PMID- 35504596 OWN - NLM STAT- MEDLINE DCOM- 20220714 LR - 20220714 IS - 1447-0594 (Electronic) IS - 1447-0594 (Linking) VI - 22 IP - 7 DP - 2022 Jul TI - The mediating effect of coping style on the relationship between perceived stress and mental health in Chinese rural older adults living alone: A cross-sectional study. PG - 523-528 LID - 10.1111/ggi.14392 [doi] AB - AIM: Older adults living alone is becoming the main family structure in rural China. This study aimed to explore the mediating effect of coping style on the relationship between perceived stress and mental health in rural older adults living alone in China. METHODS: 356 rural older adults living alone were recruited in Huzhou, China. Subjects were investigated using the Chinese Perceived Stress Scale (CPSS), Chinese Coping Style Questionnaire (CCSQ), and Mental Health Questionnaire (MHQ). Data were analysed using a structural equation. Bootstrapping was used to validate the mediation effects. RESULTS: Mental health showed significant correlations with a sense of nervousness, of uncontrollability, and with positive and negative coping styles (P < 0.05). The results of structural equation modeling showed a good fit for the total sample (chi(2) /df = 2.684, NFI = 0.927, GFI = 0.944, RMSEA = 0.069). Perceived stress (sense of nervousness and uncontrollability) impacted the mental health of rural older adults living alone mainly through two mediating variables, including positive and negative coping styles. The double mediating contribution rates were 42.11%, and 61.82%. CONCLUSION: Coping style partially mediated the relationship between perceived stress and mental health of rural older adults living alone in China. Consequently, to improve the mental health of rural older adults living alone, perceived stress and coping styles should be the focus. Geriatr Gerontol Int 2022; 22: 523-528. CI - (c) 2022 Japan Geriatrics Society. FAU - Li, Sha-Sha AU - Li SS AD - Department of Nursing, College of Medical Science, Huzhou University, Zhejiang, China. FAU - Zhang, Jia-Yuan AU - Zhang JY AD - Department of Nursing, University of Harbin Medical, Daqing, Heilongjiang, China. FAU - Wu, Cong-Wen AU - Wu CW AD - Department of Nursing, College of Medical Science, Huzhou University, Zhejiang, China. FAU - Lu, Yu-Wei AU - Lu YW AD - Department of Nursing, College of Medical Science, Huzhou University, Zhejiang, China. FAU - Xu, Li-Jun AU - Xu LJ AD - Department of Nursing, College of Medical Science, Huzhou University, Zhejiang, China. FAU - Ni, Ying-Yuan AU - Ni YY AD - Department of Nursing, College of Medical Science, Huzhou University, Zhejiang, China. FAU - Liu, Xiao-Jing AU - Liu XJ AD - Department of Nursing, College of Medical Science, Huzhou University, Zhejiang, China. LA - eng GR - 2019GZ27/Public Welfare Program for Key Science and Technology Projects in Huzhou, Zhejiang province, China/ GR - 17YJCZH092/Ministry of Education Humanities and Social Sciences Research Youth Fund Project, China/ PT - Journal Article DEP - 20220503 PL - Japan TA - Geriatr Gerontol Int JT - Geriatrics & gerontology international JID - 101135738 SB - IM MH - Adaptation, Psychological MH - Aged MH - China/epidemiology MH - Cross-Sectional Studies MH - *Home Environment MH - Humans MH - *Mental Health MH - Stress, Psychological/epidemiology/psychology MH - Surveys and Questionnaires OTO - NOTNLM OT - coping style OT - mental health OT - perceived stress OT - rural older adults EDAT- 2022/05/04 06:00 MHDA- 2022/07/15 06:00 CRDT- 2022/05/03 19:32 PHST- 2022/03/10 00:00 [revised] PHST- 2021/08/25 00:00 [received] PHST- 2022/04/13 00:00 [accepted] PHST- 2022/05/04 06:00 [pubmed] PHST- 2022/07/15 06:00 [medline] PHST- 2022/05/03 19:32 [entrez] AID - 10.1111/ggi.14392 [doi] PST - ppublish SO - Geriatr Gerontol Int. 2022 Jul;22(7):523-528. doi: 10.1111/ggi.14392. Epub 2022 May 3.