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Living well into old age: three studies of health and well-being among older people in East London and Essex
- Authors:
- BOWLING Ann, GRUNDY Emily, FARQUHAR Morag
- Publisher:
- Age Concern
- Publication year:
- 1997
- Pagination:
- 64p.,tables,diags.,bibliog.
- Place of publication:
- London
Report exploring the concept of 'successful ageing' and summarising the results of research conducted over a three year period with older people in Hackney and Braintree in Essex. Documents and analyses changes in physical and mental health, the ability to perform the tasks of daily living, and the use of social services and offers new evidence of the problems of old age, and the factors which can contribute to well-being.
Gender-specific and gender-sensitive associations with psychological health and morbidity in older age. Baseline findings from a British population survey of ageing
- Author:
- BOWLING Ann
- Journal article citation:
- Aging and Mental Health, 11(3), May 2007, pp.301-309.
- Publisher:
- Taylor and Francis
This study aimed to examine gender-specific and gender-sensitive factors associated with psychological health and morbidity. The study used a face-to-face home interview survey of random sample of 999 people aged 65 and over living in Britain. A fifth of respondents had symptoms of psychological morbidity. Men with high self-efficacy had over six times the odds of men with lower levels, of scoring as a non-case with the 12-item General Health Questionnaire (GHQ-12). Women with excellent to good health status had over five times the odds of those in worse health of scoring as a non-case. Self-efficacy and mobility were the strongest independent predictive variables of GHQ score among men; health status and subjective QoL were the strongest, independent predictors among women. Discussion: This paper is unique in examining in detail the independent, gender-specific and gender-sensitive predictors of psychological morbidity in a national random sample of older adults. Optimism, self-efficacy, quality of life and mobility were gender-specific predictors, and health status was a gender-sensitive predictor of psychological morbidity. These differences suggest that interventions aiming to improve the mental health outcomes of older people need to be guided by evidence on risk factors by gender.
Associations with changes in life satisfaction among three samples of elderly people living at home
- Authors:
- BOWLING Ann, FARQUHAR Morag, GRUNDY Emily
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(12), December 1996, pp.1077-1087.
- Publisher:
- Wiley
Life satisfaction, measured using Neugarten's Life Satisfaction Scale was examined in three samples of elderly people in London and Essex at baseline and at follow-up 2 1/2 - 3 years later. The analysis reported here relate to changes in life satisfaction. The previously reported baseline analyses showed that poor health and functional ability were the strongest predictors of baseline life satisfaction. The results from the follow-up data presented here show that the most significant predictor of changes in life satisfaction at follow-up was baseline life satisfaction. While follow-up health and functional status, social network structure and activities explained the remainder of the explained variance, this was very little. The results are consistent with previous analyses of associations with changes in psychiatric morbidity (mainly depression) and highlight the importance of initiating early rehabilitation programmes.
Outcome of anxiety and depression at two and a half years after baseline interview: associations with changes in psychiatric morbidity among three samples of elderly people living at home
- Authors:
- BOWLING Ann, FARQUHAR Morag, GRUDY Emily
- Journal article citation:
- International Journal of Geriatric Psychiatry, 11(2), February 1996, pp.119-129.
- Publisher:
- Wiley
Examines psychiatric morbidity, using the General Health Questionnaire, which detects mainly anxiety and depression. The results of the follow-up data show that the most significant predictor of changes in psychiatric morbidity at follow-up was baseline psychiatric status, followed by health status. The strength of the study is its longitudinal design and verification of the results in three samples of elderly people, including one very elderly group. The lack of consistent associations with recovery from psychiatric morbidity (eg depression) in the literature enhances the importance of studies which aim to identify factors associated with different outcomes.
Measuring disease: a review of disease-specific quality of life measurement scales
- Author:
- BOWLING Ann
- Publisher:
- Open University Press
- Publication year:
- 2001
- Pagination:
- 415p.,bibliog.
- Place of publication:
- Buckingham
- Edition:
- 2nd.
In assessing the outcome of disease and treatments, measurement scales must be relevant to their specific effects, necessitating the use of disease-specific questionnaires rather than more generic measures. This book reviews disease-specific measure of quality of life and, where relevant popularly used symptom and single dimension scales. Disease covered include: cancers, psychiatric and psychological conditions, respiratory diseases, neurological conditions, rheumatological conditions, cardiovascular diseases, HIV/AIDS, and others.