{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:49:05Z","timestamp":1767707345439},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T00:00:00Z","timestamp":1651536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mental health showed significant correlations with a sense of nervousness, of uncontrollability, and with positive and negative coping styles (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). The results of structural equation modeling showed a good fit for the total sample (<jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup>\/<jats:italic>df<\/jats:italic>\u00a0=\u00a02.684, NFI\u00a0=\u00a00.927, GFI\u00a0=\u00a00.944, RMSEA\u00a0=\u00a00.069). 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%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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. <jats:bold>Geriatr Gerontol Int 2022; 22: 523\u2013528<\/jats:bold>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ggi.14392","type":"journal-article","created":{"date-parts":[[2022,5,3]],"date-time":"2022-05-03T23:28:17Z","timestamp":1651620497000},"page":"523-528","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["The mediating effect of coping style on the relationship between perceived stress and mental health in Chinese rural older adults living alone: A cross\u2010sectional study"],"prefix":"10.1111","volume":"22","author":[{"given":"Sha\u2010sha","family":"Li","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Medical Science Huzhou University  Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia\u2010yuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing University of Harbin Medical  Daqing Heilongjiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cong\u2010Wen","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medical Science Huzhou University  Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu\u2010wei","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medical Science Huzhou University  Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010jun","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medical Science Huzhou University  Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying\u2010Yuan","family":"Ni","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medical Science Huzhou University  Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiao\u2010Jing","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Nursing, College of Medical Science Huzhou University  Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"China Statistical Yearbook 2020","author":"National Bureau of Statistics of China","year":"2020"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2021.104429"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12199-020-00887-0"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2018.08.066"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gerinurse.2021.04.003"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2021.710128"},{"key":"e_1_2_8_8_1","first-page":"2","article-title":"The impact of social support on the health of the rural elderly in China","volume":"99","author":"Hu C","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2017.04.006"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4479-1"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/0003-066X.46.8.819"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2020.105125"},{"key":"e_1_2_8_13_1","first-page":"607","article-title":"Relationship between depression level and perceived stress among the elderly in community: moderating effect and mediating effect","volume":"30","author":"Liu YC","year":"2016","journal-title":"Chin Mental Health J"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.archger.2018.01.004"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2021.632141"},{"key":"e_1_2_8_16_1","first-page":"93","article-title":"A preliminary investigation of coping styles in older population","volume":"14","author":"Lu KS","year":"2000","journal-title":"Chin Mental Health J"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2021.1958146"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2327-9"},{"key":"e_1_2_8_19_1","first-page":"5","volume-title":"Structural equation modeling \u2013 operation and application of AMOS","author":"Wu ML","year":"2009"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"e_1_2_8_21_1","first-page":"1","article-title":"The construction of mental health inventory for Chinese elderly","volume":"10","author":"Wu ZY","year":"2002","journal-title":"Chin J Clin Psychol"},{"key":"e_1_2_8_22_1","volume-title":"Principles and Practice of Structural Equation Modeling: Third Edition","author":"Kline RB","year":"2011"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.3758\/BRM.40.3.879"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.02.021"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2019.03.049"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.2845"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2020.05.091"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000015950"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1159\/000510639"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12094"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2019.1602589"}],"container-title":["Geriatrics &amp; Gerontology International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.14392","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ggi.14392","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ggi.14392","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T09:08:50Z","timestamp":1692868130000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ggi.14392"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,3]]},"references-count":30,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2022,7]]}},"alternative-id":["10.1111\/ggi.14392"],"URL":"https:\/\/doi.org\/10.1111\/ggi.14392","archive":["Portico"],"relation":{},"ISSN":["1444-1586","1447-0594"],"issn-type":[{"value":"1444-1586","type":"print"},{"value":"1447-0594","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5,3]]},"assertion":[{"value":"2021-08-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-13","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-03","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}