| 1. |
- Fagerström, Cecilia, Docent, 1973-, et al.
(författare)
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Factorial validity and invariance of the Life Satisfaction Index in older people across groups and time: Addressing the heterogeneity of age, functional ability, and depression.
- 2012
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Ingår i: Archives of gerontology and geriatrics (Print). - : Elsevier BV. - 0167-4943 .- 1872-6976. ; 55:2, s. 349-356
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Tidskriftsartikel (refereegranskat)abstract
- In the last decades, extensive research efforts have been directed at exploring life satisfaction in old age, and the Life Satisfaction Index A scale (LSIA), developed by Neugarten et al. in the 1960s, is one of the most commonly used instruments. However, studies have focused on predicting and comparing changes in people’s life satisfaction without testing if the LSIA instrument is equally valid for different subgroups of people. The present study investigated the underlying dimensions of the LSIA in a Swedish population (n=1402) of people 60−96 years of age. The study also examined factorial invariance across age, gender, functional ability and depression during a six-year period. The results showed that while a five-factor solution of the LSIA did not exhibit an acceptable fit to the data, a three-factor solution did show a close fit. The two three-factor models that demonstrated the best fit showed invariance across gender and across time, but noninvariance across groups with different levels of reduced functional ability, depressive symptoms and age. These findings suggest that the psychometric properties of life satisfaction instruments like the LSIA need to be taken into consideration before drawing conclusions about life satisfaction when comparing older people of different ages and with different depression and function levels.
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| 2. |
- Rolstad, Sindre, 1976, et al.
(författare)
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All cognitive systems but speed and visuospatial functions reduce the effect of CSF pathology on other systems.
- 2012
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Ingår i: Current Alzheimer research. - : Bentham Science Publishers Ltd.. - 1567-2050 .- 1875-5828. ; 9:9, s. 1043-1049
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Tidskriftsartikel (refereegranskat)abstract
- The concept of reserve can be conceived as differences in the ability to compensate for pathology by recruiting additional or alternative networks. The purpose of this study was to examine whether certain cognitive systems may compensate for the effect of CSF amyloid beta 42 (Aβ42) and total tau (T-tau) on other cognitive systems. Five hundred and nine participants underwent neuropsychological examination and lumbar puncture. Multiple regression was performed with interaction terms to test whether a cognitive system reduced the impact of CSF pathology on other systems. All cognitive systems except speed and visuospatial functions were associated with reduced effects of T-tau and Aβ42 on semantic memory, working memory and visuospatial abilities. The burden of Aβ42 was reduced more often than that of T-tau. Our results suggest that most cognitive systems may be beneficial to maintenance of cognitive performance despite CSF burden. The results support the notion of cognitive reserve.
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| 3. |
- Rolstad, Sindre, 1976, et al.
(författare)
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Amyloid-β₄₂ is associated with cognitive impairment in healthy elderly and subjective cognitive impairment.
- 2011
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Ingår i: Journal of Alzheimers Disorder. - 1387-2877. ; 26:1, s. 135-142
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to predict cognitive performance on the basis of the cerebrospinal fluid (CSF) biomarkers total tau (T-tau) and amyloid-β42 (Aβ42) in controls and patients at various impairment levels. Previous studies have found an association of CSF T-tau levels with cognitive symptoms, but it has been difficult to relate Aβ to cognition, and it has thus been hypothesized that Aβ reaches a plateau level prior to cognitive symptoms. A comprehensive battery of neuropsychological tests was subjected to factor analysis to yield aggregated cognitive domains. Linear regression models were performed for the total sample of the Gothenburg MCI study (n = 435) and for each level of impairment. Aβ42 and T-tau accounted for a significant proportion of performance in all cognitive domains in the total sample. In controls (n = 60) and patients with subjective cognitive impairment (n = 105), Aβ42 predicted a significant proportion of semantic and working memory performance. For patients with mild cognitive impairment (n = 170), T-tau had the most pronounced impact across cognitive domains, and more specifically on episodic memory, visuospatial, and speed/executive performance. For patients with dementia (n = 100), the most pronounced impacts of Aβ42 were found in episodic memory and visuospatial functioning, while T-tau was substantially associated with episodic memory. Our results suggest that cognition is related to CSF biomarkers regardless of impairment level. Aβ42 is associated with cognitive functions from a potentially early to a later disease phase, and T-tau is more indicative of performance in a later disease phase.
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| 4. |
- Rolstad, Sindre, 1976, et al.
(författare)
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Cerebrospinal fluid biomarkers mirror rate of cognitive decline.
- 2013
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Ingår i: Journal of Alzheimer's disease : JAD. - 1875-8908. ; 34:4, s. 949-56
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Tidskriftsartikel (refereegranskat)abstract
- The ability to predict future decline in cognitive systems using the cerebrospinal fluid (CSF) biomarkers 42 amino acid form of amyloid-β (Aβ42) and total tau (T-tau) is not fully understood. In a clinical sample ranging from cognitively healthy to dementia (n = 326), linear regression models were performed in order to investigate the ability of CSF biomarkers to predict cognitive decline in all cognitive domains from baseline to 2-year follow-up. Gender, age, and years of education were included as covariates. In patients with subjective cognitive impairment, T-tau had a small impact on executive functions (r2 = 0.07). T-tau had a small to moderate influence (r2 = 0.06-0.11) on all cognitive functions with the exception of visuospatial functions in patients with mild cognitive impairment (MCI). In patients with dementia, the impact of T-tau was large (r2 = 0.29) on semantic memory. Aβ42 had a small effect (r2 = 0.07) on speed and executive functions in MCI. In patients with dementia, Aβ42 had a moderate influence (r2 = 0.13-0.24) on semantic and verbal working memory/fluency. Our results speak in favor of the notion that CSF biomarkers reflect the rate of cognitive decline across the continuum of cognitive impairment from healthy to dementia. CSF predicted subsequent decline in more cognitive domains among MCI cases, but the impact was most pronounced in patients with dementia.
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| 5. |
- Berg, Anne Ingeborg, 1973, et al.
(författare)
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"As long as I'm in good health". The relationship between medical diagnoses and life satisfaction in the oldest-old.
- 2009
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Ingår i: Aging Clinical and Experimental Research. ; 21:4-5, s. 307-313
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND AIMS: Life satisfaction in the elderly has usually been found to be closely related to self-rated health, and less to diagnoses and more objective measures of health status. However, few studies have examined the relative importance of various specific diagnoses in population-based samples. METHODS: In this study, we investigate the relationship between life satisfaction and medical diagnoses in a non-demented sample of 392 participants aged 80 and older. RESULTS: Among 25 common diagnoses, only sleeping problems, urinary incontinence and stroke were significantly related to life satisfaction. Men with angina pectoris and eczema were less satisfied with life compared with men without these diagnoses, whereas women with peptic ulcer were less satisfied with life compared with women without this diagnosis. CONCLUSIONS: Our results confirm previous findings of a weak relationship between medically based measures of health and life satisfaction. However, health care and future studies of health and quality of life need to focus on the fact that meaning and consequences of various diseases differ among individuals and that gender may partially account for variability.
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| 6. |
- Berg, Anne Ingeborg, 1973, et al.
(författare)
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Behavioral & Social Sciences : If I only had a good health”: A study of relationships between life satisfaction and medical diagnoses in the oldest-old.
- 2007
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Ingår i: At the 60th Annual Scientific Meeting “The Era of Global Aging: Challenges and Opportunities” The Gerontologist, vol 47, Spical issue II, Oct. 2007.
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Konferensbidrag (refereegranskat)abstract
- People often claim that health makes the difference for life-satisfaction and well-being in late life. It is, however, typically found that self-report is the health measure that makes a difference in these outcomes, rather than medically based measures. Noteworthy, few studies have so far included a comprehensive set of common diagnoses based on medical records. The present study investigated the relationship between life satisfaction and medical diagnoses among 412 non-demented individuals drawn from the Swedish OCTO-Twin study. Analysis of covariance showed that when gender and age were controlled for, only 6 out of 50 diagnoses were related to lower life satisfaction. These were (prevalence in parenthesis) sleeping problems (65%), dizziness (64%), rheumatoid arthritis (3%), stroke (20%), and urine incontinence (51%). The study provides support for a relationship in diseases that affect everyday life functioning among a substantial proportion of the oldest old. Benefits and Learning Objectives • The relationship between life satisfaction and a range of common medical diagnoses in the oldest-old.
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| 7. |
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| 8. |
- Berg, Anne Ingeborg, 1973, et al.
(författare)
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Importance of functional capacity for life-satisfaction in late life: Findings in a population-based sample aged 80 and older
- 2004
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Ingår i: Presented at 17th Nordic Congress in Gerontology (Stockholm, Sweden).
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Konferensbidrag (refereegranskat)abstract
- Aging is accompanied with numerous biological and social changes that may compromise life-satisfaction. Aim: To examine the relative impact on life-satisfaction from functional limitations within the context of social, cognitive, and health related factors in the oldest-old. Methods and Material: Scales and questions regarding life-satisfaction (LSI-Z-index), functional capacity (instrumental and personal ADL), depression (CES-D), cognitive function (MMSE), social support, and economy was administered in a sample of 504 participants, aged 8098 years; (M=83 years, 68 % women). Results: Regression analysis indicated that functional capacity is associated with life-satisfaction but other variables such as subjective health, social support, and economy were equally important. Discussion: The results correspond with previous studies and emphasize the need to analyze the relationship between functional limitations and disability within a broader context of social, emotional, and cognitive variables
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| 9. |
- Berg, Anne Ingeborg, 1973
(författare)
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Life satisfaction in late life: Markers and predictors of level and change among 80+ year olds.
- 2008
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The overall aim of the thesis was to examine within-individual and between-individual changes in life satisfaction in the oldest-old using different time metrics and to study life satisfaction within the context of psychosocial and health-related variables. Data were obtained from the Swedish OCTO-Twin Study of individuals aged 80 and older who were able to complete the Life Satisfaction Index-Z (LSI-Z). In Study I the association between life satisfaction and scales and questions regarding demographics, self-rated overall health and medically based health, functional capacity (instrumental and personal activities of daily living), cognitive function, depression, locus of control, and social network was investigated. Analyses indicated that social network quality, self-rated overall health, sense of being in control of one’s life, widowhood, and depressive symptoms were associated with life satisfaction. A gender-specific pattern was found; self-rated overall health and depressive symptoms were related to life satisfaction in women, whereas widowhood was significantly associated with lower satisfaction among men. In Study II the associates identified in Study I; perceived quality of social network, self-rated overall health, depressive symptoms, locus of control, and widowhood, in addition to financial satisfaction and the personality traits neuroticism and extraversion, were investigated as predictors of change in life satisfaction across four measurements over a 6-year period. Growth curve analysis showed a fairly consistent significant linear decline in life satisfaction. Certain markers predicted decrease in life satisfaction; the loss of spouse, particularly in men, and higher levels of depressive symptoms. Results suggest that life satisfaction is influenced by changes in psychosocial variables although there is an overall stability in level of life satisfaction in the oldest old. In Study III different time metrics were examined in the study of late life changes in life satisfaction. Findings of age-graded stability of life satisfaction, despite health-related losses distinctive of the oldest old, suggest that mortality-related processes could be more influential than chronological age. The study investigated changes in life satisfaction at 4 measurement occasions over a 6-year period using two competing parameterizations of time, chronological age and time-to-death. Growth curve analyses showed a linear decrease in both time-structures, but the time-to-death metric revealed a significantly better model fit. Notably, age, gender, SES, years to death, level or change in overall load of disease and self-rated health did not predict time-to-death related changes. Lower overall disease load was, however, related to higher levels of life satisfaction. In individuals with higher disease load, an external locus of control was related to lower satisfaction with life. Among those who rated their health as poor, a higher level of neuroticism was related to lower life satisfaction. The results suggest that a time-to-death metric was superior to chronological age to predict change in life satisfaction. In Study IV the relationships between life satisfaction and 25 specific chronic diagnoses were investigated. Problems with sleep, urinary incontinence and stroke were significantly related to life satisfaction in both men and women. Among men, angina pectoris and eczema were related to lower life satisfaction, whereas among women peptic ulcer was related to lower life satisfaction. The results confirm previous findings of a weak relationship between medically based measures of health and life satisfaction. However, health care and future studies of health and life satisfaction need to recognize and address that the meaning and consequences of various diseases may differ among individuals and that gender differences should be considered in this context. Overall findings from the thesis demonstrate a homogenous decline in life satisfaction in the oldest-old. Despite health-related losses, social network and personal resources accounted for substantial inter-individual differences in life satisfaction. The thesis demonstrated the need to analyse associates of life satisfaction at the intra-individual level and within a broader context of psychosocial and health-related variables also in late life.
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| 10. |
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| 11. |
- Berg, Anne Ingeborg, 1973, et al.
(författare)
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Living with stable MCI: Experiences among 17 individuals evaluated at a memory clinic.
- 2013
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Ingår i: Aging & mental health. - : Informa UK Limited. - 1364-6915 .- 1360-7863. ; 17:3, s. 293-9
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: Mild cognitive impairment (MCI) is a state of mildly impaired cognitive functioning but with an intact capability of performing basic daily activities. Few studies have targeted personal narratives from persons living with MCI, the major focus in this study is directed to methods for better predictions of the likelihood for conversion to dementia. This study directly explores experiences among individuals who have lived with MCI over seven years without converting to dementia. Methods: Seventeen individuals, who had been diagnosed with MCI across four occasions over a seven-year period at a memory clinic, were interviewed at a single occasion about their experiences of living with MCI, life events, stress, coping, psychosocial resources, and lifestyle behaviors. Results: Thematic analysis of the transcripts of the interviews resulted in themes revolving around the life situation and events related to the first visit at the memory clinic, coping with lower cognitive capacity with the aim of enhancing quality of life, and worries about dementia and further cognitive deteriorations. Conclusion: The participants' experiences of living with MCI indicate that issues and changes in life situations such as long-term stress, retirement, loss of relatives, perceived heritability of dementia, needs to be understood in the context of the individual's understanding and interpretation of their everyday cognitive functioning. Also, supportive long-term contacts with the specialist care unit were vital for creating a personal understanding of MCI. Addressing the intra-personal dynamics of cognitive functioning in the boundary between normal and pathological cognitive aging can also improve diagnostic accuracy.
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| 12. |
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| 13. |
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| 14. |
- Berg, Anne Ingeborg, 1973, et al.
(författare)
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Personality Change in the Oldest-Old: Is It a Matter of Compromised Health and Functioning?
- 2014
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Ingår i: Journal of personality. - : Wiley. - 1467-6494 .- 0022-3506. ; 82:1, s. 25-31
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Tidskriftsartikel (refereegranskat)abstract
- The present longitudinal study investigates continuity and change in the personality dimensions of extraversion and neuroticism among the oldest-old. Overall disease load, self-rated health, functional capacity, impaired vision and hearing, self-reported cognitive impairment, and measured cognitive status were tested for their role as potentially relevant late-life predictors of personality change. The sample consists of 408 individuals aged 80-98 in the Swedish OCTO-Twin Study who completed the Eysenck Personality Inventory at four measurement occasions during a 6-year period. Growth curve analyses revealed an age-related linear decrease in extraversion and stability in neuroticism. More extraverted individuals were more educated and perceived their health and cognition as better. Notably, only hearing impairment was found to be related to a steeper age-related decline in extraversion. A life span developmental model focusing on health-related changes can improve our understanding of personality change in late life.
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| 15. |
- Berg, Anne Ingeborg, 1973, et al.
(författare)
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Satisfaction With Past, Present and Future life: The Role of Personality and Locus of Control
- 2016
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Ingår i: 2016 Annual Meeting Gerontological Society of America.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Eriksson proposed that being satisfied with the way life turned out is a central developmental task of old age, leading to as sense of integrity that also will bring satisfaction to present life. However, life satisfaction has so far commonly been studied as a global measure disregarding the temporal domains of satisfaction with life. The three-factor solution of the LSI-Z (Neugarten, 1961); Congruence (past-oriented), Mood (present-oriented) and Zest (future-oriented), enables the investigation of different trajectories and factors of relevance for different temporal domains of life satisfaction. The present study investigates the unique associations between level and change in the LSI-Z factors Congruence, Mood, and Zest, and their associations to personality and locus of control across four measurement occasions over six years in a sample of 80-98 year old individuals from the OCTO-Twin-study. MLM growth curve analyses showed that Mood and Zest decreased over time, but Congruence remained stable. Extraversion was related to level of Congruence and Zest, but not to Mood. Neuroticism was related to Mood and Zest but not to Congruence. Locus of control was not related to Congruence, but to Mood and Zest. The results indicate that individual perceptions of quality of life in past, present and future life is related to personality and sense of control. Different associations between personality and control and temporal dimension of the life satisfaction concept have implications for research on quality of life in older adults.
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| 16. |
- Berg, Anne Ingeborg, 1973, et al.
(författare)
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What matters, and what matters most, for change in life satisfaction in the oldest-old? A study over 6 years among individuals 80+.
- 2009
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Ingår i: Aging & mental health. - : Informa UK Limited. - 1364-6915 .- 1360-7863. ; 13:2, s. 191-201
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVES: The study investigates whether markers of life satisfaction identified in a cross-sectional study-quality of social network, self-rated health, depressive symptoms, locus of control and widowhood, in addition to financial satisfaction and the personality traits of extraversion and neuroticism-predict change in life satisfaction (LSI-Z) across four measurement occasions during a 6-year period in individuals aged 80+. METHOD: Data were drawn from the Swedish OCTO-Twin-study of individuals aged 80 and older. RESULTS: Growth curve analysis showed a relatively consistent significant linear decline in life satisfaction, but certain markers predicted change in life satisfaction. The loss of spouse, in particular in men, and higher levels of depressive symptoms were related to lower levels of life satisfaction over time. CONCLUSION: The results from the study question the notion of a life-long stability of life satisfaction.
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| 17. |
- Eckerström, Marie, 1981, et al.
(författare)
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High Prevalence of Stress and Low Prevalence of Alzheimer Disease CSF Biomarkers in a Clinical Sample with Subjective Cognitive Impairment
- 2016
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Ingår i: Dementia and Geriatric Cognitive Disorders. - : S. Karger AG. - 1420-8008 .- 1421-9824. ; 42:1-2, s. 93-105
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Tidskriftsartikel (refereegranskat)abstract
- Background/Aims: Subjective cognitive impairment (SCI) is a trigger for seeking health care in a possible preclinical phase of Alzheimer's disease (AD), although the characteristics of SCI need clarification. We investigated the prevalence of psychosocial stress, depressive symptoms and CSF AD biomarkers in SCI and MCI (mild cognitive impairment). Methods: Memory clinic patients (SCI: n = 90; age: 59.8 ± 7.6 years; MCI: n = 160; age: 63.7 ± 7.0 years) included in the Gothenburg MCI study were examined at baseline. Variables were analyzed using logistic regression with SCI as dependent variable. Results: Stress was more prevalent in SCI (51.1%) than MCI (23.1%); p < 0.0005. SCI patients had more previous depressive symptoms (p = 0.006), but showed no difference compared to MCI patients considering current depressive symptoms. A positive CSF AD profile was present in 14.4% of SCI patients and 35.0% of MCI patients (p = 0.001). Stress (p = 0.002), previous stress/depressive symptoms (p = 0.006) and a negative CSF AD profile (p = 0.036) predicted allocation to the SCI group. Conclusion: Psychosocial stress is more prevalent in SCI than previously acknowledged. The high prevalence and long-term occurrence of stress/depressive symptoms in SCI in combination with a low prevalence of altered CSF AD biomarkers strengthens the notion that AD is not the most likely etiology of SCI.
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| 18. |
- Frisén, Ann, 1963, et al.
(författare)
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Developmental Patterns in Body Esteem from Late Childhood to Young Adulthood – a Growth Curve Analysis
- 2015
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Ingår i: European Journal of Developmental Psychology. - : Informa UK Limited. - 1740-5629 .- 1740-5610. ; 12:1, s. 99-115
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Tidskriftsartikel (refereegranskat)abstract
- This study examines the long-term development of different domains of body esteem (BE), the most salient domain of adolescents' global self-esteem. The 11-year longitudinal study of Swedish youths, covering ages 10-21, showed that BE undergoes significant change from late childhood to young adulthood, with growth curve models revealing different developmental paths between domains and across gender. For girls, general appearance esteem and weight esteem decreased in the early adolescent phase and then stabilized. For boys, similar patterns were evident, but weight esteem was subject to change also in late adolescence. The third BE domain, appearance-evaluations ascribed to others, displayed a distinct developmental trajectory. This was the only domain where no gender differences were noted in terms of mean levels. It was also the only domain that demonstrated positive increases over time. Findings from the present long-term study contribute to a more coherent picture of the development of BE from late childhood and into young adulthood.
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| 19. |
- Hansson, Isabelle, 1988, et al.
(författare)
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Beyond health and economy: resource interactions in retirement adjustment
- 2019
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Ingår i: Aging and Mental Health. - : Informa UK Limited. - 1360-7863 .- 1364-6915. ; 23:11, s. 1546-1554
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: The retirement transition is a multidimensional and dynamic process of adjustment to new life circumstances. Research has shown that individual differences in resource capability accounts for a substantial amount of the previously observed heterogeneity in retirement adjustment. The aim of the present study was to investigate interaction effects of self-esteem, autonomy, social support, self-rated physical health, self-rated cognitive ability, and basic financial resources on levels and changes in life satisfaction in the retirement transition. Method: Our sample included 1924 older adults from the longitudinal population-based HEalth, Ageing, and Retirement Transitions in Sweden (HEARTS) study. The participants were assessed annually over a three-year period, covering the transition from work to retirement (n = 614). Participants continuously working (n = 1310) were included as a reference group. Results: Results from latent growth curve models showed that the relationship between a particular resource and levels and changes in life satisfaction varied depending on other available resources, but also that these effects varied between retirees and workers. Autonomy moderated the effect of physical resources, and social support and perceived cognitive ability moderated the effect of financial resources. Discussion: Our findings add to the current knowledge on retirement adjustment and suggest that negative effects of poor health and lack of basic financial resources on retirees life satisfaction may be compensated for by higher levels of autonomy, social support, and perceived cognitive ability.
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| 20. |
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| 21. |
- Hansson, Isabelle, 1988, et al.
(författare)
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Changes in Life Satisfaction in the Retirement Transition: Interaction Effects of Transition Type and Individual Resources
- 2018
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Ingår i: Work, Aging and Retirement. - : Oxford University Press (OUP). - 2054-4642 .- 2054-4650. ; 4:4, s. 352-366
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Tidskriftsartikel (refereegranskat)abstract
- The impact of retirement on well-being varies between individuals, but also within individuals over time. Type of transition and individual differences in resource capability are two factors likely to influence the retirement adjustment process, but we still lack in our understanding of the importance of these factors in relation to each other. 'I he aim of this study was to investigate interaction effects of transition type and individual resources on changes in life satisfaction in the retirement transition. We studied changes in life satisfaction over 1 year in a sample of 3,471 older adults from the population-based HEalth, Ageing, and Retirement Transitions in Sweden (HEARTS) study. The sample included participants retiring gradually (n = 360) or fully (n = 346) between the two measurement points as well those continuously working (n = 1,860) or retired (n = 905) in both waves. Resources evaluated for their role in the transition included baseline measures of self-esteem, autonomy, social support, self-rated physical health, self-rated cognitive ability, and basic financial assets. Results from multiple group latent change score models showed that retirement transition type and individual differences in resource capability variously influenced changes in life satisfaction. The six resources accounted for a larger proportion of individual differences in change among those who retired between the two waves (21.2%) than in those whose retirement status remained unchanged (12.6%). In addition, a larger proportion of variability in changes in life satisfaction were explained in abrupt (31.4%) than in gradual (11.7%) retirement.
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| 22. |
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| 23. |
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| 24. |
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| 25. |
- Hansson, Isabelle, 1988, et al.
(författare)
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Disentangling the Mechanisms of Retirement Adjustment: Determinants and Consequences of Subjective Well-Being
- 2020
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Ingår i: Work, Aging and Retirement. - : Oxford University Press (OUP). - 2054-4650. ; 6:2, s. 71-87
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Tidskriftsartikel (refereegranskat)abstract
- Retirement from work is a major life event requiring adaptation to new life circumstances. The resource-based dynamic model of retirement adjustment suggests that well-being will change due to changes in individual resources. In the present study, we test this hypothesis by investigating longitudinal and bidirectional associations between life satisfaction and perceived resources (i.e., self-esteem, autonomy, social support, self-rated physical health, self-rated cognitive ability, and financial satisfaction) over a 4-year period in the transition from work to retirement. Our sample included annual assessment data from 497 older adults (aged 60–66) in the population-based HEalth, Ageing, and Retirement Transitions in Sweden (HEARTS) study. Results from bivariate latent change score models showed weak but consistent associations between changes in perceived resources and changes in life satisfaction over the retirement transition. Analyses of cross-lagged effects also revealed bidirectional associations. Self-esteem, self-rated physical health, and total resource capability were positively related to changes in life satisfaction, and life satisfaction was positively related to changes in self-esteem, autonomy, self-rated physical health, and self-rated cognitive ability. The total resource capability accounted for 12% of the changes in life satisfaction in the first years following retirement. Life satisfaction accounted for 16% of the changes in autonomy in the transition from work to retirement. Our findings demonstrate that perceived resources are important for life satisfaction in the retirement transition, at the same time as overall life satisfaction accounts for how we perceive and evaluate our own resources during this process.
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| 26. |
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| 27. |
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| 28. |
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| 29. |
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| 30. |
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| 31. |
- Hansson, Isabelle, 1988, et al.
(författare)
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The Role of Personality in Retirement Adjustment: Longitudinal Evidence for the Effects on Life Satisfaction
- 2020
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Ingår i: Journal of personality. - : Wiley. - 0022-3506 .- 1467-6494. ; 88:4, s. 642-658
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Research on retirement suggests that personality can influence the adjustment process, but the mechanisms involved remain still largely unknown. In the present study, we investigate direct and indirect associations between the Big Five personality traits and life satisfaction over the retirement transition. Indirect effects were evaluated through the role of personality for levels and changes in self‐esteem, autonomy, social support, self‐rated physical health, self‐rated cognitive ability, and financial satisfaction. Method: Our sample consisted of 796 older adults (age 60–66) and four annual measurement waves from the longitudinal population‐based HEalth, Ageing, and Retirement Transitions in Sweden (HEARTS) study, including individuals retiring during the study period. Results: Results from multivariate latent growth curve analysis revealed multiple indirect associations between personality and life satisfaction. Extraversion, Agreeableness, and Conscientiousness were positively related to life satisfaction through higher levels of self‐esteem, autonomy, and social support. Neuroticism was negatively associated with life satisfaction through lower levels of self‐esteem and lower levels and negative changes in autonomy and social support. Conclusions: Our findings suggest that retirees with higher levels of Neuroticism are more vulnerable in the transition process and they are also more likely to experience adjustment problems resulting from negative changes in key resources.
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| 32. |
- Hansson, Isabelle, 1988, et al.
(författare)
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The Role of Personality in Retirement Adjustment: Mediating Effects of Self-Esteem, Autonomy, and Social Support
- 2018
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Ingår i: GSA Annual Scientific Meeting, Boston, Massachusetts, USA, November 14-18, 2018.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 33. |
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| 34. |
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| 35. |
- Hed, Sara, et al.
(författare)
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Depressive symptoms across the retirement transition in men and women: associations with emotion regulation, adjustment difficulties and work centrality
- 2024
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Ingår i: BMC GERIATRICS. - 1471-2318. ; 24:1
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Tidskriftsartikel (refereegranskat)abstract
- BackgroundRetirement is a major life event and factors driving depression in the retirement transition might differ in men and women. The aim was to prospectively study depressive symptoms across the retirement transition in men and women and to test associations with emotion regulation strategies (suppression and reappraisal), adjustment difficulties, and work centrality.MethodsThe sample included 527 individuals from the population-based Health, Aging and Retirement Transitions in Sweden (HEARTS) study who were working at baseline and retired during one of the following four annual measurement waves. Participants contributed with a total of 2635 observations across five measurement waves. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D); total score was modelled as a function of time to and from retirement. Changes over the retirement transition were analyzed with multilevel growth curve models. Gender differences in associations with emotion regulation, adjustment difficulties and work centrality were examined by including interaction effects with sex.ResultsWe observed a general reduction of depressive symptoms in the early years of retirement in both men and women. Higher suppression was related to higher depression scores while higher cognitive reappraisal was related to lower levels of depressive symptoms. Women more often used cognitive reappraisal, and men more often suppression, but no significant gender interaction in associations with depressive symptoms could be shown. Retirement adjustment difficulties and greater importance of work for self-esteem were related to higher depression scores. Greater meaning of work, on the other hand, was related to lower levels of depressive symptoms, and this association was stronger in men.ConclusionsThere was a general reduction of depression scores in the early years of retirement in both women and men. Findings suggest that basing one's self-esteem on workplace performance was related to higher levels of depressive symptoms after retirement, while perceiving one's job as important and meaningful may facilitate better adjustment in terms of lower depression symptom levels, especially in men.
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| 36. |
- Hed, Sara, et al.
(författare)
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Gender differences in resources related to depressive symptoms during the early years of retirement: A Swedish population-based study
- 2020
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Ingår i: International Journal of Geriatric Psychiatry. - : Wiley. - 0885-6230 .- 1099-1166. ; 35:11, s. 1301-1308
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Tidskriftsartikel (refereegranskat)abstract
- © 2020 The Authors. International Journal of Geriatric Psychiatry published by John Wiley & Sons Ltd Objectives: To examine levels of depressive symptoms during the early years of retirement in men and women and to investigate potential gender differences in associations with self-reported health, financial insecurity, social network and psychological resources. Methods: Data was drawn from the first wave in the Health, Aging and Retirement Transitions in Sweden-study (HEARTS) including a total sample of 1148 retirees, aged 60 to 66. Level of depressive symptoms and associations with health, financial insecurity, social network and psychological resources were investigated in regression analyses in the total sample and in bivariate correlation analyses in the subgroup at risk of depression as defined by a cut-off ≥9 on the Center for Epidemiologic Studies Depression Scale (CES-D). Results: Mean CES-D scores were similar in men and women in the entire sample. The CES-D identified 144 individuals at risk of depression (men 14%, women 11%, n.s.). Although the pattern of related resources was similar in men and women, a greater proportion of the variance was explained in the male group (51% vs 37%). Health, quality of social network, social support and competence satisfaction were all correlated with depressive symptoms in men in the high risk group, but no associations were seen in women. Conclusions: Similar levels of depressive symptoms were observed in women and men in the retirement transition. However, the relevance of the selected resources may be greater in men. Research on the management of depressive symptoms in the transition between midlife and aging needs to take gender into consideration.
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| 37. |
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| 38. |
- Henning, G., et al.
(författare)
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Autonomy and loneliness - longitudinal within- and between-person associations among Swedish older adults
- 2022
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Ingår i: Aging & Mental Health. - : Informa UK Limited. - 1360-7863 .- 1364-6915. ; 26:12, s. 2416-2423
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Tidskriftsartikel (refereegranskat)abstract
- Objectives Loneliness is an important risk factor for mental and physical health over the life span. Little is known about psychosocial predictors and consequences of loneliness apart from social network characteristics. One important factor that may both prevent from, but also be affected by loneliness, is perceived autonomy. Method In the present study, we investigated the longitudinal association of loneliness and autonomy over four years among participants of the Swedish Health, Aging and Retirement Transitions in Sweden (HEARTS) study (n = 5718, age 60-66 at baseline). We used a latent curve model with structured residuals, which distinguishes within- and between-person associations and includes cross-lagged parameters. Results Higher levels of autonomy at baseline were associated with lower levels of loneliness, and increases in autonomy were associated with decreases in loneliness. When individuals felt more autonomous than usual, they also reported less loneliness. However, the cross-lagged paths were not significant, which means that autonomy did not predict loneliness over time on the within-person level, and loneliness did not predict autonomy over time. Conclusion Our findings show that higher autonomy was related to lower loneliness on different analytical levels, but the direction of effects is unclear. More research is needed to understand the development of this association over the life span.
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| 39. |
- Henning, Georg, et al.
(författare)
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Do neuroticism and conscientiousness interact with health conditions in predicting 4-year changes in self-rated health among Swedish older adults?
- 2021
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Ingår i: Psychology and Aging. - : American Psychological Association (APA). - 0882-7974 .- 1939-1498. ; 36:6, s. 730-743
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Tidskriftsartikel (refereegranskat)abstract
- Health conditions such as higher disease burden, pain, or lower functional health are associated with poorer self-rated health (SRH) in older age. Poorer SRH, in turn, is a predictor of morbidity and mortality. Personality traits are associated with SRH as well, but little is known about the interaction of personality and health conditions. In the present preregistered analyses, we used five annual waves of the Health, Aging and Retirement Transitions in Sweden (HEARTS) study (N = 5,823, M age = 63.09, SD = 2.01) to investigate the associations of personality (neuroticism and conscientiousness) and physical health indices (disease burden, pain, and functional limitations) with levels and change in SRH. In addition, we tested Personality × Health interaction effects. We found that higher neuroticism and lower conscientiousness were related to lower levels of SRH, but not to change in SRH after controlling for the health indices. Personality did not moderate the effect of health indices on levels and change in SRH. Exploratory analyses showed that high scores of neuroticism may augment the association of increased pain and functional limitations with declines in SRH. Additional studies with other samples are needed to test if this result can be replicated. Taken together, our findings provide only weak evidence for interaction effects of personality and physical health factors on SRH. More research is needed to understand the interplay of physical and psychological factors in shaping individual SRH. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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| 40. |
- Henning, G., et al.
(författare)
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Retirement and Sexual Satisfaction
- 2023
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Ingår i: Gerontologist. - : Oxford University Press (OUP). - 0016-9013. ; 63:2, s. 274-284
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Tidskriftsartikel (refereegranskat)abstract
- Background and Objectives Although interest in sexuality in older age has increased over the last decades, few studies have focused on longitudinal change in sexual satisfaction around retirement age. In the present study, we studied change in sexual satisfaction across retirement in a sample of Swedish older adults with a partner. Research Design and Methods Our analyses were based on n = 759 participants (359 male, 400 female) from the longitudinal Health, Aging, and Retirement Transitions in Sweden study. For this study, we used 5 waves spanning over a period of 4 years. Results On average, sexual satisfaction did not change significantly before retirement, but decreased after retirement. Interestingly, women showed higher sexual satisfaction than men, as well as a more positive development of both pre- and postretirement sexual satisfaction. Individuals with higher relationship satisfaction had a higher sexual satisfaction until retirement, but their sexual satisfaction also decreased faster after retirement, whereas those with lower relationship satisfaction showed a stable but lower sexual satisfaction. Discussion and Implications Sexual satisfaction can change in the retirement transition in several important ways and further studies on the impact of retirement and other late-life stage transitions are warranted.
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| 41. |
- Henning, Georg, 1989, et al.
(författare)
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The role of personality for subjective well-being in the retirement transition - Comparing variable- and person-oriented models
- 2017
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Ingår i: Personality and Individual Differences. - : Elsevier BV. - 0191-8869. ; 116, s. 385-392
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Tidskriftsartikel (refereegranskat)abstract
- In this study we investigated the role of personality for wellbeing in the retirement transition. In a sample of Swedish older adults (N = 2.797) around retirement age (60-66), included in the Health, Aging and Retirement Transitions in Sweden(HEARTS) study, we tested if personality types and/or traits moderated the effect of retirement on change in subjective well-being across one year. We identified four personality types in a latent profile analysis. Using latent change score models, we found that those who retired between assessments showed stronger increases in subjective well-being compared to those not retiring. For one group with low openness, agreeableness, extraversion and conscientiousness, but high neuroticism, retirement was associated with a decrease in well-being. When only personality traits were included, we found a moderating effect of agreeableness so that high scores on agreeableness enhanced the increases in well-being after retirement. The results are compared and discussed in the light of research on personality and retirement. (C) 2017 Elsevier Ltd. All rights reserved.
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| 42. |
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| 43. |
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| 44. |
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| 45. |
- Lindwall, Magnus, 1975, et al.
(författare)
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Psychological health in the retirement transition: Rationale and first findings in the HEalth, Ageing and Retirement Transitions in Sweden (HEARTS) study
- 2017
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Ingår i: Frontiers in Psychology. - : Frontiers Media SA. - 1664-1078. ; 8
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Tidskriftsartikel (refereegranskat)abstract
- © 2017 Lindwall, Berg, Bjälkebring, Buratti, Hansson, Hassing, Henning, Kivi, König, Thorvaldsson and Johansson. From an aging research and life-course perspective, the transition to retirement marks a significant life-event and provides a unique opportunity to study psychological health and coping during a period of substantial change in everyday life. The aim of the present paper is to: (a) outline the rationale of the HEalth, Ageing and Retirement Transitions in Sweden (HEARTS) study, (b) describe the study sample, and (c) to present some initial results from the two first waves regarding the association between retirement status and psychological health. The HEARTS study is designed to annually study psychological health in the years before and following retirement, and to examine change and stability patterns related to the retirement event. Among a representative Swedish population-based sample of 14,990 individuals aged 60-66 years, 5,913 completed the baseline questionnaire in 2015. The majority of the participants (69%) completed a web-based survey, and the rest (31%) completed a paper version. The baseline HEARTS sample represents the general population well in terms of gender and age, but is more highly educated. Cross-sectional findings from the first wave showed that retired individuals demonstrated better psychological health compared to those who were still working. Longitudinal results from the first and second waves showed that individuals who retired between waves showed more positive changes in psychological health compared with those still working or previously retired.
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| 46. |
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| 47. |
- Rolstad, Sindre, 1976, et al.
(författare)
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Differential Impact of Neurofilament Light Subunit on Cognition and Functional Outcome in Memory Clinic Patients with and without Vascular Burden
- 2015
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Ingår i: Journal of Alzheimers Disease. - : IOS Press. - 1387-2877 .- 1875-8908. ; 45:3, s. 873-881
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Tidskriftsartikel (refereegranskat)abstract
- The neurofilament light (NF-L) subunit is mainly expressed in large-caliber myelinated axons, and elevated concentrations in the cerebrospinal fluid (CSF) are correlated with damage to white matter and subcortical regions. Because the correlation between NF-L and cognition and functional impairment is largely unknown, we investigated associations in patients (n = 622) with (n = 199) and without (n = 423) vascular burden in subjective cognitive impairment (SCI, n = 168), mild cognitive impairment (MCI, n = 261), and dementia (n = 193). Patients were staged according to disease severity and the presence/absence of cerebrovascular disease. CSF amyloid-beta(1-42) (A beta(1-42))was included in all models due to its concomitant influence on vascular and primary etiology. Linear regression was used to assess associations between NF-L and A beta(1-42) and five cognitive domains of a comprehensive neuropsychological battery as well as with functional impairment using the Clinical Dementia Rating. Changes in these outcomes at the 2-year follow-up were also evaluated. In SCI and MCI patients with vascular burden, higher NF-L concentrations were associated with baseline cognitive performance (beta = -0.38 to -0.58) and executive decline (beta = -0.44). Lower A beta(1-42) levels were associated with worse cognitive performance in dementia (beta = 0.46 to 0.51). In MCI and dementia patients without vascular burden, higher NF-L (beta = -0.30 to -0.34) and lower A beta(1-42) concentrations (beta = 0.30) were associated with reduced cognitive performance. Higher NF-L concentrations (beta = -0.26) were associated with functional decline in patients with vascular burden. CSF NF-L is associated with cognition in patients with and without vascular etiology. These associations were greater in pre-dementia phases in those with vascular etiology and vice versa in those without vascular burden.
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| 48. |
- Van Orden, Kimberly A, et al.
(författare)
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Reasons for Attempted Suicide in Later Life.
- 2015
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Ingår i: The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry. - : Elsevier BV. - 1545-7214. ; 23:5
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Tidskriftsartikel (refereegranskat)abstract
- Using the Interpersonal Theory of Suicide as a guiding framework, we investigated older adults' causal attributions for suicidal behavior. We hypothesized that older adults who attributed their suicidal behavior to thwarted belongingness or perceived burdensomeness would be more likely to use more immediately lethal means and to re-attempt suicide during the 12-month follow-up.
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| 49. |
- Wiktorsson, Stefan, 1955, et al.
(författare)
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Assessing the role of physical illness in young old and older old suicide attempters
- 2016
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Ingår i: International Journal of Geriatric Psychiatry. - : Wiley. - 0885-6230 .- 1099-1166. ; 31:7, s. 771-774
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Tidskriftsartikel (refereegranskat)abstract
- © 2015 John Wiley & Sons, Ltd. Objectives: Attributions for attempting suicide were explored in older adults with and without serious physical illness. Methods: An open-ended question was used to explore attributions for attempting suicide in 101 hospitalized persons aged 70+. Serious physical illness was defined as a score of 3 or 4 on any of the 13 non-psychiatric organ categories in the Cumulative Illness Rating Scale for Geriatrics. Results: Roughly one-third of hospitalized persons with (22/62) and without (12/39) serious physical illness attributed the suicide attempt to somatic distress. Among 70- to 79-year-olds, seriously physically ill patients were more likely than healthier patients to attribute their attempt to psychological pain (84% vs. 48%, p=0.013). There were no significant differences in attributions in persons with and without serious health problems in the 80+ group. Conclusions: The processes by which physical illness confers risk for attempted suicide in older adulthood may be age dependent. Interventions are needed to mitigate psychological pain in physically ill older patients, especially those in their seventies. Research is needed to understand how the psychological processes that influence the desire for suicide change across older adulthood.
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| 50. |
- Wiktorsson, Stefan, 1955, et al.
(författare)
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Few Sex Differences in Hospitalized Suicide Attempters Aged 70 and Above.
- 2018
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Ingår i: International journal of environmental research and public health. - : MDPI AG. - 1660-4601. ; 15:1
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Tidskriftsartikel (refereegranskat)abstract
- Relatively little research attention has been paid to sex issues in late life suicidal behaviour. The aim was to compare clinical characteristics of women and men aged 70+ who were hospitalized after a suicide attempt. We hypothesized higher depression and anxiety scores in women, and we expected to find that men would more often attribute the attempt to health problems and compromised autonomy. Participants (56 women and 47 men, mean age 80) were interviewed by a psychologist. In addition to psychiatric and somatic health assessments, participants responded to an open-ended question concerning attributions of the attempt. There were no sex differences in depression and anxiety. Forty-five percent of the men and 14% of the women had a history of substance use disorder (p = 0.02). At least one serious physical disability was noted in 60.7% of the women and 53.2% of the men (p = 0.55). Proportions attributing their attempt to somatic illness did not differ (women, 14.5% vs. men 17.4%, p = 0.79), and similar proportions attributed the attempt to reduced autonomy (women, 21.8% vs. men, 26.1%, p = 0.64). We found strikingly similar figures for depression scores, functional disability and attributions for attempting suicide in older men and women. Larger studies are needed in diverse settings as sex differences might be influenced by cultural context.
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