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Successful ageing in adversity: the LASER-AD longitudinal study

Livingston, Gill, Cooper, C., Woods, J., Milne, Alisoun, Katona, Cornelius (2008) Successful ageing in adversity: the LASER-AD longitudinal study. Journal of Neurology, Neurosurgery and Psychiatry, 79 (6). pp. 641-645. ISSN 0022-3050. (doi:10.1136/jnnp.2007.126706) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:15499)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided.
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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.

Item Type: Article
DOI/Identification number: 10.1136/jnnp.2007.126706
Additional information: Published in JNNP Online First, prior to appearing in paper journal
Subjects: R Medicine > R Medicine (General)
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research
Depositing User: Maureen Cook
Date Deposited: 26 Aug 2009 15:41 UTC
Last Modified: 16 Nov 2021 09:53 UTC
Resource URI: (The current URI for this page, for reference purposes)

University of Kent Author Information

Milne, Alisoun.

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Katona, Cornelius.

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