Understanding the Multi-Dimensional Mental Well-Being in Late Life: Evidence from the Perspective of the Oldest Old Population
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The promotion, maintenance, and improvement of well-being among the oldest old population is becoming a great public health concern. This study aimed to explore the experiences of individuals aged 80 plus regarding their mental well-being (MWB) and its contributing factors in four European countries. A qualitative approach was followed, with twenty-three focus groups. One hundred and seventeen respondents were recruited from senior community centers, adult day care centers, and nursing homes. Data was assessed using qualitative content analysis. Participants’ perspectives on MWB were collated along four dimensions: functional, social, personal and environmental. Staying healthy and maintaining independence, having close relationships with others, and insightful experiences with friends positively contributed to MWB. Additionally, engagement in fruitful or inspiring activities contributed to enhance personal development, which, in turn, had beneficial effects on MWB. Having a positive outlook was also found to be associated with MWB. Results reinforce the dynamic and multidimensional nature state of MWB, as well as highlighting the significance of psychosocial factors. Developing and implementing policy actions including a focus on the social and physical environment as well as strengthening personal capabilities and self-esteem, can foster MWB among the oldest old population.
KeywordsWell-being Oldest old Social relationships Active aging Functioning Qualitative study
Our deepest appreciation to all the individuals who helped with the recruitment procedure and the study/interview participants for their generous contribution, which made this work possible.
This study was funded by The Joint Programming Initiative (JPI) “More Years, Better Lives- The Potential and Challenges of Demographic Change”; and has received funding by the “Acciones de Programación Conjunta Internacional 2016” program (PCIN-2016-118) of the Spanish Research Agency (AEI) of the Spanish Ministry of Economy, Industry and Competitiveness; the Italian Ministry of Health; the Academy of Finland; and the Research Council of Norway.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
- Algilani, S., Ostlund-Lagerstrom, L., Schoultz, I., Brummer, R. J., & Kihlgren, A. (2016). Increasing the qualitative understanding of optimal functionality in older adults: a focus group based study. BMC Geriatrics, 16, 70. https://doi.org/10.1186/s12877-016-0244-z Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/27007861.
- Baltes, P. B., & Baltes, M. M. (1990). Successful aging. Perspectives from the behavioral sciences. Cambridge: Cambridge University Press.Google Scholar
- Carstensen, L. L., Isaacowitz, D. M., & Charles, S. T. (1999). Taking time seriously. A theory of socioemotional selectivit. American Psychologist, 54(3), 16.Google Scholar
- Cohen-Mansfield, J., Shmotkin, D., Blumstein, Z., Shorek, A., Eyal, N., Hazan, H., et al. (2013). The old, old-old, and the oldest old: Continuation or distinct categories? An examination of the relationship between age and changes in health, function, and wellbeing. The International Journal of Aging and Human Development, 77(1), 37–57. https://doi.org/10.2190/AG.77.1.c.Google Scholar
- Deci, E., & Ryan, R. (1985). Intrinsic motivation and self-determination in human behaviour. New York: Plenum.Google Scholar
- Diener, E. (1984). Subjective well-being. Psychological Bulletin, 95, 33.Google Scholar
- Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 5.Google Scholar
- Douma, L., Steverink, N., Hutter, I., & Meijering, L. (2017). exploring subjective well-being in older age by using participant-generated word clouds. Gerontologist, 57(2), 229–239.Google Scholar
- Erikson, E. H. (1982). The life cycle completed. New York: Norton.Google Scholar
- European Union. (2016). European framework for action on mental health and wellbeing. Retrieved from: https://ec.europa.eu/research/participants/data/ref/h2020/other/guides_for_applicants/h2020-SC1-BHC-22-2019-framework-for-action_en.pdf.
- Eurostat. (2017). People in the EU-population projections. Retrieved from https://ec.europa.eu/eurostat/statistics-explained/index.php/People_in_the_EU_-_population_projections.
- Folch-Lyon, E., & Trost, J. F. (1981). Conducting focus group sessions. Studies in Family Planning, 12(12), 7.Google Scholar
- Glaser, B., & Strauss, A. (1967). The discovery of grounder theory: Strategies for qualitative research. New York: Aldine Publishing Company.Google Scholar
- Heckhausen, J., Wrosch, C., & Schulz, R. (2010). A motivational theory of life-span development. Psychological Review, 117(1), 32–60.Google Scholar
- Huppert, F. A. (2014). The state of wellbeing science: Concepts, measures, interventions, and policies. In F. A. Huppert & C. L. Cooper (Eds.), Wellbeing: A complete reference guide interventions and policies to enhance wellbeing (Vol. 6). Chinchester: Wiley.Google Scholar
- Krueger, R. A., & Casey, M. A. (2000). Focus groups: A practical guide for applied research (3rd ed.). London: New Delhi SAGE.Google Scholar
- Miret, M., Caballero, F. F., Olaya, B., Koskinen, S., Naidoo, N., Tobiasz-Adamczyk, B., et al. (2017). Association of experienced and evaluative well-being with health in nine countries with different income levels: A cross-sectional study. Global Health, 13(1), 65. https://doi.org/10.1186/s12992-017-0290-0.Google Scholar
- Miret, M., Cabello, M., Marchena, C., Mellor-Marsá, B., Caballero, F. F., Obradors-Tarragó, C., et al. (2015). The state of the art on European well-being research within the area of mental health. International Journal of Clinical and Health Psychology, 15(2), 171–179. https://doi.org/10.1016/j.ijchp.2015.02.001.Google Scholar
- Neubauer, A. B., Schilling, O. K., & Wahl, H. W. (2017). What do we need at the end of life? Competence, but not autonomy, predicts intraindividual fluctuations in subjective well-being in very old age. The Journals of Gerontology Series B, Psychological Sciences and Social Sciences, 72(3), 425–435. https://doi.org/10.1093/geronb/gbv052.Google Scholar
- NICE. (2015). Older people: Independence and mental wellbeing. United Kingdom: National Institute for Health and Care Excellence.Google Scholar
- Poon, L. W., & Cohen-Mansfield, J. (2011). Understanding well-being in the oldest old. Cambridge: Cambridge University Press.Google Scholar
- Rico-Uribe, L. A., Caballero, F. F., Martin-Maria, N., Cabello, M., Ayuso-Mateos, J. L., & Miret, M. (2018). Association of loneliness with all-cause mortality: A meta-analysis. PLoS ONE, 13(1), e0190033.Google Scholar
- Ryan, R. M., & Deci, E. L. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 25.Google Scholar
- Ryff, C. (1989). Happiness is everything, or is it? Explorations on the meaning of psychological well-being. Journal of Personality and Social Psychology, 57(6), 12.Google Scholar
- Seligman, M. (2011). Flourish: A visionary new understanding of happiness and well-being. New York: Free Press.Google Scholar
- Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. Newbuty Park, CA: SAGE.Google Scholar
- Tornstam, L. (1999). Transcendence in later life. Generations, 23, 9.Google Scholar
- Ward, L., Barnes, M., & Gahagan, B. (2012). Well-being in old age: Findings from participatory research. Retrieved from Brighton, UK: University of Brighton.Google Scholar
- Whitley, R., & Crawford, M. (2005). Qualitative research in psychiatry. The Canadian Journal of Psychiatry, 50(2), 7.Google Scholar