Functioning, Well‐Being, and Health Perception in Late Middle‐Aged and Older People: Comparing the Effects of Depressive Symptoms and Chronic Medical Conditions

Ormel, Johan; Kempen, Gertrudis I. J. M.; Deeg, Dorly J. H.; Brilman, Els I.; Sonderen, van Eric; Relyveld, J.

doi:10.1111/j.1532-5415.1998.tb01011.x

Cited by 227 publications

(167 citation statements)

References 43 publications

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“…GLAS was a population-based prospective followup study of the psychological and social determinants of disease, functional disability, wellbeing and utilisation of care in older people [21,[23][24][25][26][27]. The primary objective of this study was to identify the psychosocial factors that influence the trajectory of QoL, independently or in interplay with diseaserelated factors.…”

Section: Methodsmentioning

confidence: 99%

The Relative Contribution of Domains of Quality of Life to Overall Quality of Life for Different Chronic Diseases

et al. 2004

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The relative contribution of domains of quality of life to overall quality of life for different chronic diseases R. Arnold, R.; Ranchor, Adelita V.; Sanderman, Robbert; Kempen, G.I.J.M.; Ormel, Johan; Suurmeijer, T.P.B.M. Take-down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim.Downloaded from the University of Groningen/UMCG research database (Pure): http://www.rug.nl/research/portal. For technical reasons the number of authors shown on this cover page is limited to 10 maximum. AbstractThis study examined the contribution of the quality of life (QoL) domains physical, social and psychological functioning to the explanation of overall QoL. Various disorders may differentially affect QoL domains due to disease-specific factors and, consequently, the relationship between QoL domains and overall QoL may vary between diseases. We therefore studied this relationship for several diseases as well as the differential impact of these diseases on QoL. The present study had a cross-sectional design. We selected patients (aged 57 years and older) with one of the following eight chronic medical conditions: lung disorder, heart condition, hypertension, diabetes mellitus, back problems, rheumatoid arthritis, migraine, or dermatological disorders. The total group of respondents included 1457 patients and 1851 healthy subjects. Regression analyses showed that the domain of psychological functioning contributed to overall QoL for all disorders, whereas physical and social functioning contributed to overall QoL for some disorders. Differences were found between most patient groups and healthy subjects with respect to physical functioning; with respect to social and psychological functioning some groups differed from the healthy group. Explanations for the findings and implications for clinical practice are discussed.

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Section: Methodsmentioning

confidence: 99%

The Relative Contribution of Domains of Quality of Life to Overall Quality of Life for Different Chronic Diseases

et al. 2004

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“…Even when physical health conditions are controlled, perceived health has been found to predict a variety of outcomes, including quality of life, service utilization, morbidity, and mortality [1,[3][4][5][6][7]. Due to the greater likelihood of health deterioration, the significance of perceived health among older populations is pronounced [5,8].…”

Section: Introductionmentioning

confidence: 99%

“…Recent studies on potential predictors of perceived health have focused their attention on the individuals' mood or emotional state, particularly depressive symptoms [7,[11][12][13]. Individuals with greater levels of depressive symptoms are likely to rate their health as poorer, and this association is sustained even after controlling for the effects of objective health indicators [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…Individuals with greater levels of depressive symptoms are likely to rate their health as poorer, and this association is sustained even after controlling for the effects of objective health indicators [7,8]. The independent relationship of depressive symptoms with perceived health suggests that subjective health outcomes might be optimized by interventions that target emotional states.…”

Section: Introductionmentioning

confidence: 99%

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Changes in Perceived Health and Depressive Symptoms: A Longitudinal Analysis with Older Korean Americans

Jang

Kim

Cho

2007

J Immigrant Minority Health

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The present study examined changes in the perceived health of older Korean Americans (n = 141) over a 2-year period: 2003 (T1) and 2005 (T2). A hierarchical regression model of changes in perceived health was estimated with the following array of predictors: (1) background variables (age, gender, marital status, education, and length of stay in the United States), (2) initial perceived health (T1), (3) physical and mental health conditions at T1 (chronic conditions, functional disability, and depressive symptoms), and (4) changes in physical and mental health conditions (T2 -T1). When the effects of background variables and baseline perceived health were controlled, baseline chronic conditions and changes in both chronic conditions and depressive symptoms were found to predict changes in perceived health. Older individuals who initially had more chronic conditions and those who had experienced an increasing number of chronic conditions and depressive symptoms over 2 years viewed their health more negatively at follow-up. Findings highlight the importance of interventions for disease management and mental health promotion to enhance subjective health among older Korean immigrants.

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“…For the partners, this was respectively 57.1%, 25.8%, and 17.2%. On a list of chronic conditions (Ormel et al, 1998), the majority of the patients reported at least one co-morbidity (73.7%) and the majority of the partners (62.9%) also indicated a chronic condition. In both patients and partners, high blood pressure was the most frequently mentioned health condition (31.2% patients, 19% partners).…”

Section: Descriptivesmentioning

confidence: 99%

Support behavior and relationship satisfaction in couples dealing with diabetes: Main and moderating effects.

Schokker¹,

Stuive²,

Bouma³

et al. 2010

Journal of Family Psychology

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This study examined associations between support behavior, i.e. active engagement and protective buffering, and relationship satisfaction in both patients with diabetes and their partners. Active engagement refers to supportive behavior characterized by involving one's partner in discussions, asking how the other feels, and problem solving strategies. Protective buffering refers to less supportive behavior characterized by denying fears and worries, and by pretending everything is fine. Furthermore, we examined whether there were interactive effects of these two support behaviors on patients' and partners' relationship satisfaction. At baseline (T1), 205 couples rated to which degree they received active engagement and protective buffering from their partners, and completed a measure of relationship satisfaction. At three follow-up assessments, couples were asked to fill out the same measures. Using dyadic data analytic approaches, we found relationship satisfaction to be positively associated with active engagement, and negatively with protective buffering, in both patients and partners. Moreover, we found a moderating effect, in that the negative association between protective buffering and relationship satisfaction was only present when levels of active engagement were relatively low. Again, these results were found for patients as well as their partners. We were able to replicate the T1 results at the other three assessment points. Our findings illustrate the need to consider adequate and less adequate support behaviors simultaneously, and to study the effects on both patients and partners.

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Functioning, Well‐Being, and Health Perception in Late Middle‐Aged and Older People: Comparing the Effects of Depressive Symptoms and Chronic Medical Conditions

Cited by 227 publications

References 43 publications

The Relative Contribution of Domains of Quality of Life to Overall Quality of Life for Different Chronic Diseases

The Relative Contribution of Domains of Quality of Life to Overall Quality of Life for Different Chronic Diseases

Changes in Perceived Health and Depressive Symptoms: A Longitudinal Analysis with Older Korean Americans

Support behavior and relationship satisfaction in couples dealing with diabetes: Main and moderating effects.

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