{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T09:38:17Z","timestamp":1771493897471,"version":"3.50.1"},"reference-count":44,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T00:00:00Z","timestamp":1689120000000},"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":["Psychogeriatrics"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>This study tested a hypothesised model of the effects of adverse life events on the mental health of middle\u2010aged and older adults living alone, as mediated by thought suppression and help\u2010seeking behaviours, considering gender differences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A questionnaire survey was conducted on a sample of 1202 (622 men; 580 women) individuals from 247445 residents aged 50\u201379 in District A of Tokyo. The questionnaire items covered parameters on adverse life events, help\u2010seeking behaviour, thought suppression, and mental health status.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Multiple group structural equation\u2010modelling analysis revealed that the seriousness of adverse life events, help\u2010seeking behaviours, and mental health scores were higher in women than in men. No significant gender differences were observed in thought suppression. The findings support all three proposed hypotheses: severe adverse life events will: (a) give rise to help\u2010seeking behaviours, which will have a positive effect on mental health; (b) intensify thought suppression, which will harm mental health; and (c) inhibit help\u2010seeking behaviour, especially in single middle\u2010aged and older adult men.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>There is a need to develop interventional programs based on the theory of replacement thinking to encourage help\u2010seeking behaviours in middle\u2010aged and older adults.<\/jats:p><\/jats:sec>","DOI":"10.1111\/psyg.13007","type":"journal-article","created":{"date-parts":[[2023,7,13]],"date-time":"2023-07-13T01:15:18Z","timestamp":1689210918000},"page":"838-846","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of adverse life events on mental health in single older adults in Japan"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8361-8193","authenticated-orcid":false,"given":"Yoh","family":"Murayama","sequence":"first","affiliation":[{"name":"Research Team for Social Participation and Healthy Aging Tokyo Metropolitan Institute for Geriatrics and Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4207-1515","authenticated-orcid":false,"given":"Sachiko","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Human Studies Bunkyo Gakuin University  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masami","family":"Hasebe","sequence":"additional","affiliation":[{"name":"Department of Human Welfare Seigakuin University  Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erika","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Research Team for Social Participation and Healthy Aging Tokyo Metropolitan Institute for Geriatrics and Gerontology  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,7,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/03610730303701"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.116.189464"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1177\/07334648211067710"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03435-4"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/\/0022-006x.62.2.270"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291713001943"},{"key":"e_1_2_9_8_1","first-page":"662","article-title":"Self\u2010care issues of older men living alone: a qualitative comparison between urban high\u2010rise apartment and suburban farming districts","volume":"56","author":"Kono A","year":"2009","journal-title":"Japan J Pub Health"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpr.12329"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-6494.1994.tb00311.x"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0141347300010351"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/0005-7967(91)90115-j"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2009.11.004"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2190\/2044-390U-7106-5610"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/da.20912"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/01973530701330843"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(94)00404-H"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00287685"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2318-13-122"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.3928\/19404921-20190930-03"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1745691614568352"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0144686X18000132"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/ggi.13870"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.14966\/jssp.1931"},{"key":"e_1_2_9_25_1","unstructured":"ClarkDA. 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