与痴呆症患者“生活良好”的主观感受相关的综合因素模型：来自 IDEAL 研究的结果。

A Comprehensive Model of Factors Associated With Subjective Perceptions of "Living Well" With Dementia: Findings From the IDEAL Study.

机构信息

Centre for Research in Ageing and Cognitive Health (REACH), School of Psychology.

PenCLAHRC, University of Exeter Medical School.

出版信息

Alzheimer Dis Assoc Disord. 2019 Jan-Mar;33(1):36-41. doi: 10.1097/WAD.0000000000000286.

DOI:10.1097/WAD.0000000000000286

PMID:30802227

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6416010/

Abstract

INTRODUCTION

We aimed to better understand what predicts the capability to "live well" with dementia by identifying the relative contribution of life domains associated with the subjective experience of living well.

METHODS

We analyzed data from 1547 individuals with mild-to-moderate dementia in the IDEAL cohort. We generated a "living well" latent factor from measures of quality of life, satisfaction with life, and well-being. We used multivariate modeling to identify variables related to living well measures and structural equation modeling to derive latent variables for 5 life domains and to examine the associations of these domains with living well.

RESULTS

All 5 domains were individually associated with living well. When modeled together, the psychological characteristics and psychological health domain was the only independent predictor of living well [effect size, 3.55; 95% confidence interval (CI): 2.93-4.17], and effect sizes were smaller for physical fitness and physical health (1.23, 95% CI: -0.10 to 2.58), social capitals, assets and resources (0.67; 95% CI: -0.04 to 1.38), managing everyday life with dementia (0.33; 95% CI: -0.06 to 0.71), and social location (0.08; 95% CI: -2.10 to 2.26).

DISCUSSION

Psychological resources, and the social, environmental, and physical factors that underpin positive psychological states, are potentially important targets for interventions and initiatives that aim to improve the experience of living with dementia.

摘要

简介

本研究旨在通过确定与“活得好”的主观体验相关的生活领域的相对贡献，更好地了解哪些因素可以预测患有痴呆症的人“活得好”的能力。

方法

我们分析了 IDEAL 队列中 1547 名轻度至中度痴呆患者的数据。我们从生活质量、生活满意度和幸福感的测量中生成了一个“活得好”的潜在因素。我们使用多元建模来确定与生活质量测量相关的变量，并使用结构方程建模来推导 5 个生活领域的潜在变量，并研究这些领域与生活质量的关联。

结果

所有 5 个领域都与生活质量单独相关。当一起建模时，心理特征和心理健康领域是“活得好”的唯一独立预测因素[效应量，3.55；95%置信区间（CI）：2.93-4.17]，而身体适应能力和身体健康（1.23，95%CI：-0.10 至 2.58）、社会资本、资产和资源（0.67；95%CI：-0.04 至 1.38）、管理痴呆症日常活动（0.33；95%CI：-0.06 至 0.71）和社会地位（0.08；95%CI：-2.10 至 2.26）的效应较小。