Sense of coherence and quality of life in older in-hospital patients without cognitive impairment- a 12 month follow-up study

BMC Psychiatry

Geir Selbæk¹  Knut Engedal²  Anne-Sofie Helvik³ 

[1] Akershus University Hospital, Lørenskog, Norway;Centre for Old Age Psychiatric Research, Innlandet Hospital Trust, Ottestad, Norway;National Advisory Unit on Ageing and Health, Vestfold Hospital Trust, Tønsberg, Norway

关键词: Personal ADL;    Salutogenetic Theory;    Mental health;    Coping;    Older adults without cognitive impairment;    Depressive symptoms;   

Others  :  1123695
DOI  :  10.1186/1471-244X-14-82

 received in 2014-01-07, accepted in 2014-03-12,  发布年份 2014

【 摘 要 】

Background

The relation between sense of coherence (SOC) and quality of life (QoL) among older persons has been found in some, but not all, studies and mostly in studies with cross-sectional design. We wanted to study if SOC was associated with domains of QoL at hospitalization and one year later among persons 65 years and above without cognitive impairment.

Method

At hospitalization (T1) and 12 month follow-up (T2) QoL and cognitive status were assessed using the WHOQOL-BREF and the Mini-Mental State Examination. At baseline, the 13-item version of the SOC scale was used to assess coping, the Hospital Anxiety and Depression Scale (HADS) was used to assess depressive and anxiety symptoms. Level of functioning was rated using Lawton and Brody’s scales for physical self-maintenance and instrumental activities of daily living (personal and instrumental ADL).

Results

In total, 165 (80 men) persons with a mean age of 77.7 (SD 6.9) years were included. The proportion of people rating their overall QoL as high had decreased from T1 to T2. The mean score on QoL- physical domain had increased, while the mean score of QoL-environmental domain had decreased. In adjusted regression analyses at T1, a high level of SOC was positively associated with QoL in three of four domains, i.e. physical, psychological and environmental, but level of SOC assessed at T1 was not associated with any domain of QoL at T2. Personal ADL was associated with some domains of QOL at T1 and T2.

Conclusion

The SOC level was associated with older adult’s QoL during hospitalization but not their QoL one year after the hospital stay.

【 授权许可】

   
2014 Helvik et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 6.

【 参考文献 】

• [1]Mitchell RA, Imperial E, Zhuo D, Lu Y, Watts G, Kelleher P, Brunker P, Gass G, Cue R, Cross J: A cross-cultural assessment of perceived health problems in the elderly. Disabil Rehabil 1992, 14:133-135.
• [2]Bowling A: Measuring disease: a review of disease specific quality of life measurement scales. Buckingham: Open University Press; 2001.
• [3]Wahl AK, Hanestad BR: Måling av livskvalitet i klinisk praksis. En innføring. Bergen: Fagbokforlaget Vigmostad & Bjørke AS; 2004.
• [4]WHOQOL Group: The World Health Organization Quality of Life Assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 1995, 41:1403-1409.
• [5]Bowling A: The concept of quality of life in relation to health. Med Secoli 1995, 7:633-645.
• [6]Wilson IB, Cleary PD: Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA 1995, 273:59-65.
• [7]Hickey A, Barker M, McGee H, O’Boyle C: Measuring health-related quality of life in older patient populations: a review of current approaches. Pharmacoeconomics 2005, 23:971-993.
• [8]Sibbritt DW, Byles JE, Regan C: Factors associated with decline in physical functional health in a cohort of older women. Age Ageing 2007, 36:382-388.
• [9]Singh JA, Borowsky SJ, Nugent S, Murdoch M, Zhao Y, Nelson DB, Petzel R, Nichol KL: Health-related quality of life, functional impairment, and healthcare utilization by veterans: veterans’ quality of life study. J Am Geriatr Soc 2005, 53:108-113.
• [10]Wu AW, Yasui Y, Alzola C, Galanos AN, Tsevat J, Phillips RS, Connors AF Jr, Teno JM, Wenger NS, Lynn J: Predicting functional status outcomes in hospitalized patients aged 80 years and older. J Am Geriatr Soc 2000, 48:S6-S15.
• [11]Yohannes AM, Roomi J, Baldwin RC, Connolly MJ: Depression in elderly outpatients with disabling chronic obstructive pulmonary disease. Age Ageing 1998, 27:155-160.
• [12]Borowiak E, Kostka T: Predictors of quality of life in older people living at home and in institutions. Aging Clin Exp Res 2004, 16:212-220.
• [13]Galvez R, Marsal C, Vidal J, Ruiz M, Rejas J: Cross-sectional evaluation of patient functioning and health-related quality of life in patients with neuropathic pain under standard care conditions. Eur J Pain 2007, 11:244-255.
• [14]Rennemark M, Lindwall M, Halling A, Berglund J: Relationships between physical activity and perceived qualities of life in old age. Results of the SNAC study. Aging Ment Health 2009, 13:1-8.
• [15]Missotten P, Squelard G, Ylieff M, Di Notte D, Paquay L, De Lepeleire J, Fontaine O: Quality of life in older Belgian people: comparison between people with dementia, mild cognitive impairment, and controls. Int J Geriatr Psychiatry 2008, 23:1103-1109.
• [16]Lapid MI, Rummans TA, Boeve BF, McCormick JK, Pankratz VS, Cha RH, Smith GE, Ivnik RJ, Tangalos EG, Petersen RC: What is the quality of life in the oldest old? Int Psychogeriatr 2011, 23:1-8.
• [17]Naumann VJ, Byrne GJ: WHOQOL-BREF as a measure of quality of life in older patients with depression. Int Psychogeriatr 2004, 16:159-173.
• [18]Unsar S, Sut N: Depression and health status in elderly hospitalized patients with chronic illness. Arch Gerontol Geriatr 2010, 50:6-10.
• [19]Helvik A-S, Engedal K, Krokstad S, Selbaek G: A comparison of life satisfaction in elderly medical inpatients and the elderly in a population-based study: Nord-Trondelag Health Study 3. Scand J Public Health 2011, 39:337-344.
• [20]Helvik A-S, Engedal K, Selbaek G: The quality of life and factors associated with it in the medically hospitalized elderly. Aging Ment Health 2010, 14:861-869.
• [21]Antonovsky A: Unraveling the Mystery of Health. San Francisco: Jossey-Bass; 1987.
• [22]Antonovsky A: Health, Stress and Coping. San Francisco: Jossey-Bass; 1979.
• [23]Antonovsky A: The sense of coherence. An historical and future perspective. Isr J Med Sci 1996, 32:170-178.
• [24]Eriksson M, Lindstrom B: Antonovsky’s sense of coherence scale and its relation with quality of life: a systematic review. J Epidemiol Community Health 2007, 61:938-944.
• [25]Naaldenberg J, Tobi H, van den Esker F, Vaandrager L: Psychometric properties of the OLQ-13 scale to measure sense of Coherence in a community-dwelling older population. Health Qual Life Outcomes 2011, 9:37. BioMed Central Full Text
• [26]Thome B, Hallberg IR: Quality of life in older people with cancer – a gender perspective. Eur J Cancer Care (Engl) 2004, 13:454-463.
• [27]Nygren B, Alex L, Jonsen E, Gustafson Y, Norberg A, Lundman B: Resilience, sense of coherence, purpose in life and self-transcendence in relation to perceived physical and mental health among the oldest old. Aging Ment Health 2005, 9:354-362.
• [28]Matsuzaki I, Sagara T, Ohshita Y, Nagase H, Ogino K, Eboshida A, Sasahara S, Nakamura H: Psychological factors including sense of coherence and some lifestyles are related to general health questionnaire-12 (GHQ-12) in elderly workers in Japan. Environ Health Prev Med 2007, 12:71-77.
• [29]Schneider G, Driesch G, Kruse A, Nehen HG, Heuft G: Old and ill and still feeling well? Determinants of subjective well-being in > or = 60 year olds: the role of the sense of coherence. Am J Geriatr Psychiatry 2006, 14:850-859.
• [30]Kattainen E, Merilainen P, Sintonen H: Sense of coherence and health-related quality of life among patients undergoing coronary artery bypass grafting or angioplasty. Eur J Cardiovasc Nurs 2006, 5:21-30.
• [31]Fok SK, Chair SY, Lopez V: Sense of coherence, coping and quality of life following a critical illness. J Adv Nurs 2005, 49:173-181.
• [32]Siassi M, Weiss M, Hohenberger W, Losel F, Matzel K: Personality rather than clinical variables determines quality of life after major colorectal surgery. Dis Colon Rectum 2009, 52:662-668.
• [33]Norekval TM, Fridlund B, Moons P, Nordrehaug JE, Saevareid HI, Wentzel-Larsen T, Hanestad BR: Sense of coherence–a determinant of quality of life over time in older female acute myocardial infarction survivors. J Clin Nurs 2010, 19:820-831.
• [34]Ekman I, Fagerberg B, Lundman B: Health-related quality of life and sense of coherence among elderly patients with severe chronic heart failure in comparison with healthy controls. Heart Lung 2002, 31:94-101.
• [35]Drageset J, Eide GE, Nygaard HA, Bondevik M, Nortvedt MW, Natvig GK: The impact of social support and sense of coherence on health-related quality of life among nursing home residents–a questionnaire survey in Bergen, Norway. Int J Nurs Stud 2009, 46:65-75.
• [36]Bergman E, Malm D, Bertero C, Karlsson JE: Does one’s sense of coherence change after an acute myocardial infarction? A two-year longitudinal study in Sweden. Nurs Health Sci 2011, 13:156-163.
• [37]Nilsson KW, Leppert J, Simonsson B, Starrin B: Sense of coherence and psychological well-being: improvement with age. J Epidemiol Community Health 2010, 64:347-352.
• [38]Bowling A: Just one question:if one question works, why ask several? J Epidemiol Community Health 2005, 59:345-346.
• [39]Alesii A, Mazzarella F, Mastrilli E, Fini M: The elderly and quality of life: current theories and measurements. G Ital Med Lav Ergon 2006, 28:99-103.
• [40]Bowling A: Ageing well, Quality of Life in Old age. Maidenhead Berkshire: Open University Press; 2009.
• [41]Lucas-Carrasco R, Laidlaw K, Power MJ: Suitability of the WHOQOL-BREF and WHOQOL-OLD for Spanish older adults. Aging Ment Health 2011, 15:595-604.
• [42]Skevington SM, Lotfy M, O’Connell KA: The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res 2004, 13:299-310.
• [43]WHOQOL-Group: Development of the World Health Organization WHOQOL-BREF quality of life assessment. The WHOQOL Group. Psychol Med 1998, 28:551-558.
• [44]Dragomirecka E, Bartonova J, Eisemann M, Kalfoss M, Kilian R, Martiny K, von Steinbuchel N, Schmidt S: Demographic and psychosocial correlates of quality of life in the elderly from a cross-cultural perspective. Clin Psychol Psychother 2008, 15:193-204.
• [45]Hyphantis T, Paika V, Almyroudi A, Kampletsas EO, Pavlidis N: Personality variables as predictors of early non-metastatic colorectal cancer patients’ psychological distress and health-related quality of life: a one-year prospective study. J Psychosom Res 2011, 70:411-421.
• [46]Helvik A-S, Skancke RH, Selbaek G: Screening for depression in elderly medical inpatients from rural area of Norway: prevalence and associated factors. Int J Geriatr Psychiatry 2010, 25:150-159.
• [47]Folstein MF, Folstein SE, McHugh PR: “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975, 12:189-198.
• [48]Morris JC: The Clinical Dementia Rating (CDR): current version and scoring rules. Neurology 1993, 43:2412-2414.
• [49]Hughes CP, Berg L, Danziger WL, Coben LA, Martin RL: A new clinical scale for the staging of dementia. Br J Psychiatry 1982, 140:566-572.
• [50]Engedal K, Haugen P, Gilje K, Laake P: Efficacy of short mental tests in the detection of mental impairment in old age. Compr Gerontol A 1988, 2:87-93.
• [51]WHOQOL-Group: The World Health Organization quality of life assessment (WHOQOL): Development of general Psychometric properties. Soc Sci Med 1998, 46:1569-1585.
• [52]Haltbakk J: Quality of life in men with lower urinary tract symptoms (LUTS) suggestive of benign prstatic hyperplasia (BPH). Bergen: University of Bergen, Department of Public Health and Primary Health Care, Faculty of Medicine; 2005.
• [53]Nørholm V, Bech P: The WHO quality of life (WHOQOL) questionnaire: Danish validation study. Nord J Psychiatry 2001, 55:229-235.
• [54]Hanestad BR, Rustoen T, Knudsen O Jr, Lerdal A, Wahl AK: Psychometric properties of the WHOQOL-BREF questionnaire for the Norwegian general population. J Nurs Meas 2004, 12:147-159.
• [55]Antonovsky A: The structure and properties of the sense of coherence scale. Soc Sci Med 1993, 36:725-733.
• [56]Eriksson M, Lindstrom B: Antonovsky’s sense of coherence scale and the relation with health: a systematic review. J Epidemiol Community Health 2006, 60:376-381.
• [57]Soderhamn O, Holmgren L: Testing Antonovsky’s sense of coherence (SOC) scale among Swedish physically active older people. Scand J Psychol 2004, 45:215-221.
• [58]Soderhamn O, Soderhamn U: Sense of coherence and health among home-dwelling older people. Br J Community Nurs 2010, 15:376-380.
• [59]Schneider G, Driesch G, Kruse A, Wachter M, Nehen HG, Heuft G: What influences self-perception of health in the elderly? The role of objective health condition, subjective well-being and sense of coherence. Arch Gerontol Geriatr 2004, 39:227-237.
• [60]Eriksson M, Lindstrom B: Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol Community Health 2005, 59:460-466.
• [61]Quan H, Sundararajan V, Halfon P, Fong A, Burnand B, Luthi JC, Saunders LD, Beck CA, Feasby TE, Ghali WA: Coding algorithms for defining comorbidities in ICD-9-CM and ICD-10 administrative data. Med Care 2005, 43:1130-1139.
• [62]Schneeweiss S, Wang PS, Avorn J, Glynn RJ: Improved comorbidity adjustment for predicting mortality in Medicare populations. Health Serv Res 2003, 38:1103-1120.
• [63]Lawton MP, Brody EM: Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969, 9:179-186.
• [64]Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand 1983, 67:361-370.
• [65]Snaith RP, Zigmond AS: The hospital anxiety and depression scale manual. Windsor: NFER-Nelson; 1994.
• [66]Helvik A-S, Engedal K, Skancke RH, Selbaek G: A psychometric evaluation of the Hospital Anxiety and Depression Scale for the medically hospitalized elderly. Nord J Psychiatry 2011, 65:338-344.
• [67]The health Study in Nord-Trøndelag (HUNT). http://www.ntnu.edu/hunt webcite. Cited 2014, 17th Mars
• [68]Wolff AC, Ratner PA: Stress, social support, and sense of coherence. West J Nurs Res 1999, 21:182-197.
• [69]Volanen SM, Suominen S, Lahelma E, Koskenvuo M, Silventoinen K: Sense of coherence and its determinants: a comparative study of the Finnish-speaking majority and the Swedish-speaking minority in Finland. Scand J Public Health 2006, 34:515-525.
• [70]Scocco P, Fantoni G, Caon F: Role of depressive and cognitive status in self-reported evaluation of quality of life in older people: comparing proxy and physician perspectives. Age Ageing 2006, 35:166-171.
• [71]Alladi S, Arnold R, Mitchell J, Nestor PJ, Hodges JR: Mild cognitive impairment: applicability of research criteria in a memory clinic and characterization of cognitive profile. Psychol Med 2006, 36:507-515.
• [72]Heun R, Papassotiropoulos A, Jennssen F: The validity of psychometric instruments for detection of dementia in the elderly general population. Int J Geriatr Psychiatry 1998, 13:368-380.
• [73]McDowell I, Kristjansson B, Hill GB, Hebert R: Community screening for dementia: the Mini Mental State Exam (MMSE) and Modified Mini-Mental State Exam (3MS) compared. J Clin Epidemiol 1997, 50:377-383.
• [74]Herrmann C: International experiences with the Hospital Anxiety and Depression Scale–a review of validation data and clinical results. J Psychosom Res 1997, 42:17-41.
• [75]Bjelland I, Dahl AA, Haug TT, Neckelmann D: The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res 2002, 52:69-77.
• [76]De Souza J, Jones LA, Rickards H: Validation of self-report depression rating scales in Huntington’s disease. Mov Disord 2010, 25:91-96.
• [77]Lucas-Carrasco R, Skevington SM, Gomez-Benito J, Rejas J, March J: Using the WHOQOL-BREF in persons with dementia: a validation study. Alzheimer Dis Assoc Disord 2011, 25:345-351.
• [78]Callahan LF, Pincus T: The sense of coherence scale in patients with rheumatoid arthritis. Arthritis Care Res 1995, 8:28-35.