Prevalence and correlates of well-being in a cross-sectional survey of older people in Romania attending community day facilities

被引:6
|
作者
Caciula, I [1 ]
Boscaiu, V [2 ]
Cooper, C. [3 ]
机构
[1] Univ Bucharest, Fac Psychol & Educ Studies, Dept Psychol, Soseaua Panduri 90, Bucharest, Romania
[2] Romanian Acad, Gheorghe Mihoc Caius Jacob Inst Math Stat & Appl, Calea 13 Septembrie 13, Bucharest 050711, Romania
[3] UCL Div Psychiat, 6th Floor,Wings A&B,Maple House, London W1T 7NF, England
来源
EUROPEAN JOURNAL OF PSYCHIATRY | 2019年 / 33卷 / 03期
关键词
Well-being; Life satisfaction; Older people; Health; Loneliness; Elder abuse; SOCIAL SUPPORT; ELDER ABUSE; LONELINESS; SCALE; RELIABILITY; DEPRESSION; VALIDATION; NETWORKS; VALIDITY; LIFE;
D O I
10.1016/j.ejpsy.2019.06.002
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background and objectives: Compared with other European countries, older people in Romania experience high rates of poverty and disability. In this, the first study to investigate wellbeing in older Romanian people attending public and third sector day facilities, we tested our hypotheses, based on a successful aging model, that greater wellbeing would be associated with a healthier lifestyle (lower levels of alcohol consumption and smoking), better physical health, mental health, social support (less loneliness) and absence of abuse. Methods: Older people (65+) without significant cognitive impairment, recruited from three Bucharest social care centers, completed structured questionnaires. Our primary outcome was the 5-item World Health Organization Well-Being Index (WHO-5). Results: 100/140 (71%) eligible potential participants approached participated; mean WHO-5 score was 67.7 (standard deviation = 20.7); 25 (25%) scored <50, indicating low wellbeing. In our final model, lower depression (beta = -0.40, t = -3.8, p < 0.001) and loneliness scores (beta = -0.22, t = -2.1, p = 0.034) predicted higher wellbeing. More physical health problems and hospitalisations were associated with lower wellbeing on univariate analyses, but not in the final model. Screening positive for abuse (23 (23%) of participants), activities of daily living, alcohol and smoking status did not predict wellbeing. Conclusions: Despite experiencing high rates of loneliness, depression, anxiety and abuse, this population of older, Romanian people receiving social support, reported wellbeing levels comparable to European working populations. Loneliness was a more important predictor of lower wellbeing than any other factors studied. Tailored interventions to reduce loneliness in Romanian older people receiving community social support would be a rational next step. (c) 2019 Asociacion Universitaria de Zaragoza para el Progreso de la Psiquiatria y la Salud Mental. Published by Elsevier Espana, S.L.U. All rights reserved.
引用
收藏
页码:129 / 134
页数:6
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