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Do psychosocial factors modify the negative association between disability and life satisfaction in old age?


Autoři: Thomas Puvill aff001;  Sasmita Kusumastuti aff002;  Rikke Lund aff003;  Erik Lykke Mortensen aff003;  Joris Slaets aff001;  Jolanda Lindenberg aff001;  Rudi G. J. Westendorp aff002
Působiště autorů: Leyden Academy on Vitality and Ageing, Leiden, the Netherlands aff001;  Section of Epidemiology, Department of Public Health, University of Copenhagen, Copenhagen, Denmark aff002;  Center for Healthy Aging, University of Copenhagen, Copenhagen, Denmark aff003;  Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark aff004;  Section of Environmental Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark aff005;  Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands aff006
Vyšlo v časopise: PLoS ONE 14(10)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0224421

Souhrn

Context

Many assume that having poor physical health in old age lowers life satisfaction, but in fact there are large differences in life satisfaction among older people who experience disability.

Objective

To investigate whether psychosocial factors modify the negative association between disability and life satisfaction in older people and whether these differ across the life course.

Design

Cross sectional study.

Setting

66,561 community-dwelling Survey of Health, Ageing, and Retirement in Europe (SHARE) participants aged 50–106 with a mean age of 67.8 ± 9.9 (SD) years from 17 European countries and Israel.

Methods

Psychosocial factors included depression (EURO-D scale), perceived loneliness, having a spouse, having children, contact with children, and participation in social activities. Disability was assessed by limitations in (Instrumental) Activities of Daily Living ((I)ADL) and life satisfaction by Cantril’s ladder. We also ran the analyses with the Control Autonomy Self-realization Pleasure (CASP-12) Index, a normative measure of quality of life. We used multiple linear regressions to estimate associations and proportion of variance explained.

Results

The variance in life satisfaction that could be attributed uniquely to ADL and IADL disability was 0.17% and 0.33% respectively (both p < 0.001). The impact of (I)ADL disabilities on life satisfaction was strongest at age 50 and gradually decreased with increasing age (p trend < 0.001). Mental health explained more variance; 5.75% for depressive symptoms and 2.50% for loneliness and for social resources this ranged from 0.09% to 0.47% (all p < 0.001). While disability has a negative effect on life satisfaction, the effect was not stronger in older persons who were depressed, neither in those who felt lonely nor in those without social resources. Similar outcomes were found when using CASP-12 as the explained variable.

Conclusion

The impact of (I)ADL disabilities on life satisfaction in community-dwelling older people decreases with age. These associations are not affected by psychosocial factors and these patterns cannot be explained by people changing their norms and values.

Klíčová slova:

Activities of daily living – Depression – Disabilities – Children – Mental health and psychiatry – Psychological and psychosocial issues – Quality of life


Zdroje

1. Covinsky KE, Wu AW, Landefeld CS, Connors AF, Phillips RS, Tsevat J, et al. Health status versus quality of life in older patients: does the distinction matter? Am J Med. 1999;106: 435–40. Available: http://www.ncbi.nlm.nih.gov/pubmed/10225247 doi: 10.1016/s0002-9343(99)00052-2 10225247

2. Puvill T, Lindenberg J, de Craen AJM, Slaets JPJ, Westendorp RGJ. Impact of physical and mental health on life satisfaction in old age: a population based observational study. BMC Geriatr. 2016;16: 194. doi: 10.1186/s12877-016-0365-4 27887583

3. Berg a I, Hassing LB, McClearn GE, Johansson B. What matters for life satisfaction in the oldest-old? Aging Ment Health. 2006;10: 257–264. doi: 10.1080/13607860500409435 16777653

4. Netuveli G, Wiggins RD, Hildon Z, Montgomery SM, Blane D. Quality of life at older ages: evidence from the English longitudinal study of aging (wave 1). J Epidemiol Community Health. 2006;60: 357–363. doi: 10.1136/jech.2005.040071 16537355

5. Pinquart M, Sörensen S. Influences of socioeconomic status, social network, and competence on subjective well-being in later life: a meta-analysis. Psychol Aging. 2000 [cited 18 Jul 2016]. Available: http://psycnet.apa.org/journals/pag/15/2/187/

6. Pinquart M, Sörensen S. Gender differences in self-concept and psychological well-being in old age: A meta-analysis. J Gerontol Psychol Sci. 2001;56B: P195–P213. doi: 10.1093/geronb/56.4.P195 11445606

7. Katon W, Lin E, Kroenke K. The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. Gen Hosp Psychiatry. 2007 [cited 18 Jul 2016]. Available: http://www.sciencedirect.com/science/article/pii/S0163834306002209

8. Holahan C, Holahan C, Moos R. Psychosocial, adjustment in patients reporting cardiac illness. Psychol. 1997 [cited 9 Nov 2016]. Available: http://www.tandfonline.com/doi/abs/10.1080/08870449708406712

9. Newsom J, Schulz R. Social support as a mediator in the relation between functional status and quality of life in older adults. Psychol Aging. 1996 [cited 18 Jul 2016]. Available: http://psycnet.apa.org/journals/pag/11/1/34/

10. Gwozdz W, Sousa-Poza A. Ageing, Health and Life Satisfaction of the Oldest Old: An Analysis for Germany. Soc Indic Res. 2010;97: 397–417. doi: 10.1007/s11205-009-9508-8

11. Rook KS, Mavandadi S, Sorkin DH, Zettel LA. Optimizing social relationships as a resource for health and well-being in later life. Handbook of Health Psychology and Aging. 2007. pp. 267–285. Available: https://www.google.com/books?hl=en&lr=&id=xtfl_-YWvu0C&oi=fnd&pg=PA267&dq=Rook,+Karen+S.,+et+al.+%22Optimizing+social+relationships+as+a+resource+for+health+and+well-being+in+later+life.%22+Handbook+of+health+psychology+and+aging+(2007):+267-285.&ots=McF4

12. Lachman ME, Agrigoroaei S. Promoting Functional Health in Midlife and Old Age: Long-Term Protective Effects of Control Beliefs, Social Support, and Physical Exercise. Baune BT, editor. PLoS One. 2010;5: e13297. doi: 10.1371/journal.pone.0013297 20949016

13. Steptoe A, Deaton A, Stone AA. Subjective wellbeing, health, and ageing. Lancet (London, England). 2015;385: 640–8. doi: 10.1016/S0140-6736(13)61489-0 25468152

14. Greenglass E, Fiksenbaum L, Eaton J. The relationship between coping, social support, functional disability and depression in the elderly. Anxiety, Stress Coping. 2006;19: 15–31. doi: 10.1080/14659890500436430

15. SHARE. Survey of Health, Ageing and Retirement in Europe. In: SHARE Project [Internet]. 2016 [cited 28 Jun 2016]. Available: http://www.share-project.org/

16. Börsch-Supan A. Survey of Health, Ageing and Retirement in Europe (SHARE) Wave 6 Release version: 6.0.0. SHARE-ERIC. 2017. doi: 10.6103/SHARE.w6.600

17. Borsch-Supan A, Brandt M, Hunkler C, Kneip T, Korbmacher J, Malter F, et al. Data Resource Profile: The Survey of Health, Ageing and Retirement in Europe (SHARE). Int J Epidemiol. 2013;42: 992–1001. doi: 10.1093/ije/dyt088 23778574

18. UNITED NATIONS EDUCATIONAL S, AND CULTURAL ORGANIZATION. 1997 International Standard Classification of Education. 2006.

19. Prince MJ, Reischies F, Beekman AT, Fuhrer R, Jonker C, Kivela SL, et al. Development of the EURO-D scale—a European, Union initiative to compare symptoms of depression in 14 European centres. Br J Psychiatry. 1999;174: 330–338. doi: 10.1192/bjp.174.4.330 10533552

20. Guerra M, Ferri C, Llibre J, Prina AM, Prince M. Psychometric properties of EURO-D, a geriatric depression scale: a cross-cultural validation study. BMC Psychiatry. 2015;15. doi: 10.1186/S12888-015-0390-4 25652111

21. Vassar M, Crosby JW. A Reliability Generalization Study of Coefficient Alpha for the UCLA Loneliness Scale. J Pers Assess. 2008;90: 601–607. doi: 10.1080/00223890802388624 18925502

22. LITWIN H, STOECKEL KJ. Social networks and subjective wellbeing among older Europeans: does age make a difference? Ageing Soc. 2013;33: 1263–1281. doi: 10.1017/S0144686X12000645

23. Katz S, Ford A, Moskowitz R, Jackson B. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. Jama. 1963 [cited 15 Jul 2016]. Available: http://jama.jamanetwork.com/article.aspx?articleid=666768

24. Romero-Ortuno R, O’Shea D. The SHARE frailty instrument for primary care predicts incident disability in a European population-based sample. Qual Prim. 2011 [cited 1 Dec 2016]. Available: http://www.ingentaconnect.com/content/imedpub/qpc/2011/00000019/00000005/art00004

25. Buz J, Cortés-Rodríguez M. Measurement of the severity of disability in community-dwelling adults and older adults: interval-level measures for accurate comparisons in large survey data sets. BMJ Open. 2016;6: e011842. doi: 10.1136/bmjopen-2016-011842 27612539

26. Cantril H. Pattern of human concerns. 1965 [cited 18 Jul 2016]. Available: http://agris.fao.org/agris-search/search.do?recordID=US201300321344

27. Borrat-Besson C, Ryser V-A, Gonçalves J, Antal E, Farago P, Kleiner B, et al. An evaluation of the CASP-12 scale used in the Survey of Health, Ageing and Retirement in Europe (SHARE) to measure Quality of Life among people aged 50+. 2015.

28. Hyde M, Wiggins RD, Higgs P, Blane DB. A measure of quality of life in early old age: The theory, development and properties of a needs satisfaction model (CASP-19). http://dx.doi.org/101080/1360786031000101157. 2010.

29. Lucas RE, Brent Donnellan M. Estimating the Reliability of Single-Item Life Satisfaction Measures: Results from Four National Panel Studies. Soc Indic Res. 2012;105: 323–331. doi: 10.1007/s11205-011-9783-z 23087538

30. R Development Core Team. R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2008. Available: http://www.r-project.org

31. Sprangers M, Schwartz C. Integrating response shift into health-related quality of life research: a theoretical model. Soc Sci Med. 1999 [cited 18 Jul 2016]. Available: http://www.sciencedirect.com/science/article/pii/S0277953699000453

32. Frieswijk N, Buunk B, Steverink N. The effect of social comparison information on the life satisfaction of frail older persons. Psychol. 2004 [cited 18 Jul 2016]. Available: http://psycnet.apa.org/journals/pag/19/1/183/

33. Albrecht G, Devlieger P. The disability paradox: high quality of life against all odds. Soc Sci Med. 1999 [cited 18 Jul 2016]. Available: http://www.sciencedirect.com/science/article/pii/S0277953698004110

34. Calman K. Quality of life in cancer patients—an hypothesis. J Med Ethics. 1984 [cited 18 Jul 2016]. Available: http://jme.bmj.com/content/10/3/124.short

35. Lucas R, Clark A, Georgellis Y. Reexamining adaptation and the set point model of happiness: reactions to changes in marital status. J Pers. 2003 [cited 18 Jul 2016]. Available: http://psycnet.apa.org/journals/psp/84/3/527/

36. Lucas R. Adaptation and the set-point model of subjective well-being does happiness change after major life events? Curr Dir Psychol Sci. 2007 [cited 18 Jul 2016]. Available: http://cdp.sagepub.com/content/16/2/75.short

37. Ubel P, Peeters Y, Smith D. Abandoning the language of “response shift”: a plea for conceptual clarity in distinguishing scale recalibration from true changes in quality of life. Qual Life Res. 2010 [cited 18 Jul 2016]. Available: http://link.springer.com/article/10.1007/s11136-010-9592-x

38. Westendorp R, Mulder B, Does A. When vitality meets longevity. Wellbeing. 2014 [cited 18 Jul 2016]. Available: http://onlinelibrary.wiley.com/doi/10.1002/9781118539415.wbwell090/full

39. Strine TW, Kroenke K, Dhingra S, Balluz LS, Gonzalez O, Berry JT, et al. The Associations Between Depression, Health-Related Quality of Life, Social Support, Life Satisfaction, and Disability in Community-Dwelling US Adults. J Nerv Ment Dis. 2009;197: 61–64. doi: 10.1097/NMD.0b013e3181924ad8 19155812

40. Newsom JT, Schulz R. Social support as a mediator in the relation between functional status and quality of life in older adults. Psychol Aging. 1996;11: 34–44. doi: 10.1037/0882-7974.11.1.34 8726368

41. Asakawa, Koyano Wataru, Takatoshi A T, Koyano W, Ando T, Shibata H. Effects of Functional Decline on Quality of Life among the Japanese Elderly. Int J Aging Hum Dev. 2000;50: 319–328. doi: 10.2190/3TR1-4V6R-MA5M-U1BV 11087110

42. Diener E, Ng W, Harter J, Arora R. Wealth and happiness across the world: Material prosperity predicts life evaluation, whereas psychosocial prosperity predicts positive feeling. J Pers Soc Psychol. 2010;99: 52–61. doi: 10.1037/a0018066 20565185

43. Lucas RE, Brent Donnellan M. Estimating the Reliability of Single-Item Life Satisfaction Measures: Results from Four National Panel Studies. Soc Indic Res. 2012;105: 323–331. doi: 10.1007/s11205-011-9783-z 23087538

44. Pinquart M, Sörensen S. Influences of socioeconomic status, social network, and competence on subjective well-being in later life: a meta-analysis. Psychol Aging. 2000 [cited 9 Nov 2016]. Available: http://psycnet.apa.org/journals/pag/15/2/187/

45. Westendorp RG, Mulder B, van der Does AJ van der OF. When Vitality Meets Longevity: New Strategies for Health in Later Life. In: Kirkwood TBL CC, editor. Wellbeing in Later Life: A Complete Reference Guide. John Wiley & Sons, Inc; 2014. pp. 219–34. doi: 10.1002/9781118539415.wbwell090

46. Puvill T, Lindenberg J, de Craen AJM, Slaets JPJ WR. Impact of Physical and Mental Health on Life Satisfaction in Old Age: A Population Based Observational Study. BMC Geriatr. 2016.

47. Ulloa B, Møller V, Sousa-Poza A. How does subjective well-being evolve with age? A literature review. J Popul Ageing. 2013 [cited 18 Jul 2016]. Available: http://link.springer.com/article/10.1007/s12062-013-9085-0

48. French D, Sargent-Cox K. Correlates of subjective health across the aging lifespan: Understanding self-rated health in the oldest old. J Aging. 2012 [cited 18 Jul 2016]. Available: http://jah.sagepub.com/content/early/2012/10/12/0898264312461151.abstract

49. Bowling A, Gabriel Z, Dykes J. Let’s ask them: a national survey of definitions of quality of life and its enhancement among people aged 65 and over. J Aging …. 2003 [cited 3 Aug 2016]. Available: http://ahd.sagepub.com/content/56/4/269.short

50. Hung L, Kempen G, Vries N De. Cross-cultural comparison between academic and lay views of healthy ageing: a literature review. Ageing Soc. 2010 [cited 3 Aug 2016]. Available: http://journals.cambridge.org/abstract_S0144686X10000589


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