Do psychosocial factors modify the negative association between disability and life satisfaction in old age?

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

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Do psychosocial factors modify the negative association between disability and life satisfaction in old age? / Puvill, Thomas; Kusumastuti, Sasmita; Lund, Rikke; Mortensen, Erik Lykke; Slaets, Joris ; Lindenberg, Jolanda; Westendorp, Rudi G.J.

I: P L o S One, Bind 14, Nr. 10, e0224421, 2019.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningfagfællebedømt

Harvard

Puvill, T, Kusumastuti, S, Lund, R, Mortensen, EL, Slaets, J, Lindenberg, J & Westendorp, RGJ 2019, 'Do psychosocial factors modify the negative association between disability and life satisfaction in old age?', P L o S One, bind 14, nr. 10, e0224421. https://doi.org/10.1371/journal.pone.0224421

APA

Puvill, T., Kusumastuti, S., Lund, R., Mortensen, E. L., Slaets, J., Lindenberg, J., & Westendorp, R. G. J. (2019). Do psychosocial factors modify the negative association between disability and life satisfaction in old age? P L o S One, 14(10), [e0224421]. https://doi.org/10.1371/journal.pone.0224421

Vancouver

Puvill T, Kusumastuti S, Lund R, Mortensen EL, Slaets J, Lindenberg J o.a. Do psychosocial factors modify the negative association between disability and life satisfaction in old age? P L o S One. 2019;14(10). e0224421. https://doi.org/10.1371/journal.pone.0224421

Author

Puvill, Thomas ; Kusumastuti, Sasmita ; Lund, Rikke ; Mortensen, Erik Lykke ; Slaets, Joris ; Lindenberg, Jolanda ; Westendorp, Rudi G.J. / Do psychosocial factors modify the negative association between disability and life satisfaction in old age?. I: P L o S One. 2019 ; Bind 14, Nr. 10.

Bibtex

@article{a0695eef4ebe48b2b89e73e28c126ce4,
title = "Do psychosocial factors modify the negative association between disability and life satisfaction in old age?",
abstract = "Context Many assume that having poor physical health in old age lowers life satisfaction, but in fact there are large differences in life satisfaction among older people who experience disability. Objective To investigate whether psychosocial factors modify the negative association between disability and life satisfaction in older people and whether these differ across the life course. Design Cross sectional study. Setting 66,561 community-dwelling Survey of Health, Ageing, and Retirement in Europe (SHARE) participants aged 50–106 with a mean age of 67.8 ± 9.9 (SD) years from 17 European countries and Israel. Methods Psychosocial factors included depression (EURO-D scale), perceived loneliness, having a spouse, having children, contact with children, and participation in social activities. Disability was assessed by limitations in (Instrumental) Activities of Daily Living ((I)ADL) and life satisfaction by Cantril’s ladder. We also ran the analyses with the Control Autonomy Self-realization Pleasure (CASP-12) Index, a normative measure of quality of life. We used multiple linear regressions to estimate associations and proportion of variance explained. Results The variance in life satisfaction that could be attributed uniquely to ADL and IADL disability was 0.17{\%} and 0.33{\%} respectively (both p < 0.001). The impact of (I)ADL disabilities on life satisfaction was strongest at age 50 and gradually decreased with increasing age (p trend < 0.001). Mental health explained more variance; 5.75{\%} for depressive symptoms and 2.50{\%} for loneliness and for social resources this ranged from 0.09{\%} to 0.47{\%} (all p < 0.001). While disability has a negative effect on life satisfaction, the effect was not stronger in older persons who were depressed, neither in those who felt lonely nor in those without social resources. Similar outcomes were found when using CASP-12 as the explained variable. Conclusion The impact of (I)ADL disabilities on life satisfaction in community-dwelling older people decreases with age. These associations are not affected by psychosocial factors and these patterns cannot be explained by people changing their norms and values.",
author = "Thomas Puvill and Sasmita Kusumastuti and Rikke Lund and Mortensen, {Erik Lykke} and Joris Slaets and Jolanda Lindenberg and Westendorp, {Rudi G.J.}",
year = "2019",
doi = "10.1371/journal.pone.0224421",
language = "English",
volume = "14",
journal = "P L o S One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "10",

}

RIS

TY - JOUR

T1 - Do psychosocial factors modify the negative association between disability and life satisfaction in old age?

AU - Puvill, Thomas

AU - Kusumastuti, Sasmita

AU - Lund, Rikke

AU - Mortensen, Erik Lykke

AU - Slaets, Joris

AU - Lindenberg, Jolanda

AU - Westendorp, Rudi G.J.

PY - 2019

Y1 - 2019

N2 - Context Many assume that having poor physical health in old age lowers life satisfaction, but in fact there are large differences in life satisfaction among older people who experience disability. Objective To investigate whether psychosocial factors modify the negative association between disability and life satisfaction in older people and whether these differ across the life course. Design Cross sectional study. Setting 66,561 community-dwelling Survey of Health, Ageing, and Retirement in Europe (SHARE) participants aged 50–106 with a mean age of 67.8 ± 9.9 (SD) years from 17 European countries and Israel. Methods Psychosocial factors included depression (EURO-D scale), perceived loneliness, having a spouse, having children, contact with children, and participation in social activities. Disability was assessed by limitations in (Instrumental) Activities of Daily Living ((I)ADL) and life satisfaction by Cantril’s ladder. We also ran the analyses with the Control Autonomy Self-realization Pleasure (CASP-12) Index, a normative measure of quality of life. We used multiple linear regressions to estimate associations and proportion of variance explained. Results The variance in life satisfaction that could be attributed uniquely to ADL and IADL disability was 0.17% and 0.33% respectively (both p < 0.001). The impact of (I)ADL disabilities on life satisfaction was strongest at age 50 and gradually decreased with increasing age (p trend < 0.001). Mental health explained more variance; 5.75% for depressive symptoms and 2.50% for loneliness and for social resources this ranged from 0.09% to 0.47% (all p < 0.001). While disability has a negative effect on life satisfaction, the effect was not stronger in older persons who were depressed, neither in those who felt lonely nor in those without social resources. Similar outcomes were found when using CASP-12 as the explained variable. Conclusion The impact of (I)ADL disabilities on life satisfaction in community-dwelling older people decreases with age. These associations are not affected by psychosocial factors and these patterns cannot be explained by people changing their norms and values.

AB - Context Many assume that having poor physical health in old age lowers life satisfaction, but in fact there are large differences in life satisfaction among older people who experience disability. Objective To investigate whether psychosocial factors modify the negative association between disability and life satisfaction in older people and whether these differ across the life course. Design Cross sectional study. Setting 66,561 community-dwelling Survey of Health, Ageing, and Retirement in Europe (SHARE) participants aged 50–106 with a mean age of 67.8 ± 9.9 (SD) years from 17 European countries and Israel. Methods Psychosocial factors included depression (EURO-D scale), perceived loneliness, having a spouse, having children, contact with children, and participation in social activities. Disability was assessed by limitations in (Instrumental) Activities of Daily Living ((I)ADL) and life satisfaction by Cantril’s ladder. We also ran the analyses with the Control Autonomy Self-realization Pleasure (CASP-12) Index, a normative measure of quality of life. We used multiple linear regressions to estimate associations and proportion of variance explained. Results The variance in life satisfaction that could be attributed uniquely to ADL and IADL disability was 0.17% and 0.33% respectively (both p < 0.001). The impact of (I)ADL disabilities on life satisfaction was strongest at age 50 and gradually decreased with increasing age (p trend < 0.001). Mental health explained more variance; 5.75% for depressive symptoms and 2.50% for loneliness and for social resources this ranged from 0.09% to 0.47% (all p < 0.001). While disability has a negative effect on life satisfaction, the effect was not stronger in older persons who were depressed, neither in those who felt lonely nor in those without social resources. Similar outcomes were found when using CASP-12 as the explained variable. Conclusion The impact of (I)ADL disabilities on life satisfaction in community-dwelling older people decreases with age. These associations are not affected by psychosocial factors and these patterns cannot be explained by people changing their norms and values.

U2 - 10.1371/journal.pone.0224421

DO - 10.1371/journal.pone.0224421

M3 - Journal article

C2 - 31671131

VL - 14

JO - P L o S One

JF - P L o S One

SN - 1932-6203

IS - 10

M1 - e0224421

ER -

ID: 230622045