Morale in very old people : With focus on stroke, depression and survival
Background: Morale is a multidimensional concept, often defined as a future-oriented optimism or pessimism regarding the problems and opportunities associated with ageing. Very old people, older than 80 years, constitute an age group that is expected to increase in Europe from 4.7% of the general po...
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ftumeauniv:oai:DiVA.org:umu-111123 2023-10-09T21:54:39+02:00 Morale in very old people : With focus on stroke, depression and survival Livsgnista hos mycket gamla människor : med fokus på stroke, depression och överlevnad Niklasson, Johan 2015 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-111123 eng eng Umeå universitet, Geriatrik Umeå : Umeå universitet Umeå University medical dissertations, 0346-6612 1750 orcid:0000-0001-5050-3720 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-111123 urn:isbn:978-91-7601-350-2 info:eu-repo/semantics/openAccess Morale aged 80 and over Sweden and Finland Psychometrics testing Feasibility studies Quality of Life Stroke Depressive disorders Geriatric psychiatry Salutogenic factor Survival Longevity Future-oriented optimism Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning Doctoral thesis, comprehensive summary info:eu-repo/semantics/doctoralThesis text 2015 ftumeauniv 2023-09-22T13:48:51Z Background: Morale is a multidimensional concept, often defined as a future-oriented optimism or pessimism regarding the problems and opportunities associated with ageing. Very old people, older than 80 years, constitute an age group that is expected to increase in Europe from 4.7% of the general population today to 12.0% in the year 2060 in Europe. The overall aim of this thesis was to explore morale among very old people. Method: The Umeå 85+/GErontological Regional Database study (GERDA) is a population-based study carried out in parts of northern Sweden and western Finland in which every second 85 year old, every 90 year old and everyone aged 95 years and older were invited to participate. The study started the year 2000 and every five years re-invites previous participants and invites new individuals to participate in the study. The Philadelphia Geriatric Center Morale Scale (PGCMS), which is widely used to measure morale in old people, has been translated into many languages. Results: There were 598 individuals who answered the PGCMS in the Umeå 85+/GERDA study. Despite respondents’ advanced age 92.6% (554/598) answered 16 or 17 of the questions. The construct validity of the Swedish version of the PGCMS was tested among the 493 individuals who answered all 17 questions using confirmatory factor analysis and the analysis showed a generally a good fit. Reliability tested with Cronbach’s alpha was 0.74. Reliability was also tested in a convenience sample of 54 individuals (mean age of 84.7±6.7 years) and the IntraClass Correlation coefficient (ICC) was 0.89. Almost 20% (91/465) of participants who could answer the PGCMS had had a stroke. Those with stroke had significantly lower PGCMS scores than those without (10.9±3.8 vs 12.1±3.0, p-value 0.008), but there were 38.5% with stroke history who had high morale. A multiple linear regression analysis showed that depression, angina pectoris and impaired hearing were independently associated with low morale among those with a stroke history. A logistic regression ... Doctoral or Postdoctoral Thesis Northern Sweden Umeå University: Publications (DiVA) |
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Umeå University: Publications (DiVA) |
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ftumeauniv |
language |
English |
topic |
Morale aged 80 and over Sweden and Finland Psychometrics testing Feasibility studies Quality of Life Stroke Depressive disorders Geriatric psychiatry Salutogenic factor Survival Longevity Future-oriented optimism Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning |
spellingShingle |
Morale aged 80 and over Sweden and Finland Psychometrics testing Feasibility studies Quality of Life Stroke Depressive disorders Geriatric psychiatry Salutogenic factor Survival Longevity Future-oriented optimism Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning Niklasson, Johan Morale in very old people : With focus on stroke, depression and survival |
topic_facet |
Morale aged 80 and over Sweden and Finland Psychometrics testing Feasibility studies Quality of Life Stroke Depressive disorders Geriatric psychiatry Salutogenic factor Survival Longevity Future-oriented optimism Gerontology specialising in Medical and Health Sciences Gerontologi medicinsk/hälsovetenskaplig inriktning |
description |
Background: Morale is a multidimensional concept, often defined as a future-oriented optimism or pessimism regarding the problems and opportunities associated with ageing. Very old people, older than 80 years, constitute an age group that is expected to increase in Europe from 4.7% of the general population today to 12.0% in the year 2060 in Europe. The overall aim of this thesis was to explore morale among very old people. Method: The Umeå 85+/GErontological Regional Database study (GERDA) is a population-based study carried out in parts of northern Sweden and western Finland in which every second 85 year old, every 90 year old and everyone aged 95 years and older were invited to participate. The study started the year 2000 and every five years re-invites previous participants and invites new individuals to participate in the study. The Philadelphia Geriatric Center Morale Scale (PGCMS), which is widely used to measure morale in old people, has been translated into many languages. Results: There were 598 individuals who answered the PGCMS in the Umeå 85+/GERDA study. Despite respondents’ advanced age 92.6% (554/598) answered 16 or 17 of the questions. The construct validity of the Swedish version of the PGCMS was tested among the 493 individuals who answered all 17 questions using confirmatory factor analysis and the analysis showed a generally a good fit. Reliability tested with Cronbach’s alpha was 0.74. Reliability was also tested in a convenience sample of 54 individuals (mean age of 84.7±6.7 years) and the IntraClass Correlation coefficient (ICC) was 0.89. Almost 20% (91/465) of participants who could answer the PGCMS had had a stroke. Those with stroke had significantly lower PGCMS scores than those without (10.9±3.8 vs 12.1±3.0, p-value 0.008), but there were 38.5% with stroke history who had high morale. A multiple linear regression analysis showed that depression, angina pectoris and impaired hearing were independently associated with low morale among those with a stroke history. A logistic regression ... |
format |
Doctoral or Postdoctoral Thesis |
author |
Niklasson, Johan |
author_facet |
Niklasson, Johan |
author_sort |
Niklasson, Johan |
title |
Morale in very old people : With focus on stroke, depression and survival |
title_short |
Morale in very old people : With focus on stroke, depression and survival |
title_full |
Morale in very old people : With focus on stroke, depression and survival |
title_fullStr |
Morale in very old people : With focus on stroke, depression and survival |
title_full_unstemmed |
Morale in very old people : With focus on stroke, depression and survival |
title_sort |
morale in very old people : with focus on stroke, depression and survival |
publisher |
Umeå universitet, Geriatrik |
publishDate |
2015 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-111123 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_relation |
Umeå University medical dissertations, 0346-6612 1750 orcid:0000-0001-5050-3720 http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-111123 urn:isbn:978-91-7601-350-2 |
op_rights |
info:eu-repo/semantics/openAccess |
_version_ |
1779318329583861760 |