Journal of Behavioral Medicine

, Volume 37, Issue 3, pp 357–368

Do psychosocial profiles predict self-rated health, morbidity and mortality in late middle-aged and older people?

  • Gonnie Klabbers
  • Hans Bosma
  • Gertrudis Ignatius Johannes Maria Kempen
  • Michaela Benzeval
  • Marjan Van den Akker
  • Jacques Theodorus Margaretha van Eijk
Article

DOI: 10.1007/s10865-013-9493-x

Cite this article as:
Klabbers, G., Bosma, H., Kempen, G.I.J.M. et al. J Behav Med (2014) 37: 357. doi:10.1007/s10865-013-9493-x
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Abstract

Considering many psychosocial health risk factors are interrelated, determining psychosocial health risk might benefit from a more person-centered perspective. This paper explores to what extent a psychosocial profile that combines potentially synergistic effects of different psychosocial characteristics, including psychological attributes and functioning, coping styles and social support, predicts self-rated health, morbidity and mortality. Prospective, longitudinal data from 1,912 Dutch participants aged 55–91 years were used to determine distinct psychosocial profiles by means of two-step cluster analysis. The predictive power of these profiles over a 5-year follow-up was calculated with Cox regression models for all-cause mortality and general practitioner-diagnosed somatic morbidity, and logistic regression models for self-rated health. Three distinct psychosocial risk profiles emerged: an adverse, an average and a beneficial profile. These profiles strongly predicted self-rated health but not morbidity or mortality. The health effects of the cluster (profile) model suggest synergism between the psychosocial characteristics. Future research should replicate our findings to further validate the approach.

Keywords

Psychosocial profileIncident morbidityAll-cause mortalitySelf-rated healthLate middle aged and older personsLongitudinal cohort study

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Gonnie Klabbers
    • 1
  • Hans Bosma
    • 1
  • Gertrudis Ignatius Johannes Maria Kempen
    • 2
  • Michaela Benzeval
    • 3
  • Marjan Van den Akker
    • 4
    • 5
  • Jacques Theodorus Margaretha van Eijk
    • 1
  1. 1.Department of Social Medicine, Faculty of Health, Medicine and Life Sciences, CAPHRI School for Public Health and Primary CareMaastricht UniversityMaastrichtThe Netherlands
  2. 2.Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, CAPHRI School for Public Health and Primary CareMaastricht UniversityMaastrichtThe Netherlands
  3. 3.MRC/CSO Social and Public Health Sciences UnitGlasgowUK
  4. 4.Department of General Practice, Faculty of Health, Medicine and Life Sciences, CAPHRI School for Public Health and Primary CareMaastricht UniversityMaastrichtThe Netherlands
  5. 5.Department of General PracticeKatholieke Universiteit LeuvenLouvainBelgium