Associates of Perceived Quality of Life in Chinese Older Adults Living With Cognitive Impairment

Abstract This study examined perceived quality of life in Chinese older adults living with cognitive impairment in a group of urban Chinese older adults and explore its associations with caregivers’ characteristics. Questionnaires were administered in person to 300 caregiver-care recipient dyads from three urban communities in mainland China in 2019. The 40-item Alzheimer’s Disease-related Quality of Life tool asked caregiver respondents to indicate care recipients’ life conditions. Higher levels of caregiving burden (β = -0.19, p < 0.01) and more depressive symptoms (β = -0.19, p < 0.01) amongst caregivers were significantly associated with lower quality of life of care recipients. The results suggested that reducing caregivers’ burden and depressive symptoms are essential to promote quality of life of care recipients. Formal support from health professionals, service organizations, and communities are urgently called for to promote the wellbeing of Chinese families affected by cognitive impairment.

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Cut-off point for WHOQOL-bref as a measure of quality of life of older adults

Revista de Saúde Pública ◽

10.1590/s0034-8910.2014048004912 ◽

2014 ◽

Vol 48 (3) ◽

pp. 390-397 ◽

Cited By ~ 38

Author(s):

Patrícia Aparecida Barbosa Silva ◽

Sônia Maria Soares ◽

Joseph Fabiano Guimarães Santos ◽

Líliam Barbosa Silva

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Roc Curve ◽

Characteristic Curve ◽

Perceived Quality ◽

World Health ◽

Southeastern Brazil ◽

World Health Organization Quality ◽

Perceived Quality Of Life

OBJECTIVE To propose a cut-off for the World Health Organization Quality of Life-Bref (WHOQOL-bref) as a predictor of quality of life in older adults. METHODS Cross-sectional study with 391 older adults registered in the Northwest Health District in Belo Horizonte, MG, Southeastern Brazil, between October 8, 2010 and May 23, 2011. The older adults’ quality of life was measured using the WHOQOL-bref. The analysis was rationalized by outlining two extreme and simultaneous groups according to perceived quality of life and satisfaction with health (quality of life good/satisfactory – good or very good self-reported quality of life and being satisfied or very satisfied with health – G5; and poor/very poor quality of life – poor or very poor self-reported quality of life and feeling dissatisfied or very dissatisfied with health – G6). A Receiver-Operating Characteristic curve (ROC) was created to assess the diagnostic ability of different cut-off points of the WHOQOL-bref. RESULTS ROC curve analysis indicated a critical value 60 as the optimal cut-off point for assessing perceived quality of life and satisfaction with health. The area under the curve was 0.758, with a sensitivity of 76.8% and specificity of 63.8% for a cut-off of ≥ 60 for overall quality of life (G5) and sensitivity 95.0% and specificity of 54.4% for a cut-off of < 60 for overall quality of life (G6). CONCLUSIONS Diagnostic interpretation of the ROC curve revealed that cut-off < 60 for overall quality of life obtained excellent sensitivity and negative predictive value for tracking older adults with probable worse quality of life and dissatisfied with health.

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Perceived quality of life and preferences for life-sustaining treatment in older adults

Archives of Internal Medicine ◽

10.1001/archinte.151.3.495 ◽

1991 ◽

Vol 151 (3) ◽

pp. 495-497 ◽

Cited By ~ 25

Author(s):

R. F. Uhlmann

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Perceived Quality ◽

Perceived Quality Of Life ◽

Life Sustaining Treatment

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Depression in migrant workers and nationals of Qatar: An exploratory cross-cultural study

International Journal of Social Psychiatry ◽

10.1177/0020764019850589 ◽

2019 ◽

Vol 65 (5) ◽

pp. 354-367 ◽

Cited By ~ 5

Author(s):

Salma M Khaled ◽

Richard Gray

Keyword(s):

Quality Of Life ◽

Depressive Symptoms ◽

Migrant Workers ◽

South Asians ◽

Perceived Quality ◽

Origin Time ◽

Depressive Symptomology ◽

Perceived Quality Of Life ◽

Culture Of Origin

Background: The aim of this study was to compare the prevalence of depressive symptoms among migrants and non-migrants living in Qatar and identify variables associated with depressive symptomology in these groups, including culture of origin, time living in country and perceived quality of life. In addition, we tested if the latter two variables moderated the effect of culture of origin on depressive symptomology in the migrant groups. Subject and Methods: A telephone survey of a probability-based sample of 2,520 participants was conducted in February 2016. The sample was divided into three groups based on nationality and income: labour migrants (LMs), white-collar migrants (WCMs) and non-migrants or Qatari nationals (QNs). Participants completed the Whooley two-question test for depression. Results: The odds of depression were significantly increased in LMs (OR = 3.31, 95% CI = 2.36–4.65) and WCMs (OR = 1.40, 95% CI = 1.04–1.90) compared with non-migrants. Among LMs, having a problem with current employer in the last 3 months was also associated with depressive symptoms (OR = 2.10, 95% CI = 1.14–3.84). Culture of origin was significantly associated with depressive symptoms including South Asians (OR = 3.12, p < .001), East Asians (OR = 0.52, p = .013) and Westerners (OR = 0.45, p = .044) relative to Arabs. LM status remained strongly associated with depressive symptoms independent of culture of origin (OR = 2.02, p < .001). Conclusion: Perceived quality of life, but not length of stay, appears to be an important variable in explaining differences in symptoms between some cultural groups. Findings from this study highlight the importance of the context of migration and culture of origin as potential determinants of depressive symptomology in the host country.

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Perceived quality of life and living arrangements among older rural South Africans: do all households fare the same?

Ageing and Society ◽

10.1017/s0144686x18000831 ◽

2018 ◽

Vol 39 (12) ◽

pp. 2735-2755

Author(s):

Margaret Ralston ◽

Enid Schatz ◽

Sangeetha Madhavan ◽

F. Xavier Gómez-Olivé ◽

Mark A. Collinson

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Living Arrangements ◽

Perceived Quality ◽

World Health ◽

Adult Health ◽

Rural South ◽

Multigenerational Households ◽

Perceived Quality Of Life

AbstractThis study explores how living arrangements influence perceived quality of life in an elderly population in rural South Africa. We use data from the longitudinal World Health Organization Study of Global Ageing and Adult Health Survey (WHO-SAGE) and from the Agincourt Health and Socio-Demographic Surveillance System (HDSS). On average, older men and women who reside in single-generation and complex-linked multigenerational households report worse quality of life than those in two-generation and linear-linked multigenerational households. However, after controlling for prior wellbeing status, we find living arrangements to have a significant impact on women's perceived quality of life only, and that it is moderated by age. We conclude that not all multigenerational arrangements are protective of older adults’ wellbeing and highlight the gendered impact of living arrangements on quality of life. These results suggest the necessity to understand how living arrangements influence the social roles of older adults and change with age.

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Analysis of life quality and prevalence of cognitive impairment, anxiety, and depressive symptoms in older adults

Estudos de Psicologia (Campinas) ◽

10.1590/1982-02752017000200007 ◽

2017 ◽

Vol 34 (2) ◽

pp. 261-268 ◽

Cited By ~ 3

Author(s):

Michele Marinho da SILVEIRA ◽

Mirna Wetters PORTUGUEZ

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Cognitive Performance ◽

Depression Scale ◽

World Health ◽

Depression Symptoms ◽

World Health Organization Quality

Abstract The development of anxiety, depressive symptoms, and a decrease in cognitive performance can affect older adults’ quality of life. The objective of this cross-sectional study was to analyze quality of life and determine the prevalence of cognitive impairment, anxiety, and depression symptoms in senior center participants. A total of 120 older adults living in the city of Passo Fundo, RS, Brazil, participated in this study. The convenience sampling technique was used. All participants answered questions relative to socio-demographic variables, quality of life (World Health Organization Quality of Life-Bref), cognitive performance (Addenbrooke’ Cognitive Examination), and emotional state (Geriatric Depression Scale and Beck Anxiety Inventory). The prevalence of anxiety, depressive symptoms, and cognitive impairment were low indicating satisfactory quality of life of the older adults investigated.

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Psychotherapeutic Interventions for Dementia: a Systematic Review

Canadian Geriatrics Journal ◽

10.5770/cgj.24.447 ◽

2021 ◽

Vol 24 (3) ◽

pp. 222-236

Author(s):

Paweena Sukhawathanakul ◽

Alexander Crizzle ◽

Holly Tuokko ◽

Gary Naglie ◽

Mark J. Rapoport

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cognitive Impairment ◽

Depressive Symptoms ◽

Well Being ◽

Self Esteem ◽

Psychotherapeutic Interventions ◽

Compassion Focused Therapy ◽

The Impact

Background and Objectives While a range of psychotherapeutic interventions is available to support individuals with dementia, comprehensive reviews of interventions are limited, particularly with regard to outcomes related to adjustment and acceptance. The current review assesses studies that evaluated the impact of various forms of psychotherapeutic interventions on acceptance and adjustment to changing life circumstances for older adults with cognitive impairment. Research Design and Methods A systematic search of PubMed, PsycINFO, and CINAHL databases was conducted, restricted to articles published in English within the last 16 years (from 2003 to 2019). Twenty-four articles were identified that examined the effects of psychotherapeutic interventions on outcomes related to acceptance and adjustment which included internalizing symptoms, quality of life, self-esteem, and well-being. Fifteen studies examined interventions targeted towards individuals with cognitive impairment, while nine studies also targeted their caregivers. Results Interventions that impacted outcomes related to acceptance and adjustment (e.g., adaptation, depressive symptoms, helplessness, self-esteem, and quality of life) varied in their theoretical approach, which incorporated elements of cognitive behavioural therapy (CBT), problem-solving therapy, psychotherapy, reminiscence therapy, interpersonal therapy, mindfulness-based therapy, and meaning-based, compassion-focused therapy. Among all interventions, reductions in depression were the most commonly reported treatment outcome particularly among interventions that incorporated problem-focused and meaning-based therapies. Mixed findings were reported with regard to outcomes related to helplessness, quality of life, self-esteem, and life satisfaction indices for individuals with cognitive impairment. Discussion and Implications There is some support for the effectiveness of psychotherapeutic interventions on improving acceptance and adjustment in older adults with cognitive impairment, particularly with regard to reducing depressive symptoms.

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Community-Dwelling and Recently Widowed Older Adults: Effects of Spousal Loss on Psychological Well-Being, Perceived Quality of Life, and Health-Care Costs

The International Journal of Aging and Human Development ◽

10.1177/0091415019871204 ◽

2019 ◽

Vol 92 (1) ◽

pp. 65-82

Author(s):

L. C. van Boekel ◽

J. C. M. Cloin ◽

K. G. Luijkx

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Health Care ◽

Health Care Costs ◽

Well Being ◽

Perceived Quality ◽

Spousal Loss ◽

Perceived Quality Of Life ◽

Care Costs

This study is on the effects of spousal loss among older adults who continue to live independently after bereavement. Little longitudinal studies focus on this group, which is of special interest, since in many countries, care policy and system reform are aimed at increasing independent living among older adults. Using longitudinal data from a Dutch public data repository, we investigate the effects of spousal loss on psychological well-being, perceived quality of life, and (indication of) yearly health-care costs. Of the respondents who had a spouse and were living independently ( N = 9,400) at baseline, the majority had not lost their spouse after 12 months ( T12, n = 9,150), but 2.7% ( n = 250) had lost their spouse and still lived independently. We compared both groups using multivariate regression (ordinary least squares) analyses. The results show that spousal loss significantly lowers scores on psychological well-being and perceived quality of life, but we found no effect on health-care costs.

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