Quality of Life in healthy old age: relationships with childhood IQ, minor psychological symptoms and optimism
| Autor: | Lawrence J. Whalley, Helen C. Fox, Helen Lemmon, Saskia Teunisse, G. H. Bain, John M. Starr, Ian J. Deary |
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| Rok vydání: | 2003 |
| Předmět: |
Male
Coping (psychology) medicine.medical_specialty Health (social science) Social Psychology Epidemiology media_common.quotation_subject Intelligence Anxiety Hospital Anxiety and Depression Scale Cohort Studies Cognition Sex Factors Raven's Progressive Matrices Optimism Activities of Daily Living medicine Humans Dementia Cognitive decline Psychiatry Aged media_common Aged 80 and over Psychiatric Status Rating Scales Intelligence quotient Depression medicine.disease humanities Psychiatry and Mental health Attitude Scotland Quality of Life Regression Analysis Female medicine.symptom Psychology Clinical psychology |
| Zdroj: | Social Psychiatry and Psychiatric Epidemiology. 38:632-636 |
| ISSN: | 1433-9285 0933-7954 |
| DOI: | 10.1007/s00127-003-0685-5 |
| Popis: | � Abstract Background The aim of this study was to examine relationships in old age between Quality of Life (QoL), childhood IQ, current cognitive performance and minor psychological symptoms, and to estimate possible contributions to these relationships made by sex, education, socioeconomic deprivation, current living group, sex, and balance and 6m walk time. Methods We conducted a follow-up study on 88 community residents without dementia who were survivors of the Aberdeen City 1921 birth cohort. QoL was measured by the Schedule for the Evaluation of Individual QoL-Direct Weighting (SEIQoL-DW), current cognition by MMSE and Raven’s Progressive Matrices (RPM), childhood IQ, minor psychological symptoms as assessed by the Hospital Anxiety and Depression Scale (HADS), and optimism by the Life Orientation Test (LOT); we included balance, 6m walk time and demographic data. Results QoL was better in men than in women. Women reported more anxiety and depression. QoL correlated significantly with current cognition measured by RPM, childhood intelligence, anxiety and depressive symptoms, optimism and balance. The best model to predict QoL relied on childhood intelligence (13.4 % of the variance) and was improved by addition of HADS (8.8 %) and LOT (4.8 %). Other variables did not contribute to the prediction of QoL. Conclusion In the absence of dementia, childhood IQ, HADS and LOT explain 26.9 % of the variance in QoL as reported by community-resident old people. The direction of association between current anxiety and depressive symptoms and lower QoL is uncertain. Lower childhood IQ may contribute to coping less well with later life. Lower QoL is not an invariable concomitant of mild cognitive decline. |
| Databáze: | OpenAIRE |
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