Top

Quality of Life Research

Gepubliceerd in:

01-04-2012

Psychosocial factors and health as determinants of quality of life in community-dwelling older adults

Auteurs: Caroline E. Brett, Alan J. Gow, Janie Corley, Alison Pattie, John M. Starr, Ian J. Deary

Gepubliceerd in: Quality of Life Research | Uitgave 3/2012

Abstract

Purpose

It is important to understand the determinants of differences in quality of life in old age and to include a wide range of possible predictors. The present study investigated the determinants of quality of life in two groups of older adults for whom there was an unusually informative set of possible predictor variables.

Method

Participants were members of the Lothian Birth Cohorts of 1921 (n = 550) or 1936 (n = 1,091). Four facets of quality of life (QoL) and general QoL were measured using the WHOQOL-BREF. Possible determinants included personality traits, measured with the International Personality Item Pool (IPIP) scales; childhood and old age general cognitive ability, measured with the Moray House Test; minor psychological symptoms, measured with the Hospital Anxiety and Depression Scale (HADS); physical health, assessed by grip strength and cardiovascular disease history; and sociodemographic factors, assessed by interview.

Results

Linear regression analyses revealed that HADS depression had the greatest influence on quality of life. Personality traits, most notably Emotional Stability, also predicted quality of life to varying degrees, along with factors reflecting current life circumstances. There were differences between the two cohorts in the variables which predicted quality of life. There were different, conceptually relevant, contributions to the different QoL facets.

Conclusions

Personality traits and minor depressive symptoms have an important influence on self-reported quality of life in old age. Quality of life may be influenced more by current than past circumstances, and this relationship may change with age.

vorige artikel Correlates of quality of life in China rural–urban female migrate workers

volgende artikel Dyadic effects of fear of recurrence on the quality of life of cancer survivors and their caregivers

Alleen toegankelijk voor geautoriseerde gebruikers

WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine, 28, 551–558.CrossRef

Ranchor, A. V., Sanderman, R., Steptoe, A., Wardle, J., Miedema, I., & Ormel, J. (2002). Pre-morbid predictors of psychological adjustment to cancer. Quality of Life Research, 11, 101–113.PubMedCrossRef

Kao, S., Lai, K.-L., Lin, H.-C., Lee, H.-S., & Wen, H.-C. (2005). WHOQOL-BREF as predictors of mortality: A two-year follow-up study at veteran homes. Quality of Life Research, 14, 1443–1454.PubMedCrossRef

Cummins, R. A., McCabe, M. P., Romeo, Y., & Gullone, E. (1994). The comprehensive quality of life scale: Instrument development and psychometric evaluation on tertiary staff and students. Educational and Psychological Measures, 54, 372–382.CrossRef

Wrosch, C., & Scheier, M. F. (2003). Personality and quality of life: The importance of optimism and goal adjustment. Quality of Life Research, 12(Suppl. 1), 59–72.PubMedCrossRef

Bain, G. H., Lemmon, H., Teunisse, S., Starr, J. M., Fox, H. C., Deary, I. J., et al. (2003). Quality of life in healthy old age: Relationships with childhood IQ, minor psychological symptoms and optimism. Social Psychiatry and Psychiatric Epidemiology, 38, 632–636.PubMedCrossRef

Tannenbaum, C., Ahmed, S., & Mayo, N. (2007). What drives older women’s perceptions of health-related quality of life? Quality of Life Research, 16, 593–605.PubMedCrossRef

Diener, E., Suh, E. M., Lucas, R. E., & Smith, H. L. (1999). Subjective well-being: Three decades of progress. Psychological Bulletin, 125, 276–302.CrossRef

Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 542–575.PubMedCrossRef

10.

Mollenkopf, H., & Walker, A. (Eds.). (2007). Quality of life in old age: International and multidisciplinary perspectives. Dordrecht, Netherlands: Springer.

11.

Mercier, C., Péladeau, N., & Tempier, R. (1998). Age, gender and quality of life. Community Mental Health Journal, 34, 487–500.PubMedCrossRef

12.

Stock, W. A., Okun, M. A., Haring, M. J., & Witter, R. A. (1983). Age and subjective well-being: A meta-analysis. In R. J. Light (Ed.), Evaluation studies: Review annual (Vol. 8) (pp. 279–302). Beverly Hills, CA: Sage.

13.

Unruh, M. L., Newman, A. B., Larive, B., Dew, M. A., Miskulin, D. C., Greene, T., et al. (2008). The influence of age on changes in health-related quality of life over three years in a cohort undergoing hemodialysis. Journal of the American Geriatric Society, 56, 1608–1617.CrossRef

14.

Schilling, O. (2006). Development of life satisfaction in old age: Another view on the “Paradox”. Social Indicators Research, 75, 241–271.CrossRef

15.

Rothermund, K., & Brandstädter, J. (2003). Coping with deficits and losses in later life: From compensatory action to accommodation. Psychology and Aging, 18, 896–905.PubMedCrossRef

16.

Freund, A. M., & Baltes, P. B. (1998). Selection, optimization, and compensation as strategies of life management: Correlations with subjective indicators of successful aging. Psychology and Aging, 13, 531–543.PubMedCrossRef

17.

Baltes, P. B., Staudinger, U. M., & Lindenberger, U. (1999). Lifespan psychology: Theory and application to intellectual functioning. Annual Review of Psychology, 50, 471–507.PubMedCrossRef

18.

Smith, J., & Baltes, P. B. (1997). Profiles of psychological functioning in the old and oldest old. Psychology and Aging, 12, 458–472.PubMedCrossRef

19.

Blane, D., Higgs, P., Hyde, M., & Wiggins, R. D. (2004). Life course influences on quality of life in early old age. Social Science and Medicine, 58, 2171–2179.PubMedCrossRef

20.

Seymour, D. G., Starr, J. M., Fox, H. C., Lemmon, H. A., Deary, I. J., Prescott, G. J., et al. (1921). Quality of life and its correlates in octogenarians. Use of the SEIQoL-DW in Wave 5 of the Aberdeen Birth Cohort 1921 Study (ABC1921). Quality of Life Research, 17, 11–20.CrossRef

21.

Low, G., & Molzahn, A. E. (2007). Predictors of Quality of Life in old age: A cross-validation study. Research in Nursing and Health, 30, 141–150.PubMedCrossRef

22.

Costa, P. T., & McCrae, R. R. (1980). Influence of Extraversion and Neuroticism on subjective well-being: Happy and unhappy people. Journal of Personality and Social Psychology, 38(4), 668–678.PubMedCrossRef

23.

McCrae, R. R., & Costa, P. T. (1991). Adding Liebe und Arbeit: The full Five-Factor Model and well-being. Personality and Social Psychology Bulletin, 17(2), 227–232.CrossRef

24.

Diener, E., Oishi, S., & Lucas, R. E. (2003). Personality, culture and subjective well-being: Emotional and cognitive evaluations of life. Annual Review of Psychology, 54, 403–425.PubMedCrossRef

25.

Matthews, G., Deary, I. J., & Whiteman, M. C. (2009). Personality traits (3rd ed.). Cambridge: University Press.

26.

Ritsner, M., Farkas, H., & Gibel, A. (2003). Satisfaction with quality of life varies with temperament types of patients with schizophrenia. The Journal of Nervous and Mental Disease, 191(10), 668–674.PubMedCrossRef

27.

Dubayova, T., Nagyova, I., Havlikova, E., Rosenberger, J., Gdovinova, Z., Middel, E., et al. (2009). Neuroticism and extraversion in association with quality of life in patients with Parkinson’s disease. Quality of Life Research, 18, 33–42.PubMedCrossRef

28.

van der Steeg, A. F. W., De Vries, J., van der Ent, F. W. C., & Roukema, J. A. (2007). Personality predicts quality of life six months after the diagnosis and treatment of breast disease. Annals of Surgical Oncology, 14(2), 678–685.PubMedCrossRef

29.

Yamaoka, K., Shigehisa, T., Ogoshi, K., Haruyama, K., Watanabe, M., Hayashi, F., et al. (1998). Health-related quality of life varies with personality types: A comparison among cancer patients, non-cancer patients and healthy individuals in a Japanese population. Quality of Life Research, 7, 535–544.PubMedCrossRef

30.

Masthoff, E. D., Trompenaars, F. J., van Heck, G. L., Hodiamont, P. P., & De Vries, J. (2006). The relationship between dimensional personality models and quality of life in psychiatric outpatients. Psychiatry Research, 149, 81–88.PubMedCrossRef

31.

Siegler, I. C., & Brummett, B. H. (2000). Associations among NEO personality assessments and well-being at midlife: Facet-level analysis. Psychology and Aging, 15(4), 710–714.PubMedCrossRef

32.

Duberstein, P. R., Sörensen, S., Lyness, J. M., King, D. A., Conwell, Y., Seidlitz, L., et al. (2003). Personality is associated with perceived health and functional status in older primary care patients. Psychology and Aging, 18(1), 25–37.PubMedCrossRef

33.

Kempen, G. I. J. M., Jelicic, M., & Ormel, J. (1997). Personality, chronic medical morbidity, and health-related Quality of Life among older persons. Health Psychology, 16(6), 539–546.PubMedCrossRef

34.

Chapman, B., Duberstein, P., & Lyness, J. M. (2007). Personality traits, education, and health-related quality of life among older adult primary care patients. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 62, 343–352.CrossRef

35.

Diener, E., & Lucas, R. E. (1999). Personality and subjective well-being. In D. Kahneman, E. Diener, & N. Schwarz (Eds.), Well-Being: The foundations of hedonic personality. Sage Found: New York.

36.

Wood, R. H., Gardner, R. E., Ferachi, K. A., King, C., Ermolao, A., Cherry, K. E., et al. (2005). Physical function and quality of life in older adults: Sex differences. Southern Medical Journal, 98(5), 504–512.PubMedCrossRef

37.

Deary, I. J., Whiteman, M. C., Starr, J. M., Whalley, L. J., & Fox, H. C. (2004). The impact of childhood intelligence on later life: Following up the Scottish mental Surveys of 1932 and 1947. Journal of Personality and Social Psychology, 86, 130–147.PubMedCrossRef

38.

Deary, I. J., Gow, A. J., Taylor, M. D., Corley, J., Brett, C., Wilson, V., et al. (2007). The Lothian Birth Cohort 1936: A study to examine the influences on cognitive ageing from age 11 to age 70 and beyond. BMC Geriatrics, 7, 28.PubMedCrossRef

39.

Scottish Council for Research in Education. (1933). The Intelligence of Scottish children: A national survey of an age group. London, UK: University of London Press.

40.

Scottish Council for Research in Education. (1949). The trend of Scottish intelligence: A comparison of the 1947 and 1932 surveys of the intelligence of eleven-year-old pupils. London: University of London Press/SCRE.

41.

Deary, I. J., Whalley, L. J., & Starr, J. M. (2009). A Lifetime of intelligence: Follow-up studies of the Scottish Mental Surveys of 1932 and 1947. Washington, DC: American Psychological Association.CrossRef

42.

WHOQOL Group. (1994). The development of the World Health Organization quality of life assessment instrument (the WHOQOL). In J. Orley & W. Kuyken (Eds.), Quality of life assessment: International perspectives (pp. 41–57). Springer: Heidelberg.CrossRef

43.

WHOQOL Group. (1994). Development of the WHOQOL: Rationale and current status. International Journal of Mental Health, 23, 24–56.

44.

WHOQOL Group. (1995). The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41, 1403–1409.CrossRef

45.

Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. A Report from the WHOQOL Group. Quality of Life Research, 13, 299–310.

46.

Saxena, S., Carlson, D., Billington, R., & Orley, J. (2001). The WHO quality of life assessment instrument (WHOQOL-Bref): The importance of its items for cross-cultural research. Quality of Life Research, 10, 711–721.PubMedCrossRef

47.

Lai, K.-L., Tzeng, R.-J., Wang, B.-L., Lee, H.-S., Amidon, R. L., & Kao, S. (2005). Health-related quality of life and health utility for the institutional elderly in Taiwan. Quality of Life Research, 14, 1169–1180.PubMedCrossRef

48.

Kalfoss, M. H., Low, G., & Molzahn, A. E. (2008). The suitability of the WHOQOL-BREF for Canadian and Norwegian older adults. European Journal of Ageing, 5, 77–89.CrossRef

49.

World Health Organization (1997). WHOQOL-BREF. Introduction, administration, scoring, and generic version of the assessment. MNH/PSF 97.4 WHO: Geneva.

50.

Office, General. Register. (1956). Census 1951: Classification of occupations. HMSO: London.

51.

Office of Population Censuses and Surveys. (1980). Classification of occupations and coding index. London: HMSO.

52.

Goldberg (2001). IPIP. http://ipip.ori.org/.

53.

Gow, A. J., Whiteman, M. C., Pattie, A., & Deary, I. J. (2005). Goldberg’s IPIP Big-Five factor markers: Internal consistency and concurrent validation in Scotland. Personality and Individual Differences, 39, 317–329.CrossRef

54.

Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavia, 67, 361–370.CrossRef

55.

Bohannon, R. W. (2008). Hand-grip dynamometry predicts future outcomes in ageing adults. Journal of Geriatric Physical Therapy, 31, 3–10.PubMedCrossRef

56.

Molzahn, A., Skevington, S. M., Kalfoss, M., & Makaroff, K. S. (2010). The importance of facets of quality of life to older adults: An international investigation. Quality of Life Research, 19(2), 293–298.PubMedCrossRef

57.

von Steinbuchel, N., Lischetzke, T., Gurny, M., & Eid, M. (2006). Assessing quality of life in older people: Psychometric properties of the WHOQOL-BREF. European Journal of Ageing, 3, 116–122.CrossRef

58.

Williams, E. J. (1959). The comparison of regression variables. Journal of the Royal Statistical Society: Series B, 21, 396–399.

59.

Crawford, J. R., Mychalkiw, B., Johnson, D. A., & Moore, J. W. (1996). WAIS-R short-forms: Criterion validity in healthy and clinical samples. British Journal of Clinical Psychology, 35, 638–640.PubMedCrossRef

60.

Gow, A. J., Whiteman, M. C., Pattie, A., Whalley, L., Starr, J., & Deary, I. J. (2005). Lifetime intellectual function and satisfaction with life in old age: Longitudinal cohort study. British Medical Journal, 331, 141–142.PubMedCrossRef

61.

Smith, T. W., & Williams, P. G. (1992). Personality and health: Advantages and limitations of the five-factor model. Journal of Personality, 60, 395–423.PubMedCrossRef

62.

Watson, D., & Pennebaker, J. W. (1989). Health complaints, stress, and distress: Exploring the central role of negative affectivity. Psychological Review, 96, 234–254.PubMedCrossRef

63.

Hedden, T., & Gabrieli, J. D. E. (2004). Insights into the ageing mind: A view from cognitive neuroscience. Nature Reviews Neuroscience, 5, 87–97.PubMedCrossRef

64.

Wiggins, R. D., Higgs, P. F. D., Hyde, M., & Blane, D. B. (2004). Quality of life in the third age: Key predictors of the CASP-19 measure. Ageing and Society, 24, 693–708.CrossRef

Titel: Psychosocial factors and health as determinants of quality of life in community-dwelling older adults
Auteurs: Caroline E. Brett
Alan J. Gow
Janie Corley
Alison Pattie
John M. Starr
Ian J. Deary
Publicatiedatum: 01-04-2012
Uitgeverij: Springer Netherlands
Gepubliceerd in: Quality of Life Research / Uitgave 3/2012
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-011-9951-2

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Purpose

Method

Results

Conclusions

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2012

The inclusion of ‘then-test’ questions in post-test questionnaires alters post-test responses: a randomized study of bias in health program evaluation

A mixed methods approach to adapting health-related quality of life measures for use in routine oncology clinical practice

Dyadic effects of fear of recurrence on the quality of life of cancer survivors and their caregivers

Using mixed methods research to explore the effect of an adaptation exercise on general population valuations of health states

Factors associated with quality of life in older adults in the United States

Correlates of quality of life in China rural–urban female migrate workers