Livingston, G. and Cooper, C. and Woods, J. and Milne, A.J. and Katona, C. (2008) Successful ageing in adversity: the LASER-AD longitudinal study. Journal of Neurology Neurosurgery and Psychiatry, 79 (6). pp. 641-645. ISSN 0022-3050.
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Background: Most models of successful ageing do not allow for the possibility of living '' successfull,'' despite some degree of cognitive or physical impairment. We reviewed the successful ageing and related quality of life literature to identify their potential predictors. We then tested our hypotheses that wellbeing in adversity would be predicted by mental health (anxiety and depression) and social factors rather than physical health and that it would be stable over time. Method: We interviewed 224 people with Alzheimer's disease (AD) and their family carers, recruited to be representative of those living with AD in the community. We re-interviewed 122 (73.1% of eligible) participants 18 months later. Our main outcome measure was the perception of the person with AD on their life as a whole. Results: Mean '' wellbeing in adversity '' scores did not change significantly over time (t= 0.23). Social relationships, subjective mental health, health perception, activities of daily living and baseline wellbeing in adversity were the significant correlates of wellbeing in adversity on univariate analysis. Only baseline wellbeing in adversity and mental health score were significant predictors in our regression analysis. In a well fitting structural equation model, less severe dementia and better health perception predicted fewer mental health problems and social relationships, but were not direct predictors of wellbeing in adversity at 18 months. Conclusion: Successful ageing was common among a cohort of people with dementia. The most important predictors of this were mental health and social relationships, which fully mediated the relationship we found between health perception and wellbeing 18 months later.
|Additional information:||Published in JNNP Online First, prior to appearing in paper journal|
|Subjects:||R Medicine > R Medicine (General)|
|Divisions:||Faculties > Science Technology and Medical Studies > Kent Institute of Medicine and Health Sciences (KIMHS)|
|Depositing User:||Maureen Cook|
|Date Deposited:||26 Aug 2009 15:41|
|Last Modified:||14 Jul 2011 14:03|
|Resource URI:||http://kar.kent.ac.uk/id/eprint/15499 (The current URI for this page, for reference purposes)|
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