Evid Based Nurs 1:89 doi:10.1136/ebn.1.3.89
  • Causation

Emotional support and mastery were associated with decreased mortality in older people

 Question Are social support (structural, functional, and perceived aspects) and personal coping resources (mastery, self efficacy, and self esteem) associated with mortality in older people?


Cohort study with mean follow up of 29 months.


11 municipalities in the Netherlands.


2829 adults (51% women) who were 55–85 years old at baseline (1992–3). Exclusion criteria were serious illness, cognitive impairment, living in an institution at baseline, or missing follow up data.

Assessment of risk factors

Participants were interviewed at baseline and completed questionnaires. Social support was divided into 3 categories: structural network characteristics (partner status and number of social relationships); functional receipt of support (mean amount of instrumental and emotional support received from personal network members); and perceived support (loneliness). Personal …

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