Examining Resilience of Quality of Life in the Face of Health-Related and Psychosocial Adversity at Older Ages: What is “Right” About the Way We Age?
Purpose: This article examines resilience at older ages, focusing on the relationships between quality of life (qol) and adversity. Our objectives are to identify (a) the basis of adversity, (b) the characteristics of resilient individuals, and (c) the attributes that attenuate the full impact of ad...
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| Veröffentlicht in: | The Gerontologist 2010-02, Vol.50 (1), p.36-47 |
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| creator | Hildon, Zoe Montgomery, Scott M. Blane, David Wiggins, Richard D. Netuveli, Gopalakrishnan |
| description | Purpose: This article examines resilience at older ages, focusing on the relationships between quality of life (qol) and adversity. Our objectives are to identify (a) the basis of adversity, (b) the characteristics of resilient individuals, and (c) the attributes that attenuate the full impact of adversity. Design and Methods: Resilience is defined as flourishing despite adversity. Analysis is carried out in a subsample of the Boyd Orr cohort (aged between 68 and 82 years) using questionnaire data. Adversity was identified as circumstances that produce a significant average decrease in qol (CASP-19 scores). Participants were classified into resilient and vulnerable groups based on high or low qol (CASP-19 scores dichotomized at the median) in the face of significant adversity. Shared characteristics that define these outcomes are reported. Attributes that attenuate the negative impact of adversity were analyzed using stratified logistic regression. Results: Adversity was typified by functional limitation; life getting worse in the domains of health, stress, and general living circumstances; and experiencing a negative life event. The resilient tended to report fewer multiple adversities. Indicators of protective attributes, which also characterized resilient outcomes relative to qol, included good quality relationships (5.105, confidence interval [CI] 95% 1.323–19.699), integration in the community (10.800, 95% CI 1.227–95.014), developmental coping (3.397, 95% CI 1.079–10.690), and adaptive coping styles (3.211, 95% CI 1.041–9.910). Implication: Overall results indicate that policies that offer access to protection and help minimize adversity exposure where possible will promote resilience. |
| doi_str_mv | 10.1093/geront/gnp067 |
| format | Article |
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Our objectives are to identify (a) the basis of adversity, (b) the characteristics of resilient individuals, and (c) the attributes that attenuate the full impact of adversity. Design and Methods: Resilience is defined as flourishing despite adversity. Analysis is carried out in a subsample of the Boyd Orr cohort (aged between 68 and 82 years) using questionnaire data. Adversity was identified as circumstances that produce a significant average decrease in qol (CASP-19 scores). Participants were classified into resilient and vulnerable groups based on high or low qol (CASP-19 scores dichotomized at the median) in the face of significant adversity. Shared characteristics that define these outcomes are reported. Attributes that attenuate the negative impact of adversity were analyzed using stratified logistic regression. Results: Adversity was typified by functional limitation; life getting worse in the domains of health, stress, and general living circumstances; and experiencing a negative life event. The resilient tended to report fewer multiple adversities. Indicators of protective attributes, which also characterized resilient outcomes relative to qol, included good quality relationships (5.105, confidence interval [CI] 95% 1.323–19.699), integration in the community (10.800, 95% CI 1.227–95.014), developmental coping (3.397, 95% CI 1.079–10.690), and adaptive coping styles (3.211, 95% CI 1.041–9.910). Implication: Overall results indicate that policies that offer access to protection and help minimize adversity exposure where possible will promote resilience.</description><identifier>ISSN: 0016-9013</identifier><identifier>ISSN: 1758-5341</identifier><identifier>EISSN: 1758-5341</identifier><identifier>DOI: 10.1093/geront/gnp067</identifier><identifier>PMID: 19549715</identifier><identifier>CODEN: GRNTA3</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Adaptation, Psychological ; Adolescent ; Aged ; Aged, 80 and over ; Aging ; Aging (Individuals) ; Aging - psychology ; Caregivers ; Child ; Child, Preschool ; Classification ; Community-related factors ; Coping ; Dermatologi och venerologi, klinisk genetik, invärtesmedicin ; Dermatology and venerology,clinical genetics, internal medicine ; Female ; Geriatrics ; Geriatrics and medical gerontology ; Geriatrik ; Geriatrik och medicinsk gerontologi ; Gerontology ; Health Status ; Humans ; Internal medicine ; Invärtesmedicin ; Life Change Events ; Male ; MEDICIN ; MEDICINE ; Older people ; Personality Traits ; Protection ; Public Policy ; Quality of Life ; Quality of Life - psychology ; Questionnaires ; Regression (Statistics) ; Regression analysis ; Resilience ; Retirement - psychology ; Scores ; Social Integration ; Social networks ; Sociodemographic factors ; Stress ; Stress Variables ; Stress, Psychological - psychology ; Surveys and Questionnaires ; Vulnerability</subject><ispartof>The Gerontologist, 2010-02, Vol.50 (1), p.36-47</ispartof><rights>Copyright Oxford University Press, UK Feb 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c554t-10cb2fb24a8abb53ad37a0c2dbd510dbff38e5e4d3dae2bf20f7d492254ae3a83</citedby><cites>FETCH-LOGICAL-c554t-10cb2fb24a8abb53ad37a0c2dbd510dbff38e5e4d3dae2bf20f7d492254ae3a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,27901,27902,33751,33752</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ869992$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19549715$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-11979$$DView record from Swedish Publication Index$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:119921957$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Hildon, Zoe</creatorcontrib><creatorcontrib>Montgomery, Scott M.</creatorcontrib><creatorcontrib>Blane, David</creatorcontrib><creatorcontrib>Wiggins, Richard D.</creatorcontrib><creatorcontrib>Netuveli, Gopalakrishnan</creatorcontrib><title>Examining Resilience of Quality of Life in the Face of Health-Related and Psychosocial Adversity at Older Ages: What is “Right” About the Way We Age?</title><title>The Gerontologist</title><addtitle>Gerontologist</addtitle><description>Purpose: This article examines resilience at older ages, focusing on the relationships between quality of life (qol) and adversity. Our objectives are to identify (a) the basis of adversity, (b) the characteristics of resilient individuals, and (c) the attributes that attenuate the full impact of adversity. Design and Methods: Resilience is defined as flourishing despite adversity. Analysis is carried out in a subsample of the Boyd Orr cohort (aged between 68 and 82 years) using questionnaire data. Adversity was identified as circumstances that produce a significant average decrease in qol (CASP-19 scores). Participants were classified into resilient and vulnerable groups based on high or low qol (CASP-19 scores dichotomized at the median) in the face of significant adversity. Shared characteristics that define these outcomes are reported. Attributes that attenuate the negative impact of adversity were analyzed using stratified logistic regression. Results: Adversity was typified by functional limitation; life getting worse in the domains of health, stress, and general living circumstances; and experiencing a negative life event. The resilient tended to report fewer multiple adversities. Indicators of protective attributes, which also characterized resilient outcomes relative to qol, included good quality relationships (5.105, confidence interval [CI] 95% 1.323–19.699), integration in the community (10.800, 95% CI 1.227–95.014), developmental coping (3.397, 95% CI 1.079–10.690), and adaptive coping styles (3.211, 95% CI 1.041–9.910). Implication: Overall results indicate that policies that offer access to protection and help minimize adversity exposure where possible will promote resilience.</description><subject>Adaptation, Psychological</subject><subject>Adolescent</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Aging (Individuals)</subject><subject>Aging - psychology</subject><subject>Caregivers</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Classification</subject><subject>Community-related factors</subject><subject>Coping</subject><subject>Dermatologi och venerologi, klinisk genetik, invärtesmedicin</subject><subject>Dermatology and venerology,clinical genetics, internal medicine</subject><subject>Female</subject><subject>Geriatrics</subject><subject>Geriatrics and medical gerontology</subject><subject>Geriatrik</subject><subject>Geriatrik och medicinsk gerontologi</subject><subject>Gerontology</subject><subject>Health Status</subject><subject>Humans</subject><subject>Internal medicine</subject><subject>Invärtesmedicin</subject><subject>Life Change Events</subject><subject>Male</subject><subject>MEDICIN</subject><subject>MEDICINE</subject><subject>Older people</subject><subject>Personality Traits</subject><subject>Protection</subject><subject>Public Policy</subject><subject>Quality of Life</subject><subject>Quality of Life - psychology</subject><subject>Questionnaires</subject><subject>Regression (Statistics)</subject><subject>Regression analysis</subject><subject>Resilience</subject><subject>Retirement - psychology</subject><subject>Scores</subject><subject>Social Integration</subject><subject>Social networks</subject><subject>Sociodemographic factors</subject><subject>Stress</subject><subject>Stress Variables</subject><subject>Stress, Psychological - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Vulnerability</subject><issn>0016-9013</issn><issn>1758-5341</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkkFv0zAUxyMEYmVw5IaQxQEuhNlxHMe7oKq0lKliUAGduFhO_JJ6S5NiJ7De9jWQ4Mvtk-CSqpOQgINl-72fftaz_kHwkOAXBAt6VIJt6vaorNc44beCAeEsDRmNye1ggDFJQoEJPQjuOXeO_T2K-N3ggAgWC07YIPg-vlQrU5u6RHNwpjJQ54CaAr3vVGXazfY4MwUgU6N2CWii-vYUVNUuwzlUqgWNVK3RO7fJl41rcqMqNNRfwbqtQLXotNJg0bAEd4wWS18wDl1f_ZibctleX_1Ew6zp2t_6hdqgBWzRl_eDO4WqHDzY7YfBx8n4w2gazk5fvxkNZ2HOWNyGBOdZVGRRrFKVZYwqTbnCeaQzzQjWWVHQFBjEmmoFUVZEuOA6FlHEYgVUpfQwCHuv-wbrLpNra1bKbmSjjNyVLvwJJGOcxszzz__KvzKfhrKxpV-dJERw4fFnPb62zZcOXCtXxuVQVaqGpnOSU5pSKtiWfPpPMiGUU-_8P4gp44JhDz75AzxvOlv735SRD0_CmHfu589t45yFYj8RwXIbMdlHTPYR8_zjnbTLVqBv6F2mPPCoB8CafN8en6SJECK6ec-4Fi73fWUvpLdzJqdnn-VbfnI2EclIUvoL22zp1Q</recordid><startdate>20100201</startdate><enddate>20100201</enddate><creator>Hildon, Zoe</creator><creator>Montgomery, Scott M.</creator><creator>Blane, David</creator><creator>Wiggins, Richard D.</creator><creator>Netuveli, Gopalakrishnan</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D91</scope></search><sort><creationdate>20100201</creationdate><title>Examining Resilience of Quality of Life in the Face of Health-Related and Psychosocial Adversity at Older Ages: What is “Right” About the Way We Age?</title><author>Hildon, Zoe ; Montgomery, Scott M. ; Blane, David ; Wiggins, Richard D. ; Netuveli, Gopalakrishnan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c554t-10cb2fb24a8abb53ad37a0c2dbd510dbff38e5e4d3dae2bf20f7d492254ae3a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adaptation, Psychological</topic><topic>Adolescent</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Aging (Individuals)</topic><topic>Aging - psychology</topic><topic>Caregivers</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Classification</topic><topic>Community-related factors</topic><topic>Coping</topic><topic>Dermatologi och venerologi, klinisk genetik, invärtesmedicin</topic><topic>Dermatology and venerology,clinical genetics, internal medicine</topic><topic>Female</topic><topic>Geriatrics</topic><topic>Geriatrics and medical gerontology</topic><topic>Geriatrik</topic><topic>Geriatrik och medicinsk gerontologi</topic><topic>Gerontology</topic><topic>Health Status</topic><topic>Humans</topic><topic>Internal medicine</topic><topic>Invärtesmedicin</topic><topic>Life Change Events</topic><topic>Male</topic><topic>MEDICIN</topic><topic>MEDICINE</topic><topic>Older people</topic><topic>Personality Traits</topic><topic>Protection</topic><topic>Public Policy</topic><topic>Quality of Life</topic><topic>Quality of Life - psychology</topic><topic>Questionnaires</topic><topic>Regression (Statistics)</topic><topic>Regression analysis</topic><topic>Resilience</topic><topic>Retirement - psychology</topic><topic>Scores</topic><topic>Social Integration</topic><topic>Social networks</topic><topic>Sociodemographic factors</topic><topic>Stress</topic><topic>Stress Variables</topic><topic>Stress, Psychological - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Vulnerability</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hildon, Zoe</creatorcontrib><creatorcontrib>Montgomery, Scott M.</creatorcontrib><creatorcontrib>Blane, David</creatorcontrib><creatorcontrib>Wiggins, Richard D.</creatorcontrib><creatorcontrib>Netuveli, Gopalakrishnan</creatorcontrib><collection>Istex</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Örebro universitet</collection><jtitle>The Gerontologist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hildon, Zoe</au><au>Montgomery, Scott M.</au><au>Blane, David</au><au>Wiggins, Richard D.</au><au>Netuveli, Gopalakrishnan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ869992</ericid><atitle>Examining Resilience of Quality of Life in the Face of Health-Related and Psychosocial Adversity at Older Ages: What is “Right” About the Way We Age?</atitle><jtitle>The Gerontologist</jtitle><addtitle>Gerontologist</addtitle><date>2010-02-01</date><risdate>2010</risdate><volume>50</volume><issue>1</issue><spage>36</spage><epage>47</epage><pages>36-47</pages><issn>0016-9013</issn><issn>1758-5341</issn><eissn>1758-5341</eissn><coden>GRNTA3</coden><abstract>Purpose: This article examines resilience at older ages, focusing on the relationships between quality of life (qol) and adversity. Our objectives are to identify (a) the basis of adversity, (b) the characteristics of resilient individuals, and (c) the attributes that attenuate the full impact of adversity. Design and Methods: Resilience is defined as flourishing despite adversity. Analysis is carried out in a subsample of the Boyd Orr cohort (aged between 68 and 82 years) using questionnaire data. Adversity was identified as circumstances that produce a significant average decrease in qol (CASP-19 scores). Participants were classified into resilient and vulnerable groups based on high or low qol (CASP-19 scores dichotomized at the median) in the face of significant adversity. Shared characteristics that define these outcomes are reported. Attributes that attenuate the negative impact of adversity were analyzed using stratified logistic regression. Results: Adversity was typified by functional limitation; life getting worse in the domains of health, stress, and general living circumstances; and experiencing a negative life event. The resilient tended to report fewer multiple adversities. Indicators of protective attributes, which also characterized resilient outcomes relative to qol, included good quality relationships (5.105, confidence interval [CI] 95% 1.323–19.699), integration in the community (10.800, 95% CI 1.227–95.014), developmental coping (3.397, 95% CI 1.079–10.690), and adaptive coping styles (3.211, 95% CI 1.041–9.910). Implication: Overall results indicate that policies that offer access to protection and help minimize adversity exposure where possible will promote resilience.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>19549715</pmid><doi>10.1093/geront/gnp067</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adaptation, Psychological Adolescent Aged Aged, 80 and over Aging Aging (Individuals) Aging - psychology Caregivers Child Child, Preschool Classification Community-related factors Coping Dermatologi och venerologi, klinisk genetik, invärtesmedicin Dermatology and venerology,clinical genetics, internal medicine Female Geriatrics Geriatrics and medical gerontology Geriatrik Geriatrik och medicinsk gerontologi Gerontology Health Status Humans Internal medicine Invärtesmedicin Life Change Events Male MEDICIN MEDICINE Older people Personality Traits Protection Public Policy Quality of Life Quality of Life - psychology Questionnaires Regression (Statistics) Regression analysis Resilience Retirement - psychology Scores Social Integration Social networks Sociodemographic factors Stress Stress Variables Stress, Psychological - psychology Surveys and Questionnaires Vulnerability |
| title | Examining Resilience of Quality of Life in the Face of Health-Related and Psychosocial Adversity at Older Ages: What is “Right” About the Way We Age? |
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