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European Journal of Ageing

, Volume 5, Issue 2, pp 117–127 | Cite as

Serious health events and their impact on changes in subjective health and life satisfaction: the role of age and a positive view on ageing

  • Susanne WurmEmail author
  • Martin J. Tomasik
  • Clemens Tesch-Römer
Original Investigation

Abstract

Various studies have pointed to the great importance of subjective health as an indicator for mortality in older age, while less is known about factors that contribute to changes of subjective (self-rated) health over time. Based on a nationwide longitudinal survey (German Ageing Survey, N = 1,286; initial age 40–85), two major findings emerged: first, the incidence of a serious health event caused greater changes in subjective health and life satisfaction in middle compared to older age. This was as expected because serious health events are less common in middle age and are correspondingly experienced more often as an “off-time event”. Secondly, the study extended previous findings on the impact of a positive view of ageing on health by showing that this optimistic view positively affects subjective health and life satisfaction even in the face of a serious health event. Overall, the study indicates that a positive view on ageing is an important psychological resource in the case of a serious health event, both when it occurs on-time or off-time from a developmental perspective.

Keywords

Subjective (self-rated) health Positive view on ageing Serious health event Life satisfaction Longitudinal study 

References

  1. Aspinwall LG, Richter L, Hoffman RRI (2001) Understanding how optimism works: an examination of optimists adaptive moderation of belief and behavior. In: Chang E (ed) Optimism and pessimism: implications for theory, research, and practice. American Psychological Association, Washington, DC, pp 217–238CrossRefGoogle Scholar
  2. Baltes PB, Schaie KW, Nardi AH (1971) Age and experimental mortality in a 7-year longitudinal study of cognitive behavior. Dev Psychol 5:18–26CrossRefGoogle Scholar
  3. Benyamini Y, Idler EL (1999) Community studies reporting association between self-rated health and mortality: additional studies, 1995–1998. Res Aging 21:392–401CrossRefGoogle Scholar
  4. Benyamini Y, Idler EL, Leventhal H, Leventhal EA (2000) Positive affect and function as influences on self-assessments of health: expanding our view beyond illness and disability. J Gerontol Psychol Sci 55B:P107–P116Google Scholar
  5. Bonnano GA (2004) Loss, trauma, and human resilience. Am Psychol 59:20–28CrossRefGoogle Scholar
  6. Borkan JM, Quirk M (1992) Expectations and outcomes. Int J Aging Hum Dev 34:339–350Google Scholar
  7. Bultena GL, Powers EA (1978) Denial of aging: age identification and reference group orientations. J Gerontol 33:748–754Google Scholar
  8. Chatfield MD, Brayne CE, Matthews FE (2005) A systematic literature review of attrition between waves in longitudinal studies in the elderly shows a consistent pattern of dropout between differing studies. J Clin Epidemiol 58:13–19CrossRefGoogle Scholar
  9. Chipperfield JG (1993) Incongruence between health perceptions and health problems. J Aging Health 5:475–496CrossRefGoogle Scholar
  10. De Shon RP, Ployhart RE, Sacco JM (1998) The estimation of reliability in longitudinal models. Int J Behav Dev 22:493–515CrossRefGoogle Scholar
  11. Dempster AP, Laird NM, Rubin DB (1977) Maximum likelihood from incomplete data via the EM algorithm. J R Stat Soc [Ser B] 39:1–22Google Scholar
  12. Diehr P, Williamson J, Patrick DL, Bild DE, Burke GL (2001) Patterns of self-rated health in older adults before and after sentinel health events. J Am Geriatr Soc 49:36–44CrossRefGoogle Scholar
  13. Diener E (1994) Assessing subjective well-being: progress and opportunities. Soc Indic Res 31:103–157CrossRefGoogle Scholar
  14. Dittmann-Kohli F, Kohli M, Künemund H, Motel A, Steinleitner C, Gerben Westerhof in Zusammenarbeit mit infas-Sozialforschung (1997) Lebenszusammenhänge, Selbst- und Lebenskonzeptionen. Erhebungsdesign und Instrumente des Alters-Survey (Life contexts, conceptions of self and life. Design and instruments of the German Aging Survey). Freie Universität (Report 61), BerlinGoogle Scholar
  15. Engstler H, Wurm S (2006) Datengrundlagen und Methodik (Data base and method). In: Tesch-Römer C, Engstler H, Wurm S (eds) Sozialer Wandel und individuelle Entwicklung in der zweiten Lebenshälfte (Social change and individual development in the second half of life). VS Verlag für Sozialwissenschaften, Wiesbaden, pp 47–83Google Scholar
  16. Eriksson I, Unden A-L, Elofsson S (2001) Self-rated health. comparisons between three different measures. Results from a population study. Int J Epidemiol 30:326–333CrossRefGoogle Scholar
  17. Fayers PM, Sprangers MAG (2002) Understanding self-rated health. Lancet 359:187–188CrossRefGoogle Scholar
  18. Figini P (1998) Inequality Measures, Equivalence Scales and Adjustment for Household Size and Composition. Luxembourg Income Study (Working Paper 185), LuxembourgGoogle Scholar
  19. Goldstein MS, Siegel JM, Boyer R (1984) Predicting changes in perceived health status. Am J Public Health 74:611–614Google Scholar
  20. Havighurst RJ (1981) Developmental tasks and education. Longman, New YorkGoogle Scholar
  21. Heckhausen J (1997) Developmental regulation across adulthood: primary and secondary control of age-related challenges. Dev Psychol 33:176–187CrossRefGoogle Scholar
  22. Heckhausen J, Brim OG (1997) Perceived problems for self and others: self-protection by social downgrading throughout adulthood. Psychol Aging 12:610–619CrossRefGoogle Scholar
  23. Heckhausen J, Krüger J (1993) Developmental expectations for the self and most other people: age grading in three functions of social comparison. Dev Psychol 29:539–548CrossRefGoogle Scholar
  24. Horn JL, McArdle JJ (1992) A practical and theoretical guide to measurement invariance in aging research. Exp Aging Res 18:117–144Google Scholar
  25. Idler EL (1992) Self-assessed health and mortality: a review of studies. Int Rev Health Psychol 1:33–54Google Scholar
  26. Idler EL (1993) Age differences in self-assessments of health: age changes, cohort differences, or survivorship? J Gerontol Soc Sci 48:S289–S300Google Scholar
  27. Idler EL, Benyamini Y (1997) Self-rated health and mortality: a review of twenty-seven community studies. J Health Soc Behav 38:21–37CrossRefGoogle Scholar
  28. Isaacowitz DM, Seligman MEP (2001) Is pessimism a risk factor for depressive mood among community-dwelling older adults? Behav Res Ther 39:255–272CrossRefGoogle Scholar
  29. Jang Y, Poon LW, Martin P (2004) Individual differences in the effects of disease and disability on depressive symptoms: The role of age and subjective health. Int J Aging Hum Dev 59:125–137CrossRefGoogle Scholar
  30. Jöreskog K, Sörbom D (1996) Lisrel 8: User’s reference guide. SSI Scientific Software, ChicagoGoogle Scholar
  31. Katz JN, Chang LC, Sangha O, Fossel AH, Bates DW (1996) Can comorbidity be measured by questionnaire rather than medical record review? Med Care 34:73–84CrossRefGoogle Scholar
  32. Kempen GIJM, van Sonderen E (2002) Psychological attributes and changes in disability among low-functioning older persons. Does attrition affect the outcomes? J Clin Epidemiol 55: 224–229CrossRefGoogle Scholar
  33. Krause NM, Jay GM (1994) What do global self-rated health items measure? Med Care 32:930–942CrossRefGoogle Scholar
  34. Leventhal EA, Prohaska TR (1986) Age, symptom interpretation and health behavior. J Am Geriatr Soc 34:185–191Google Scholar
  35. Levy BR, Myers LM (2004) Preventive health behavior influenced by self-perceptions of aging. Prev Med 39:625–629CrossRefGoogle Scholar
  36. Levy BR, Slade MD, Kasl SV (2002) Longitudinal benefit of positive self-perceptions of aging on functional health. J Gerontol 57B:P409–P417Google Scholar
  37. Linn BS, Linn MW (1980) Objective and self-assessed health in the old and very old. Soc Sci Med 14A:311–315Google Scholar
  38. Maier H, Smith J (1999) Psychological predictors of mortality in old age. J Gerontol Psychol Sci 54B:P44–P54Google Scholar
  39. Martin P, Rott C, Poon LW, Courtenay B, Lehr U (2001) A molecular view of coping behavior in older adults. J Aging Health 13:72–91CrossRefGoogle Scholar
  40. Meinow B, Parker MG, Kareholt I, Thorslund M (2006) Complex health problems in the oldest old in Sweden 1992–2002. Eur J Ageing 3:98–106CrossRefGoogle Scholar
  41. Mossey JM, Shapiro E (1982) Self-rated health: a predictor of mortality among the elderly. Am J Public Health 72:800–808CrossRefGoogle Scholar
  42. Neller K (2005) Kooperation und Verweigerung: Eine Non-Response-Studie (Cooperation and refusal: a non-response study). ZUMA-Nachr 57:9–36Google Scholar
  43. Neugarten BL (1996) The meanings of age. The University of Chicago Press, ChicagoGoogle Scholar
  44. Norris FH (1985) Characteristics of older nonrespondents over 5 years of a panel study. J Gerontol 40:627–636Google Scholar
  45. Pinquart M (2001) Correlates of subjective health in older adults: a meta-analysis. Psychol Aging 16:414–426CrossRefGoogle Scholar
  46. Quinn ME, Johnson MA, Poon LW, Martin P (1999) Psychosocial correlates of subjective health in sexagenarians, octogenarians, and centenarians. Issues Ment Health Nurs 20:151–171CrossRefGoogle Scholar
  47. Rakowski W, Cryan CD (1990) Associations among health perceptions and health status within three age groups. J Aging Health 2:58–80CrossRefGoogle Scholar
  48. Rakowski W, Hickey T (1992) Mortality and the attribution of health problems to aging among older adults. Am J Public Health 82:1139–1142Google Scholar
  49. Raykov T (2004) Estimation of maximal reliability: a note on a covariance structure modelling approach. Br J Math Stat Psychol 57:21–27CrossRefGoogle Scholar
  50. Ryff CD (1989) Happiness is everything, or is it? Explorations on the meaning of psychological well-being. J Pers Soc Psychol 57:1069–1081CrossRefGoogle Scholar
  51. Sarkisian CA, Hays RD, Mangione CM (2002) Do older adults expect to age successfully? The association between expectations regarding aging and beliefs regarding healthcare seeking among older adults. J Am Geriatr Soc 50:1837–1843CrossRefGoogle Scholar
  52. Scheier MF, Matthews KA, Owens JF, Magovern GJ, Lefebvre RC, Abbott AR, et al (1989) Dispositional optimism and recovery from coronary artery bypass surgery: the beneficial effects on physical and psychological well-being. J Pers Soc Psychol 57:1024–1040CrossRefGoogle Scholar
  53. Sprangers MAG, Schwartz CE (1999) Integrating response shift into health-related quality of life research: a theoretical model. Soc Sci Med 48: 1507–1515CrossRefGoogle Scholar
  54. Tabachnik BG, Fidell LS (2007) Using multivariate statistics. 5th edn. Allyn and Bacon, BostonGoogle Scholar
  55. Taylor SE, Kemeny ME, Reed GM, Bower JE, Gruenewald TL (2000) Psychological resources, positive illusions, and health. Am Psychol 55:99–109CrossRefGoogle Scholar
  56. Treiman DJ (1977) Occupational prestige in comparative perspective. Academic Press, New YorkGoogle Scholar
  57. Wilcox VL, Kasl SV, Idler EL (1996) Self-rated health and physical disability in elderly survivors of a major medical event. J Gerontol Soc Sci 51B:S96–S104Google Scholar
  58. Wurm S, Tesch-Roemer C, Tomasik MJ (2007) Longitudinal findings on aging-related cognitions, control beliefs and health in later life. J Gerontol Psychol Sci 62B:P156–P164Google Scholar

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Susanne Wurm
    • 1
    Email author
  • Martin J. Tomasik
    • 2
  • Clemens Tesch-Römer
    • 1
  1. 1.German Centre of GerontologyBerlinGermany
  2. 2.Friedrich-Schiller UniversityJenaGermany

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