Optimism and Well-Being Among Institutionalized Older Adults
Abstract
Abstract. Institutionalization is often related to the psychologically negative outcomes of old age. Optimism could alleviate suffering, but little is known about its role in institutionalized settings. We sought to explore optimism correlates and to determine whether it predicts emotional well-being variables, after controlling for potential covariates, by assessing 66 institutionalized elderlies. Optimism was low and associated with failure to do physical exercise, urinary incontinence, increased anxiety, depressive symptoms and feelings of loneliness, and reduced satisfaction with life and positive affect. Optimism predicted emotional well-being, albeit not over and above some covariates. Given the low optimism levels and the correlates, we suggest that intrapersonal resources could be intervention targets. It is our hope that our findings will inspire research to analyze interventions promoting optimism-beneficial combinations of well-being among institutionalized older adults.
References
2000). Optimism and depression as predictors of physical and mental health functioning: The Normative Aging Study. Annals of Behavioral Medicine, 22, 127–130. doi 10.1007/bf02895776
(1995). Dispositional optimism, dysphoria, health, and coping with hearing impairment in elderly adults. Audiology: Official Organ of the International Society of Audiology, 34, 76–84. doi 10.3109/00206099509071900
(2003).
(Escala de depressão geriátrica . In Grupo de Estudos de Envelhecimento Cerebral e DemênciasEd., Escalas e testes na demência [Scales and tests in dementia ] (pp. 69–72). Lisbon: GEECD.2010). Felicidade, optimismo, esperança e perdão em jovens, adultos e idosos [
(Happiness, optimism, hope and forgiveness in young people, adults, and seniors ]. Psychologica, 52, 123–148.2014). Interrelations of stress, optimism and control in older people’s psychological adjustment. Australasian Journal on Ageing, 34, 103–108. doi 10.1111/ajag.12138
(2013). Institutionalisation of the elderly person between adaptation and survival. Procedia – Social and Behavioral Sciences, 84, 944–948. doi.org/ 10.1016/j.sbspro.2013.06.679
(2001). Optimism, pessimism, and positive and negative affectivity in middle-aged adults: A test of a cognitive-affective model of psychological adjustment. Psychology and Aging, 16, 524–531. doi 10.1037//0882-7974.16.3.524
(2015). Changes in optimism are associated with changes in health over time among older adults. Social Psychological and Personality Science, 6, 814–822. doi 10.1177/1948550615590199
(2010). The problem of units and the circumstance for POMP. Multivariate Behavioral Research, 34, 315–346. doi 10.1207/S15327906MBR3403_2
(2013). 1549 – Correlates of elderly loneliness. European Psychiatry, 28(1), 1–6. doi 10.1016/S0924-9338(13)76559-3
(2016). The correlates of anxiety among older adults in nursing homes and other residential aged care facilities: A systematic review. International Journal of Geriatric Psychiatry, 32, 141–154. doi 10.1002/gps. 4604
(2010). Descriptive epidemiology of undetected depression in institutionalized older people. Journal of the American Medical Directors Association, 11, 312–319. doi 10.1016/j.jamda.2010.01.012
(2015). Propriedades psicométricas da versão portuguesa do Inventário Geriátrico de Ansiedade numa amostra de idosos utentes de estruturas residenciais [
(Psychometric properties of the Portuguese Version of the Geriatric Anxiety Inventory in a sample of elderly people in residential care ]. Revista Portuguesa de Investigação Comportamental e Social, 1, 15–30. doi 10.7342/ ismt.rpics.2015.1.2.222017). Regression and linear models. New York: Guilford.
(1998). Optimismo: Teoria e avaliação (proposta de uma nova escala) [
(Optimism: Theory and evaluation (proposal of a new scale) ]. Psicologia, Educação e Cultura, 2, 295–308.2016). A study of depression, perceived loneliness, cognitive function and independence in daily activities in home and institution based older people: A cross sectional comparative study. Journal of Geriatric Mental Health, 3, 140–145. doi 10.4103/2348-9995.195630
(1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49, 71–75. doi 10.1207/s15327752jpa4901_13
(2014). Do social resources explain the relationship between optimism and life satisfaction in community-dwelling older people? Testing a multiple mediation model. Journal of Happiness Studies, 16, 633–654. doi 10.1007/s10902-014-9526-3
(2013). 1553 – Affectivity and cognitive functioning in institutionalized elderly. European Psychiatry, 28 (Suppl. 1). doi 10.1016/S0924-9338(13)76562-3
(2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41, 1149–1160. doi 10.3758/BRM.41.4.1149
(2010). Optimism and well-being in older adults: The mediating role of social support and perceived control. International Journal of Aging & Human Development, 71(1), 43–68. doi 10.2190/AG.71.1.c
(2004). The broaden-and-build theory of positive emotions. Philosophical Transactions of the Royal Society B, 359((1449)), 1367–1378. doi 10.1098/rstb.2004.1512
(2006). Optimism, social support and psychosocial functioning among women with breast cancer. Psycho-Oncology, 15, 595–603. doi 10.1002/pon.992
(2005). Characteristics predicting nursing home admission in the program of all-inclusive care for elderly people. The Gerontologist, 45, 157–166.
(2007). Lifestyle and dietary correlates of dispositional optimism in men: The Zutphen Elderly Study. Journal of Psychosomatic Research, 63, 483–490. doi 10.1016/j.jpsychores.2007.07.014
(2006). Dispositional optimism and the risk of cardiovascular death: The Zutphen Elderly Study. Archives of Internal Medicine, 166, 431–436. doi 10.1001/ .431
(2017). Dying is unexpectedly positive. Psychological Science, 28, 988–999. doi 10.1177/0956797617701186
(2011). Optimism in relation to inflammation and endothelial dysfunction in older men. Psychosomatic Medicine, 73, 664–671. doi 10.1097/PSY.0b013e3182312497
(2001). Is pessimism a risk factor for depressive mood among community-dwelling older adults? Behavior Research and Therapy, 39, 255–272. doi 10.1016/s0005-7967(99)00178-3
(2002). Cognitive style predictors of affect change in older adults. International Journal of Aging & Human Development, 54, 233–253. doi 10.2190/J6E5-NP5K-2UC4-2F8B
(2016). Depressive symptoms and associated factors in institutionalized elderly. Experimental Aging Research, 42, 479–491. doi 10.1080/0361073X.2016.1224673
(2013). Mediational effect of meaning in life on the relationship between optimism and well-being in community elderly. Archives of Gerontology and Geriatrics, 56, 309–313. doi 10.1016/j.archger.2012.08.008
(2014). Geroscience: Linking aging to chronic disease. Cell, 159, 709–713. doi 10.1016/j.cell.2014.10.039
(2016). Assessing subjective well-being in the old-old. Research on Aging, 14, 131–168. doi 10.1177/0164027592142001
(2011). Dispositional optimism protects older adults from stroke: The health and retirement study. Stroke, 42, 2855–2859. doi 10.1161/STROKEAHA.111.613448
(2010). Relationship of quality of life to dispositional optimism, health locus of control and self-efficacy in older subjects living in different environments. Quality of Life Research, 19, 351–361. doi 10.1007/s11136-010-9601-0
(2001). Is the glass half empty or half full? A prospective study of optimism and coronary heart disease in the normative aging study. Psychosomatic Medicine, 63, 910–916.
(2000). Optimism, satisfaction and time perspective in the elderly. International Journal of Aging & Human Development, 51, 167–181. doi 10.2190/06GK-WHER-37XC-BTRY
(2013). The importance of optimism in maintaining healthy aging in rural Alaska. Qualitative Health Research, 23, 1521–1527. doi 10.1177/1049732313508013
(2012). Age-related predictors of institutionalization: Results of the German study on aging, cognition and dementia in primary care patients (AgeCoDe). Social Psychiatry and Psychiatric Epidemiology, 47, 263–270. doi 10.1007/s00127-010-0333-9
(2015). Social representation of “hearing loss”: Cross- cultural exploratory study in India, Iran, Portugal, and the UK. Clinical Interventions in Aging, , 1857–1872. doi 10.2147/CIA.S91076
(2005). Patient-reported impact of urinary incontinence: Results from treatment seeking women in 14 European countries. Maturitas, 52, 24–34. doi 10.1016/j.maturitas.2005.09.005
(1993). The satisfaction with life scale: Psychometrics properties in an adolescent sample. Journal of Youth and Adolescence, 22, 125–134. doi 10.1007/BF01536648
(2001). Solidão em diferentes níveis etários [
(Loneliness at different age levels ]. Estudos Interdisciplinares do Envelhecimento, 3, 71–88.2014). Associations between work-related stress in late midlife, educational attainment, and serious health problems in old age: A longitudinal study with over 20 years of follow-up. BMC Public Health, 14(1), 878. doi 10.1186/1471-2458-14-878
(2007). Development and validation of the Geriatric Anxiety Inventory. International Psychogeriatrics, 19, 103–114. doi 10.1017/S1041610206003504
(2013). 1556 – Social support, mental health, and satisfaction with life in institutionalized elderly. European Psychiatry, 28(Suppl. 1), 1. doi 10.1016/S0924-9338(13)76565-9
(2011). Defeito cognitivo, sintomas de depressão e satisfação com a vida em idosos sob resposta social do concelho de Coimbra [
(Cognitive impairment, symptoms of depression, and satisfaction with life in the institutionalized elderly of the county of Coimbra ] (Master dissertation). Retrieved from http://repositorio.ismt.pt/handle/123456789/1192014). Funcionamiento neuropsicológico y emocional en el envejecimiento: Estudio comparativo entre ancianos institucionalizados y no-institucionalizados [
(Neuropsychological and emotional functioning in aging: Comparative study between institutionalized and noninstitutionalized elderly ] (Doctoral dissertation). Retrieved from http://hdl.handle.net/10662/17782001).
(Optimism and physical well-being . In E. C. ChangEd., Optimism pessimism: Implications for theory, research, and practice (pp. 127–145). Washington, DC: American Psychological Association.2010). Validação psicométrica da escala UCLA-loneliness para idosos portugueses [
(Psychometric validation of the UCLA-loneliness scale for Portuguese elderly ]. Interaçes: Sociedade e as Novas Modernidades, 10(18), 65–77.2005). Does positive affect influence health? Psychological Bulletin, 131, 925–971. doi 10.1037/0033-2909.131.6.925
(1997). Personal meaning, optimism, and choice: Existential predictors of depression in community and institutional elderly. The Gerontologist, 37, 709–716. doi 10.1093/geront/37.6.709
(1985).
(Personal optimism, physical, and mental health: The triumph of successful aging J.E. BirrenJ. LivingstonEds., Cognition, stress, and aging (pp. 134–173). Englewood Cliffs, NJ: Prentice-Hall.2011). Physical, mental, and cognitive function in a convenience sample of centenarians in Australia. Journal of the American Geriatrics Society, 59, 1080–1086. doi 10.1111/j.1532-5415.2011.03404.x
(2000). The relative benefits of being optimistic: Optimism as a coping resource in multiple sclerosis and Parkinson’s disease. British Journal of Health Psychology, 5, 141–155. doi 10.1348/135910700168829
(2011). Dispositional optimism and loneliness in older men. International Journal of Geriatric Psychiatry, 27, 151–159. doi 10.1002/gps.2701
(2010). The emergence of depression in the elderly. Procedia – Social and Behavioral Sciences, 2, 4966–4971. doi 10.1016/j.sbspro.2010.03.804
(1978). Developing a measure of loneliness. Journal of Personality Assessment, 42, 290–294. doi 10.1207/s15327752jpa4203_11
(1985). Optimism, coping, and health: assessment and implications of generalized outcome expectancies. Health Psychology, 4, 219–247. doi 10.1037//0278-6133. 4.3.219
(1994). Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the life orientation test. Journal of Personality and Social Psychology, 67, 1063–1078. doi 10.1037/0022-3514.67.6.1063
(2015). Quality of life in women with urinary incontinence. Revista da Associação Médica Brasileira, 61, 178–183. doi 10.1590/1806-9282.61.02.178
(1993). São os homens mais agressivos que as mulheres? [
(Are men more aggressive than women ?] Revista Portuguesa de Pedagogia, 27, 387–404.2002). Measures of self-efficacy and optimism in older adults with generalized anxiety. Assessment, 9, 70–81. doi 10.1177/1073191102009001009
(2006). Dispositional optimism and health behavior in community-dwelling older people: Associations with healthy aging. British Journal of Health Psychology, 11, 71–84. doi 10.1348/135910705X42850
(2015). Satisfaction with life in elderly with reference to gender, age and residence. Journal of Humanities and Social Science, 20, 57–59. doi 10.9790/0837-20455759
(2007). Pessimism and physical functioning in older women: influence of self-efficacy. Journal of Behavioral Medicine, 30, 107–114. doi 10.1007/s10865-006-9089-9
(2008). Cultural orientation, ego resilience, and optimism as predictors of subjective well-being in African Americans. The Journal of Positive Psychology, 3, 202–210. doi 10.1080/17439760801999610
(1972). Personality traits as predictors of institutional adaption among the aged. Journal of Gerontology, 27, 61–68. doi 10.1093/geronj/27.1.61
(2010). Subthreshold depression and successful aging in older women. The American Journal of Geriatric Psychiatry, 18, 212–220. doi 10.1097/JGP.0b013e3181b7f10e
(2014). Midlife determinants associated with sedentary behavior in old age. Medicine & Science in Sports & Exercise, 46, 1359–1365. doi 10.1249/ MSS.0000000000000246
(2014). Estudo longitudinal dos fatores associados à evolução de sintomas depressivos em idosos institucionalizados [
(Longitudinal study of factors associated with the development of depressive symptoms in institutionalized elderly ]. Jornal Brasileiro de Psiquiatria, 63, 308–316. doi 10.1590/0047-20850000000391988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. doi 10.1037/0022-3514.54.6.1063
(2016). Association of financial and health literacy with cognitive health in old age. Neuropsychology, Development, and Cognition. Section B, Aging, Neuropsychology and Cognition, 24, 186–197. doi 10.1080/13825585.2016.1178210
(2016). Do the emotional benefits of optimism vary across older adulthood? A life span perspective. Journal of Personality and Social Psychology, 85, 388–397. doi 10.1111/jopy.12247
(1983). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17, 37–49. doi 10.1016/0022-3956(82)90033-4
(