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BackgroundDespite possible major adverse cognitive, physical, social, and behavioral consequences, little is known about how persons living with dementia perceive satisfaction with life, a key component of well-being. We sought to examine (i) whether persons living with dementia perceive a lower level of satisfaction compared to their peers without dementia and (ii) whether the associations between individual characteristics and life satisfaction are different between persons living with and without dementia.MethodsUsing a nationally representative sample of community-dwelling older adults aged ≥70 years in the U.S. from the Health and Retirement Study, we compared scores on the Satisfaction with Life Scale (SWLS), a self-reported 5-item scale ranging from 1 to 7 (more satisfaction), between persons with probable dementia (n= 341) and those without (n= 5530), adjusting for individual characteristics. We also tested whether the associations between the individual characteristics and SWLS differ by dementia status.ResultsScores on SWLS did not differ between persons with probable dementia and those without when adjusting for individual characteristics including limitations in activities of daily living (ADL) (adjusted difference, -0.09; 95% CI, -0.33 to +0.15; p-value, 0.45). However, dementia status was associated with lower life satisfaction through the mediation of limitations in ADL (total effect, -0.29; bootstrapped 95% CI, -0.47 to -0.12). Most individual characteristics associated with lower life satisfaction were similar in the two groups, including younger age, more limitations in ADL, and depression. Less wealth was associated with lower satisfaction among persons without dementia but not among those with probable dementia.ConclusionsDementia status was only modestly associated with lower life satisfaction through the mediation of limitations in ADL among participants who were able to provide response. Future research is warranted to determine whether life satisfaction can be used as a meaningful outcome when evaluating well-being among persons living with dementia.

Background We sought to clarify the impact of adolescent alcohol misuse on adult physical health and subjective well-being. To do so, we investigated both the direct associations between adolescent alcohol misuse and early midlife physical health and life satisfaction and the indirect effects on these outcomes attributable to subsequent alcohol problems. Method The sample included 2733 twin pairs (32% monozygotic; 52% female) from the FinnTwin16 study. Adolescent alcohol misuse was a composite of frequency of drunkenness, frequency of alcohol use, and alcohol problems at ages 16, 17, and 18.5. The early midlife outcomes included somatic symptoms, self-rated health, and life satisfaction at age 34. The mediators examined as part of the indirect effect analyses included alcohol problems from the Rutgers Alcohol Problem Index at ages 24 and 34. Serial mediation and co-twin comparison models were applied and included covariates from adolescence and early midlife. Results There were weak direct associations between adolescent alcohol misuse and early midlife physical health and life satisfaction. However, there was stronger evidence for indirect effects, whereby young adult and early midlife alcohol problems serially mediated the relationship between adolescent alcohol misuse and early midlife somatic symptoms (beta = 0.03, 95% CI [0.03, 0.04]), self-rated health (beta = -0.02, 95% CI [-0.03, -0.01]), and life satisfaction (beta = -0.03, CI [-0.04, -0.02]). These serial mediation effects were robust in co-twin comparison analyses. Conclusions These results provide evidence that alcohol problems are a primary driver linking adolescent alcohol misuse and poor health outcomes across the lifespan.

Objective:To compare the distribution of housework andchildcare and satisfaction with work-life balance resourcesamong female same-sex and different-sex parenting cou-ples in Spain and Sweden, and their association with lifesatisfaction.Background:Same-sex couples have generally reportedhigher levels of co-responsibility than their different-sexcounterparts in terms of housework and childcare. It hasyet to be determined whether these differences aremaintained in countries with different public gender equal-ity and family policies.Method:Structured interviews were held with 154 motherswho lived with their partner and had children under13 years of age: 89 from Spain (65 with different-sex part-ners and 24 with same-sex partners) and 65 from Sweden(27 with different-sex partners and 38 with same-sex part-ners). Interviews focused on the distribution within thecouple of housework and childcare, problems related towork-life balance, satisfaction with work-life balanceresources and life satisfaction.Results:Differences were observed in the division of laborbetween same-sex and different-sex couples in Spain but notin Sweden. Spanish different-sex couples reported a lessequal distribution of housework and childcare than theirSwedish counterparts. Same-sex couples were as equal intheir division of labor in Spain as in Sweden. Satisfactionwith housework distribution and personal time availabilitypositively predicted life satisfaction, whereas problemsrelated to work-life balance negatively predicted it. Conclusion:Female same-sex couples, in the microsystem,and public gender equality policies in the macro-system,are encouraging a process of“de-gendering”of familylabor, promoting co-responsibility in couples, and therebyfostering their psychological well-being.

Objective: To summarize current evidence on the potential cross‐sectional and longitudinal association between meaning or purpose in life and subjective happiness or life satisfaction among cancer patients. Methods: A systematic review with meta‐analysis and meta‐regression was conducted. CINAHL (via EBSCOhost), Embase, PubMed, and PsycINFO (via ProQuest) were searched from inception to 31 December 2022. In addition, manual searches were performed. The risk of bias in cross‐sectional and longitudinal studies was assessed using the Joanna Briggs Institute Checklist for Analytical Cross‐Sectional Studies and the Quality in Prognosis Studies tool, respectively. Certainty in the evidence was judged using the Grading of Recommendations, Assessment, Development, and Evaluations approach. Meta‐regressions and sensitivity analyses were performed to explore potential sources of heterogeneity. Results: We included 13 cross‐sectional studies, comprising 12 different samples, and a longitudinal study. A total of 4968 individuals with cancer were interviewed across included studies. Certainty in the evidence was judged as very low for all outcomes, which was associated to serious concerns on risk of bias and imprecision of the results, and very serious concerns on indirectness of evidence. The assessed studies showed a marked heterogeneity in terms of participants' clinical (i.e., disease stage) and sociodemographic factors. A lack of reporting of these clinical and sociodemographic aspects were also evident among included studies. Conclusions: The wide number of methodological flaws detected in this systematic review preclude to make any clinical recommendation. More rigorous high‐quality observational studies should guide future research on this topic.

Introduction The heterogeneity of street-involved youth was examined using a person-centered approach. Youth were classified based on patterns of street involvement and the identified profiles compared to identify theoretically coherent and practically significant differences. Methods Participants were 111 street-involved youth aged 9 to 18 (M age = 14.15 years; 81.1% male, 91.1% non-white) from three Brazilian cities. Youth completed a life history interview and structured assessment. Latent class analysis was used to identify three profiles of youth based on reasons for going to the street and connections to major developmental contexts (street, family, institutions). Profile comparisons on psychosocial variables (e.g., age, life events) and adjustment indicators (e.g., drug use, life satisfaction) were conducted using multinomial logistic regression. Results The largest profile (48.6%) included youth drawn to the street by drug use or trafficking, who had moderate connections to street and family. Another group (40.5%) went to the street to escape family dysfunction, and the street represented their primary developmental context. These groups differed on some psychosocial indicators but had similar patterns of adjustment. The third group of youth (10.8%) had families with a history of street involvement and maintained strong ties to all three developmental contexts. These youth had generally better adjustment than their peers (e.g., less drug use, higher life satisfaction) but had higher levels of sexual risk related to the overrepresentation of girls. Conclusions Street involvement is a multidetermined phenomenon that may expose young people to distinct conditions of vulnerability. Findings have implications for research, practice, and policy.

AIM Maintaining ≥20 teeth is a public health goal worldwide. Healthy aging, which includes psychological and social well-being, as well as physical indicators, has attracted a great deal of attention with the progression of aging societies. However, no studies have examined the association between the number of remaining teeth and healthy aging. This study aimed to investigate the association between the number of remaining teeth and healthy aging. METHODS This community-based longitudinal cohort study included 8300 Japanese people aged ≥65 years who were free of disability and depression in the baseline survey in 2006. The participants were categorized into four groups according to the number of remaining teeth at baseline: 0-9, 10-19, 20-24 and ≥25. The primary outcome was healthy aging (defined as meeting all four of the following criteria: free of disability, free of depression, high health-related quality of life and high life satisfaction), as assessed by a questionnaire survey carried out in 2017. Multiple logistic regression was used to calculate the corresponding odds ratios and 95% confidence intervals. RESULTS During about 11 years of follow-up, 621 (7.5%) participants attained healthy aging. Participants with ≥20 remaining teeth showed a higher healthy aging rate. Compared with participants with 0-9 teeth, the multivariate-adjusted odds ratios (95% confidence intervals) for 10-19, 20-24 and ≥25 teeth were 0.98 (0.77-1.26), 1.28 (1.01-1.63) and 1.59 (1.24-2.03), respectively. CONCLUSIONS These findings suggest that maintaining ≥20 teeth was associated with healthy aging. Geriatr Gerontol Int 2021; ••: ••-••.

INTRODUCTION The current study examined whether and how severe injustice such as a school attack threatens the belief in a just world (BJW). METHOD We collected longitudinal data on the BJW from adolescents in China who witnessed random school attacks on the news (N = 227). RESULTS Change analyses provided evidence that the BJW increased after witnessing severe injustice. Furthermore, we tested for moderating effects of buffer variables, such as life satisfaction and perceived social support, on change in the BJW. Findings showed that these variables buffered the threat to the BJW after observing unfairness. DISCUSSION We discuss these results in the context of justice motive theory and suggest implications for future research and practical implications.

Understand the degree to which a Sense of Community at School can predict the Life Satisfaction of Chilean students in the fifth and seventh grades. The classroom and school components will be presented separately. The research was designed as a descriptive study using a survey with a probabilistic sample made up of 1959 students (52.6% male and 47.4% female) in the fifth and seventh grades at elementary schools in the cities of Concepción and Santiago in Chile. A multiple linear regression analysis was done using the Multidimensional Scales of School Sense of Community (SOC-S) and Classroom Sense of Community (SOC-C) as predictors of life satisfaction measured with the Student Life Satisfaction Scale (SLSS). Multigroup analysis was conducted to make comparisons by sex and grade. The dimension of "sense of belonging and emotional connection" of the SOC-C and the dimension of "belonging" of the SOC-S predict life satisfaction for fifth grade students. The additional dimension of "emotional connection" of the SOC-S scale was included for the seventh-grade students. The sense that one is part of the school community is a dimension that affects childhood life satisfaction. Its level of contribution varies by age, with the sense of belonging and emotional connection variables being the relevant ones.

The present study proposes and tests a cascade model of complex posttraumatic stress disorder (CPTSD) focusing on childhood trauma and maltreatment, attachment, and socio-interpersonal factors. Multigroup path analysis was used to examine data from 126 individuals formerly affected by compulsory social measures and placements (CSMP) in their childhood and/or adolescence (i.e., risk group [RG]; M age = 70.8 years) and an age-matched control group (CG; n = 125; M age = 70.6 years). The final model confirmed the cascade structure, with stronger associations emerging in the RG. Childhood trauma and maltreatment were associated with attachment anxiety, β = |.20|-.30, which was related to all socio-interpersonal factors (i.e., disclosure of trauma, social acknowledgment, and social support), β = .27-|.54|; the latter were associated with substantial aspects of the CPTSD symptoms as well as life satisfaction, β = |.21|-.42. Among participants in the CG, we observed more direct, rather than mediated, paths to CPTSD symptoms. Adulthood trauma exposure did not follow the full cascade pattern but was associated with the socio-interpersonal factors. Nevertheless, more in-depth clinical knowledge of CPTSD and potential targets for psychological treatment may be gained from the confirmation of this newly proposed cascade model of CPTSD.

This study examined the association between participation in community organizations and life satisfaction, and relevant mediating and moderating mechanisms among retirees. Positive and negative affect were considered as mediating variables, and family relation as a moderating variable. A total of 1132 community-dwelling retirees aged 50 years or more were investigated. A self-developed questionnaire with five items measured the level of organizational participation (OP) based on residential community. The Satisfaction with Life scale (SWLS), the Positive and Negative Affect Schedule (PANAS), and Family Cohesion sub-scale of Family Environment Scale (FES) were used to assess life satisfaction, positive and negative affect, and family relation, respectively. Mplus was used to conduct mediating and moderating analyses after controlling for six demographic and socioeconomic factors. First, the results indicated that OP was positively associated with life satisfaction. Second, positive and negative affect partly mediated the relationship between OP and life satisfaction. Third, family relation negatively moderated the relationship between OP and life satisfaction; that is, compared with those retirees with good family relation, the beneficial role of OP in enhancing one's satisfaction was more significant for those retirees with poor family relation; furthermore, family relation also moderated the links of OP-negative affect. These findings suggested that OP related to life satisfaction of retirees through mediating roles of positive and negative affect, and family relation partly moderated the above direct and indirect processes. In a word, OP based on residential community had a positive role in buffering adverse influence of poor family relation.

The present study took a differentiated perspective on parental psychological control to examine its impact on adolescent adjustment among urban (n = 349, females: 53%) and rural (n = 293, females: 54%) Chinese adolescents (Mage = 12.14 years). Four times over the first 2 years of Junior High school (from October, 2016 to April, 2018), adolescents reported on parental psychological control, their psychological well-being (life satisfaction and depressive symptoms), and academic relative autonomy. Adolescents' grades also were obtained. The findings show generally negative effects of social comparison shame, love withdrawal and harsh psychological control (but not shared shame or parental relationship-oriented guilt induction) on adolescents' psychological well-being, and negative effects of social comparison shame on adolescents' academic functioning.

Adolescent bullying victimization can have long-term mental health and well-being outcomes. This study focused on the potential mediating role of the perceived long-term negative and positive impact of adolescent bullying victimization to understand its relations with mental health and well-being problems during emerging adulthood. A retrospective study consisting of closed and open-ended questions was conducted among 1010 Flemish and 650 Dutch emerging adults aged 18-26. Path analyses among early victims (N-Flemish = 644; N-Dutch = 217) demonstrated that the relations between bullying victimization intensity and current self-esteem, social interaction anxiety, and life satisfaction were all mediated by the perceived negative long-term impact of adolescent bullying victimization. Additionally, the open-ended questions provided a better understanding of the perceived negative and positive impact of adolescent bullying victimization. The present study offers insights into the importance of considering subjective perceptions of the overall impact of being bullied to understand long-term bullying victimization outcomes. Implications and limitations are discussed, including the need for longitudinal data-for instance, a three-wave panel study-to establish the temporal order of effects.

We study the role of access to health insurance coverage as a determinant of individuals' subjective well-being (SWB) by analyzing large-scale healthcare reforms in the United States. Using data from the Behavioral Risk Factor Surveillance System and Panel Study of Income Dynamics, we find that the 2006 Massachusetts reform and 2014 Affordable Care Act Medicaid expansion improved the overall life satisfaction of Massachusetts residents and low-income adults in Medicaid expansion states, respectively. The results are robust to various sensitivity and falsification tests. Our findings imply that access to health insurance plays an important role in improving SWB. Without considering psychological benefits, the actual benefits of health insurance may be underemphasized.

This study examines how history of care, on one hand, and social support, on the other hand, predict satisfaction with life after leaving care by focusing on a sample of young adults raised in foster care in Norway. When aged between 19 and 29, youths answered questionnaires that mapped their past history of care, living conditions, social relationships and life satisfaction. Results show that the 70 respondents had experienced a relatively stable history of care (mean number of placements ± SD: 1.7 ± 0.9) and reported life satisfaction scores similar to those measured in the general population (23.3 ± 7.0, mean ± SD). Placement stability (P = 0.001) and a high satisfaction with foster home (P = 0.030) were related to a higher life satisfaction. Moreover, having good social support, that is, persons that you can count on in case of major personal problems (P

The continuous surge in the number of confirmed diagnoses and fatalities associated with the coronavirus disease 2019 (COVID‐19) has caused debilitating economic, educational, social, and psychological issues. However, little is known about how psychological interventions may boost well‐being outcomes amid the pandemic. This research addresses this gap by examining the effects of gratitude and kindness interventions on life satisfaction, positive emotions, negative emotions, and COVID‐19 anxiety via an online pilot experimental study. A 3‐week online pilot experiment was implemented among 107 Filipino undergraduate students (M = 20.27; SD = 1.10). These participants were randomly assigned to kindness (n = 37), gratitude (n = 32), and control (n = 38) conditions. The results showed that there were significant differences on positive emotions when controlling for the baseline well‐being, gratitude, and kindness scores across all conditions (i.e., gratitude, kindness, and control). Participants assigned in the gratitude and kindness conditions had significantly higher scores on positive emotions than those in the control condition. The findings point to the emotional benefits associated with promoting gratitude and kindness during the COVID‐19 pandemic. This research contributes to scarce literature on the applicability of well‐being interventions in non‐Western cultural contexts.

OBJECTIVE: We explore the personality of counties as assessed through linguistic patterns on social media. Such studies were previously limited by the cost and feasibility of large-scale surveys; however, language-based computational models applied to large social media datasets now allow for large-scale personality assessment. METHOD: We applied a language-based assessment of the five factor model of personality to 6,064,267 U.S. Twitter users. We aggregated the Twitter-based personality scores to 2,041 counties and compared to political, economic, social, and health outcomes measured through surveys and by government agencies. RESULTS: There was significant personality variation across counties. Openness to experience was higher on the coasts, conscientiousness was uniformly spread, extraversion was higher in southern states, agreeableness was higher in western states, and emotional stability was highest in the south. Across 13 outcomes, language-based personality estimates replicated patterns that have been observed in individual-level and geographic studies. This includes higher Republican vote share in less agreeable counties and increased life satisfaction in more conscientious counties. CONCLUSIONS: Results suggest that regions vary in their personality and that these differences can be studied through computational linguistic analysis of social media. Furthermore, these methods may be used to explore other psychological constructs across geographies.

Loneliness is a significant health concern that may be influenced by dispositional features. Pathological narcissism may elevate loneliness through aversive interpersonal behaviors and negative social appraisals. The present study examined two dimensions of pathological narcissism, along with five-factor personality traits, in relation to loneliness among 120 young adults. Loneliness was also examined as a mediator between pathological narcissism and satisfaction with life. Narcissistic grandiosity and narcissistic vulnerability were both significantly associated with loneliness. Multiple regression analysis, including five-factor traits, revealed narcissistic vulnerability to be uniquely associated with loneliness, along with neuroticism. Mediation analysis also found an indirect effect of narcissistic vulnerability on reduced satisfaction with life, through loneliness as a mediator. These preliminary findings point to future research needs and potential clinical consideration of narcissistic vulnerability as a dispositional risk factor for loneliness.

We used a pretest-posttest, control group design to evaluate a psychoeducational career construction counseling course for ninth-grade students at two high schools in Northern Cyprus. The 80 participants were randomly assigned to experimental (n = 42) and control (n = 38) groups. Each group completed pre- and posttest measures of future orientation, career adaptability, life satisfaction, and belief in achieving their dreams. The experimental group received the five-session course, whereas the control group received one session about stress and test anxiety. Results indicated significant increases in scores on all measures for the experimental group only. Future studies should include long-term effects of the group program based on career construction theory.

In 2015, all 193 member states of the United Nations (UN) adopted the Sustainable Development Goals (SDGs). These 17 goals, 169 targets, and 232 indicators (including over 650 indicators if all the subdivisions are included) are intended to guide and improve sustainable wellbeing and life satisfaction for everyone on earth. Challenges include the fact that many indicators are not measured or reliably tracked in many countries, the cost of tracking is unclear, and no explicit overarching goal exists. To highlight some of the problems with this approach, we model life satisfaction(LS) survey scores by country, as a proxy for overall wellbeing, as the dependent variable against the official 232 SDG indicators. Using a constrained linear regression approach (LASSO), we identify a model that includes only 8 of the 232 indicators and explains 84% of the variation in LS. These eight indicators are proxies for economic, social, and environmental variables. We also cluster countries according to these indicators and LS showing correlation within geographical and cultural regions. We discuss these results with regard to the meaning and measurement of sustainable development vs. sustainable wellbeing and its relationship with LS and the SDGs. We recommend how these results can be used to prioritize goals and measurement efforts to create more meaningful and useful measures of sustainable wellbeing

This paper explores the causal effect of foreclosure on individual well-being and social capital. Using plausibly exogenous variation in the timing of interest rate changes on different types of adjustable rate mortgages (ARMs), we find that a 10% rise in foreclosures is associated with a 0.58% and 0.28% decline in current and expected future life satisfaction. These effects are primarily driven by the effects on local optimism and social capital. The results are consistent with models of spatial externalities where large-scale shocks generate adverse effects on communities, not just individuals.

Objectives This study aimed to investigate the effect of depression on suicidal behavior among older adults and identify the mediating effect of life satisfaction on the relationship between depression and suicidal behavior. The moderated mediating effects of social support through life satisfaction were also verified in the relationship between depression and suicidal behavior among older adults. Methods A total of 1375 people aged 65 years or older living in J city, South Korea, were recruited to complete a survey on depression, life satisfaction, suicidal behavior, and social support. Data were analyzed using SPSS24.0 and SPSS PROCESS Macro. Results The results showed that the effect of depression on suicidal behavior was mediated by life satisfaction, and the effect of life satisfaction on suicidal behavior varied according to the level of social support. Moreover, depression negatively affected life satisfaction, increasing the risk of suicidal behavior, and social support decreased suicidal behavior. Finally, the mediating effect of depression leading to suicidal behavior through life satisfaction was moderated by social support. Conclusions These findings suggest that it is necessary not only to find interventions for older adults to increase their physical, mental, and socioeconomical satisfaction with life, but also to build social networks that increase social support for them.

OBJECTIVES: Loneliness may negatively impact on health outcomes. The study aimed to estimate the associations between loneliness and poor physical health, poor mental health, and health risk behaviours in middle-aged and older adults in a national population survey in India. METHODS: The sample included 72,262 middle-aged and older adults from a cross-sectional national community dwelling survey in India in 2017–2018. RESULTS: Results indicate that the prevalence of moderate loneliness was 20.5%, and severe loneliness was 13.3%. In the adjusted logistic regression analysis, moderate and/or severe loneliness was significantly positively associated with fair or poor self-rated health status, and significantly negatively associated with life satisfaction and cognitive functioning. Furthermore, loneliness was associated with stroke, angina, physical injury, difficulty of Activities of Daily Living (ADL), difficulties of Instrumental Activities of Daily Living (IADL), and multimorbidity. Loneliness increased the odds of major depressive disorder and insomnia symptoms. The associations between loneliness and current tobacco use and Body Mass Index (BMI) were negative and between loneliness and physical inactivity and underweight were positive. CONCLUSIONS: Loneliness is associated with poor physical health, poor mental health and health risk behaviour (physical inactivity), emphasising the need to consider loneliness in various physical and mental health contexts.

The decision of the UK to leave the European Union created uncertainty for European citizens resident in the UK for the period 2016–2019. This paper studies the effects of this uncertainty on their mental health. Using data from a large household panel and a difference‐in‐differences framework, we find no evidence for a decline in mental health or life satisfaction for various definitions of EU citizens relative to multiple control groups. These findings are robust to the specific mental health measure. We corroborate this finding by looking at various channels plausibly linking Brexit and European citizens’ mental health.

On any given weekend, over a fifth of the UK labour force is at work, while more than half of working adults report working at the weekend at least some of the time. This is despite the fact that weekends are conventionally set aside as rest days. The question that this paper addresses is: does this matter? This paper adds to the literature by using two large panel datasets to analyse the effects of weekend working on eight different measures of subjective well-being in the UK. I find that weekend working has a significant impact on how satisfied people are with the amount of leisure time they have, with the results suggesting that avoiding weekend working is equivalent to working six fewer hours per week. Moreover, people working at the weekend report significantly lower happiness yesterday than non-weekend workers. While weekend workers also experience lower levels of life satisfaction than non-weekend workers, this difference disappears when controlling for unobserved heterogeneity between individuals. This suggests that there is no evidence that weekend working causes people to be worse off overall.

Aims and objectives To explore the relationships among emotional distress, cognitive function, and life satisfaction in people living with type 2 diabetes mellitus (T2DM), and to verify the mediating role of cognitive function. Background People with T2DM face cognitive decline caused by age and disease complications. Emotional distress will reduce their life satisfaction, and cognitive function will also affect the life satisfaction, but whether cognitive function mediates the effect of emotional distress on life satisfaction has not been verified. Design A cross-sectional study. Methods A total of 200 people living with T2DM in the community by convenience sampling were enrolled from November - December 2018. Data collection involved a demographic and disease characteristics questionnaire, Problem Areas in Diabetes Scale, Subjective and Objective Cognitive Function Evaluation, and Life Satisfaction Questionnaire. Data analysis included descriptive statistics and structural equation modeling. This report followed the STROBE guideline. Results The emotional distress and subjective memory complaints of cognitive function had a significant positive correlation, while both emotional distress and cognitive function showed significant negative correlations with life satisfaction. In addition, cognitive function completely mediated the relationship between emotional distress and life satisfaction. Conclusion The cognitive function played a mediating role in life satisfaction and explain how emotional distress affects life satisfaction of people with T2DM. Therefore, it is suggested that diabetes nurses should early identify the decline of cognitive function, and to intervene at early stage. Relevance to clinical practice This study provides opinions on the mediating factors of cognitive function. Coping strategies and supporting resources to help the T2DM people to improve their life satisfaction is suggested.