REACH, College of Medicine and Health, University of Exeter, South Cloisters, St Luke's Campus, Exeter, EX12LU, UK; School of Psychology, University of Exeter, Exeter, United Kingdom.
NIHR ARC South West Peninsula (PenARC), University of Exeter, Exeter, United Kingdom.
Arch Gerontol Geriatr. 2021 May-Jun;94:104328. doi: 10.1016/j.archger.2020.104328. Epub 2021 Jan 16.
A primary goal for dementia research is to understand how to best support people to live well with dementia. Among cognitively healthy older individuals, more positive attitudes toward their own aging (ATOA) and/or feeling younger than their chronological age (i.e. having a younger subjective age: SA) are associated with better quality of life (QoL), satisfaction with life (SwL), and well-being (which are indicators of capability to live well), and fewer depressive symptoms. We tested whether people with dementia (PwD) with more positive ATOA and/or with a younger SA report better QoL, SwL, and well-being, and are less likely to experience depression.
We used cross-sectional data from the IDEAL cohort baseline assessment (conducted between 2014 and 2016), comprising 1541 PwD residing in Great Britain [mean (range) age= 76.3 (43 to 98); 43.6% women].
More positive ATOA was associated with better QoL, SwL, well-being, and less likelihood of depression. Younger SA was associated with better QoL, SwL, well-being, and less likelihood of depression.
More positive ATOA and younger SA may be beneficial psychological resources that enhance capability to live well with dementia. Promoting more positive perceptions of aging at the societal level may help to equip people with the resilience needed to cope well after a diagnosis of dementia, and enhance the support available to people with dementia. Focusing on retained abilities and achievable goals may help to counteract the impact of negative age-related stereotypes on people with dementia, and enhance person-centered care.
痴呆症研究的主要目标之一是了解如何最好地支持人们在患有痴呆症的情况下过上美好生活。在认知健康的老年人中,对自身衰老的更积极态度(ATOA)和/或感觉比实际年龄年轻(即主观年龄较小:SA)与更好的生活质量(QoL)、生活满意度(SwL)和幸福感(这些是能够过上美好生活的能力的指标)相关,抑郁症状也更少。我们测试了具有更积极的 ATOA 和/或更年轻的 SA 的痴呆症患者(PwD)是否报告了更好的 QoL、SwL 和幸福感,并且不太可能出现抑郁。
我们使用了 IDEAL 队列基线评估(2014 年至 2016 年进行)的横断面数据,该评估包括居住在英国的 1541 名 PwD [平均(范围)年龄=76.3(43 至 98);43.6%为女性]。
更积极的 ATOA 与更好的 QoL、SwL、幸福感和降低抑郁可能性相关。较年轻的 SA 与更好的 QoL、SwL、幸福感和降低抑郁可能性相关。
更积极的 ATOA 和更年轻的 SA 可能是有益的心理资源,可以增强在患有痴呆症的情况下过上美好生活的能力。在社会层面上促进对衰老的更积极看法可能有助于为人们提供在诊断出痴呆症后应对的韧性,并增强为痴呆症患者提供的支持。关注保留的能力和可实现的目标可能有助于抵消与痴呆症患者相关的负面年龄相关刻板印象的影响,并增强以患者为中心的护理。