Perceived burdensomeness and happiness in cohabiting older adults: The serial mediating roles of mental well-being and loneliness

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dc.contributor.authorAkeren, Zahide
dc.contributor.authorAkeren, Ihsan
dc.contributor.authorKalyoncuo, Servet
dc.date.accessioned2026-09-01T15:53:08Z
dc.date.available2026-09-01T15:53:08Z
dc.date.issued2026
dc.departmentBayburt Üniversitesi
dc.description.abstractBackground: Aging-related changes and increased dependence on family members may negatively affect older adults' psychological well-being. Perceived burdensomeness refers to the belief that one is a burden on others and has been associated with lower happiness, reduced mental well-being, and greater loneliness. Among adults living with their families, mental well-being and loneliness may explain how perceived burdensomeness relates to happiness in later life. Purpose: This study examined the associations between perceived burdensomeness and happiness among older adults living with their families and evaluated the serial mediating roles of mental well-being and loneliness. Methods: This cross-sectional study included individuals aged >= 65 years residing with family members in a city in Turkey's Eastern Black Sea region. Data were collected from 273 older adults; after preliminary screening, 7 cases were excluded, resulting in a final analytic sample of N = 266. Measures included the Geriatric Feelings of Burdensomeness Scale, WHO-5, the Happiness Scale, and the Loneliness Scale for the Elderly. Serial mediation was tested using a regression-based approach with bootstrap confidence intervals. Results: Perceived burdensomeness was associated with lower mental well-being and higher loneliness. The total association between burdensomeness and happiness was negative (beta=-0.467), and more than twothirds of this association operated indirectly through mental well-being and loneliness. Conclusion and Implications: Perceived burdensomeness was associated with lower happiness among older adults living with their families, primarily through reduced mental well-being and increased loneliness. In geriatric nursing and primary care, routinely assessing these psychosocial factors and implementing familycentered and social support-oriented interventions may help improve happiness. (c) 2026 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
dc.identifier.doi10.1016/j.gerinurse.2026.104003
dc.identifier.issn0197-4572
dc.identifier.issn1528-3984
dc.identifier.pmid41966621
dc.identifier.scopus2-s2.0-105035862900
dc.identifier.scopusqualityQ2
dc.identifier.urihttp://dx.doi.org/10.1016/j.gerinurse.2026.104003
dc.identifier.urihttps://hdl.handle.net/20.500.12403/8527
dc.identifier.volume70
dc.identifier.wosWOS:001744890600001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMosby-Elsevier
dc.relation.ispartofGeriatric Nursing
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20260820
dc.subjectOlder Adults
dc.subjectGeriatric Perceived Burdensomeness
dc.subjectMental Well-Being
dc.subjectLoneliness
dc.subjectHappiness
dc.subjectSerial Mediation
dc.titlePerceived burdensomeness and happiness in cohabiting older adults: The serial mediating roles of mental well-being and loneliness
dc.typeArticle

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