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“As long as I’m in good health”. The relationship between medical diagnoses and life satisfaction in the oldest-old

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Abstract

Background and aims: Life satisfaction in the elderly has usually been found to be closely related to self-rated health, and less to diagnoses and more objective measures of health status. However, few studies have examined the relative importance of various specific diagnoses in population-based samples. Methods: In this study, we investigate the relationship between life satisfaction and medical diagnoses in a non-demented sample of 392 participants aged 80 and older. Results: Among 25 common diagnoses, only sleeping problems, urinary incontinence and stroke were significantly related to life satisfaction. Men with angina pectoris and eczema were less satisfied with life compared with men without these diagnoses, whereas women with peptic ulcer were less satisfied with life compared with women without this diagnosis. Conclusions: Our results confirm previous findings of a weak relationship between medically based measures of health and life satisfaction. However, health care and future studies of health and quality of life need to focus on the fact that meaning and consequences of various diseases differ among individuals and that gender may partially account for variability.

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References

  1. Okun MA, Stock WA, Haring MJ, Witter, RA. Health and subjective well-being: a meta-analysis. Int J Aging Hum Dev 1984; 19: 111–32.

    Article  PubMed  CAS  Google Scholar 

  2. Andrews FM, Whithey SB. Social indicators of well-being: Americans’ perceptions of life quality. New York: Plenum, 1976.

  3. Larson R. Thirty years of research on the subjective well-being of older Americans. J Gerontol 1978; 33: 109–25.

    Article  PubMed  CAS  Google Scholar 

  4. Hilleras PK. Jorm AF, Herlitz A, Winblad B. Life satisfaction among the very old: a survey on a cognitively intact sample aged 90 years or above. Int J Aging Hum Dev 2001; 52: 71–90.

    PubMed  CAS  Google Scholar 

  5. Berg AI, Hassing LB, McClearn GE, Johansson B. What matters for life satisfaction in the oldest-old? Aging Ment Health 2006; 10: 257–64.

    Article  PubMed  CAS  Google Scholar 

  6. Okun MA, George LK. Physician- and self-ratings of health, neuroticism and subjective well-being among men and women. Netherlands: Elsevier Science, 1984: 5.

  7. Diener E, Suh EM, Lucas, RE, Smith HL. Subjective well-being: Three decades of progress. Psychol Bull 1999; 125: 276–302.

    Article  Google Scholar 

  8. Murphy H, Dickens C, Creed F, Bernstein R. Depression, illness perception and coping in rheumatoid arthritis. J Psychosom Res 1999; 46: 155–64.

    Article  PubMed  CAS  Google Scholar 

  9. Butler RN, Cohen G, Lewis MI, Simmons-Clemmons W, Sunderland T. Late-life depression: how to make a difficult diagnosis. Geriatrics 1997; 52: 37–50.

    PubMed  CAS  Google Scholar 

  10. Grimby A, Rosenhall U. Health-related quality of life and dizziness in old age. Gerontology 1995; 41: 286–98.

    Article  PubMed  CAS  Google Scholar 

  11. Grimby A, Svanborg A. Morbidity and health-related quality of life among ambulant elderly citizens. Aging Clin Exp Res 1997; 9: 356–64.

    CAS  Google Scholar 

  12. Arber S, Cooper H. Gender differences in health in later life: the new paradox? Soc Sci Med 1999; 48: 61–76.

    Article  PubMed  CAS  Google Scholar 

  13. Gold CH, Malmberg B, McClearn GE, Pedersen NL, Berg S. Gender and health: a study of older unlike-sex twins. J Gerontol B Psychol Sci Soc Sci 2002; 57: 168–76.

    Article  Google Scholar 

  14. Case A, Paxson C. Sex differences in morbidity and mortality. Demography 2005; 42: 189–214.

    Article  PubMed  Google Scholar 

  15. Nathanson CA. Illness and the feminine role: a theoretical review. Soc Sci Med 1975; 9: 57–62.

    Article  PubMed  CAS  Google Scholar 

  16. McClearn GE, Johansson B, Berg S et al. Substantial genetic influence on cognitive abilities in twins 80 or more years old. Science 1997; 276: 1560–3.

    Article  PubMed  CAS  Google Scholar 

  17. Simmons SF, Johansson B, Zarit SH, Ljungquist B, Plomin R, McClearn GE. Selection bias in samples of older twins? A comparison between octogenarian twins and singletons in Sweden. J Aging Health 1997; 9: 553–67.

    Article  PubMed  CAS  Google Scholar 

  18. Wood V, Wylie ML, Sheafor B. An analysis of a short self-report measure of life satisfaction: correlation with rater judgments. J Gerontol 1969; 24: 465–9.

    Article  PubMed  CAS  Google Scholar 

  19. Neugarten BL, Havighurst RJ, Tobin SS. The measurement of life satisfaction. J Gerontol 1961; 16: 134–43.

    Article  PubMed  CAS  Google Scholar 

  20. Nilsson SE, Johansson B, Berg S, Karlsson D, McClearn GE. A comparison of diagnosis capture from medical records, self-reports, and drug registrations: a study in individuals 80 years and older. Aging Clin Exp Res 2002; 14: 178–84.

    Article  PubMed  Google Scholar 

  21. Nakagawa S. A farewell to Bonferroni: the problems of low statistical power and publication bias. Behav Ecol 2004; 15: 1044–45.

    Article  Google Scholar 

  22. Astrom M, Asplund K, Astrom T. Psychosocial function and life satisfaction after stroke. Stroke 1992; 23: 527–31.

    Article  PubMed  CAS  Google Scholar 

  23. Edwards DF, Hahn M, Dromerick A. Post-stroke urinary loss, incontinence and life satisfaction: when does post-stroke urinary loss become incontinence? Neurourol Urodyn 2006; 25: 39–45.

    Article  PubMed  Google Scholar 

  24. Lenderking WR, Nackley JF, Anderson RB, Testa MA. A review of the quality-of-life aspects of urinary urge incontinence. Pharmacoeconomics 1996; 9: 11–23.

    Article  PubMed  CAS  Google Scholar 

  25. Hidalgo JL, Gras CB, Garcia YD, Lapeira JT, del Campo JM, Verdejo MA. Functional status in the elderly with insomnia. Qual Life Res 2007; 16: 279–86.

    Article  PubMed  Google Scholar 

  26. Ancoli-Israel S, Cooke JR. Prevalence and comorbidity of insomnia and effect on functioning in elderly populations. J Am Geriatr Soc 2005; 53: 264–71.

    Article  Google Scholar 

  27. Galbraith ME, Arechiga A, Ramirez J, Pedro LW. Prostate cancer survivors’ and partners’ self-reports of health-related quality of life, treatment symptoms, and marital satisfaction 2.5–5.5 years after treatment. Oncol Nurs Forum 2005; 32: 30–41.

    Article  Google Scholar 

  28. Heidrich SM, Egan JJ, Hengudomsub P, Randolph SM. Symptoms, symptom beliefs, and quality of life of older breast cancer survivors: a comparative study. Oncol Nurs Forum 2006; 33: 315–22.

    Article  PubMed  Google Scholar 

  29. Terreehorst I, Duivenvoorden HJ, Tempels-Pavlica Z et al. The unfavorable effects of concomitant asthma and sleeplessness due to the atopic eczema/dermatitis syndrome (AEDS) on quality of life in subjects allergic to house-dust mites. Allergy 2002; 57: 919–25.

    Article  PubMed  CAS  Google Scholar 

  30. Finlay AY, Khan GK. Dermatology Life Quality Index (DLQI)—a simple practical measure for routine clinical use. Clin Exp Dermatol 1994; 19: 210–16.

    Article  PubMed  CAS  Google Scholar 

  31. Smith DF, Sterndorff B, Ropcke G, Gustavsen EM, Hansen JK. Prevalence and severity of anxiety, depression and Type A behaviors in angina pectoris. Scand J Psychol 1996; 37: 249–58.

    Article  PubMed  CAS  Google Scholar 

  32. Orencia A, Bailey K, Yawn BP, Kottke TE. Effect of gender on long-term outcome of angina pectoris and myocardial infarction/sudden unexpected death. JAMA 1993; 269: 2392–7.

    Article  PubMed  CAS  Google Scholar 

  33. Lagro-Janssen AL, Meulenbroek JA (Sex differences in angina pectoris; a literature study). Ned Tijdschr Geneeskd 1997; 141: 1289–93. Abstract.

    PubMed  CAS  Google Scholar 

  34. Heppell J, Bess MA, McIlrath DC, Dozois RR. Surgical treatment of recurrent peptic ulcer disease. Ann Surg 1983; 198: 1–4.

    Article  PubMed  CAS  Google Scholar 

  35. Hoffmann J, Shokouh-Amiri MH, Klarskov P, Madsen OG, Jensen HE. Gastrectomy for recurrent ulcer after vagotomy: five- to nineteen-year follow-up. Surgery 1986; 99: 517–22.

    PubMed  CAS  Google Scholar 

  36. Eckhauser FE, Knol JA, Raper SA, Guice KS. Completion gastrectomy for postsurgical gastroparesis syndrome. Preliminary results with 15 patients. Ann Surg 1988; 208: 345–53.

    Article  CAS  Google Scholar 

  37. Forstner-Barthell AW, Murr MM, Nitecki S et al. Near-total completion gastrectomy for severe postvagotomy gastric stasis: analysis of early and long-term results in 62 patients. J Gastrointest Surg, 1999; 3: 15–21.

    Article  PubMed  CAS  Google Scholar 

  38. Andersen IB, Bonnevie O, Jorgensen T, Sorensen TI. Time trends for peptic ulcer disease in Denmark, 1981–1993. Analysis of hospitalization register and mortality data. Scand J Gastroenterol 1998; 33: 260–66.

    CAS  Google Scholar 

  39. Tilvis RS, Vuoristo M, Varis K. Changed profile of peptic ulcer disease in hospital patients during 1969–1984 in Finland. Scand J Gastroenterol 1987; 22: 1238–44.

    Article  PubMed  CAS  Google Scholar 

  40. Kemppainen H, Raiha I, Sourander L. Clinical presentation of peptic ulcer in the elderly. Gerontology 1997; 43: 283–8.

    Article  PubMed  CAS  Google Scholar 

  41. Clinch D, Banerjee AK, Ostick G. Absence of abdominal pain in elderly patients with peptic ulcer. Age Ageing 1984; 13: 120–3.

    Article  PubMed  CAS  Google Scholar 

  42. Sturesson M, Branholm I-B. Life satisfaction in subjects with chronic obstructive pulmonary disease. Work 2000; 14: 77–82.

    PubMed  Google Scholar 

  43. Peruzza S, Sergi G, Vianello A, et al. Chronic obstructive pulmonary disease (COPD) in elderly subjects: impact on functional status and quality of life. Respir Med 2003; 97: 612–7.

    Article  PubMed  CAS  Google Scholar 

  44. Westerbotn M, Aguero-Torres H, Fastbom J, Hilleras P. A population-based study on well-being in the very old: the role of cardiovascular diseases and drugs. Arch Gerontol Geriatr 2005; 40: 287–97.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Anne Ingeborg Berg.

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Berg, A.I., Hassing, L.B., Nilsson, S.E. et al. “As long as I’m in good health”. The relationship between medical diagnoses and life satisfaction in the oldest-old. Aging Clin Exp Res 21, 307–313 (2009). https://doi.org/10.1007/BF03324920

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