Chronic conditions, disability, and quality of life in older adults with multimorbidity in Spain

Forjaz, Maria João; Rodríguez‐Blázquez, Carmen; Ayala, Alba; Rodríguez-Rodríguez, Vicente; Pedro‐Cuesta, Jesús de; García-Gutiérrez, Susana; Prados‐Torres, Alexandra

doi:10.1016/j.ejim.2015.02.016

Cited by 82 publications

(85 citation statements)

References 33 publications

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“…An English longitudinal study by Zaninotto, Falaschetti and Sacker (2009) found that increasing lack of independence in activities of daily living was a negative predictor of QOL in seniors. Similar results were recorded in a Spanish study by Forjaz et al (2015), in which the presence of functional disability was proportionally related to worse quality of life in seniors. Interpretation of the results of this study is limited by several factors.…”

Section: Discussionsupporting

confidence: 74%

“…In this sense, death can be viewed as liberation. The negative effect of chronic conditions in the elderly on various aspects of QOL, and on maintenance of self-care in activities of daily living can be found in other studies (Chin, Lee, Lee, 2014;Forjaz et al, 2015), as can the negative effect of poly-morbidity on mobility, occurrence of pain, anxiety and depression Like Kabátová et al (2014), we recorded a high prevalence of depression and anxiety in seniors in this study. The presence of anxiety and depression led to a deterioration in the quality of life in seniors in all domains of the WHOQOL-OLD and WHOQOL-BREF.…”

Section: Discussionmentioning

confidence: 58%

“…Conversely, anxiety was a positive motivating factor in the domain of autonomy and past, present and future activities. Mental health, particularly the presence of symptoms of depression, was the most important factor that negatively affected QOL of seniors in several international studies (Zaninotto, Falaschett, Sacker, 2009;Brown, Roose, 2011;Bryła, Burzyńska, Maniecki-Bryła, 2013;Layte, Sexton, Savva, 2013;Forjaz et al, 2015). Negative affective symptoms, especially depression, are becoming a very serious problem in the period of old age and aging, contributing significantly to a reduction in QOL.…”

Section: Discussionmentioning

confidence: 99%

“…In the elderly, QOL is affected by the many demanding situations and factors that are associated with older age -ranging from changes in health status to coping with new restrictions in life, and identifying new roles, opportunities, and available social support (Gurková, 2011). Demographic variables (age, gender, ethnicity), socio-economic characteristics (education, social status, income, social support...), cultural influences and values, health factors (health/medical condition, disease, functional status, health care services), and personal characteristics (e.g., coping mechanisms, self-efficacy...) can be considered to be predictors of QOL (Dragomirecká, Prajsová, 2009;Gurková, 2011;Bryła, Burzyńska, Maniecki-Bryła, 2013;Layte, Sexton, Savva, 2013;Bilgili, Arpaci, 2014;Chin, Lee, Lee, 2014;Forjaz et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

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Determinants of quality of life in the elderly

Soósová¹

2016

Cent Eur J Nurs Midw

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Aim: To assess the impact of selected demographic (age, sex), socio-economic (marital status, education, income) and health factors (functional status, anxiety, depression) on quality of life (QOL) of seniors in the Košice region. Design: Cross-sectional study. Methods: QOL was assessed by the WHOQOL-BREF and WHOQOL-OLD questionnaires, functional status was assessed by the Barthel test Activities of Daily Living (ADLs), anxiety by the Beck Anxiety Inventory, and depression by the Zung Self-Rating Depression Scale. Relations between variables were assessed by Pearson correlation coefficients. Linear regression analysis was used to evaluate QOL predictors. Results: In a sample of a hundred and two elderly people, the best QOL was found in the domain of social relationships, death and dying, and intimacy. The worst QOL was found in physical health, social participation, and past, present and future activities. QOL was reduced particularly by depression, polymorbidity, and life without a partner. The maintenance of independence in ADLs had a positive impact on most QOL domains. Conclusion:The results indicate the necessity of creating opportunities for the development and maintenance of social contacts, the involvement of seniors in various leisure activities and in different programs or voluntary activities. The screening for and treatment of depression and anxiety is very important in improving quality of life in older adults, as is maintaining and improving self-care in ADLs.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Determinants of quality of life in the elderly

Soósová¹

2016

Cent Eur J Nurs Midw

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“…A cohort study highlighted the presence of comorbidities as a major impact factor in the QOL of the elderly, also emphasizing the deficiency and the physical dependence [30]. Opposite to this evidence, this study did not show a statistically significant association between the presence of diseases and QOL.…”

Section: Discussioncontrasting

confidence: 42%

Health Demands Characteristics and Quality of Life in the Elderly Monitored in the Primary Care

Miranda¹,

Torres²,

Toscano³

et al. 2017

int arch med

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Background: To characterize the demands of health and quality of life of elderly people monitored in the primary care of Rio Grande do Norte/Brazil. Methods and Findings:This is a descriptive, cross-sectional study of a quantitative approach with elderly patients monitored by the primary care. The sample was given for convenience, obtaining 120 participants. The research was conducted through an interview with theapplication of the following questionnaires: Mini Mental State Examination, Socio-demographic Data and Pain Characteristics, ShortForm-36, Mini Nutritional Assessment, the primary activities of daily living, the instrumental activities of daily living, Prism 7 and the Geriatric Depression Scale. Data analysis was performed using the SPSS statistical program, in which descriptive and association tests were used. Results:The main demands were related to functionality, followed by nutritional and geriatric depression. The quality of life presented worse results in the domain of general health status and better scores in the emotional and mental health aspects. Regarding the dimensions, the physical health obtained aworse score. Conclusion:Based on the found characterization of the health demands, it is suggested to perform other studies with the same population, enabling to plan and implementing a multidimensional intervention and improving the quality of life of the elderly people.

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Multimorbidity, Social Networks and Health-Related Wellbeing at the End of the Life Course

González

Fernández‐Carro

Fernández-Abascal

2021

International Handbooks of Quality-of-Life

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Despite multimorbidity trends pointing to an increase in the number of older people with chronic diseases and functioning limitations in Western countries, the proportion of older adults who report good self-rated health has also increased. One of the explanatory factors for the so-called 'disability paradox' is that meaningful and satisfactory social relations buffer the negative impact of health decline. The aim of this chapter is to explore the role of social networks (SN) in the interplay between multimorbidity and the self-rated health status among the 'oldest old' population (80+) in Spain. Data were drawn from the Survey of Health, Ageing and Retirement in Europe (Wave 6; N=1,287). Bivariate analyses (ANOVA) were used to describe the associations between the social networks and the physical and mental conditions of older people. Logistic and linear regression models were employed to explore the mediating effect of social networks in this evaluation. Results showed that, despite the high level of multimorbidity, the assessment that the oldest old population made of their healthrelated wellbeing was mediated by some facets of their social relations. Several aspects of their social networks, such as proximity and satisfaction, mediated the relationship between morbidity and health-related wellbeing.

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Chronic conditions, disability, and quality of life in older adults with multimorbidity in Spain

Cited by 82 publications

References 33 publications

Determinants of quality of life in the elderly

Determinants of quality of life in the elderly

Health Demands Characteristics and Quality of Life in the Elderly Monitored in the Primary Care

Multimorbidity, Social Networks and Health-Related Wellbeing at the End of the Life Course

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