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The Mediating Effect of Self-Transcendence on the Correlation Between Frailty and Life Satisfaction in the Elderly.

Weitao Xia, Yingying Shi, Lemin Fang, Zhenzheng Sun, Yuchao Le, Xiaolei Wang

Journal of applied gerontology : the official journal of the Southern Gerontological Society March 25, 2026 DOI: 10.1177/07334648261437464 (opens in new tab) via PubMed

Summary

AI-generated from the abstract

Among 1,192 adults aged 60 and older from villages and communities in Zhejiang Province, 29.4% were frail. Frailty was negatively linked to life satisfaction, while self-transcendence was positively linked to life satisfaction. Self-transcendence partially explained the connection between frailty and life satisfaction, accounting for 37.4% of the total effect. This suggests that fostering self-transcendence may help buffer the negative impact of frailty on life satisfaction, offering a low-cost target for interventions.

Study at a glance

Characteristics Cross-sectional investigation Peer reviewed
Sample size 1,192
Population Adults aged 60 years and older from fifteen villages and fifteen communities in Zhejiang Province
Keywords Frailty Life satisfaction Mediating effect Older adults Self-transcendence
Key finding Self-transcendence partially mediated the association between frailty and life satisfaction, accounting for 37.4% of the total effect.

Abstract

Frailty is associated with physical and psychological decline. However, many frail older adults have reported high life satisfaction, suggesting the possibility of potential psychological buffering mechanisms. This study aimed to explore whether self-transcendence mediates the relationship between frailty and life satisfaction. A cross-sectional investigation using stratified random sampling was conducted among 1,192 adults aged ≥60 years from fifteen villages and fifteen communities in Zhejiang Province. Data were analyzed using descriptive statistics, independent-samples t-tests, one-way ANOVA, correlation, and mediation analysis. Results indicated that the prevalence of frailty was 29.4%. Frailty was significantly negatively associated with life satisfaction, whereas self-transcendence was positively associated with life satisfaction. Self-transcendence partially mediated the association between frailty and life satisfaction, accounting for 37.4% of the total effect. These findings confirmed the mediating role of self-transcendence between frailty and life satisfaction, providing lower-cost intervention studies with important targeting factors.

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