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The Disability Paradox? Trajectories of Well-Being in Older Adults With Functional Decline

Objectives: The ‘disability paradox’ (DP) suggests that most older adults maintain subjective well-being (SWB) despite functional decline. However, this may depend the SWB component: positive affect (PA), negative/depressed affect (NA/DA) or life satisfaction (LS). We assessed trajectories of these...

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Autores principales: van Loon, Anouk M., Depla, Marja F. I. A., Hertogh, Cees M. P. M., Huisman, Martijn, Kok, Almar A. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9755699/
https://www.ncbi.nlm.nih.gov/pubmed/35713401
http://dx.doi.org/10.1177/08982643221108660
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author van Loon, Anouk M.
Depla, Marja F. I. A.
Hertogh, Cees M. P. M.
Huisman, Martijn
Kok, Almar A. L.
author_facet van Loon, Anouk M.
Depla, Marja F. I. A.
Hertogh, Cees M. P. M.
Huisman, Martijn
Kok, Almar A. L.
author_sort van Loon, Anouk M.
collection PubMed
description Objectives: The ‘disability paradox’ (DP) suggests that most older adults maintain subjective well-being (SWB) despite functional decline. However, this may depend the SWB component: positive affect (PA), negative/depressed affect (NA/DA) or life satisfaction (LS). We assessed trajectories of these components in older adults with substantial functional decline. Methods: Data originated from the Longitudinal Aging Study Amsterdam (N = 2545) observed during 1992–2008. Using latent class growth analysis, we distinguished a group with substantial functional decline and examined their SWB trajectories and individual characteristics. Results: The DP occurred more frequently for DA (Men:73%, Women:77%) and LS (Men:14%, Women:83%) than for PA (Men:26%, Women:17%). Higher perceived control (mastery) emerged as the most consistent factor associated with higher odds of the DP. Discussion: We provide a nuanced view of the DP, shifting the question from whether it exists to for which dimension of SWB and for whom it is more or less apparent.
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spelling pubmed-97556992022-12-17 The Disability Paradox? Trajectories of Well-Being in Older Adults With Functional Decline van Loon, Anouk M. Depla, Marja F. I. A. Hertogh, Cees M. P. M. Huisman, Martijn Kok, Almar A. L. J Aging Health Articles Objectives: The ‘disability paradox’ (DP) suggests that most older adults maintain subjective well-being (SWB) despite functional decline. However, this may depend the SWB component: positive affect (PA), negative/depressed affect (NA/DA) or life satisfaction (LS). We assessed trajectories of these components in older adults with substantial functional decline. Methods: Data originated from the Longitudinal Aging Study Amsterdam (N = 2545) observed during 1992–2008. Using latent class growth analysis, we distinguished a group with substantial functional decline and examined their SWB trajectories and individual characteristics. Results: The DP occurred more frequently for DA (Men:73%, Women:77%) and LS (Men:14%, Women:83%) than for PA (Men:26%, Women:17%). Higher perceived control (mastery) emerged as the most consistent factor associated with higher odds of the DP. Discussion: We provide a nuanced view of the DP, shifting the question from whether it exists to for which dimension of SWB and for whom it is more or less apparent. SAGE Publications 2022-06-17 2023-01 /pmc/articles/PMC9755699/ /pubmed/35713401 http://dx.doi.org/10.1177/08982643221108660 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Articles
van Loon, Anouk M.
Depla, Marja F. I. A.
Hertogh, Cees M. P. M.
Huisman, Martijn
Kok, Almar A. L.
The Disability Paradox? Trajectories of Well-Being in Older Adults With Functional Decline
title The Disability Paradox? Trajectories of Well-Being in Older Adults With Functional Decline
title_full The Disability Paradox? Trajectories of Well-Being in Older Adults With Functional Decline
title_fullStr The Disability Paradox? Trajectories of Well-Being in Older Adults With Functional Decline
title_full_unstemmed The Disability Paradox? Trajectories of Well-Being in Older Adults With Functional Decline
title_short The Disability Paradox? Trajectories of Well-Being in Older Adults With Functional Decline
title_sort disability paradox? trajectories of well-being in older adults with functional decline
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9755699/
https://www.ncbi.nlm.nih.gov/pubmed/35713401
http://dx.doi.org/10.1177/08982643221108660
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