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Risk factors for a decrease in high morale in very old peopleover a 5‑year period: data from two Nordic countries
Åbo Akademi University.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Geriatric Medicine.ORCID iD: 0000-0001-5050-3720
Åbo Akademi University.
Umeå University, Faculty of Medicine, Department of Nursing.ORCID iD: 0000-0002-3754-5026
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2019 (English)In: European Journal of Ageing, ISSN 1613-9372, E-ISSN 1613-9380Article in journal (Refereed) Epub ahead of print
Abstract [en]

High morale could be considered to be an essential part of aging well and increased knowledge of how to prevent a decreasein high morale in very old age could have important implications for policy, and social and health care development. Theobjective was to identify social and health-related risk factors for a decrease in morale over 5 years in very old peopleamong those with high morale at baseline. The study is based on data derived from the Umeå85+/GERDA study conductedin Northern Sweden and Western Finland. The final sample consisted of 174 individuals who were 85 years and older atbaseline and who had completed the follow-up 5 years later. Morale was measured with The Philadelphia Geriatric CenterMorale Scale (PGCMS). A set of social and health-related variables were used to test which factors were associated with adecrease in morale over 5 years. Linear regression was used for the multivariable analyses. The sample had a mean changeof − 1.3 (SD = 2.5) in PGCMS scores from T1 to T2. The results from the regression analyses showed that development ofdepressive disorders, increased feelings of loneliness and the death of a child during the follow-up period were associatedwith a decrease in morale. The results from our study indicate that preventing the development of depressive disorders andincreasing loneliness are key factors in preventing a decrease in high morale. Additionally, very old people who have recentlylost an adult child should receive adequate psychosocial support

Place, publisher, year, edition, pages
2019.
Keywords [en]
Longitudinal studies · Aged 80 and over · Subjective well-being · Quality of life
National Category
Nursing
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URN: urn:nbn:se:umu:diva-163940DOI: 10.1007/s10433-019-00521-1Scopus ID: 2-s2.0-85068004240OAI: oai:DiVA.org:umu-163940DiVA, id: diva2:1359325
Available from: 2019-10-09 Created: 2019-10-09 Last updated: 2019-10-10

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Niklasson, JohanOlofsson, BirgittaLövheim, HugoGustafson, Yngve
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