Is well-being prior to receiving rehabilitation services associated with postrehabilitation mental health and functioning?
| Autor: | Adam Simning, Thomas V. Caprio, Christopher L. Seplaki, Frank J. Infurna |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Gerontology
medicine.medical_specialty medicine.medical_treatment Anxiety Medicare Article 03 medical and health sciences 0302 clinical medicine Quality of life (healthcare) Activities of Daily Living Epidemiology Humans Medicine Aged Rehabilitation 030214 geriatrics business.industry Mental health United States Self Care Psychiatry and Mental health Mental Health Well-being Geriatrics and Gerontology Pshychiatric Mental Health business 030217 neurology & neurosurgery |
| Zdroj: | Aging Ment Health |
| ISSN: | 1364-6915 1360-7863 |
| Popis: | OBJECTIVES: Millions of older adults receive rehabilitation services every year, which aim to restore, maintain, or limit decline in functioning. We examine whether lower reported well-being prior to receiving rehabilitation services is associated with increased odds of worsening anxiety symptoms, depressive symptoms, and impairment in self-care and household activities following rehabilitation. METHODS: Data come from the National Health and Aging Trends Study (NHATS), an annual survey of a nationally representative sample of Medicare beneficiaries aged 65 years and older. Our sample consists of 811 NHATS participants who, in the 2015 interview, had information on well-being and, in the 2016 interview, reported receiving rehabilitation services in the prior year. RESULTS: In multivariable logistic regression analyses, compared to the highest quartile, those in the lowest quartile of well-being at baseline have increased odds of having worsening depressive symptoms (OR=9.25, 95% CI: 3.78–22.63) and worsening impairments in self-care activities (OR=2.39, 95% CI: 1.12–5.11). CONCLUSION: Our findings suggest that older adults with the lowest levels of baseline well-being may be susceptible to having worsening depressive symptoms and impairment in self-care activities following rehabilitation services. Examination on whether consideration of well-being during the rehabilitation process could lead to better mental health and functional outcomes following rehabilitation is needed. |
| Databáze: | OpenAIRE |
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