Weitere Artikel dieser Ausgabe durch Wischen aufrufen
To evaluate the relative importance of structural and functional social relationships for quality of life (QoL) and the extent to which diagnosed chronic disease modifies these associations.
Multivariate linear regression was used to investigate time-lagged associations between structural and functional measures of social relationships and QoL assessed 5 years apart by CASP-19, in 5925 Whitehall II participants (mean age 61, SD 6.0). Chronic disease was clinically verified coronary heart disease, stroke, diabetes or cancer.
Social relationships–QoL associations were consistent across disease status (P-values for interaction: 0.15–0.99). Larger friend network (β = 1.9, 95 % CI 1.5–2.3), having a partner (β = 1.2, 95 % CI 0.5–1.7), higher confiding support (β = 2.2, 95 % CI 1.8–2.7) and lower negative aspects of close relationships (β = 3.3, 95 % CI 2.8–3.8) were independently related to improved QoL in old age. The estimated difference in QoL due to social relationships was equivalent to up to 0.5 SD of the CASP-19 score and was stronger than the effect of chronic disease (coronary heart disease β = 2.0, 95 % CI 1.4–2.6).
We found that beneficial aspects of social relationships in relation to QoL were, in order of importance: avoiding negative aspects of close relationships, having confiding support, having a wide network of friends and having a partner. These associations were not modified by chronic disease. Thus, despite inevitable physical deterioration, we may be able to enhance a satisfying late life by optimizing our social relationships.
Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten
Sie möchten Zugang zu diesem Inhalt erhalten? Dann informieren Sie sich jetzt über unsere Produkte:
Higgs, P., Hyde, M., Wiggins, R., & Blane, D. (2003). Researching quality of life in early old age: the importance of the sociological dimension. Social Policy and Administration,37(3), 239–252. CrossRef
Maslow, A. H. (1943). A theory of human motivation. Psychological Review,50(4), 370. CrossRef
Doyal, L., & Gough, I. (1991). A theory of human need. UK: Palgrave Macmillan. CrossRef
Von dem Knesebeck, O., Hyde, M., Higgs, P., Kupfer, A., & Siegrist, J. (2005). Quality of life and wellbeing. In A. Börsch-Supan, A. Brugiavini, H. Jürges, J. Mackenbach, J. Siegrist, & G. Weber (Eds.), Health, ageing and retirement in Europe: First results from the survey of health, ageing and retirement in Europe (pp. 199–203). Strauss, Mannheim: Mannheim Research Institute for the Economics of Aging (MEA) Mannheim Germany.
Wiggins, R. D., Netuveli, G., Hyde, M., Higgs, P., & Blane, D. (2008). The evaluation of a self-enumerated scale of quality of life (CASP-19) in the context of research on ageing: A combination of exploratory and confirmatory approaches. Social Indicators Research,89(1), 61–77. CrossRef
Marmot, M., Banks, J., Blundell, R., Lessof, C., & Nazroo, J. (2003). Health, wealth and lifestyles of the older population in England: The 2002 English longitudinal study of ageing. London: Institute for Fiscal Studies.
Taylor, M. J. B., Buck, N., & E., P.-L. (2003). British household panel survey- user manual- volume a: Introduction, technical report and appendices (Annals of Neurology). Colchester, Essex: UK: Institute for Social and Economic Research, Data Archive, University of Essex.
House, J. S. (1987) Social support and social structure. In Sociological Forum, (Vol. 2, pp. 135–146). Springer: New York.
Demakakos, P., McMunn, A., & Steptoe, A. (2010). Well-being in older age: A multidimensional perspective. In J. Banks, C. Lessof, J. Nazroo, N. Rogers, M. Stafford, & A. Steptoe (Eds.), Financial circumstances, health and well-being of the older population in England: The 2008 English longitudinal study of ageing (wave 4) (pp. 115–177). London: The Institute for Fiscal Studies.
House, J. S., Umberson, D., & Landis, K. R. (1988). Structures and processes of social support. Annual Review of Sociology,14, 293–318.
Cohen, S., Gottlieb, B. H., & Underwood, L. G. (2000). Social relationships and health: Challenges for measurement and intervention. New York: Oxford University Press Inc. CrossRef
Silverstein, M., Chen, X., & Heller, K. (1996). Too much of a good thing? Intergenerational social support and the psychological well-being of older parents. Journal of Marriage and the Family,58, 970–982.
Warner, L. M., Ziegelmann, J. P., Schüz, B., Wurm, S., Tesch-Römer, C., & Schwarzer, R. (2011). Maintaining autonomy despite multimorbidity: Self-efficacy and the two faces of social support. European Journal of Ageing,8(1), 3–12. CrossRef
Antonucci, T. C., Lansford, J. E., & Akiyama, H. (2001). Impact of positive and negative aspects of marital relationships and friendships on well-being of older adults. Applied Developmental Science,5(2), 68–75. CrossRef
Aguado Loi, C. X., Baldwin, J. A., McDermott, R. J., McMillan, S., Martinez Tyson, D., Yampolskaya, S., et al. (2013). Risk factors associated with increased depressive symptoms among Latinas diagnosed with breast cancer within 5 years of survivorship. Psycho-Oncology,22(12), 2779–2788. PubMedCrossRef
Ringdal, G. I., Rindal, K., JorhØy, M., & Kaasa, S. (2007). Does social support from family and friends work as a buffer against reactions to stressful life events such as terminal cancer? Palliative & supportive care,5(01), 61–69. CrossRef
Thoits, P. A. (1982). Conceptual, methodological, and theoretical problems in studying social support as a buffer against life stress. Journal of Health and Social Behavior,23, 145–159.
Gwozdz, W., & Sousa-Poza, A. (2010). Ageing, health and life satisfaction of the oldest old: An analysis for Germany. Social Indicators Research,97(3), 397–417. CrossRef
Berkman, L. F., & Syme, S. L. (1979). Social networks, host resistance, and mortality: A nine-year follow-up study of Alameda County residents. American Journal of Epidemiology,109(2), 186–204. PubMed
Britton, A., Milne, B., Butler, T., Sanchez-Galvez, A., Shipley, M., Rudd, A., et al. (2012). Validating self-reported strokes in a longitudinal UK cohort study (Whitehall II): Extracting information from hospital medical records versus the hospital episode statistics database. BMC Medical Research Methodology,12(1), 83. PubMedPubMedCentralCrossRef
WHO. (2006). Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: Report of a WHO/IDF consultation (p. P3). Geneva: World Health Organization.
Fingerman, K. L., Hay, E. L., & Birditt, K. S. (2004). The best of ties, the worst of ties: Close, problematic, and ambivalent social relationships. Journal of Marriage and Family,66(3), 792–808. CrossRef
Adams, R. G., & Blieszner, R. (1995). Aging well with friends and family. American Behavioural Scientist,39, 209–224. CrossRef
Walen, H. R., & Lachman, M. E. (2000). Social support and strain from partner, family, and friends: Costs and benefits for men and women in adulthood. Journal of Social and Personal Relationships,17(1), 5–30. CrossRef
Norman, G. R., Sloan, J. A., & Wyrwich, K. W. (2003). Interpretation of changes in health-related quality of life: The remarkable universality of half a standard deviation. Medical Care,41(5), 582–592. PubMed
Kouvonen, A., Stafford, M., De Vogli, R., Shipley, M. J., Marmot, M. G., Cox, T., et al. (2011). Negative aspects of close relationships as predictor of increase in body mass index and waist circumference: The Whitehall II study. American Journal of Public Health,101(8), 1474–1480. PubMedPubMedCentralCrossRef
Fingerman, K. L., & Charles, S. T. (2010). It takes two to tango why older people have the best relationships. Current Directions in Psychological Science,19(3), 172–176. CrossRef
Jopling, K. (2015). Promising apporaches to reducing loneliness and isolation in later life UK:London: Campaing to end loneliness, Age, UK.
Beach, B., & Bamford, S.-M. (2014). Isolation: The emerging crisis for older men a reoport exploring experiences of social isolation and loneliness among older men in England. UK: Independent Age, and The International Longevity Center-UK (ILC-UK).
Harper, S. (2006). Chapter 11: Mature societies: Planning for our future selves. In S. Harper (Ed.), Ageing Societies: Myths, Challenges and Opportunities (pp. 271–299). London: Hodder Arnold.
Shouse, J. N., Rowe, S. V., & Mast, B. T. (2013). Depression and cognitive functioning as predictors of social network size. Clinical Gerontologist,36(2), 147–161. CrossRef
Aartsen, M. J., Smits, C. H., van Tilburg, T., Knipscheer, K. C., & Deeg, D. J. (2002). activity in older adults cause or consequence of cognitive functioning? A longitudinal study on everyday activities and cognitive performance in older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences,57(2), P153–P162. CrossRef
Lang, F. R. (2001). Regulation of social relationships in later adulthood. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences,56(6), P321–P326. CrossRef
Lafortune, G., Balestat, G., & the Disability Study Expert Group Members. (2007). Trends in severe disability among elderly people: Assessing the evidence in the 12 OECD countries and the future implications. OECD health working papers (26). Paris: OECD.
Settersten, J., & Richard, A. (2002). Social sources of meaning in later life. In R. A. Weiss & S. A. Bass (Eds.), Challenges of the third age: Meaning and purpose in later life (pp. 55–79). New York: Oxford University Press.
Silver, C. B. (2003). Gendered identities in old age: Toward (de) gendering? Journal of aging studies,17(4), 379–397. CrossRef
Baltes, P. B., & Baltes, M. M. (1990). Psychological perspectives on successful aging: The model of selective optimization with compensation. In P. B. Baltes & M. M. Baltes (Eds.), Successful aging: Perspectives from the behavioral sciences (Vol. 1, pp. 1–34). Cambridge, England: Cambridge University Press. CrossRef
- Structural and functional measures of social relationships and quality of life among older adults: does chronic disease status matter?
Eric J. Brunner
- Springer International Publishing
Neuer Inhalt/© Stellmach, Neuer Inhalt/© BBL, Neuer Inhalt/© Maturus, Pluta Logo/© Pluta, Neuer Inhalt/© hww, So bewältigen Sie Stress im Fernstudium/© granata68 | stock.adobe.com | AdobeStock, „Immer mehr Mittelständler entdecken Crowdlending“/© Kapilendo