Understanding the Multi-Dimensional Mental Well-Being in Late Life: Evidence from the Perspective of the Oldest Old Population

Lara, Elvira; Martín‐María, Natalia; Forsman, Anna K.; Cresswell‐Smith, Johanna; Donisi, Valeria; Ådnanes, Marian; Kaasbøll, Jannike; Melby, Line; Nordmyr, Johanna; Nyholm, Linda; Rabbi, L.; Amaddeo, Francesco

doi:10.1007/s10902-019-00090-1

Cited by 16 publications

(33 citation statements)

References 44 publications

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“…The EMMY project uses interdisciplinary and mixed methods to study the impact of welfare systems on mental wellbeing among the oldest old [29]. A rapid review methodology was used in the current study to explore how previous research reflects the four dimensions of mental wellbeing defined by the EMMY study; the functional social, personal and environmental [30].…”

Section: Methodsmentioning

confidence: 99%

“…The functional dimension defined by the EMMY study included categories relating to good physical health, activity, energy, restful sleep, and independence [30].…”

Section: Functional Dimensionmentioning

confidence: 99%

“…The broadly defined social dimension highlights the importance of social engagement, social interactions, social networks, and social support as important factors for mental wellbeing [30]. The social dimension is of particular importance considering the heightened risk of social exclusion in oldest-old age [36].…”

Section: Social Dimensionmentioning

confidence: 99%

“…The personal dimension from the EMMY study includes categories such as autonomy (decision-making), attitude, awareness, being active (keeping busy), intimacy, personal development, relaxation, spirituality and stability [30].…”

Section: Personal Dimensionmentioning

confidence: 99%

“…As part of the European Welfare Models and Mental Wellbeing in Final Years of Life (EMMY) project, a recent study by Lara et al used qualitative methods to decipher what mental wellbeing means to the oldest-old age group. The focus group study found four main dimensions of mental wellbeing to be important namely the functional, social, personal and environmental dimensions [30]. Using a rapid review methodology, the current review builds on this study by exploring recent research along these dimensions.…”

Section: Introductionmentioning

confidence: 99%

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Determinants of multidimensional mental wellbeing in the oldest old: a rapid review

Cresswell‐Smith

Amaddeo

Donisi

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

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Purpose Improved life expectancy imposes new challenges for policy-makers. The growing oldest-old age group (defined as 80 and over) is often characterised by increased support needs. Greater attention to wellbeing in this population group is necessary, and may well require a shift in social policy focus. The current review seeks to explore current research on determinants of mental wellbeing for the oldest old. Methods An iterative rapid review approach was used to review existing literature in line with four dimensions of mental wellbeing defined by the European Welfare Models and Mental Wellbeing in Final Years of Life (EMMY) study; functional, social, personal and environmental. A specific focus on articles employing multidimensional definitions of mental wellbeing was adopted. Results Multidimensional indicators reflect the multifaceted and multidirectional dynamics of wellbeing in very old age. Considerable variety in both measures and terminology was found within the literature making precise comparison difficult. The current review takes steps towards comparability by focusing on studies implementing multiple measures of mental wellbeing including evaluative, hedonistic and eudaimonic factors. Clearly defined and multifaceted measures of mental wellbeing are needed to sharpen evidence used in policy development, appraisal and evaluation in light of the considerable diversity of health and functional states experienced in later life. Conclusions Previous studies appear to line up the four main dimensions of mental wellbeing identified in the EMMY study. Actively improving opportunities for older adults to produce benefits to society can be done via a stronger focus on resources such as mental wellbeing.

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Section: Methodsmentioning

confidence: 99%

“…The functional dimension defined by the EMMY study included categories relating to good physical health, activity, energy, restful sleep, and independence [30].…”

Section: Functional Dimensionmentioning

confidence: 99%

Section: Social Dimensionmentioning

confidence: 99%

Section: Personal Dimensionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Determinants of multidimensional mental wellbeing in the oldest old: a rapid review

Cresswell‐Smith

Amaddeo

Donisi

et al. 2018

Soc Psychiatry Psychiatr Epidemiol

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Is Mental Well-Being in the Oldest Old Different from That in Younger Age Groups? Exploring the Mental Well-Being of the Oldest-Old Population in Europe

et al. 2020

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The oldest-old population is increasing in Europe, and greater focus is placed on promoting mental well-being (MWB) in this population. The European Welfare Models and Mental Wellbeing in Final Years of Life project aims to develop a better understanding of how best to promote positive MWB in the oldest-old population. Using a resources approach, the present study aimed to provide empirical evidence about the structure of MWB in the 80 + year age group and to compare this with the structure of MWB in the old (65–79 years) and adult (18–64 years) population. Twenty-eight items reflecting a focus on positive aspects of MWB were selected from the European Social Survey data (24 countries). After application of an exploratory approach using Exploratory Structural Equation Modelling, five- and six-factor model solutions were found to be statistically appropriate, and the results are consistent with the most widely studied dimensions of MWB. Despite specific differences in the factor models and item loadings, evaluation of formal invariance showed that dimensions built in the same way are comparable across age groups. Although explorative and not conclusive, the results of this study contribute insights into the multidimensional structure of MWB in the oldest-old population and provide a starting point for further research on promoting MWB in the later stages of life.

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Being Poor and Feeling Rich or Vice Versa? The Determinants of Unequal Income Positions in Old Age Across Europe

Isengard

König

2020

Soc Indic Res

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Individual prosperity and welfare can be measured using both objective and subjective criteria. Although theory and previous research suggest that these two methods can produce corresponding results, the measurements can also be inconsistent. Against this background, the current paper investigates the relationship between the objective income position of older Europeans (aged 50 + years) and their perception of their financial situation, using the seventh wave of the Survey of Health, Aging, and Retirement in Europe (SHARE) conducted in 2017. The main research questions include (1) how is objective income distributed in old age across Europe?, (2) how do elderly Europeans evaluate their income situation subjectively?, (3) is there a discrepancy between the objective prosperity position and their subjective perception observable?, (4) are there country-specific differences that are observable?, and (5) how can such discrepancies be explained? The results show that objective income positions can be congruent with subjective self-perceptions, both good (well-being) and bad (deprivation), of one’s income situation. However, this is not always the case, and country-specific variations do exist. In analyzing the causes of the 2 forms of nonconformance—namely, adaptation (satisfaction paradox) and dissonance (dissatisfaction dilemma)—this paper concludes that sociodemographic and socioeconomic determinants alone cannot account for discrepancies. The consideration of certain social-psychological influences or personality traits and especially social comparison processes (namely, with one’s past) is essential in explaining both the satisfaction paradox and the dissatisfaction dilemma.

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Understanding the Multi-Dimensional Mental Well-Being in Late Life: Evidence from the Perspective of the Oldest Old Population

Cited by 16 publications

References 44 publications

Determinants of multidimensional mental wellbeing in the oldest old: a rapid review

Determinants of multidimensional mental wellbeing in the oldest old: a rapid review

Is Mental Well-Being in the Oldest Old Different from That in Younger Age Groups? Exploring the Mental Well-Being of the Oldest-Old Population in Europe

Being Poor and Feeling Rich or Vice Versa? The Determinants of Unequal Income Positions in Old Age Across Europe

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