Kontakt X:X | DOI: 10.32725/kont.2026.033
Resilience in older adults: the role of gender and social support in the transition to long-term careSocial Sciences in Health - Original article
- University of Maribor, Faculty of Arts, Maribor, Slovenia
The transition of older adults to long-term care facilities presents significant psychosocial challenges. This study examines gender-specific resilience mechanisms that influence transitions, focusing on social support, family cohesion, spirituality, and coping strategies. The study aims to understand how these factors contribute to resilience in institutional settings, emphasising gender differences. A mixed-methods approach integrated quantitative data from the Brief Resilience Scale (BRS) and qualitative insights from interviews with ten residents from two long-term care facilities in Slovenia. Quantitative analysis of ten participants (five men and five women) included descriptive statistics and inferential tests, while qualitative data underwent thematic content analysis. The findings revealed that women demonstrated higher resilience levels (M = 3.63) than men (M = 3.10), primarily due to their reliance on social support and communal coping strategies. Men showed greater dependence on individual coping mechanisms, which led to social isolation and difficulties with adaptation. These findings highlight the importance of social engagement and emotional support in facilitating successful transitions to long-term care. Higher resilience levels were associated with smoother transitions and enhanced well-being. This study emphasises the importance of gender-sensitive interventions in long-term care facilities, advocating for personalised support strategies. Future research should focus on developing resilience-building programs tailored to the needs of older adults in institutional settings, emphasising social integration and adaptation strategies.
Keywords: Coping mechanisms; Gender differences; Long-term care; Resilience; Social support
Conflicts of interest:
The authors have no conflict of interest to declare.
Received: December 18, 2025; Revised: March 14, 2026; Accepted: April 10, 2026; Prepublished online: May 29, 2026
References
- Beihao L, Tingting C (2018). Elderly People's Adjustment of Transition to Nursing Homes: A Descriptive Literature Review. Student thesis, 51 p. [online] [cit. 2026-01-22]. Available from: https://www.diva-portal.org/smash/get/diva2:1223212/FULLTEXT01.pdf
- Bonanno GA (2004). Loss, Trauma, and Human Resilience: Have We Underestimated the Human Capacity to Thrive After Extremely Aversive Events? Am Psychol 59(1): 20-28. DOI: 10.1037/0003-066X.59.1.20.
Go to original source... - Callegari C, Bertu L, Caselli I, Isella C, Ielmini M, Bonalumi C, et al. (2016). Resilience in older adults: influence of the admission in nursing home and psychopathology. Neuropsychiatry 6(4): 117-123. DOI: 10.21767/NPY.1000129.
Go to original source... - Corbin JM, Strauss AL (2015). Basics of Qualitative Research: Techniques and Procedures for Developing Grounded Theory, 4th ed., SAGE, Los Angeles London New Delhi Singapore Washington DC Boston, 434 p.
- Easley C, Schaller J (2003). The experience of being old-old: life after 85. Geriatr Nurs 24(5): 273-277. DOI: 10.1016/s0197-4572(03)00246-5.
Go to original source...
Go to PubMed... - Fitzpatrick JM, Tzouvara V (2019). Facilitators and inhibitors of transition for older people who have relocated to a long-term care facility: A systematic review. Health Soc Care Community 27(3): e57-e81. DOI: 10.1111/hsc.12647.
Go to original source...
Go to PubMed... - Górska S, Singh Roy A, Whitehall L, Irvine Fitzpatrick L, Duffy N, Forsyth K (2022). A Systematic Review andCorrelational Meta-Analysis of Factors Associated with Resilience of Normally Aging, Community-Living Older Adults. Gerontologist 62(9): e520-e533. DOI: 10.1093/geront/gnab110.
Go to original source... - Guion V, Rolland Y (2022). Resilience in Nursing Home Residents. J Nutr Health Aging 26(8): 747-748. DOI: 10.1007/s12603-022-1832-6.
Go to original source...
Go to PubMed... - Hirani S, Lasiuk G, Hegadoren K (2016). The intersection of gender and resilience. J Psychiatr Ment Health Nurs 23(6-7): 455-467. DOI: 10.1111/jpm.12313.
Go to original source...
Go to PubMed... - Lima GS, Figueira ALG, Carvalho EC, Kusumota L, Caldeira S (2023). Resilience in Older People: A Concept Analysis. Healthcare (Basel) 11(18): 2491. DOI: 10.3390/healthcare11182491.
Go to original source...
Go to PubMed... - MacLeod S, Musich S, Hawkins K, Alsgaard K, Wicker ER (2016). The impact of resilience among older adults. Geriatr Nurs 37(4): 266-272. DOI: 10.1016/j.gerinurse.2016.02.014.
Go to original source...
Go to PubMed... - Masten AS (2001). Ordinary magic: Resilience processes in development. Am Psychol 56(3): 227-238. DOI: 10.1037/0003-066X.56.3.227.
Go to original source... - Maykut P, Morehouse R (1994). Beginning Qualitative Research: A Philosophical and Practical Guide. London: Routledge, 208 p. DOI: 10.4324/9780203485781.
Go to original source... - Merchant RA, Aprahamian I, Woo J, Vellas B, Morley JE (2022). Resilience and Successful Aging. J Nutr Health Aging 26(7): 652-656. DOI: 10.1007/s12603-022-1818-4.
Go to original source...
Go to PubMed... - O'Neill M, Ryan A, Tracey A, Laird L (2022). The Primacy of "Home": An exploration of how older adults' transition to life in a care home towards the end of the first year. Health Soc Care Community 30(2): e478-e492. DOI: 10.1111/hsc.13232.
Go to original source...
Go to PubMed... - Perez-Rojo G, López J, Noriega C, Velasco C, Carretero I, López-Frutos P, Galarraga L (2022). A multidimensional approach to the resilience in older adults despite COVID-19. BMC Geriatr 22(1): 793. DOI: 10.1186/s12877-022-03472-y.
Go to original source...
Go to PubMed... - Prus L (2005). Potreba po domu starej¹ih obèanov v Ribnici: diplomsko delo visoko¹olskega strokovnega ¹tudija. Thesis,University of Maribor, Faculty of Organizational Sciences in Kranj.
- Resnick B (2020). Resilience in Older Adults: What It Is and How to Strengthen It. In: Wister AV, Cosco TD (Eds). Resilience and Aging: Emerging Science and Future Possibilities, Springer International Publishing, Cham, pp. 15-30. DOI: 10.1007/978-3-030-57089-7_2.
Go to original source... - Resnick B, Gwyther LP, Roberto KA (Eds) (2011). Resilience in Aging - Concepts, Research, and Outcomes. New York: Springer, pp. 1-365. DOI: 10.1007/978-1-4419-0232-0.
Go to original source... - Rutter M (2007). Resilience, competence, and coping. Child Abuse Negl 31(3): 205-209. DOI: 10.1016/j.chiabu.2007.02.001.
Go to original source...
Go to PubMed... - Sneed JR, Johnson JG, Cohen P, Gilligan C, Chen H, Crawford TN, Kasen S (2006). Gender differences in the age-changing relationship between instrumentality and family contact in emerging adulthood. Dev Psychol 42(5): 787-797. DOI: 10.1037/0012-1649.42.5.787.
Go to original source...
Go to PubMed... - Sun C, Ding Y, Cui Y, Zhu S, Li X, Chen S, et al. (2021). The adaptation of older adults' transition to residential care facilities and cultural factors: a meta-synthesis. BMC Geriatr 21(1): 64. DOI: 10.1186/s12877-020-01987-w.
Go to original source... - Toth EE, Ihász F, Ruíz-Barquín R, Szabo A (2024). Physical Activity and Psychological Resilience in Older Adults: A Systematic Review of the Literature. J Aging Phys Act 32(2): 276-286. DOI: 10.1123/japa.2022-0427.
Go to original source... - Wagnild G (2003). Resilience and successful aging. Comparison among low and high income older adults. J Gerontol Nurs 29(12): 42-49. DOI: 10.3928/0098-9134-20031201-09.
Go to original source...
Go to PubMed... - World Medical Association (2013). Declaration of Helsinki - Ethical Principles for Medical Research Involving Human Participants. JAMA 310(20): 2191-2194. DOI: 10.1001/jama.2013.281053.
Go to original source... - Ye B, Li Y, Bao Z, Gao J (2024). Psychological Resilience and Frailty Progression in Older Adults. JAMA Netw Open 7(11): e2447605. DOI: 10.1001/jamanetworkopen.2024.47605.
Go to original source...
Go to PubMed...
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