Abstract:The age-appropriate CIDI65+ led to higher prevalence rates of anxiety disorders in the elderly, yet to weaker associations with comorbidities and impaired quality of life compared with previous studies.
“…47 Anxiety and depression are highly intercorrelated, 11 and their comorbidity increases emotional distress 13 thereby decreasing life satisfaction. 7,8 In contrast, cognitive failures did not mediate the association between emotional distress, dysfunctional coping, and life satisfaction.…”
Section: Demographicsmentioning
confidence: 81%
“…Life satisfaction refers to subjective feelings of happiness and contentment regarding life and is therefore considered an important outcome of QoL . Depression and anxiety are common in late life and are associated with considerable morbidity and decreased life satisfaction in older people . There are currently mixed findings in relation to prevalence of depression in older people living in sheltered housing.…”
Section: Introductionmentioning
confidence: 99%
“…6 Depression and anxiety are common in late life and are associated with considerable morbidity and decreased life satisfaction in older people. 7,8 There are currently mixed findings in relation to prevalence of depression in older people living in sheltered housing. Walker and colleagues 9 for example found that prevalence of depression is generally lower in these settings compared to older adults living independently in the community; prevalence of depression in the community was 18.6% in those living alone and 11.3% in those living with others, whereas in the sheltered group, rates were around 10.7% with most living alone.…”
Objectives
Little is known about the relationship between cognitive failures, emotional distress, and life satisfaction in late life. Experiencing cognitive failures is a known risk for declining life satisfaction in older people, although the mechanisms that may explain cognitive failures remain unclear. This study investigated the associations between psychosocial factors, cognitive failures, and coping strategies and their influence on life satisfaction in older people living in sheltered housing.
Methods
A total of 204 older people living in sheltered housing in London were recruited (mean age = 75.08 years). We used structural equation modelling path analysis to test several hypotheses based on theories of emotional distress (anxiety and depression) and cognitive failures and their influence on life satisfaction.
Results
Self‐reported depressive symptoms (29.5%), anxiety symptoms (33%), and cognitive failures (41%) were common. The final model had a good fit (X2 = 2.67; DF = 2; P = 0.26; NFI = 0.99, CFI = 0.99; RMSEA = 0.04); analyses showed that both cognitive failures and dysfunctional coping were significantly associated and exerted a moderate effect on emotional distress. Cognitive failures and dysfunctional coping had an indirect effect on life satisfaction through emotional distress which directly decreased levels of life satisfaction (β = −0.70, P ≤ 0.001).
Conclusions
This study found that experiencing emotional distress helped to explain the association and negative effects of cognitive failures and dysfunctional coping on life satisfaction in older people living in sheltered housing. These findings contribute to our understanding of the key mechanisms of experiencing cognitive failures in late life and can help guide future interventions of well‐being in later life.
“…47 Anxiety and depression are highly intercorrelated, 11 and their comorbidity increases emotional distress 13 thereby decreasing life satisfaction. 7,8 In contrast, cognitive failures did not mediate the association between emotional distress, dysfunctional coping, and life satisfaction.…”
Section: Demographicsmentioning
confidence: 81%
“…Life satisfaction refers to subjective feelings of happiness and contentment regarding life and is therefore considered an important outcome of QoL . Depression and anxiety are common in late life and are associated with considerable morbidity and decreased life satisfaction in older people . There are currently mixed findings in relation to prevalence of depression in older people living in sheltered housing.…”
Section: Introductionmentioning
confidence: 99%
“…6 Depression and anxiety are common in late life and are associated with considerable morbidity and decreased life satisfaction in older people. 7,8 There are currently mixed findings in relation to prevalence of depression in older people living in sheltered housing. Walker and colleagues 9 for example found that prevalence of depression is generally lower in these settings compared to older adults living independently in the community; prevalence of depression in the community was 18.6% in those living alone and 11.3% in those living with others, whereas in the sheltered group, rates were around 10.7% with most living alone.…”
Objectives
Little is known about the relationship between cognitive failures, emotional distress, and life satisfaction in late life. Experiencing cognitive failures is a known risk for declining life satisfaction in older people, although the mechanisms that may explain cognitive failures remain unclear. This study investigated the associations between psychosocial factors, cognitive failures, and coping strategies and their influence on life satisfaction in older people living in sheltered housing.
Methods
A total of 204 older people living in sheltered housing in London were recruited (mean age = 75.08 years). We used structural equation modelling path analysis to test several hypotheses based on theories of emotional distress (anxiety and depression) and cognitive failures and their influence on life satisfaction.
Results
Self‐reported depressive symptoms (29.5%), anxiety symptoms (33%), and cognitive failures (41%) were common. The final model had a good fit (X2 = 2.67; DF = 2; P = 0.26; NFI = 0.99, CFI = 0.99; RMSEA = 0.04); analyses showed that both cognitive failures and dysfunctional coping were significantly associated and exerted a moderate effect on emotional distress. Cognitive failures and dysfunctional coping had an indirect effect on life satisfaction through emotional distress which directly decreased levels of life satisfaction (β = −0.70, P ≤ 0.001).
Conclusions
This study found that experiencing emotional distress helped to explain the association and negative effects of cognitive failures and dysfunctional coping on life satisfaction in older people living in sheltered housing. These findings contribute to our understanding of the key mechanisms of experiencing cognitive failures in late life and can help guide future interventions of well‐being in later life.
“…Tras revisar los estudios precedentes que analizan la relación entre la salud mental de las personas mayores de 65 años y su NdF se observa que no han empleado una entrevista diagnóstica para evaluar los trastornos mentales adaptada a la población mayor ni han utilizado una muestra amplia de personas mayores de 65 años que incluya al grupo de personas mayores de 75 años (Ausín, Muñoz, Santos-Olmo, Pérez-Santos y Castellanos, 2017;Volkert et al, 2013). Para salvar esta limitación, el Estudio MentDis_ICF65+ (salud y bienestar de las personas entre 65 y 84 años en Europa) Ausín et al, 2017;Canuto et al, 2017;Wittchen et al, 2014) se realiza en 6 ciudades europeas y analiza la relación entre la salud física y mental de las personas mayores de 65 años y su NdF, utilizando una entrevista diagnóstica sobre los trastornos mentales adaptada a la población mayor y empleando una muestra amplia de personas mayores de 65 años. A continuación se presentan los principales resultados del Estudio MentDis_ ICF65+ en cuanto a la relación entre el NdF y las variables género, edad y salud física y mental de las personas mayores de 65 años de la Comunidad de Madrid.…”
Section: N F O R M a C I ó N D E L A R T í C U L Ounclassified
“…Generalized anxiety disorder (GAD) is one of the most common anxiety disorders in older adults with a prevalence rate of 3.1 [9] -11% [43]. Late-life GAD is characterized by excessive and difficult to control worry, as well as irritability, difficulty concentrating, sleep disturbance, fatigue and muscle tension [24].…”
We recently showed that late-life participants with generalized anxiety disorder (GAD), compared with non-anxious elderly, had lower cortical thickness in the dorsal anterior cingulate cortex (ACC) and the orbitofrontal cortex (OFC). In this follow-up study, we investigated the association between cortical thickness and clinical markers of treatment response in a subgroup from that same sample. Twelve GAD participants were randomly selected and were included in an open label twelve-week treatment with citalopram and pre-/post-treatment magnetic resonance imaging (MRI). Cortical thickness measurements were obtained with Freesurfer. Six regions were selected based on previous results: left dorsal ACC, left rostral ACC, left and right medial orbitofrontal, right pars triangularis and right pars opercularis. A two-tailed paired t-test (non-parametric Wilcoxon Signed Rank test) was used to compare pre- and post-treatment for all clinical variables. For each region of interest (ROI), the Pearson correlation coefficient was estimated between pre-treatment cortical thickness and change in Penn State Worry Questionnaire (PSWQ) from pre- to post-treatment. Our results indicate that greater left pre-treatment dorsal ACC cortical thickness was associated with improvement in worry severity post-treatment. In late-life GAD, greater treatment response is associated with greater cortical thickness in areas pivotal for emotion regulation.
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