High morale is associated with increased survival in the very old
Background: high morale is defined as future-oriented optimism. Previous research suggests that a high morale independently predicts increased survival among old people, though very old people have not been specifically studied. Objective: to investigate whether high morale is associated with increa...
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fthighwire:oai:open-archive.highwire.org:ageing:44/4/630 2023-05-15T17:44:54+02:00 High morale is associated with increased survival in the very old Niklasson, Johan Hörnsten, Carl Conradsson, Mia Nyqvist, Fredrica Olofsson, Birgitta Lövheim, Hugo Gustafson, Yngve 2015-07-01 00:00:00.0 text/html http://ageing.oxfordjournals.org/cgi/content/short/44/4/630 https://doi.org/10.1093/ageing/afv021 en eng Oxford University Press http://ageing.oxfordjournals.org/cgi/content/short/44/4/630 http://dx.doi.org/10.1093/ageing/afv021 Copyright (C) 2015, British Geriatrics Society Research Papers TEXT 2015 fthighwire https://doi.org/10.1093/ageing/afv021 2016-11-16T18:34:08Z Background: high morale is defined as future-oriented optimism. Previous research suggests that a high morale independently predicts increased survival among old people, though very old people have not been specifically studied. Objective: to investigate whether high morale is associated with increased survival among very old people. Subjects: the Umeå 85+/GErontological Regional DAtabase-study (GERDA) recruited participants aged 85 years and older in northern Sweden and western Finland during 2000–02 and 2005–07, of whom 646 were included in this study. Methods: demographic, functional- and health-related data were collected in this population-based study through structured interviews and assessments carried out during home visits and from reviews of medical records. The 17-item Philadelphia Geriatric Center Morale Scale (PGCMS) was used to assess morale. Results: the 5-year survival rate was 31.9% for participants with low morale, 39.4% for moderate and 55.6% for those with high morale. In an unadjusted Cox model, the relative risk (RR) of mortality was higher among participants with low morale (RR = 1.86, P < 0.001) and moderate morale (RR = 1.59, P < 0.001) compared with participants with high morale. Similar results were found after adjustment for age and gender. In a Cox model adjusted for several demographic, health- and function-related confounders, including age and gender, mortality was higher among participants with low morale (RR = 1.36, P = 0.032) than those with high morale. There was a similar but non-significant pattern towards increased mortality in participants with moderate morale (RR = 1.21, P value = 0.136). Conclusion: high morale is independently associated with increased survival among very old people. Text Northern Sweden HighWire Press (Stanford University) Age and Ageing 44 4 630 636 |
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Research Papers Niklasson, Johan Hörnsten, Carl Conradsson, Mia Nyqvist, Fredrica Olofsson, Birgitta Lövheim, Hugo Gustafson, Yngve High morale is associated with increased survival in the very old |
topic_facet |
Research Papers |
description |
Background: high morale is defined as future-oriented optimism. Previous research suggests that a high morale independently predicts increased survival among old people, though very old people have not been specifically studied. Objective: to investigate whether high morale is associated with increased survival among very old people. Subjects: the Umeå 85+/GErontological Regional DAtabase-study (GERDA) recruited participants aged 85 years and older in northern Sweden and western Finland during 2000–02 and 2005–07, of whom 646 were included in this study. Methods: demographic, functional- and health-related data were collected in this population-based study through structured interviews and assessments carried out during home visits and from reviews of medical records. The 17-item Philadelphia Geriatric Center Morale Scale (PGCMS) was used to assess morale. Results: the 5-year survival rate was 31.9% for participants with low morale, 39.4% for moderate and 55.6% for those with high morale. In an unadjusted Cox model, the relative risk (RR) of mortality was higher among participants with low morale (RR = 1.86, P < 0.001) and moderate morale (RR = 1.59, P < 0.001) compared with participants with high morale. Similar results were found after adjustment for age and gender. In a Cox model adjusted for several demographic, health- and function-related confounders, including age and gender, mortality was higher among participants with low morale (RR = 1.36, P = 0.032) than those with high morale. There was a similar but non-significant pattern towards increased mortality in participants with moderate morale (RR = 1.21, P value = 0.136). Conclusion: high morale is independently associated with increased survival among very old people. |
format |
Text |
author |
Niklasson, Johan Hörnsten, Carl Conradsson, Mia Nyqvist, Fredrica Olofsson, Birgitta Lövheim, Hugo Gustafson, Yngve |
author_facet |
Niklasson, Johan Hörnsten, Carl Conradsson, Mia Nyqvist, Fredrica Olofsson, Birgitta Lövheim, Hugo Gustafson, Yngve |
author_sort |
Niklasson, Johan |
title |
High morale is associated with increased survival in the very old |
title_short |
High morale is associated with increased survival in the very old |
title_full |
High morale is associated with increased survival in the very old |
title_fullStr |
High morale is associated with increased survival in the very old |
title_full_unstemmed |
High morale is associated with increased survival in the very old |
title_sort |
high morale is associated with increased survival in the very old |
publisher |
Oxford University Press |
publishDate |
2015 |
url |
http://ageing.oxfordjournals.org/cgi/content/short/44/4/630 https://doi.org/10.1093/ageing/afv021 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
http://ageing.oxfordjournals.org/cgi/content/short/44/4/630 http://dx.doi.org/10.1093/ageing/afv021 |
op_rights |
Copyright (C) 2015, British Geriatrics Society |
op_doi |
https://doi.org/10.1093/ageing/afv021 |
container_title |
Age and Ageing |
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44 |
container_issue |
4 |
container_start_page |
630 |
op_container_end_page |
636 |
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1766147197968056320 |