Older Adults’ Adjustment to Aging: the Impact of Sense of Coherence, Subjective Well-being and Socio-demographic, Lifestyle and Health-related Factors

Author(s):  
Sofia von Humboldt
2017 ◽  
Vol 41 (S1) ◽  
pp. S666-S667 ◽  
Author(s):  
S. Von Humboldt ◽  
I. Leal

IntroductionLiterature lacks of studies assessing correlates of adjustment to aging (AtA) among older populations.ObjectiveThe aim of this study was to build a structural model to explore the predictors of adjustment to aging (AtA) in a community-dwelling older population.MethodsA community-dwelling sample of 1270 older adults aged between 75 and 102 years answered a questionnaire to determine socio-demographic (sex, age, professional and marital status, education, household, adult children, family's annual income, living setting and self-reported spirituality), lifestyle and health-related characteristics (perceived health, recent disease, medication and leisure). Several instruments were used to assert psychological variables, namely AtA, sense of coherence and subjective well-being. Structural equation modeling was used to explore a structural model of the self-reported AtA, encompassing all variables.ResultsSignificant predictors are self-reported spirituality (β = .816; P < .001), perceived health (β = .455; P < .001), leisure (β = .322; P < .001), professional status (β = .283; P < .001), income (β = .230; P = .035), household (β = -.208; P = .007), sense of coherence (β = -.202; P = .004) and adult children (β = .164; P = .011). The variables explain 60.6% of the variability of AtA.ConclusionsSelf-reported spirituality is the strongest predictor of AtA. This study emphasizes the need for deepening the variables that influence older adults’ AtA, in particular perceived health and further lifestyle-related characteristics, as being relevant for promoting aging well in later life, within a salutogenic context for health care.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2016 ◽  
Vol 33 (S1) ◽  
pp. s288-s288
Author(s):  
S. von Humboldt ◽  
I. Leal ◽  
F. Carneiro

ObjectivesTo build a structural model to explore the predictors of adjustment to aging (AtA) reported by older women in breast cancer remission.MethodsOlder women in breast cancer remission (n = 214) aged between 75 and 94 years participated in this study. A questionnaire to determine socio-demographic (age, income, professional and marital status, education, household, living setting and self-reported spirituality), lifestyle and health-related characteristics (physical activity, leisure, perceived health, recent disease and medication), and measures to assess AtA, sense of coherence and subjective well-being, were employed. Structural equation modeling was used to explore a structural model of the self-reported AtA, encompassing all variables.ResultsPreliminary results indicated that self-reported spirituality (β = .397; P < .001), leisure (β = .383; P < .001), physical activity (β = .267; P < .001), perceived health (β = .211; P < .001), marital status (β = .173; P < .001), professional status (β = .156; P = .009), sense of coherence (β = .138; P < .001), and living setting (β = .129; P = .007), predicted AtA. The variables accounted for 79.2% of the variability of AtA.ConclusionSelf-reported spirituality and leisure were the strongest predictors of AtA. Our preliminary findings suggest that health care interventions with older women in breast cancer remission still living in the community may benefit from clearly including predictors of AtA, as these are essential for promoting older women’ s aging well.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2019 ◽  
Vol 75 (3) ◽  
pp. 589-595 ◽  
Author(s):  
Xiaoling Xiang ◽  
Vicki A Freedman ◽  
Khushali Shah ◽  
Rita X Hu ◽  
Brian C Stagg ◽  
...  

Abstract Background Vision impairment (VI) in older adults is associated with declines in well-being. However, the pathways through which poor vision leads to declines in well-being have not been well-described. The purpose of this study was to determine whether activity limitations and social participation restrictions mediate the impact of self-reported VI on subjective well-being. Methods The National Health and Aging Trends Study (NHATS) is a nationally representative longitudinal study of Medicare beneficiaries 65 and older that includes detailed measures of the disablement process. A longitudinal mediation model was conceptualized linking self-reported VI and subjective well-being. Structural equation modeling was used to test the mediating effects of activity limitations and social participation restrictions while adjusting for relevant covariates. Results The final sample included 5,431 respondents. At baseline, 8.0% of Medicare beneficiaries had self-reported VI. Subjective well-being scores were significantly lower among respondents with self-reported VI (15.7; 95% confidence interval [CI]: 15.2, 16.2) compared with those without VI (17.6; 95% CI: 17.5, 17.7). Self-reported VI had a significant indirect effect on subjective well-being through limiting mobility (β = −0.04; 95% CI: −0.07, −0.03) and household activities (β = −0.05; 95% CI: −0.08, −0.03), but not self-care limitations (β = 0.0; 95% CI = 0.0, 0.0) or participation restrictions (β = 0.0; 95% CI = −0.01, 0.00). Total indirect effects from all mediation paths accounted for 42% of the effect of VI on well-being. Conclusions Mobility and household activity limitations are significant mediators that explain a considerable portion of the impact of poor vision on well-being. Interventions to promote successful accommodation may result in greater overall well-being for older adults with poor vision.


2018 ◽  
Vol 2 (3) ◽  
pp. 43 ◽  
Author(s):  
Kate Dupuis ◽  
Lia Tsotsos

The impact of an aging population on healthcare and the sustainability of our healthcare system are pressing issues in contemporary society. Technology has the potential to address these challenges, alleviating pressures on the healthcare system and empowering individuals to have greater control over monitoring their own health. Importantly, mobile devices such as smartphones and tablets can allow older adults to have “on the go” access to health-related information. This paper explores mobile health apps that enable older adults and those who care for them to track health-related factors such as body readings and medication adherence, and it serves as a review of the literature on the usability and acceptance of mobile health apps in an older population.


2021 ◽  
Author(s):  
Aya Toyoshima ◽  
Takashi Kusumi

Abstract Background and Objectives Focusing on the fact that older adults with positive emotions tend to spend time alone, this study aimed to examine the relationship between preference for solitude and subjective well-being among older adults. In Study 1, we developed a revised version of the Preference for Solitude Scale with a three-factor structure, unlike the single-factor structure of the original scale. In Study 2, we examined the relationship between preference for solitude and subjective well-being using the revised scale. Research Design and Methods We conducted an Internet survey with 210 older adults in Study 1 to develop a revised Japanese scale. In Study 2, to address the possible research method bias in Study 1, we conducted a mail survey with 276 older adults. We examined the replicability of Study 1, confirming metric invariance through multi-group analysis and hypothesis model through path analysis. Results The results of the path analysis indicated that “Productivity during solitude” (Factor 3) was positively related with positive affect and life satisfaction, and “Enjoyment of solitude” (Factor 2) was negatively related with negative affect. However, the results of the mediation analysis suggested that preference for solitude was also related to loneliness, and the indirect effect of preference for solitude on well-being was negative. Discussion and Implications “Enjoyment of solitude” and “Productivity during solitude” were related to maintaining subjective well-being among older adults, although the effects were marginal. The impact of preference for solitude was mixed in enhancing and decreasing subjective well-being.


2020 ◽  
Vol 36 (6) ◽  
Author(s):  
Yasmeen Niazi ◽  
Bisma Ejaz ◽  
Amina Muazzam

Objective: The main objective of this study was to explore the impact of hearing impairment on psychological distress and subjective well-being in older adults with hearing impairment. Methods: The study with cross sectional research design was conducted in three public sector hospitals of Lahore, from February 2017 to June 2017. Participants of the study were adults aged 50-90 years and with hearing impairment, selected through non-probability sampling technique. Demographic Information sheet, Kessler psychological distress scale by Kessler, Mroczek. in 1992 and Satisfaction with life scale by Diener, Emmons, Larsen, Griffin in 1985 were used for data collection. SPSS 21 was used to analyze the data. Results: There were 200 participants with age ranged from 53 to 89 years (M= 65.92, SD= 9.70). Of the total, 100 (50%) subjects were men and 100 (50%) were women. Significant gender differences were found in psychological distress, with men reflecting more symptoms of psychological distress (p<0.01), whereas non-significant gender differences were found in case of subjective well-being (p>0.05). Moreover, psychological distress was observed as a predictor of subjective well-being (p<0.01). One-way analysis of variance revealed insignificant differences of psychological distress and subjective well-being across three levels of hearing impairment. Conclusion: Early diagnosis and rehabilitation of age-related hearing loss improves the overall quality of life of older adults living with hearing impairment. doi: https://doi.org/10.12669/pjms.36.6.2457 How to cite this:Niazi Y, Ejaz B, Muazzam A. Impact of hearing impairment on psychological distress and subjective well-being in older adults. Pak J Med Sci. 2020;36(6):---------. doi: https://doi.org/10.12669/pjms.36.6.2457 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


2020 ◽  
Vol 2020 ◽  
pp. 1-13
Author(s):  
Marina Näsman ◽  
Johan Niklasson ◽  
Jan Saarela ◽  
Mikael Nygård ◽  
Birgitta Olofsson ◽  
...  

Morale can be viewed as a future-oriented optimism or pessimism regarding challenges associated with aging and is closely related to subjective well-being. Promoting morale in old age could be considered to have important implications for aging well, and increased knowledge about morale in different stages of old age is needed. Hence, the aim of this study was to investigate factors associated with morale in different age groups among old people. Data were derived from a survey conducted in 2016, as a part of the Gerontological Regional Database (GERDA). The sample consisted of 9,047 individuals aged between 65 and 86 years from Ostrobothnia and Southern Ostrobothnia in Finland, and Västerbotten in Sweden. Morale was measured with the Philadelphia Geriatric Center Morale Scale (PGCMS) and regressed upon a number of sociodemographic, social, and health-related factors using linear regression analyses. The results showed that older age was an independent factor explaining lower level of morale. Additionally, the sociodemographic, social, and health-related variables could explain a large proportion of the variance in morale. Perceived loneliness, having gone through a crisis in life, poor self-rated health, and depression were associated with lower morale, and sleeping well with higher morale, in all age groups. Furthermore, the oldest age groups seem to be more exposed to several risk factors of lower morale identified in this study. Multidimensional interventions targeting especially social and mental health and the oldest-old could therefore be recommended.


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