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Quality of life and self-esteem among the elderly in the community
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Does Inside Equal Outside? Relations Between Older Adults' Implicit and Explicit Aging Attitudes and Self-Esteem
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Low Self-Esteem in Older Adults and Associated Factors: A Descriptive and Analytical Study
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Does Person-Centered Care Improve Nursing Facility Residents’ Mental Health? A Review and Commentary
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O efeito do estresse na qualidade de vida de idosos: o papel moderador do sentido de vida - The effect of stress on elderly quality of life: meaning in life as a moderating role
Quality of life and self-esteem among the elderly in the community
Abstract: This study sought to investigate the association between the scores for quality of life (QoL) and self-esteem among the elderly in an urban community. A cross-sectional, quantitative and analytical household survey was conducted with 1,691 elderly persons resident in an urban area in a county in Minas Gerais state. The World Health Organization Quality of Life BREF (WHOQOL-BREF), the World Health Organization Quality of Life OLD (WHOQOL-OLD) questionnaires and the Rosenberg Self-Esteem Scale were used in this study. A descriptive statistical analysis and a linear regression model (p < 0.05) were conducted. The results revealed that the social relationships domain (71.19) and the topic of death and dying (74.30) had the highest mean scores among the elderly; while the lowest mean scores were the environment domain (60.39) and the topic of social participation (63.06). The self-esteem scores showed an average of 9.36 ± 4.09. Associations were evident for the lower scores of quality of life in all the WHOQOL-BREF domains and WHOQOL-OLD aspects (except death and dying) with lower levels of self-esteem (p <0.001). The results provide data that contribute to a better understanding of the aspects that influence the QoL of the elderly due to reduced self-esteem, thus providing information for the development of health strategies.
Source: https://pubmed.ncbi.nlm.nih.gov/27828588/
Does Inside Equal Outside? Relations Between Older Adults' Implicit and Explicit Aging Attitudes and Self-Esteem
Abstract: Attitudes toward one's own aging and self-esteem are crucial variables in predicting older adults' physical and mental health and can significantly affect their will to live, cognitive judgement and acceptance of medical treatment. However, little is known about the relation between the implicit attitude toward one's own aging and implicit self-esteem. This research explored consistencies between implicit and explicit attitudes toward one's own aging and between implicit and explicit self-esteem and explored their relations in 70 older adults aged 60–91 years old using the word and picture versions of the Implicit Association Test and standardized scales. The results showed that (a) the explicit and implicit attitudes toward one's own aging represented independent structures, and the implicit and explicit self-esteem also represented independent structures; (b) subjects generally showed positive explicit attitudes toward their own aging and negative implicit attitudes toward their own aging while also showing high explicit self-esteem and relatively low implicit self-esteem; (c) subjects' implicit attitudes toward their own aging and implicit self-esteem were positively correlated, and explicit attitudes toward their own aging and explicit self-esteem were also positively correlated. The more positive the subjects' explicit attitudes toward their own aging, the higher their explicit self-esteem levels were. The more negative their implicit attitudes toward their own aging, the higher their implicit self-esteem levels were. We concluded that older adults' explicit and implicit attitudes toward their own aging and self-esteem are independent structures; older adults' explicit and implicit attitudes toward their own aging have predictive effects on their explicit and implicit self-esteem in different directions, respectively.
Source: https://doi.org/10.3389/fpsyg.2018.02313
Low Self-Esteem in Older Adults and Associated Factors: A Descriptive and Analytical Study
Abstract: Self-esteem, defined as an individual’s subjective evaluation of their own worth, plays a fundamental role in psychological balance and quality of life. It acts as a protective factor against psychosocial difficulties, especially among older adults facing multiple losses: reduced autonomy, social isolation, end of professional life, physical decline, or successive bereavements. Self-esteem contributes to personal resilience and shapes how older individuals experience age-related transitions. While literature has extensively examined self-esteem in youth and working adults, research remains scarce when it comes to older populations, particularly within the context of current demographic changes. The conditions for maintaining self-esteem in seniors, as well as the factors likely to undermine it, are still poorly explored.
This study aimed to assess self-esteem and its associated factors among a sample of older adults. In our study, the prevalence of low self-esteem was 40%, ranging from 3.3% in the 60–70 age group to 36.6% in those over 70. Factors associated with low self-esteem included being over 70 years old, widowhood, living with a descendant, low educational attainment, retirement, and loss of autonomy.
Thus, self-esteem and the preservation of autonomy in older adults appear to be critical targets for public health policies and aging-well promotion strategies—particularly using emerging digital technologies.
Source: https://doi.org/10.58489/2836-3558/033
Does Person-Centered Care Improve Nursing Facility Residents’ Mental Health? A Review and Commentary
Abstract: Loneliness, social isolation, and depression are prevalent among nursing home residents worldwide, causing mortality risks that rival those of major chronic diseases. Over the past three decades, the person-centered care movement has sought to replace the institutional medical model with care prioritizing residents’ individuality, dignity, and meaningful relationships. This review and commentary traces the evolution of person-centered care models and evaluates the evidence regarding whether person-centered care improves resident mental health. As part of our review, we consider evidence gathered from nursing home residents and staff during the COVID-19 pandemic, which led to the removal of major elements of person-centered care from daily life. Older, pre-pandemic studies yielded mixed but increasingly positive results, with higher-quality designs showing that thorough person-centered care adoption improves quality of life and reduces depressive and neuropsychiatric symptoms. Our own research has clarified mechanisms by which person-centered care improves residents’ mental wellbeing. In a comparative observational study of homes differing in levels of person-centered care adoption, residents in high-person-centered care settings displayed greater positive affect, engagement, and social connection. In a follow-up longitudinal study, higher person-centered care scores predicted significant Patient Health Questionnaire-9 (PHQ-9) reductions and increased expressions of pleasure, mediated by stronger aide–resident relationships and timely depression treatment. Statewide analyses of Kansas’s Medicaid program to incentivize person-centered care adoption (the Promoting Excellent Alternatives in Kansas 2.0, or PEAK 2.0, program) showed that residents whose facilities were strong person-centered care adopters had strikingly lower odds of depression and better clinical outcomes overall. Pandemic disruptions provided a stress test for person-centered care. When social contact and autonomy were curtailed, resident mental health declined sharply, underscoring the protective mechanisms person-centered care fosters. Emerging post-pandemic evidence reaffirms that comprehensive person-centered care improves psychological wellbeing and stabilizes the workforce through enhanced job satisfaction and lower turnover. Yet under 15% of U.S. facilities have fully implemented person-centered care, hindered by workforce instability and structural financial disincentives. Facilities should pursue thoroughly person-centered care adoption to transform themselves into communities where elders can live with dignity, purpose, and connection.
Source: https://doi.org/10.18103/mra.v13i12.7050
O efeito do estresse na qualidade de vida de idosos: o papel moderador do sentido de vida
The effect of stress on elderly quality of life: meaning in life as a moderating role
Resumo: O objetivo principal deste estudo foi conhecer se o sentido de vida pode moderar a relação entre o estresse e a qualidade de vida em idosos. Participaram 210 pessoas com idade média de 74 anos, a maioria do sexo feminino (68,58%). Estas responderam aos seguintes instrumentos: Mini-Exame do Estado Mental, Inventário de Eventos de Vida Estressantes para Idosos, Questionário de Qualidade de Vida para Idosos, Teste de Propósito de Vida e perguntas demográficas. Foram realizadas análises de componentes principais, correlações de Pearson e regressões lineares. Os resultados indicaram que a influência do estresse na qualidade de vida era significativa para o grupo com baixo sentido de vida, porém não ocorreu o mesmo para o grupo com alto sentido de vida. Assim, o sentido de vida parece ter operado como um recurso protetor da qualidade de vida frente ao estresse, indicando seu papel moderador.
The main objective of this study has been to know if the relationship between stress and elderly quality of life can be moderated by the meaning in life. Two hundred and ten participants with mean age of seventy four years old, most of them female (68.58%) took part in the study. The participants answered the following instruments: Mini Mental State Exam, Stressing Events Inventory, Elderly Quality of Life Questionnaire, Purpose in Life Test (PIL) and demographic questions. Principal component analysis, Pearson correlation coefficients and linear regressions were analyzed. The results obtained indicated that the influence of stress on quality of life is significant for the group with low meaning in life, but it was not the same for the group with high meaning in life. Thus, the meaning in life seems to have acted as a protective factor for the quality of life showing its moderating role with respect to stress.
Source: https://doi.org/10.1590/S0102-79722013000200002