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First published online July 3, 2011

Impact of Morbidity and Life Events on Successful Aging

Abstract

The purpose of this study was to examine the risks of the incidence of chronic conditions and life events on successful aging. Longitudinal data from a 10-year follow-up health survey were used. Successful aging indicators included basic and advanced physical function, depressive symptoms, cognitive function, emotional support, participation in productive activities, and life satisfaction. The stressors included life events and morbidity years of 10 chronic conditions. Loss of offspring increased the risk to physical health, psychological health, and life satisfaction. Being newly widowed was related to depressive symptoms, whereas being newly divorced increased the risk of poor social support. Morbidity years increased the risk of failure in successful aging, especially for stroke, respiratory system disease, diabetes, and cancer. Emotional health of the elderly should be carefully monitored after onset of life events and incidences of chronic conditions.

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References

1. Rowe JW, Kahn RL. The structure of successful ageing. In: Rowe JW, Kahn RL, eds. Successful Ageing. New York, NY: Dell; 1997:36-52.
2. Chou KL, Chi I. Successful ageing among the young-old, old-old, and oldest-old Chinese. Int J Ageing Hum Dev. 2002;54:1-14.
3. Garfein AJ, Herzog R. Robust ageing among the young-old, old-old, and oldest-old. J Gerontol B Psychol Sci Soc Sci. 1995;50B:S77-S87.
4. von Faber M, van der Wiel AB, van Exel E, et al. Successful ageing in the oldest old: who can be characterized as successfully aged? Arch Intern Med. 2001;161:2694-2700.
5. Hsu HC. Exploring elderly people’s perspective on successful aging in Taiwan. Ageing Soc. 2007;27:87-102.
6. Pearlin LI, Lieberman MA, Menaghan EG, Mullan JT. The stress process. J Health Soc Behav. 1981;22:337-356.
7. Pearlin LI, Schieman S, Fazio EM, Meersman SC. Stress, health, and the life course: some conceptual perspectives. J Health Soc Behav. 2005;46:205-219.
8. Cohen S, Herbert TB. Health psychology: psychological factors and physical disease from the perspective of human psychoneuroimmunology. Annu Rev Psychol. 1996;47:113-142.
9. Van Os J, Jones PB. Early risk factors and adult person-environment relationship in affective disorder. Psychol Med. 1999;29:1055-1067.
10. De Beurs E, Beekman A, Geerlings S, Deeg D, van Dyck R, van Tilburg W. On becoming depressed or anxious in later life: similar vulnerability factors but different effects of stressful life events. Br J Psychiatry. 2001;179:426-431.
11. Kessing LV, Agerbo E, Mortensen PB. Does the impact of major stressful life events on the risk of developing depression change throughout life? Psychol Med. 2003;33:1177-1184.
12. Maciejewski PK, Prigerson HG, Mazure CM. Sex differences in event-related risk for major depression. Psychol Med. 2001;31:593-604.
13. Rosnick CB, Small BJ, McEvoy CL, Borenstein AR, Mortimer JA. Negative life events and cognitive performance in a population of older adults. J Aging Health. 2007;19:612-629.
14. Brilman EI, Ormel J. Life events, difficulties and onset of depressive episode in later life. Psychol Med. 2001;31:859-869.
15. Chong MY, Chen CC, Tsang HY, et al. Community study of depression in old age in Taiwan: Prevalence, life events and socio-demographic correlates. Br J Psychiatry. 2001;178:29-35.
16. Krause N. Lifetime trauma, emotional support, and life satisfaction among older adults. Gerontologist. 2004;44:615-623.
17. Lynch SM, George LK. Interlocking trajectories of loss-related events and depressive symptoms among elders. J Gerontol B Psychol Sci Soc Sci. 2002;57B:S117-S125.
18. Tan HZ. The effect of a disastrous flood on the quality of life in Dongting Lake area. Asia Pac J Public Health. 2004;16:126-132.
19. Sherina MS, Rampal L, Mustaqim A. Factors associated with chronic illness among the elderly in an rural community in Malaysia. Asia Pac J Public Health. 2004;16:109-114.
20. Broe GA, Jorm AF, Creasey H, et al. Impact of chronic systemic and neurological disorders on disability, depression and life satisfaction. Int J Geriatr Psychiatry. 1998;13:667-673.
21. Diehr P, Williamson J, Patrick DL, Bild DE, Burke GL. Patterns of self-rated health in older adults before and after sentinel health events. J Am Soc Geriatr. 2001;49:36-44.
22. Reiff M, Schwartz S, Northridge M. Relationship of depressive symptoms to hypertension in a household survey in Harlem. Psychosom Med. 2001;63:711-721.
23. Clark AM. ‘It’s like an explosion in your life . . .’: lay perspectives on stress and myocardial infarction. J Clin Nurs. 2003;12:544-553.
24. Radloff LS. The CES-D scale: a self-reported depression scale for research in the general population. App Psychol Meas. 1977;1:385-401.
25. Kohout FJ, Berkman L, Evans DA, Huntley JC. Two shorter forms of the CES-D Depression Symptom Index. J Ageing Health. 1993;5:179-193.
26. Pfeiffer E. A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. J Am Geriatr Soc. 1975;23:433-441.
27. Neugarten BI, Havighurst RJ, Tobin SS. The measurement of life satisfaction. J Gerontol. 1961;16:134-143.
28. Harris T, Cook DG, Victor C, et al. (2003). Predictors of depressive symptoms in older people: a survey of two general practice populations. Age Aging. 2003;32:510-518.
29. Newsom JT, Schul R. Social support as a mediator in the relation between functional status and quality of life in older adults. Psychol Aging. 1996;11:34-44.
30. Prince MJ, Harwood RH, Blizard RA, Thomas A, Mann AH. A prospective population-based cohort study of the effects of disablement and social milieu on the onset and maintenance of later-life depression: The Tospel Oak Poject VI. Psychol Med. 1998;28:337-350.

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Published In

Article first published online: July 3, 2011
Issue published: July 2011

Keywords

  1. chronic conditions
  2. life events
  3. successful aging
  4. elderly health

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© 2011 Asia-Pacific Journal of Public Health.
PubMed: 21727083

Authors

Affiliations

Hui-Chuan Hsu, PhD
Asia University, Taichung, Taiwan, ROC

Notes

Hui-Chuan Hsu, Department of Health Care Administration, Asia University, 500, Lioufeng Road, Wufeng, Taichung 413, Taiwan, ROC Email: [email protected]

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