Quality of life and its contributing factors in an elderly community‐dwelling population in <scp>S</scp>hanghai, <scp>C</scp>hina

Shou, Jian; Du, Zhenhong; Wang, Rui; Ren, Limin; Liu, Yao; Zhu, Shanzhu

doi:10.1111/psyg.12288

Cited by 13 publications

(14 citation statements)

References 36 publications

(34 reference statements)

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“…Also, disability and poor level of functioning has been found to be an independent risk factor for depression, [8] and as a key dimension associated with impairment of quality of life, [9] which, in turn, is associated with mental disorders [10]. Similar results, confirming these data, have been reported in other studies carried out in Spain, [11,12] and Asia [13,14] indicating that mental disorders, especially anxiety, depression and adjustment disorders, had a higher impact of on health related QoL and LoF, than chronic physical conditions.…”

Section: Introductionsupporting

confidence: 85%

“…This can be interpreted as a possible tendency of people with psychiatric problems, especially depression, to have a negatively biased view on the world, therefore of their QoL, as recently underlined as a caveat when measuring community-dwelling older adults' QOL and providing active ageing programs [42]. However, literature has also underlined that depression, self-care ability, and medical care burden are independent factors molding the quality of life of the elderly [14,43,44], as also confirmed in another Ment_Dis65+ study specifically dealing with depressive disorders in the elderly [45].…”

Section: Discussionmentioning

confidence: 99%

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Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

Grassi

Caruso

Ronch

et al. 2020

Health Qual Life Outcomes

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Background: An ageing population worldwide needs to investigate quality of life (QoL) and level of functioning (LoF) in the elderly and its associated variables. We aimed to study the relationship between Quality of Life (QoL) and Level of Functioning (LoF) in an elderly population in Europe. Method: As part of the Ment_Dis65+ European Project, 3142 community-dwelling adults aged 65-84 years in six countries were assessed by using the adaptation for the elderly of the Composite International Diagnostic Interview (CIDI65+) to provide psychiatric diagnosis according to the International Classification of Diseases (10th edition) (ICD-10 Classification of Mental and Behavioural Disorders). Socio-demographic and clinical interviews, and two selfreport tools, the World Health Organization QoL assessment (WHO QoL BREF), to assess QoL, and the WHO Disability Assessment Schedule-II (WHODAS-II), to assess LoF, were also administered. Results: Most subjects reported good levels of QoL (56.6%) and self-rated health (62%), with no or mild disability (58.8%). There was a linear decrease of the QoL and the LoF by increase of age. Elderly with ICD-10 mental disorder (e.g. somatoform, affective and anxiety disorders) had poorer QoL and lower LoF. There were a number of predictors of lower levels of QoL and disability, including both socio-demographic variables (e.g. male gender, increase in age, poor financial situation, retirement, reduced number of close significant others), ICD-10 psychiatric diagnosis (mainly anxiety, somatoform disorders) and presence of medical disorders (mainly heart and respiratory diseases).

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Section: Introductionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

Grassi

Caruso

Ronch

et al. 2020

Health Qual Life Outcomes

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“…It is worth noting that the traditional belief of "more children, more blessings" has begun to undergo profound changes in rural areas in recent years. Most previous research considered that family support received by the elderly in terms of living, care and emotional comfort was the most important factor [34][35][36][37][38][39][40][41][42][43][44]. However, the results of our study indicate that increased numbers of children do not contribute to higher EQ-5D index scores for the rural elderly.…”

Section: Discussioncontrasting

confidence: 67%

“…This may be due to the fact that with the spread of urbanization, a large number of young people have moved from rural to urban areas. The traditional family structure, values, and intergenerational relationships have undergone profound changes, and the family pension function also faces great challenges [33,[35][36][37].…”

Section: Discussionmentioning

confidence: 99%

“…Considering that many rural seniors are often left behind and need support from home-and community-based services, the role played by formal social support in promoting their functional autonomy and improving their quality of life presents a large gap in present research. In addition, the sample of previous studies mainly comes from specific local regions, failing to capture nationwide population preferences [36]. Finally, previous studies have typically used components of HRQOL as intermediary variables to explore the relationship between social support and HRQOL, without fully taking advantage of the effects of the index [37].…”

Section: Introductionmentioning

confidence: 99%

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Association of Formal and Informal Social Support With Health-Related Quality of Life Among Chinese Rural Elders

Shunhua

Mao

et al. 2020

IJERPH

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Objectives: To explore the association of formal and informal social support with health-related quality of life (HRQOL) among Chinese rural elders and further investigate the influence of quantity and quality of social support on their HRQOL. Methods: The sample of 4189 Chinese rural elders over 60 years old was acquired from the 2015 China Health and Retirement Longitudinal Study (CHARLS). The HRQOL was evaluated by EQ-5D-3L questionnaire. The social support assessment was mainly based on the social support rating scale (SSRS), and Tobit regression analysis was used to explore the impact of social support on HRQOL. Results: The average EQ-5D index score (0 to 1) of the Chinese rural elders was 0.78 ± 0.16. Participants who were male or with better education were found to have higher scores. Those elders living alone, suffering from chronic diseases or disabled acquired lower scores. As for formal social support, higher medical or pension insurance and more social activities statistically significantly possessed higher scores. As for informal social support, higher number of offspring had a significant association with lower scores, while more contact with children and financial support from family were shown to be statistically significantly associated with higher scores after controlling for sociodemographic characteristics. The quality of social support is more important than its quantity. An interesting finding was that the EQ-5D index scores did not support the Chinese traditional belief that ‘the more children, the more blessings’. Conclusions: The EQ-5D index scores of the rural elders in China is above the median level based on the scores of EQ-5D. Social support is significantly associated with elderly peoples’ quality of life. The results would be significant for accurately improving the life quality of Chinese rural elders from the perspective of social support.

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Impact of social isolation and leisure activities on cognition and depression: A study on middle‐aged and older adults in India

Mishra

Pradhan

2023

Int J Geriat Psychiatry

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Introduction:Recent studies highlight the negative impact of social isolation and involvement in leisure activities on enhanced well-being of individuals. However, there is dearth of evidence on relationship between social isolation and leisure activities on cognitive abilities and depression of older adults in the Indian context.The paper reports the impact of social isolation and leisure activities on cognitive functioning and depression of older adults.Methods: Data were collected from the Longitudinal Ageing Study of India (LASI), and 63,806 participants aged 45 years or above were considered for the study with adherence to the exclusion criteria. Multivariate analysis was carried out to analyse the group-based differences.Results: Social isolation (F = 102.09, p < 0.01; η 2 = 0.09) and leisure (F = 224.54, p < 0.01; η 2 = 0.07) had a statistically significant impact on the cognition and depressive symptoms of participants. Socially isolated older adults with little involvement in leisure activities had the worst cognitive functioning (M = 32.76, SD = 4.41), whereas middle-aged adults who were actively involved in leisure activities and experienced the least social isolation exhibited the best cognitive functioning (M = 32.76, SD = 4.41). However, leisure and age as independent factors did not have a significant impact on depression. Conclusion:Socially isolated participants, irrespective of age, and involvement in leisure activities exhibit poor cognitive functioning and are more likely to suffer from depression as compared to their counterparts. The findings of the study can be used to design intervention strategies aimed at reducing social isolation by incorporating leisure activities to ensure the optimal functioning of middle-aged and older adults.

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Quality of life and its contributing factors in an elderly community‐dwelling population in Shanghai, China

Abstract: Depression, self-care ability, and medical care burden were found to be significantly associated with the quality of life of elderly individuals in Shanghai, China. Therefore, more attention should be paid to the mental health of this elderly population.

Cited by 13 publications

References 36 publications

Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

Quality of life, level of functioning, and its relationship with mental and physical disorders in the elderly: results from the MentDis_ICF65+ study

Association of Formal and Informal Social Support With Health-Related Quality of Life Among Chinese Rural Elders

Impact of social isolation and leisure activities on cognition and depression: A study on middle‐aged and older adults in India

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