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Qualitative study explores beliefs behind anxiety coping strategies in UK multicultural older adultsStudy explores how older adults with anxiety choose coping strategies

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Key Takeaway
Consider that salient identities, not just culture, may influence anxiety coping strategy selection in older adults.

This qualitative study explored the beliefs underpinning coping strategies for anxiety among 52 older adults aged 65 and over in the UK. Participants self-identified as White British, South Asian, African, or Caribbean and reported current or past anxiety. The study applied Leventhal's Common-Sense Model of Self-Regulation to understand these beliefs.

The main findings indicate that self-help strategies were the most prominent coping method adopted by participants. The selection of coping strategies was influenced more by older adults' salient personal identities than by their broader cultural backgrounds. Furthermore, the study found that help-seeking behavior was influenced by a complex interplay of factors that were not fully recognized or captured by the applied Leventhal's model.

Safety and tolerability data were not reported for this non-interventional, belief-focused study. Key limitations noted by the authors include that no single model can depict the full complexity of coping behaviors, and that Leventhal's model could not fully capture the motivational factors underlying participation in specific coping strategies. The study's practice relevance suggests interventions empowering older adults to use self-help strategies more effectively could serve as acceptable adjuncts to formal therapy, and that addressing barriers to formal help-seeking remains essential.

Researchers talked with 52 older adults in the UK, all aged 65 or older, who said they had experienced anxiety. The participants came from White British, South Asian, African, and Caribbean backgrounds. The goal was to understand the beliefs behind how they manage their anxiety, using a psychological model as a starting point.

The main finding was that people most often used self-help strategies to cope. The study also suggested that a person's important personal identities—like being a parent, a caregiver, or a community member—had more influence on their choice of coping method than their broader cultural background did. Furthermore, the decision to seek formal help, like therapy, was influenced by a complex mix of factors that the original psychological model did not fully explain.

This was a qualitative study, which means it gathered detailed stories and perspectives rather than measuring numbers or testing treatments. Because it involved a specific, self-selected group in the UK, the findings may not apply to everyone. The study did not report on safety, as it was about beliefs and not a medical intervention. The results help us understand personal experiences better but do not show that one way of coping causes better outcomes than another.

What this means for you:
A small study found older adults often use self-help for anxiety, influenced by personal roles. It describes perspectives, not proven treatments.

Study Details

Sample sizen = 10
EvidenceLevel 5
PublishedMar 2026
View Original Abstract ↓
11.1 AimOlder adults experiencing anxiety disorders, particularly those from minority ethnic backgrounds, are less likely to use formal mental health services compared to their younger counterparts. This UK multicultural qualitative study aimed to explore and compare beliefs underpinning coping strategies for anxiety among self-reporting White British, South Asian, African and Caribbean older adults, using Leventhals Common-Sense Model of Self-Regulation. 1.2 MethodsIndividual semi-structured interviews were undertaken with 52 older adults aged 65 and over who self-reported (current or past) anxiety. Professional interpreters supported interviews with non-English-speaking participants (n=10). Eight public contributors collaborated on different aspects of the study. The Framework Method was used to manage and analyse the data. 1.3 FindingsThe study drew on the perspectives of 27 older adults with distressing anxiety and 25 with non-distressing anxiety. Across all cultural groups, participants adopted different strategies to manage anxiety, the most prominent of which were self-help strategies. Help-seeking behaviour was influenced by a complex interplay of factors not recognised by Leventhals Common-Sense Model. Notably, older adults salient identities, rather than their cultural backgrounds, influenced their selection of coping strategies. 1.4 ConclusionsInterventions that empower older adults to use self-help strategies more effectively can serve as acceptable adjuncts to formal therapy. Nevertheless, addressing barriers to formal help-seeking is essential, particularly among those with a perceived need to seek help. No one model can depict the complexity of coping behaviours. While applying Leventhals Common-Sense Model yielded novel insights, it could not fully capture the motivational factors underlying participation in specific coping behaviours. To provide nuanced and accurate insights, cross-cultural research should acknowledge heterogeneity within groups rather than impose boundaries of purportedly homogeneous entities.
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