Happiness and Cognitive Impairment Among Older Adults: Investigating the Mediational Roles of Disability, Depression, Social Contact Frequency, and Loneliness

Background: Understanding the lower level of happiness among older adults with cognitive impairment has been a largely neglected issue. This study (1) reports on the level of happiness among older adults in Singapore and (2) examines the potential mediating roles of depression, disability, social contact frequency, and loneliness in the relationship between cognitive scores and happiness. Methods: Data for this study were extracted from the Well-being of the Singapore Elderly (WiSE) study: a cross-sectional; comprehensive single-phase survey conducted among Singapore citizens and permanent residents that were aged 60 years and above (n = 2565). The Geriatric Mental State examination (GMS) was administered to the participants. Questions pertaining to socio-demographic characteristics; happiness; loneliness; social contact; depression; and, disability were utilized in this study. Logistic regression analyses and mediation analyses were used to explore the correlates of happiness and potential mediating factors. Results: Overall, 96.2% of older adults in Singapore reported feeling either fairly happy or very happy. In the regression analysis, individuals of Malay descent, those who were married/cohabiting, or had higher education levels were more likely to report feeling happy. After controlling for socio-demographic factors, higher cognitive scores were associated with higher odds of reporting happiness. We found that the positive association between cognition and happiness was fully mediated by disability, depression, loneliness, and frequency of contact with friends. Conclusion: The majority of the older adult population reported feeling fairly or very happy. While cognitive impairment has shown limited reversibility in past studies, unhappiness among older adults with cognitive impairment might be potentially mitigated through interventions addressing accompanying issues of social isolation, disability, and depression

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Association between the Use of Proton Pump Inhibitors and Cognitive Impairment in Older Adults

Universitas Médica ◽

10.11144/javeriana.umed60-1.inhi ◽

2018 ◽

Vol 60 (1) ◽

Author(s):

Camilo Gómez ◽

Miguel German Borda Borda ◽

Mario Ulises Pérez ◽

Pamela Tella Vega ◽

Carlos Alberto Cano Gutiérrez

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Proton Pump Inhibitors ◽

Proton Pump ◽

Adult Population ◽

Cross Sectional ◽

Adjusted Risk ◽

Risk Increase ◽

Older Adult Population ◽

State Examination

Objective: The objective was to describe the association between the presence of cognitive impairment and the use of proton pump inhibitors (PPI) in the older adult population in Bogotá, Colombia. Methods: We analyzed the SABE Bogotá study. This study included 2,000 people over 60 years, in a cross-sectional sample. The variable of interest was the alteration in the modified Mini-Mental State Examination (MMSE-M). It was related to the use of PPI. This analysis was adjusted for factors such as sex, age, years of schooling and marital status. Results: The average age was 71.17±8.05 years, 63.4% were women. We found that 20.7% used PPIs, with an average duration of use of 74.8±93.76 months. 12.6% of older adults had altered MMSE-M, with a higher prevalence in PPI users (25.4% vs. 20.02%; p: 0.049). In the multivariate analysis, an association of adjusted risk increase was found between cognitive impairment and the use of PPIs for ≥24 months (OR: 1.90; CI: 1.11-3.24; p = 0.018). Conclusions: This study shows an association of a significant increase in the risk between using PPIs for ≥ 24 months and developing cognitive impairment. More studies are needed to conclude a direct causality relationship.

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Prevalence and correlates of traumatic brain injury (TBI) in older adults: results from the Well-being of the Singapore Elderly (WiSE) study

International Psychogeriatrics ◽

10.1017/s104161021700134x ◽

2017 ◽

Vol 29 (11) ◽

pp. 1899-1907 ◽

Cited By ~ 1

Author(s):

Laxman Cetty ◽

Edimansyah Abdin ◽

Janhavi Ajit Vaingankar ◽

Anitha Jeyagurunathan ◽

Boon Yiang Chua ◽

...

Keyword(s):

Older Adults ◽

Traumatic Brain Injury ◽

Brain Injury ◽

Tertiary Education ◽

Adult Population ◽

Well Being ◽

Self Report ◽

World Health ◽

Cross Sectional ◽

Health Organization

ABSTRACTBackground:Older adults are among the most susceptible to sustain traumatic brain injury (TBI). The study aimed to determine the (1) prevalence of TBI among older adults in Singapore, and (2) socio-demographic, lifestyle, and clinical correlates of TBI.Methods:Data were extracted from the cross-sectional, Well-being of the Singapore Elderly (WiSE) study. The study included 2,565 participants aged 60 years and above (Mean = 72.75, SD = 9.54). Information on TBI, socio-demographic, and lifestyle factors were collected using participant self-report and verified with the informant report where necessary. Disability was measured using the World Health Organization – Disability Assessment Schedule 2.0 (WHO-DAS 2.0). Data were analyzed using logistic regression analysis.Results:The prevalence of TBI was 3.6%. Being female (vs. male) was found to be associated with decreased odds of having TBI. Having completed secondary education or lower (vs. tertiary education) was found to be associated with increased odds of having TBI. A history of fainting and diabetes were associated with the presence of TBI. Those with TBI were associated with higher disability scores on the WHO-DAS 2.0 than those without TBI.Conclusions:The current study provides information on the prevalence and associated factors of TBI in the older adult population in Singapore. Since TBI was associated with older adults with diabetes, they must be cautioned about fall risk. Also, given the association with disability, older adults with TBI are likely to require support and rehabilitative care to ensure good quality of life.

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Social Integration and Risk of Dementia Among Older Adults

Innovation in Aging ◽

10.1093/geroni/igaa057.1532 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 473-474

Author(s):

Yan Zhang ◽

Shannon Shen ◽

Yulin Yang

Keyword(s):

Older Adults ◽

Cognitive Impairment ◽

Executive Function ◽

Social Integration ◽

Lower Risk ◽

Social Connectedness ◽

Living Arrangement ◽

Strong Association ◽

Social Contact ◽

Well Being

Abstract We examine the relationship between social integration and cognitive impairment and dementia among older adults using longitudinal data from Waves 1-8 of the National Health and Aging Trends Study (NHATS). The sample includes 7,492 respondents age 65 and older at baseline. We test multidimensional measures of social integration and cognitive well-being using discrete-time hazard models. The risk of dementia is calculated by a series of performance-based tests. Measures include levels of dementia: no dementia, cognitive impairment not dementia (CIND), and dementia, and three domains of cognition functioning: orientation, executive function, and memory. Social integration is an additive index measured by several questions, including marital status, living arrangement, social network, social contact, and social participation. Our results indicate that people with higher social integration have a lower risk of both cognitive impairment (not dementia) and dementia compared to those with lower social integration. This pattern continued across specific domains of cognitive functioning, including lower risk of orientation impairment, executive function impairment, and memory impairment for those with higher social integration. Tests of both gender and racial interactions did not yield any significant differences. Our findings demonstrate the strong association between social integration and lower risk of dementia among older adults. This study can speak to policy makers as the life expectancy of Americans increases and the aging population grows, highlighting the importance of giving support to older adults who are lack of social connectedness.

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Perceived Elderly Stigma and Emotional Well-Being Among Korean Older Adults: The Mediating Role of Self-Esteem

Innovation in Aging ◽

10.1093/geroni/igaa057.2168 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 633-634

Author(s):

Eun Ha Namkung ◽

Soondool Chung

Keyword(s):

Older Adults ◽

Marital Status ◽

Well Being ◽

Self Esteem ◽

Cross Sectional ◽

Mediation Analyses ◽

Mediating Role ◽

Emotional Isolation ◽

Age Integration

Abstract This study examined whether self-esteem mediates the association between perceived elderly stigma and emotional well-being (loneliness and emotional isolation) among Korean older adults, and how these processes differ by marital status. Using the 2018 Age Integration Survey, a cross-sectional national survey of adults in Korea, we analyzed data from 266 older adults aged 60 and older. Older adults who perceived greater elderly stigma reported higher levels of loneliness and emotional isolation. Self-esteem played a significant indirect role in the association between perceived elderly stigma and the two emotional well-being outcomes. Moderated mediation analyses further revealed significant differences by marital status; self-esteem was a more powerful mechanism among unmarried older adults relative to their married counterparts. The findings suggest that efforts to minimize public and internalized stigmatization of older adults and to improve their own self-esteem may be critical for their emotional well-being.

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Self-management of social well-being in a cross-sectional study among community-dwelling older adults: The added value of digital participation

BMC Geriatrics ◽

10.1186/s12877-021-02482-6 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Mariska MJ Scheffer ◽

Juliane Menting ◽

Hennie R Boeije

Keyword(s):

Older Adults ◽

Adult Population ◽

Panel Study ◽

Well Being ◽

Community Dwelling ◽

Internet Usage ◽

Added Value ◽

Self Management ◽

Cross Sectional ◽

Community Dwelling Older Adults

Abstract Background This study aimed to examine associations between self-management abilities and digital participation among community-dwelling older adults with chronic conditions in the Netherlands. Methods The study utilized a cross-sectional design. Community-dwelling older adults were sampled from a Dutch nationwide panel study performed in October and November of 2019. We selected all adults of 65 years and above who had one or more chronic diseases (n = 1,656). Self-management was measured by six abilities (e.g., investing in resources for long-term benefits and taking care of a variety of resources), whereas digital participation was estimated with the frequency of four social internet uses (e.g., using social network websites and calling digitally). Results When predicting self-management abilities from digital participation, hierarchical multiple regression analysis determined statistically significant and positive relationships, in particular for e-mailing (β = 0.21; p < .001) and meeting new people online (β = 0.07; p < .05). Correlation analyses showed that highest associations were found between internet usage and the self-management abilities ‘taking initiative’ (r = .23; p < .001) and ‘being self-efficacious’ (r = .21; p < .001). Moreover, the study confirmed that higher age (β = -0.13; p < .001) and increased severity of disability (β = -0.12; p < .01) negatively impact abilities for self-management. Conclusions These findings suggest that internet usage and self-management abilities are positively related in the older adult population. Further research should be undertaken to examine the links between self-management abilities and digital participation more closely.

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Volunteering and Friendship in Later Life: Does Gender Moderate the Relationship?

Innovation in Aging ◽

10.1093/geroni/igaa057.1341 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 416-416

Author(s):

Emily Lim ◽

Changmin Peng ◽

Jeffrey Burr

Keyword(s):

Older Adults ◽

Social Life ◽

Positive Association ◽

Late Life ◽

Friendship Quality ◽

Later Life ◽

Well Being ◽

Older Men ◽

Community Dwelling ◽

Contact Frequency

Abstract Friendship, which is an essential part of social life and beneficial to individuals’ well-being, plays a crucial role in maintaining social connectedness in late life. Volunteering is an avenue for older adults to stay socially engaged, and also provides older adults the opportunity to meet and make new friends. A limited literature suggests that volunteering may be associated with friendship, but many studies are limited by reliance on small, non-probability samples and overly simplistic analytic approaches. The literature is also unclear with respect to how volunteering behaviors relate to specific characteristics of friendships and whether there are gender differences underlying these relationships. Using the 2014 wave of the Health and Retirement Study (N=5,306), this study investigates the association between volunteering characteristics (i.e., volunteer status and hours) and friendship characteristics (i.e., the number of close friends, friendship quality, and contact frequency) among community-dwelling older adults. We also examine whether gender moderated these relationships. Results from linear regression analyses indicate that volunteer status and the number of volunteer hours were positively associated with each dimension of friendship. Also, the positive association between volunteering at 1–99 hours, 100–199 hours, and 200 hours or more and number of close friends, friendship quality, and contact frequency were stronger for older women than for older men. Findings demonstrated that volunteering is integral in shaping late-life friendships. The differential benefits of volunteering between older men and women also suggest that volunteering might be more critical for older women’s friendships.

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Spirituality as a Mediator Between Depressive Symptoms and Subjective Well-being in Older Adults

Clinical Nursing Research ◽

10.1177/1054773821991152 ◽

2021 ◽

pp. 105477382199115

Author(s):

Mária Sováriová Soósová ◽

Vladimíra Timková ◽

Lucia Dimunová ◽

Boris Mauer

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Depressive Symptomatology ◽

Depression Scale ◽

Well Being ◽

Good Health ◽

Cross Sectional Study ◽

Subjective Well Being ◽

Cross Sectional ◽

Mediation Analyses

As the population is aging, strategies for helping older people to maintain and promote good health and well-being are needed. This study aims to assess whether depressive symptomatology and spirituality are associated with subjective well-being in older adults when controlled for sociodemographic variables. Furthermore, the mediating role of spirituality in the association between depressive symptomatology and subjective well-being was examined. A total of 250 participants (mean age 75.91 ± 7.60) in this cross-sectional study completed the Daily Spiritual Experience Scale, the Zung’s Self-rating Depression Scale, and the Personal Wellbeing Index. Multiple linear regression and mediation analyses were used to analyze the data. Subjective well-being was negatively associated with depressive symptoms and positively associated with spiritual experiences. The indirect effect of depressive symptomatology on subjective well-being via spirituality was 28.7%. The enhancement of spirituality seems to represent one of the relevant interventional strategies in prevention and treatment of depressive symptoms and well-being improvement.

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Perceived Overprotection and Its Association With Quality of Life in Dementia

GeroPsych ◽

10.1024/1662-9647/a000207 ◽

2019 ◽

Vol 32 (3) ◽

pp. 125-134

Author(s):

Mechthild Niemann-Mirmehdi ◽

Andreas Häusler ◽

Paul Gellert ◽

Johanna Nordheim

Keyword(s):

Quality Of Life ◽

Patient Autonomy ◽

Positive Association ◽

Well Being ◽

Negative Association ◽

Significant Positive Association ◽

Cross Sectional ◽

People With Dementia ◽

Mental Well Being

Abstract. To date, few studies have focused on perceived overprotection from the perspective of people with dementia (PwD). In the present examination, the association of perceived overprotection in PwD is examined as an autonomy-restricting factor and thus negative for their mental well-being. Cross-sectional data from the prospective DYADEM study of 82 patient/partner dyads (mean age = 74.26) were used to investigate the association between overprotection, perceived stress, depression, and quality of life (QoL). The analyses show that an overprotective contact style with PwD has a significant positive association with stress and depression, and has a negative association with QoL. The results emphasize the importance of avoiding an overprotective care style and supporting patient autonomy.

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Do Communication Patterns Affect the Association between Cognitive Impairment and Hearing Loss among Older Adults in Vietnam?

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041603 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1603

Author(s):

Tran Dai Tri Han ◽

Keiko Nakamura ◽

Kaoruko Seino ◽

Vo Nu Hong Duc ◽

Thang Van Vo

Keyword(s):

Older Adults ◽

Hearing Loss ◽

Cognitive Impairment ◽

Cognitive Function ◽

Vision Loss ◽

Community Dwelling ◽

Cross Sectional ◽

Ordinal Logistic Regression Analysis ◽

Communication Devices ◽

Community Dwelling Older Adults

This study examined the prevalence of cognitive impairment among older adults in central Vietnam and the roles of communication (with or without communication devices) in the association between cognitive impairment and hearing loss. This cross-sectional study was performed on 725 randomly selected community-dwelling older adults aged ≥60 years from Thua Thien Hue province, Vietnam. Participants attended a face-to-face survey. Sociodemographic characteristics, social interaction with or without communication devices, health status and cognitive function using the Mini-Mental State Examination were reported. Ordinal logistic regression analysis was performed to quantify the association between hearing loss and cognitive function by frequency of communication with and without devices. Mild and severe cognitive impairment had prevalence rates of 23.6% and 19.3%, respectively. Cognitive impairment was more prevalent among older adults with hearing-loss, vision loss and difficulties with instrumental activities of daily living (IADL). The association between hearing loss and cognitive impairment was not significant when older adults had frequent communication with others using devices. This study presented the relatively high prevalence of cognitive impairment in community-dwelling older adults in Vietnam. Frequent communication using devices attenuated the association between hearing loss and cognitive impairment.

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Young adults’ coping strategies against loneliness during the COVID-19-related quarantine in Greece

Health Promotion International ◽

10.1093/heapro/daab053 ◽

2021 ◽

Author(s):

Adrianos Golemis ◽

Panteleimon Voitsidis ◽

Eleni Parlapani ◽

Vasiliki A Nikopoulou ◽

Virginia Tsipropoulou ◽

...

Keyword(s):

Social Media ◽

Young Adults ◽

Social Responsibility ◽

Coping Strategies ◽

Online Survey ◽

Adult Population ◽

Psychological Impact ◽

Well Being ◽

Daily Routine ◽

Cross Sectional

Summary COVID-19 and the related quarantine disrupted young adults’ academic and professional life, daily routine and socio-emotional well-being. This cross-sectional study focused on the emotional and behavioural responses of a young adult population during the COVID-19-related quarantine in April 2020, in Greece. The study was conducted through an online survey. A total of 1559 young adults, aged 18−30 years, completed Steele’s Social Responsibility Motivation Scale and the De Jong Gierveld Loneliness Scale, and answered questions about compliance with instructions, quarantine-related behaviours and coping strategies. According to the results, participants displayed a relatively high sense of social responsibility (M = 16.09, SD = 2.13) and a trend towards moderate feeling of loneliness (M = 2.65, SD = 1.62); young women reported significantly higher levels of loneliness than men. The majority complied with instructions often (46.4%) or always (44.8%). Significantly more women created a new social media account and used the social media longer than 5 h/day, compared with men. Resorting to religion, practicing sports and sharing thoughts and feelings about COVID-19 with others predicted higher levels of social responsibility; humour, practicing sports and sharing thoughts and feelings about COVID-19 with others predicted lower levels of loneliness. Conclusively, COVID-19 is expected to have a significant psychological impact on young adults. Currently, Greece is going through the second quarantine period. This study raises awareness about loneliness in young adults during the COVID-19-related quarantine and highlights the importance of developing online programmes, attractive to younger people, to nurture adaptive coping strategies against loneliness.

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