and planetary understanding of people’s health. It suggests that understanding the social aspects of ecosystems in clinical settings, through interdisciplinary collaboration, is crucial for developing systematic community strategies for people’s well-being life in medical, health, and welfare contexts.

Mechanisms for Cross-Scaling, Flexibility and Social Learning in Building Resilience to Sea Level Rise: Case Study of Hampton Roads, Virginia

This case study examines how the Hampton Roads Sea Level Rise Preparedness and Resilience Intergovernmental Planning Pilot Project, a whole-of-government and whole-of-community approach to planning for and adapting to sea level rise, addressed coastal resilience in a southeastern Virginia watershed that spans multiple jurisdictions. Meeting the challenge of sea level rise requires that actors across multiple sectors—citizens, community organizations, industry and government—understand the risks and work together to make critical decisions regarding adaptation strategies and actions. The case study area includes Little Creek Amphibious Base, which is bordered by the cities of Norfolk and Virginia Beach. Adaptation responses to sea level rise by the military base and the local governments will impact each other and the residents of the area, but no cooperative agreements are in place for a joint or collaborative response. This case study examines public and private infrastructure at risk, the infrastructure interdependencies, and mechanisms for providing collaborative solutions. Engagement of area residents and other stakeholders is also integral to the process of adaptation, which includes educating about sea level rise risk and provides a mechanism for social learning that enables stakeholders to participate in critical adaptation decisions. The case study demonstrates a method to improve resiliency in the case study area and inform a regional, multi-sectoral response to sea level rise adaptation strategies.

Social and Economic Considerations for Creating Sustainable Climate Change Haven Communities

As Climate Change Haven Communities are constructed across the Northern Hemisphere, it will be necessary to attract two types of migrants to populate them. The first group consists of professionals and companies in eco-sustainable businesses, such as law firms, insurance companies, investment firms, banking, technological innovation, mass media, medical research and pharmaceutical research. The second group will consist of persons engaged in organic/eco-sustainable agriculture whose crops and animal husbandry practices can be transferred successfully to Climate Change Haven regions. The present research focuses on the social and economic variables that must be taken into account to insure that each new Climate Change Haven Community becomes successfully integrated with the local population and forms a cohesive, harmonious social structure. Examples are given from the United States, France, Spain, Portugal and Italy.

Limiting Nuisance for Traffic during the Refurbishment of the Heinenoord Tunnel in The Netherlands:In Search of Resilience Possibilities

The Heinenoord Tunnel in The Netherlands connects the Hoeksche Waard Island with the city of Rotterdam.The tunnel is 614 m long,consists of two unidirectional tubes(3 lanes each)and has an average daily traffic load of 92,100 vehicles.The tunnel was opened for traffic in 1969.The structure is basically still sound,but a full refurbishment of the installations and systems is required,because they are end of life.A long closure of the tunnel(or even one tube)is not possible,because alternative routes are scarce and require significant extra travel time,not suitable for the high traffic load.Thus,various scenarios were considered to assure the accessibility of the Hoeksche Waard during the works,scheduled for 2023-2024.Multi-criteria analyses were performed for each scenario,taking into account the total project cost,societal cost(due to extra travel time)and the total required time span for the works.Refurbishment through“parallel assembly”proved to be optimal.This concept means that the new installations and systems are installed next to the current ones,that will remain in service until the end phase of the refurbishment.The existing installations and systems are only dismantled after integral testing has shown that the completed new ones work properly.This approach allows most of the works to be carried out during a series of night and weekend closures of just one tube.This limits nuisance,because one driving direction is always left undisturbed,while the closure for the other driving direction takes place in low-traffic periods.This paper describes the applied method to select the optimal refurbishment approach,as well as the(partly unconventional)measures that are implemented to enhance the resilience of the tunnel system to assure as much availability for traffic as possible,also during future maintenance works.

Multi-disciplinary seismic resilience modeling for developing mitigation policies and recovery planning

The multi-disciplinary data and information available at a community level comprise the foundation of natural hazard resilience modeling.These data enable and inform mitigation and recovery planning decisions prior to and following damaging events such as earthquakes.This paper presents a multi-disciplinary seismic resilience mod-eling methodology to assess the vulnerability of the built environment and economic systems.This methodology can assist decision-makers with developing effective mitigation policies to improve the seismic resilience of com-munities.Two complementary modeling strategies are designed to examine the impacts of scenario earthquakes from a combined engineering and economic perspective.The engineering model is developed using a probabilis-tic fragility-based modeling approach and is analyzed using Monte Carlo(MC)simulations subject to seismic multi-hazard,including simulated ground shaking and resulting liquefaction of the soil,to quantify the physical damage to buildings and electric power substations(EPS).The outcome of the analysis is subsequently used as input to repair and recovery models to quantify repair cost and recovery time metrics for buildings and as input to functionality models to estimate the functionality of individual buildings and substations by accounting for their interdependency.The economic model consists of a spatial computable general equilibrium(SCGE)model that aggregates commercial buildings into sectors for retail,manufacturing,services,etc.,and aggregates residential buildings into a wide range of household groups.The SCGE model employs building functionality estimates to quantify the economic losses.The outcomes of this integrated modeling consist of engineering and economic impact metrics,which are used to investigate mitigation actions to help inform a community on approaches to achieve its resilience goals.An illustrative case study of Salt Lake County(SLC),Utah,developed through an extensive collaborative partnership and engagement with SLC officials,is presented.The results demonstrate the effectiveness of the proposed methodology in quantifying the loss and functional recovery of infrastructure systems,the impacts on capital stock,employment,and household income and the effect of various mitigation strategies in reducing the losses and functional recovery time subject to earthquakes with varying intensities.

Analysis of the Current Situation and Influencing Factors of Social Isolation Among the Elderly in the Community

Objective: To investigate the current situation of social isolation among the elderly in the community, and to analyze its influencing factors. Methods: A total of 265 elderly people were selected to conduct the survey using the general information questionnaire and the Chinese version of the social isolation scale for the elderly. Results: The social isolation score of the elderly was (20.15 ± 0.23). Factors such as age, education level, economic status, and social participation ability influenced the social isolation score (P < 0.05). Conclusion: The social isolation of the elderly is more serious, and the social isolation can be alleviated by improving the level of education and the economic situation and strengthening social participation.

Why Do the Imaginary and Imaginary Communities Emerge in Social Theory? National Imaginary in the Context of Globalization

The end of modernism questions reality and its theoretical description,and various attempts of postmodern rethinking of the social emerge-from denial,assertion of the disappearance of the social to its salvation through radical rethinking.Theorizing around the imaginary emerges and continues as a result of this rethinking.Cornelius Castoriadis,for example,absolutizes the concept of the imaginary,which,in his opinion,even contains the rational.Charles Taylor gives imaginary,though important,but limited role as a background knowledge.Speaking of the imaginary,one cannot,of course,ignore Benedict Andersen’s imaginary communities.According to Andersen,the“imagination”of a nation,like any other community,reflects not the fact that they are“invented”or“constructed”but that they are the result of human practice,that social reality is a socio-historical and cultural product.Nation differs from other communities in the style of representation,namely,the representation-understanding,first of all,of space and time.A specific moment in time is connected not only with the past and future,but also with the same moment in another time and space measurement.People in this case,communicate and socialize through books,newspapers,and national languages.Most importantly,the nation as an imaginary community opposes itself to other communities,distinguishes itself from them,and strives for autonomy.And the guarantee of autonomy is the sovereign state,the nation-state,therefore the nation is always connected with the state and the territory of the exercise of its monopoly right.That is,the nation is an imaginary community that is real only to the extent that it is correlated with the modern territorial state.According to the author,the transformation of the national imaginary under the conditions of globalization is characterized by the loss of attachment to the territory,by the fact that territoriality ceases to be the main,organizing principle of social life.Social practices are increasingly formed beyond borders,belonging to ethnicity,national identity is not determined by territory and citizenship.Despite this,we must not forget that globalization is not a finished project.The transformation of the national imaginary should be viewed not only as the emergence of new imaginary communities,whether national or transnational,but also against the backdrop of interaction and even struggle between traditional forms of social practices and new ones,as evidenced by the growth of ethnic conflicts and separatist movements.According to Appudurai,this is also a consequence of globalization processes.And how this confrontation will end,the question remains open.

The interdependent networked community resilience modeling environment(IN-CORE)

In 2015,the U.S National Institute of Standards and Technology(NIST)funded the Center of Excellence for Risk-Based Community Resilience Planning(CoE),a fourteen university-based consortium of almost 100 col-laborators,including faculty,students,post-doctoral scholars,and NIST researchers.This paper highlights the scientific theory behind the state-of-the-art cloud platform being developed by the CoE-the Interdisciplinary Networked Community Resilience Modeling Environment(IN-CORE).IN-CORE enables communities,consul-tants,and researchers to set up complex interdependent models of an entire community consisting of people,businesses,social institutions,buildings,transportation networks,water networks,and electric power networks and to predict their performance and recovery to hazard scenario events,including uncertainty propagation through the chained models.The modeling environment includes a detailed building inventory,hazard scenario models,building and infrastructure damage(fragility)and recovery functions,social science data-driven house-hold and business models,and computable general equilibrium(CGE)models of local economies.An important aspect of IN-CORE is the characterization of uncertainty and its propagation throughout the chained models of the platform.Three illustrative examples of community testbeds are presented that look at hazard impacts and recovery on population,economics,physical services,and social services.An overview of the IN-CORE technology and scientific implementation is described with a focus on four key community stability areas(CSA)that encompass an array of community resilience metrics(CRM)and support community resilience informed decision-making.Each testbed within IN-CORE has been developed by a team of engineers,social scientists,urban planners,and economists.Community models,begin with a community description,i.e.,people,businesses,buildings,infras-tructure,and progresses to the damage and loss of functions caused by a hazard scenario,i.e.,a flood,tornado,hurricane,or earthquake.This process is accomplished through chaining of modular algorithms,as described.The baseline community characteristics and the hazard-induced damage sets are the initial conditions for the recovery models,which have been the least studied area of community resilience but arguably one of the most important.Communities can then test the effect of mitigation and/or policies and compare the effects of“what if”scenarios on physical,social,and economic metrics with the only requirement being that the change much be able to be numerically modeled in IN-CORE.

The Relationship Between Social Isolation and Psychological Well-Being Among Older Adults in the Community

Objective:To investigate the psychological well-being of the elderly in Baoding City,Hebei Province,and analyze its influencing factors,with a focus on exploring the relationship between social isolation and psychological well-being.This study aims to provide a reference for effective interventions that promote the physical and mental health of elderly individuals in the community.Methods:A total of 265 elderly individuals from six communities in Baoding City,Hebei Province were surveyed between November 2023 and March 2024 using the general information questionnaire,the Social Isolation Scale for the Elderly,and the Comprehensive Happiness Questionnaire.Results:The total score of the Social Isolation Scale for the elderly in the community was(14.15±3.73)points,indicating a moderate level of social isolation.The average score of P50 on the Psychological Well-being Scale was 4.88,suggesting that the psychological well-being of the elderly in the community was moderate to high.Multivariate regression analysis showed that the level of social isolation significantly influenced the psychological well-being of the elderly(P<0.05),with social isolation negatively correlated with psychological well-being.Conclusion:Healthcare professionals should pay attention to the social isolation of elderly individuals in the community and develop targeted interventions to improve their psychological well-being and quality of life.