High morale is associated with increased survival in the very old

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Fältnamn	Indikatorer	Metadata
000		03749naa a2200445 4500
001		oai:DiVA.org:umu-101437
003		SwePub
008		150330s2015 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1014372 URI
024	7	a https://doi.org/10.1093/ageing/afv0212 DOI
040		a (SwePub)umu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Niklasson, Johanu Umeå universitet,Geriatrik4 aut0 (Swepub:umu)joni0103
245	1 0	a High morale is associated with increased survival in the very old
264		c 2015-03-15
264	1	b Oxford University Press (OUP),c 2015
338		a print2 rdacarrier
520		a 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.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Omvårdnad0 (SwePub)303052 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nursing0 (SwePub)303052 hsv//eng
653		a aged
653		a 80 and older
653		a longevity
653		a morale
653		a mortality
653		a older people
653		a survival
700	1	a Hörnsten, Carlu Umeå universitet,Geriatrik4 aut0 (Swepub:umu)calhon04
700	1	a Conradsson, Miau Umeå universitet,Geriatrik4 aut0 (Swepub:umu)miacon02
700	1	a Nyqvist, Fredricau Mental Health Promotion Unit, National Institute for Health and Welfare (THL), Vaasa, Finland4 aut
700	1	a Olofsson, Birgittau Umeå universitet,Institutionen för omvårdnad4 aut0 (Swepub:umu)biaoln00
700	1	a Lövheim, Hugou Umeå universitet,Geriatrik4 aut0 (Swepub:umu)huolom01
700	1	a Gustafson, Yngveu Umeå universitet,Geriatrik4 aut0 (Swepub:umu)yngu0001
710	2	a Umeå universitetb Geriatrik4 org
773	0	t Age and Ageingd : Oxford University Press (OUP)g 44:4, s. 630-636q 44:4<630-636x 0002-0729x 1468-2834
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-101437
856	4 8	u https://doi.org/10.1093/ageing/afv021

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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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