Campus Units

Human Development and Family Studies

Document Type

Article

Publication Version

Published Version

Publication Date

9-2016

Journal or Book Title

The American Journal of Geriatric Psychiatry

Volume

24

Issue

9

First Page

753

Last Page

761

DOI

10.1016/j.jagp.2016.05.014

Abstract

Objective

Very old adults may be physically frail, but they do not necessarily experience poor subjective health. The authors hypothesized that the relationship between frailty and subjective health is moderated by depression for very old people.

Methods

In a cross-sectional study, a survey administered was by a face-to-face interview to 129 community-dwelling older adults aged 95–108. Measurements included the five-item FRAIL scale, the Geriatric Depression Scale Short-Form (GDS), and a subjective health rating. Hierarchical multiple regressions were conducted to test the moderation effects, adjusting for age, gender, living arrangement, perceived socioeconomic status, and cognition.

Results

The interaction effect between frailty and depression was significant. Inspection of the simple slopes revealed that those who were more depressed had a more negative frailty–subjective health relationship. There was no significant moderation effect for a withdrawal-apathy-vigor dimension of the GDS.

Conclusion

Our findings suggest a protective psychological mechanism may enable very old adults to maintain an optimistic view of their health despite their increasing physical and functional limitations.

Comments

This article is published as Lau, Bobo Hi-Po, Joseph Shiu-Kwong Kwan, Karen Siu-Lan Cheung, and Peter Martin. "Depression Moderates the Frailty–Subjective Health Link among Chinese Near Centenarians and Centenarians." The American Journal of Geriatric Psychiatry 24, no. 9 (2016): 753-761. doi: 10.1016/j.jagp.2016.05.014. Posted with permission.

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Copyright Owner

The Authors

Language

en

File Format

application/pdf

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