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Successful ageing in health adversity
 — results from the National Psychiatric Morbidity Survey
Author(s)Claudia Cooper, Paul Bebbington, Cornelius Katona
Journal titleInternational Psychogeriatrics, vol 21, no 5, October 2009
Pagespp 861-868
Sourcehttp://www.journals.cambridge.org/ipg
KeywordsIll health ; Health [elderly] ; Mental ageing ; Quality of life ; Evaluation.
AnnotationThe authors aimed to investigate factors enabling older people with cognitive impairment to age successfully. They used the 12-item Short Form Health Survey (SF-12) to measure health-related quality of life (HRQoL) in 2,007 people aged 60+ in the 2000 British National Psychiatric Morbidity Survey. The hypothesis was tested that affective symptoms and social support mediated the relationship between cognitive functioning and poorer HRQoL. The mean age of the participants was 66.2 (66.0-66.4). The majority of people with suspected dementia reported high mental health-related quality of life, suggesting they may not be distressed by, or aware of, cognitive and mental impairment, and the majority are ageing "successfully." The relationship between cognitive impairment and mental HRQoL was mediated by affective symptoms, but not by social support. After considering mediators and confounders, HRQoL was no longer associated with cognitive impairment. The lower quality of life previously reported by people with cognitive impairment is due to the greater physical and mental health problems in this population, rather than to cognitive impairment per se. Active management of mental and physical health may improve the HRQoL of those with cognitive impairment who are not ageing successfully. (KJ/RH).
Accession NumberCPA-090922003 A
ClassmarkCH: CC: D6: F:59: 4C

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