| |
Centre for Policy on Ageing | |
 | |
|
| Resilience to health related adversity in older people | | Author(s) | John Gallacher, Clive Mitchell, Luke Heslop, Gary Christopher |
| Journal title | Quality in Ageing and Older Adults, vol 13, no 3, September 2012 |
| Publisher | Emerald, September 2012 |
| Pages | pp 197-204 |
| Source | www.emeraldinsight.com/journals |
| Keywords | Ill health ; Depression ; Anxiety ; Self esteem ; Evaluation ; Correlation ; Wales. |
| Annotation | The authors explore factors underlying resilience to health adversity, where resilience is defined as better perceived health, after adjusting for the presence of doctor-diagnosed heart disease, stroke or diabetes (vascular disease). A population sample of 667 men and women aged 50+ years from South Wales was recruited to participate in Age Well Feel Good, an epidemiological study, involving consent and online assessment of health, psychological and cognitive status. Structural equation modelling was used to model causal pathways. The analysis presents baseline data for this sample. After adjustment for vascular disease, self-esteem was associated with higher perceived health (ß=0.279, p<0.001), whilst depression was associated with lower perceived health (ß=-0.368, p<0.001). Self-efficacy and anxiety were not associated with perceived health. Further analysis found self-esteem to buffer an effect of vascular disease on depression, reducing the impact of depression on perceived health. Cognitive and affective factors are involved in resilience in relation to health, and these are specific to self-esteem and depression. Although more complex associations may be found with other adversities in relation to health, interventions to improve self-esteem and ameliorate depression are likely to increase resilience. Resilience has been modelled as a process involving cognitive and affective response to adversity. In the context of health, the adverse effect of depression on health perception was mediated by self-esteem. These associations add to the understanding of the processes underlying resilience, and suggest opportunities for interventions designed to increase resilience to health adversities. (RH). |
| Accession Number | CPA-121221233 A |
| Classmark | CH: ENR: ENP: DPA: 4C: 49: 9 |
Data © Centre for Policy on Ageing |
|
| ...from the Ageinfo database published by Centre for Policy on Ageing. |
| |
|