Physical health, subjective health, and psychological distress in older adults: Reciprocal relationships concurrently and over time

2004 ◽  
Vol 29 (3) ◽  
pp. 247-266 ◽  
Author(s):  
Philippe Cappeliez ◽  
Sabine Sèvre-Rousseau ◽  
Philippe Landreville ◽  
Michel Préville ◽  
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Physical Health ◽  
Subjective Health ◽  
Reciprocal Relationships ◽  
Over Time

scholarly journals Dynamics of Multimorbidity Resilience and Health Outcomes Over Time in Community-Residing Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 890-891
Author(s):  
Yingzhi Xu ◽  
Zahra Rahmaty ◽  
Eleanor McConnell ◽  
Tingzhong (Michelle) Xue ◽  
Bada Kang ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Physical Health ◽  
Social Life ◽  
Structural Equation ◽  
Equation Modeling ◽  
Psychological Resilience ◽  
Pain Level ◽  
Reciprocal Relationships ◽  
Over Time

Abstract Multimorbidity resilience may mitigate the adverse effects of multiple chronic diseases on older adults’ health. Wister et al.’s (2018) multimorbidity resilience index was developed and tested in a cross-sectional sample of older adults in Canada. Building on these findings, we examined the reciprocal relationships of resilience on outcomes to test these potentially mitigating effects in a community-based, U.S. sample of older adults over time. The study sample includes 1,054 older adults from waves 2 and 3 of the National Social Life, Health, and Aging Project (NSHAP) study (Waite et al 2020). Wister et al.’s (2018) index was mapped to NSHAP measures, and reciprocal relationships of multimorbidity resilience and health outcomes over a 5-year period was tested using structural equation modeling (SEM). Results indicated significant effects of multimorbidity resilience on self-rated physical health and pain. Interestingly, a better functional resilience at baseline conferred better self-rated physical health at follow-up, while better psychological resilience predicted lower pain level. By contrast, the influence of health outcomes on any domain of multimorbidity resilience was not detectable at all, supporting the direction of these associations from resilience to outcomes. The study systematically investigated the dynamic hypotheses between multimorbidity resilience and health outcomes. That is, whether they are determinants or consequences, or both. Our findings suggest multimorbidity resilience predicts subsequent 5-year change in health outcomes, especially self-rated physical health and pain level, but not vice versa, strengthening the evidence of the importance of resilience in the health of older adults.

Psychological distress and frailty transitions over time in community-dwelling older adults

2016 ◽  
Vol 33 (2) ◽  
pp. 111-119 ◽  
Author(s):  
J. E. McHugh ◽  
M. Dowling ◽  
A. Butler ◽  
B. A. Lawlor
Keyword(s):  
Older Adults ◽  
Psychological Distress ◽  
Physical Health ◽  
Negative Symptoms ◽  
Community Dwelling ◽  
Ageing Population ◽  
Observational Study Design ◽  
Community Dwelling Older Adults ◽  
Over Time

ObjectivesPhysical health and, in particular, frailty may be associated with psychological factors among older adults. We aimed to investigate the relationships between aspects of psychological distress and progression of frailty over time among older adults.MethodsWe used a longitudinal observational study design with 624 participants aged over 60 years (mean age=72.75, s.d.=7.21, 68% female) completing a baseline comprehensive biopsychosocial geriatric assessment, and 447 returning for a follow-up assessment 2 years later. Aspects of psychological distress, physical health, and frailty were analysed for the purposes of this study. We employed a series of logistic regression analyses to determine psychological predictors of changing states of aspects of frailty over time.ResultsWith individual components of frailty, neuroticism and age predicted negative transitions of exhaustion and grip strength, respectively, whereas age alone was a predictor of transitions in overall frailty scores based on four components.ConclusionWe conclude that neuroticism and age may impact upon physical frailty and its progression over time in an ageing population. These findings may reflect the tendency for those with high levels of neuroticism to endorse negative symptoms, or alternatively, neuroticism may result in exhaustion via worry in an older population. Further research is required to further elucidate this relationship.

A Longitudinal Analysis of Efficacy Expectations and Exercise in Older Adults

2004 ◽  
Vol 18 (4) ◽  
pp. 331-344 ◽  
Author(s):  
Barbara Resnick
Keyword(s):  
Older Adults ◽  
Physical Health ◽  
Self Efficacy ◽  
Outcome Expectations ◽  
Analysis Of Covariance ◽  
Regular Exercise ◽  
Significant Difference ◽  
Efficacy Expectations ◽  
The Impact ◽  
Over Time

The purpose of this study was to consider the longitudinal changes in self-efficacy and outcome expectations for exercise and the impact of these variables on maintaining regular exercise over a 4-year period in a group of older adults living in a continuing care retirement community. There were 78 individuals who completed all four surveys. The participants had at least a high school education, and the majority were Caucasian (99%), female (83%) and either widowed or never married (80%). The mean age of the participants was 84.4 ± 5.1 years. Based on repeated measure analysis of covariance, controlling for mental and physical health, there was not a statistically significant difference in self-efficacy expectations (F = 2.0, p > .05) or outcome expectations (F = 2.2, p > .05) over time. There was a statistically significant decrease in exercise over time (F = 9.9, p < .05). Using path analysis it was demonstrated that self-efficacy expectations, outcome expectations, and physical health directly and indirectly influenced maintenance of regular exercise. Age, gender, and mental health had a limited and inconsistent influence on maintenance of exercise. Future research and clinical work should focus on developing and testing interventions that strengthen both self-efficacy and positive outcome expectations in older adults to facilitate maintenance of exercise behavior over time.

scholarly journals Effects of Different Types of Perceived Social Support on Changes in Subjective Health among Older Adults: A Focus on Gender Differences

2021 ◽  
Vol 23 (4) ◽  
pp. 323-332
Author(s):  
Miok Ha ◽  
Seungja Kang
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Older Women ◽  
Emotional Support ◽  
Perceived Social Support ◽  
Subjective Health ◽  
Instrumental Support ◽  
Health Promotion Programs ◽  
Different Types ◽  
Over Time

Purpose: This longitudinal study aimed to investigate which types of perceived social support are associated with changes in subjective health over time among Korean older adults. We further explored whether these associations vary by older adults' gender.Methods: The current study examined 3,650 older adults drawn from additional survey data of the 6th and 7th waves of the Korean Retirement and Income Study (KReIS). Data were analyzed using hierarchical linear regression analyses.Results: Higher perceived instrumental and emotional supports significantly associated with less decline in subjective health over 2 years. Gender only moderated the association between emotional support and changes in subjective health. That is, higher emotional support associated with less decline in subjective health among older women, but not among older men.Conclusion: These findings suggest that instrumental support is the strongest predictor of older adults' changes in health over time, indicating the need for public supports for those who lack instrumental support from their social ties. Health promotion programs for older women should aim to enhance their perceived emotional support to protect them from faster declines in subjective health over time.

scholarly journals DETERIORATING HEALTH AMONG OLDER ADULTS AND CORTISOL: LONGITUDINAL EVIDENCE FROM THE MIDUS STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S255-S256
Author(s):  
Julie Ober Allen
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Outcomes ◽  
Physical Health ◽  
Functional Limitations ◽  
Health Data ◽  
Health Conditions ◽  
Diurnal Cortisol ◽  
Health Deterioration ◽  
Over Time

Abstract Various mental and physical health conditions common among older adults have been linked to cortisol dysregulation (i.e., blunting of daily cortisol patterns) in predominantly cross-sectional studies. Researchers have suggested that cortisol dysregulation interferes with regulatory functions throughout the body and brain, disrupting multiple biological systems, and contributing to the development or progression of negative health outcomes over time. Prospective studies are needed to investigate the causal direction of cortisol dysregulation and poor health outcomes. This study examined whether diurnal cortisol patterns predicted subsequent health deterioration using longitudinal data from the National Survey of Midlife in the US (MIDUS). Analysis was restricted to 1,336 participants who provided salivary cortisol (4 samples/day for 4 days) and health data in MIDUS II (2004-2009) and updated health data in MIDUS III (2013-2014) (mean age=56, 45% male, 94% White). We simultaneous modeled multiple measures of diurnal cortisol patterns and their relationships to changes in mental (depressive symptomology) and physical (self-rated physical health, functional limitations, and number of new chronic health conditions) health from MIDUS II to III. All indicators of physical health deterioration were associated with cortisol, though not all measures demonstrated relationships in the expected direction. Mental health change over time was unrelated to cortisol. Older age was also associated with increased functional limitations and more new chronic conditions but improvements in mental health over time. Findings suggest that diurnal cortisol patterns contribute to physical health deterioration over time, independent of age-related decline, but not mental health changes in later life.

scholarly journals MULTIMORBIDITY RESILIENCE IN COMMUNITY-RESIDING OLDER ADULTS: MEASUREMENT AND HEALTH OUTCOMES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S923-S923
Author(s):  
Yingzhi Xu ◽  
Eleanor McConnell ◽  
Tingzhong (Michelle) Xue ◽  
Kirsten Corazzini
Keyword(s):  
Older Adults ◽  
Health Outcomes ◽  
Physical Health ◽  
Social Life ◽  
Well Being ◽  
Multiple Chronic Conditions ◽  
Pain Level ◽  
Cross Sectional ◽  
Resilience Index ◽  
Over Time

Abstract Multimorbidity is widespread, costly, and associated with a range of deleterious outcomes; it affects an estimated 67-80% of older adults. This study tests the validity of a multimorbidity resilience index developed in a Canadian sample of older adults by Wister et al., (2018), with a U.S.-based sample, using National Social Life, Health, and Aging Project (NSHAP) data, and draws upon the index to investigate the effects of resilience on outcomes over time. We mapped Wister et al.’s (2018) index to NSHAP measures, and assessed cross-sectional associations with health outcomes, using logistic regression. To assess the effects of resilience on health outcomes over time, we estimated mixed models of the relationships between resilience on outcomes over a 5-year interval. Total resilience was consistently associated with improved outcomes, including pain level (OR=.51, CI .41-.64); reduced utilization (OR=.45, CI .33-.60); improved mental health (OR=9.13, CI 6.20-13.44); self-rated physical health (OR=6.97, CI 4.76 10.19); and sleep quality (OR=3.66, CI 2.76-4.86). Longitudinal model results indicate change in multimorbidity resilience and number of chronic diseases predict (α=.001) pain level and self-rated physical health. Effects were moderated by socio-demographic factors. Our findings validate Wister et al.’s (2018) resilience index in a U.S. sample, supporting the importance of this measure to capture core components of older adults’ capacity to sustain well-being in the context of living with multiple, chronic conditions. Results from the longitudinal models provide beginning insights into the effects of resilience on symptom experience and perceived health over time, highlighting potential levers for change.

scholarly journals Changes over Time in Physical Activity and Psychological Distress among Older Adults

2009 ◽  
Vol 54 (3) ◽  
pp. 160-169 ◽  
Author(s):  
John Cairney ◽  
Guy Faulkner ◽  
Scott Veldhuizen ◽  
Terrance J Wade
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Psychological Distress ◽  
Changes Over Time ◽  
Over Time

scholarly journals Physical Health Constraints and Psychological Distress in Older Asian Americans: The Role of Perceived Health

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 336-337
Author(s):  
Hyunwoo Yoon ◽  
Yuri Jang ◽  
Seoyoun Kim
Keyword(s):  
Psychological Distress ◽  
Physical Health ◽  
Asian Americans ◽  
Asian American ◽  
Indirect Effect ◽  
Health Belief ◽  
Subjective Health ◽  
Health Perception ◽  
Physical And Mental Health ◽  
Life Study

Abstract Given the importance of understanding the underlying dynamics of physical and mental health in old age, the present study explored the roles of physical health constraints in predicting subjective health perception and psychological distress among older Asian Americans. Guided by the Health Belief Model, we also examined whether subjective health perception would function as a mediator in the link between physical health constraints and psychological distress. Using data from 533 Asian Americans aged 60 and over (mean age=69.4, SD=6.88) in the 2016 Asian American Quality of Life Study, the direct and indirect effect models were tested with multivariate linear regressions and the PROCESS macro. Advanced age, unmarried status, lower levels of acculturation, and more chronic physical conditions were significant predictors of psychological distress. When subjective health perception was added to the model, an additional 5% of the variance was accounted for, resulting in 25% of the total variance explained by the estimated model. Negative health perception was a significant predictor of increased level of psychological distress. Supporting the mediation hypothesis, all direct paths among physical health constraints, subjective health perception, and psychological distress were significant. The indirect effect of physical health constraints on psychological distress through subjective health perception status was significant, as evidenced by the 95% bootstrap confidence interval for the indirect effect not containing zero (.07, .28). The findings not only help better understand the psychological mechanisms that underlie physical health constraints and psychological distress but also suggest avenues for interventions.

scholarly journals Exploring the Relationship Between Subjective Age and Worry for Older Adults in Times of a Pandemic

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 593-593
Author(s):  
Anna Kornadt ◽  
Isabelle Albert ◽  
Elke Murdock ◽  
Martine Hoffmann ◽  
Josepha Nell ◽  
...  
Keyword(s):  
Older Adults ◽  
Perceived Control ◽  
Online Survey ◽  
Well Being ◽  
Subjective Health ◽  
Subjective Age ◽  
Time Points ◽  
The Relationship ◽  
Over Time

Abstract Given the role of age as a risk factor in the covid pandemic, we examined the longitudinal cross-lagged relationship between subjective age and Covid-related worry, and possible moderators of this relationship. Data were obtained at two-time points (June and October 2020) by a phone/online survey, from N = 611 older participants (Mage = 69.92 years). Participants felt on average 10 and 8.5 years younger than their chronological ages at the two-time points, respectively. Younger subjective age at T1 increased the level of worry at T2 irrespective of age, perceived control and subjective health. Higher worry increased subjective age at T2, but only for those with worse subjective health. Our results show that subjective age and Covid-related worry interact over time. This relation needs to be explored further in order to understand the relationship between subjective age and well-being especially, but not only in the pandemic context.

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