title: Pleasant Events, Hopelessness, and Quality of Life in Rural Older Adults.
abstract: OBJECTIVE
  Rural older adults are susceptible to depression and reduced quality of life. This study explored contrasting explanations (behavioral vs cognitive route) for the relation of emotional distress with quality of life.
  
  
  METHODS
  This retrospective study included rural older adults (N = 134) with reduced quality of life and increased psychological symptoms. Multiple mediation analysis was conducted to test the indirect effect of engagement in pleasant events and hopelessness on the emotional distress and quality of life relation.
  
  
  RESULTS
  Both engagement in pleasant events and hopelessness were found to partially mediate the relation between emotional distress and quality of life.
  
  
  CONCLUSIONS
  Targeting both hopelessness and engagement in pleasant events may be helpful in improving the quality of life of vulnerable, rural older adults.
authors.affiliation: Department of Psychology, The University of Alabama, Tuscaloosa, Alabama.
authors.forename: Forrest
authors.initials: F
authors.lastname: Scogin
authors.affiliation: Department of Psychology, The University of Alabama, Tuscaloosa, Alabama.
authors.forename: Martin
authors.initials: M
authors.lastname: Morthland
authors.affiliation: Department of Psychology, The University of Alabama, Tuscaloosa, Alabama.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: DiNapoli
authors.affiliation: Department of Psychology, The University of Alabama, Tuscaloosa, Alabama.
authors.forename: Michael
authors.initials: M
authors.lastname: LaRocca
authors.affiliation: Department of Psychology, St. John's University, Queens, New York.
authors.forename: William
authors.initials: W
authors.lastname: Chaplin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003863:Depression / Q000523:psychology*; D005260:Female; D015438:Health Behavior; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D011788:Quality of Life / Q000523:psychology*; D012189:Retrospective Studies; D012424:Rural Population / Q000706:statistics & numerical data*; D012917:Social Adjustment; D058992:Social Participation
keywords: geriatrics; mental health; psychology; quality of life