Inner Strength in Relation to Functional Status, Disease, Living Arrangements, and Social Relationships Among People Aged 85 Years and Older

Lundman, Berit; Aléx, Lena; Jonsén, Elisabeth; Lövheim, Hugo; Nygren, Björn; Fischer, Regina Santamäki; Strandberg, Gunilla; Norberg, Astrid

doi:10.1016/j.gerinurse.2011.11.001

Cited by 36 publications

(57 citation statements)

References 68 publications

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“…Concentrating on strengths allows the individual to achieve more than focusing on the absence of distress or disorder (Seligman, ). Illness impacts on strengths and life satisfaction (Lundman et al, ), and being able to develop strength‐based interventions can contribute to enhanced well‐being and limit ill‐being (Peterson, Park, & Seligman, ). There is emerging evidence from studies focusing on identifying and using character strengths, that people who use their strengths on a regular basis have higher levels of well‐being (Bauman et al, ; Littman‐Ovadia & Levy, ; Wood, Linley, Maltby, Kashdan, & Hurling, ).…”

Section: Introductionmentioning

confidence: 99%

Uncovering strengths within community dwelling older adults: What does it mean for health care practice?

Waterworth

Raphael

Gott

et al. 2020

Health Soc Care Community

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The aim of this paper is to present the psychological strengths we identified from interviews with community dwelling older adults. Data for this paper is drawn from participants in a community dwelling older adult study. The latter involved qualitative in‐depth interviews with the participants exploring their well‐being. All participants were community dwelling and living in a region in the North Island of New Zealand. Interviews took place between March 2017 to September 2017. Thirty‐seven older adults between the ages of 66–99 took part in semi‐structured interviews and all interviews were audio‐recorded. Interviews ranged from 1 to 3 hr. Analysis was informed by the Values in Action Character strengths framework. We were able to identify strengths within the VIA conceptual framework comprising; cognitive strengths, emotional strengths, social and community strengths, protective strengths and transcendental strengths. Throughout this study we found that participants experienced difficulties in identifying and talking about their strengths. In many ways this may reflect participants' strength of humility, demonstrating modesty in talking about themselves. This study has highlighted the challenges older adults experienced in identifying their own strengths. However, the study has demonstrated how narratives can be one way of uncovering psychological strengths with older adults. In particular, these findings highlight the range of strengths, for example, bravery, gratitude, hope, humour, kindness, perseverance, spirituality, that older adults have and give a voice in highlighting these. However, more practical ways of making strength‐based practices workable in daily practice, for example, in clinical assessment and health promotion programs are required.

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Section: Introductionmentioning

confidence: 99%

Uncovering strengths within community dwelling older adults: What does it mean for health care practice?

Waterworth

Raphael

Gott

et al. 2020

Health Soc Care Community

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“…[6][7][8] High SOC scores have been shown to protect from negative health outcomes in terms of perceived health, 7 quality of life, 7,9 mortality, [10][11][12][13] and disability. 14,15 Most studies have been carried out on people with specific diseases 14,[16][17][18] or in young populations. 10,11,19 Recently, a review on sense of coherence in people aged 65 and older confirmed the positive associations between the sense of coherence, perceived health, and quality of life.…”

Section: Introductionmentioning

confidence: 99%

A High Sense of Coherence as Protection Against Adverse Health Outcomes in Patients Aged 80 Years and Older

Boeckxstaens

Vaes

Sutter

et al. 2016

The Annals of Family Medicine

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PURPOSEWe set out to assess whether a high sense of coherence (SOC) protects from adverse health outcomes in patients aged 80 years and older who have multiple chronic diseases.METHODS A population-based prospective cohort study in 29 primary care practices throughout Belgium included 567 individuals aged 80 years and older. We plotted the highest tertile of SOC scores in Kaplan-Meier curves representing 3-year mortality and time to first hospitalization. Using Cox proportional hazard regression analyses and multiple logistic regression analyses adjusted for sociodemographic characteristics, depression, cognition, disability, and multimorbidity we examined the relationship between SOC and mortality, hospitalization, and decline in performance of activities of daily living (ADL).RESULTS Subjects with high SOC scores showed a higher cumulative survival than others (Log rank = 0.004) independent of other prognostic characteristics (adjusted hazard ratio 0.62 (95% CI, 0.38-1.00), P = .049). For ADL decline, a high SOC was shown to be protective, and this effect tended to be independent from the covariates under study (adjusted odds ratio 0.56 (95% CI, 0.31-1.0), P = .05).CONCLUSION Even very elderly persons with high SOC scores were shown to have lower mortality rates and less functional decline. These effects were independent of multimorbidity, depression, cognition, disability, and sociodemographic characteristics.

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“…The oldest old are also exposed to losses that might negatively affect their quality of life (Marengoni et al, 2011). Psychological resources, such as inner strength, have been shown to mediate the negative effects of diseases, functional decline and life crises among people aged 65-80 years (Viglund, Jonsé n, Strandberg, Lundman, & Nygren, 2013) and among the oldest old (85-103 years) (Lundman et al, 2012). In addition, a sense of purpose in life (Pinquart, 2002), a sense of coherence (Eriksson & Lindströ m, 2006), and ST (Haugan, Rannestad, Hammervold, Garå sen, & Espens, 2014) have been found to be associated with reported wellbeing despite diseases in older people.…”

Section: Introductionmentioning

confidence: 99%

Self-transcendence (ST) among very old people – Its associations to social and medical factors and development over five years

Lundman

Gustafson

Norberg

et al. 2015

Archives of Gerontology and Geriatrics

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Inner Strength in Relation to Functional Status, Disease, Living Arrangements, and Social Relationships Among People Aged 85 Years and Older

Cited by 36 publications

References 68 publications

Uncovering strengths within community dwelling older adults: What does it mean for health care practice?

Uncovering strengths within community dwelling older adults: What does it mean for health care practice?

A High Sense of Coherence as Protection Against Adverse Health Outcomes in Patients Aged 80 Years and Older

Self-transcendence (ST) among very old people – Its associations to social and medical factors and development over five years

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