Psychological distress in older adults linked to immigrant status, dietary intake, and physical health conditions in the Canadian Longitudinal Study on Aging (CLSA)

Abstract Background We aimed to examine the multimorbidity patterns within a representative sample of UK older adults and their association with concurrent and subsequent memory. Methods Our sample consisted of 11,449 respondents (mean age at baseline was 65.02) from the English Longitudinal Study of Ageing (ELSA). We used fourteen health conditions and immediate and delayed recall scores (IMRC and DLRC) over 7 waves (14 years of follow up). Latent class analyses were performed to identify the multimorbidity patterns and linear mixed models were estimated to explore their association with their memory trajectories. Models were adjusted by socio-demographics, BMI and health behaviors. Results Results showed 8 classes: Class 1:Heart Disease/Stroke (26%), Class 2:Asthma/Lung Disease (16%), Class 3:Arthritis/Hypertension (13%), Class 4:Depression/Arthritis (12%), Class 5:Hypertension/Cataracts/Diabetes (10%), Class 6:Psychiatric Problems/Depression (10%), Class 7:Cancer (7%) and Class 8:Arthritis/Cataracts (6%). At baseline, Class 4 was found to have lower IMRC and DLRC scores and Class 5 in DLRC, compared to the no multimorbidity group (n=6380, 55.72% of total cohort). For both tasks, in unadjusted models, we found an accelerated decline in Classes 1, 3 and 8; and, for DLRC, also in Classes 2 and 5. However, it was fully attenuated after adjustments. Conclusions These findings suggest that individuals with certain combinations of health conditions are more likely to have lower levels of memory compared those with no multimorbidity and their memory scores tend to differ between combinations. Socio-demographics and health behaviours have a key role to understand who is more likely to be at risk of an accelerated decline.

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Epidemiology of Epilepsy in Older Adults With an Intellectual Disability in Ireland: Associations and Service Implications

American Journal on Intellectual and Developmental Disabilities ◽

10.1352/1944-7558-119.3.253 ◽

2014 ◽

Vol 119 (3) ◽

pp. 253-260 ◽

Cited By ~ 24

Author(s):

Mary McCarron ◽

Marie O'Dwyer ◽

Eilish Burke ◽

Eimear McGlinchey ◽

Philip McCallion

Keyword(s):

Older Adults ◽

Intellectual Disability ◽

Longitudinal Study ◽

Refractory Epilepsy ◽

Demographic Variables ◽

Health Conditions ◽

Community Settings ◽

Morbid Conditions

Abstract There are limited studies on the prevalence of epilepsy and co-morbid conditions in older adults with an ID. To begin to address this prevalence of epilepsy was estimated for participants in the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing. Associations with demographic variables and co morbid health conditions were examined. It was found that prevalence was high (30.7%); but declined as people aged. Those with epilepsy were less likely to live with family, independently or in community settings, rates of refractory epilepsy were high and, despite medication over half of those with epilepsy still reported experiencing seizures. Given these findings, people with ID and their careers have considerable needs for information about epilepsy management, and for support from specialist ID and epilepsy services.

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Psychological distress trajectories in chronic physical health conditions.

Health Psychology ◽

10.1037/hea0000820 ◽

2020 ◽

Vol 39 (2) ◽

pp. 116-126

Author(s):

Caroline Debnar ◽

Valerie Carrard ◽

Davide Morselli ◽

Gisela Michel ◽

Nicole Bachmann ◽

...

Keyword(s):

Psychological Distress ◽

Physical Health ◽

Health Conditions

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Greenspace to facilitate the positive physical activity and mental health outcomes of older adults in Canada

Western Undergraduate Research Journal Health and Natural Sciences ◽

10.5206/wurjhns.2014-15.9 ◽

2014 ◽

Vol 5 (1) ◽

Author(s):

Adam G Gavarkovs

Keyword(s):

Mental Health ◽

Physical Activity ◽

Older Adults ◽

Health Outcomes ◽

Physical Health ◽

Physical Inactivity ◽

Positive Relationship ◽

Current System ◽

Health Conditions ◽

Mental And Physical Health

The link between physical inactivity and poor health outcomes is well established. Older adults are especially at risk for many health conditions, and are one of the most inactive populations in Canada. Increasing levels of neighbourhood greenness has shown a positive relationship with walking and exercise behaviours, which in turn affects both mental and physical health. Currently in Ontario, the provincial Planning Act outlines the process of parkland dedication that individual municipalities are responsible for carrying out. This policy brief will discuss the inadequacies of the current system in effectively creating greenspace for older adults, and will propose several recommendations to resolve these issues.

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THE EFFECTS OF IMMIGRANT STATUS ON WELL-BEING AMONG OLDER ADULTS BY RACE-ETHNICITY: A MULTI-GROUP ANALYSIS

Innovation in Aging ◽

10.1093/geroni/igz038.2621 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S714-S714

Author(s):

Heehyul Moon ◽

Hyesook Kim ◽

Sunshine Rote ◽

William E Haley

Keyword(s):

Older Adults ◽

Physical Health ◽

Group Analysis ◽

Well Being ◽

Stress Coping ◽

Depression And Anxiety ◽

Immigrant Status ◽

Coping Process ◽

Race Ethnicity ◽

Racial Ethnic

Abstract Although prior researchers have decried the lack of research on racial/ethnic minority older adults, they have been less vocal about the gaps in research concerning the ways in which immigrant status and race/ethnicity affect their well-being. Thus, we examined the role of immigrant status on the stress coping process by race/ethnicity using the Transactional Model of Stress and Coping. The multi-group analysis function in structural equation modeling was used to determine whether the stress coping process was equivalent across three racial/ethnic groups (Non-Hispanic White (NHW), Non-Hispanic Black(NHB), and Hispanic) by immigrant status using the Round 1 of the National Health and Aging Trends Study (NHATS, (U.S.-born= 4,799, foreign-born=612)). We found that immigrant status and race/ethnicity may have complex effects on the stress coping process. For example, the total effects of being an immigrant were significantly associated with more stressors, less resources, and worse physical health. Except NHW, the total effects of being immigrant were associated with higher levels of depression and anxiety. With respect to the direct and indirect effect of immigrant status in the three groups, the Hispanic group has a larger effect of immigrant status on stressors, resources, depression/anxiety and physical health than their NHW and NHB counterparts. The results indicated that immigrant racial/ethnic minority older adults were more likely to have higher levels of depression and anxiety than the U.S.-born except for NHW. Immigrant status will require special attention in both assessment and management of depression/anxiety among racial/ethnicity minority older adults.

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Do Neuroticism and Conscientiousness Interact with Health Conditions in Predicting 4-Year Changes in Self-Rated Health among Swedish Older Adults?

10.31234/osf.io/vt8fa ◽

2021 ◽

Author(s):

Georg Henning ◽

Anne Ingeborg Berg ◽

Anja Cengia ◽

Isabelle Hansson ◽

Svenja Spuling ◽

...

Keyword(s):

Older Adults ◽

Physical Health ◽

Disease Burden ◽

Functional Limitations ◽

Later Life ◽

Functional Health ◽

Health Conditions ◽

Health Indices ◽

Self Rated Health ◽

Health Aging

Health conditions such as higher disease burden, pain or lower functional health are associated with poorer self-rated health (SRH). Whether these associations are moderated by psychosocial factors such as personality traits has rarely been investigated so far. In the present pre-registered analyses, we used five annual waves of the Health, Aging and Retirement Transitions in Sweden (HEARTS) study (n = 5,823, M(age) = 63.09, SD = 2.01) to investigate effects of personality (neuroticism and conscientiousness) and physical health indices (disease burden, pain, functional limitations), as well as their interaction, on levels and change in SRH. Higher neuroticism and lower conscientiousness were related to lower levels of SRH. These associations remained significant when controlling for the health indices. However, personality was not significantly related to change in SRH after controlling for the health indices, and personality did not moderate the effect of health indices on levels and change in SRH. When taking change in health indices into account, we found that increases in pain and functional limitations were more strongly associated with declines in SRH for those with high neuroticism. Our findings suggest that higher neuroticism may impair the ability to cope with increasing pain and functional limitations in later life.

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

Irish Journal of Psychological Medicine ◽

10.1017/ipm.2015.67 ◽

2016 ◽

Vol 33 (2) ◽

pp. 111-119 ◽

Cited By ~ 11

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.

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THE IMPACT OF NEGATIVE SOCIAL EXCHANGES ON ADULT PHYSICAL AND MENTAL HEALTH

Innovation in Aging ◽

10.1093/geroni/igz038.519 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S144-S144

Author(s):

Abigail M Nehrkorn-Bailey ◽

Julie Hicks Patrick ◽

Madeline M Marello

Keyword(s):

Mental Health ◽

Older Adults ◽

Physical Health ◽

Chronic Health Conditions ◽

Health Conditions ◽

Physical And Mental Health ◽

Chronic Health ◽

Social Exchanges ◽

Main Effect ◽

Negative Social Exchanges

Abstract As some health components may change across adulthood (CDC, 2019), social support for aging adults may be one way to optimize physical and mental health (U.S. Department of Health and Human Services, 2018). When social encounters are negative, however, physical and mental health may be negatively affected (Chen & Feeley, 2013; Hawkley & Cacioppo, 2010). Negative social exchanges (NSE) have been linked to an increase in negative affect and a decrease in positive affect (Newsom et al., 2003), along with an increase in physical symptoms (Edwards et al., 2001). In order to examine the relations between age, NSE, and two components of health (chronic health conditions and mental health) two moderated regression analyses were conducted using data from 848 adults (Mage = 32.5 years). Studying chronic health conditions, the overall model was significant, [F(3, 838) = 40.31, p < .001; R2 = .36]. Significant main effects emerged for NSE and age, along with a significant interaction between age and NSE (b = 0.010, p < 0.05). As NSE increased, the number of chronic health conditions increased, especially for older adults. For mental health, the overall model was significant [F(3, 845) = 52.96, p < .001; R2 = 0.16]. A significant main effect emerged for NSE, but neither the main effect for age nor the interaction were significant. Thus, although NSE can have deleterious effects on both mental and physical health, special attention needs to focus on the physical health of older adults who experience a higher number of NSE.

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