High morale is associated with increased survival in the very old

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High morale is associated with increased survival in the very old

Niklasson, Johan (author): Umeå universitet,Geriatrik

Hörnsten, Carl (author): Umeå universitet,Geriatrik

Conradsson, Mia (author): Umeå universitet,Geriatrik

Nyqvist, Fredrica (author): Mental Health Promotion Unit, National Institute for Health and Welfare (THL), Vaasa, Finland

Olofsson, Birgitta (author): Umeå universitet,Institutionen för omvårdnad

Lövheim, Hugo (author): Umeå universitet,Geriatrik

Gustafson, Yngve (author): Umeå universitet,Geriatrik

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(creator_code:org_t)

2015-03-15
2015
English.
In: Age and Ageing. - : Oxford University Press (OUP). - 0002-0729 .- 1468-2834. ; 44:4, s. 630-636

Related links:: https://urn.kb.se/re...; show more...; https://doi.org/10.1...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

BACKGROUND: high morale is defined as future-oriented optimism. Previous research suggests that a high morale independently predicts increased survival among old people, though very old people have not been specifically studied.OBJECTIVE: to investigate whether high morale is associated with increased survival among very old people.SUBJECTS: the Umeå 85+/GErontological Regional DAtabase-study (GERDA) recruited participants aged 85 years and older in northern Sweden and western Finland during 2000-02 and 2005-07, of whom 646 were included in this study.METHODS: demographic, functional- and health-related data were collected in this population-based study through structured interviews and assessments carried out during home visits and from reviews of medical records. The 17-item Philadelphia Geriatric Center Morale Scale (PGCMS) was used to assess morale.RESULTS: the 5-year survival rate was 31.9% for participants with low morale, 39.4% for moderate and 55.6% for those with high morale. In an unadjusted Cox model, the relative risk (RR) of mortality was higher among participants with low morale (RR = 1.86, P < 0.001) and moderate morale (RR = 1.59, P < 0.001) compared with participants with high morale. Similar results were found after adjustment for age and gender. In a Cox model adjusted for several demographic, health- and function-related confounders, including age and gender, mortality was higher among participants with low morale (RR = 1.36, P = 0.032) than those with high morale. There was a similar but non-significant pattern towards increased mortality in participants with moderate morale (RR = 1.21, P value = 0.136).CONCLUSION: high morale is independently associated with increased survival among very old people.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)

Keyword

aged
80 and older
longevity
morale
mortality
older people
survival

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor: Niklasson, Johan; Hörnsten, Carl; Conradsson, Mia; Nyqvist, Fredric ...; Olofsson, Birgit ...; Lövheim, Hugo; show more...; Gustafson, Yngve; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

Articles in the publication: Age and Ageing

By the university: Umeå University

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