Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Mar 23:3:2333721417700011.
doi: 10.1177/2333721417700011. eCollection 2017 Jan-Dec.

Psychosocial Well-Being Associated With Activity of Daily Living Stages Among Community-Dwelling Older Adults

Ling Na  1 , Joel E Streim  2
Affiliations

Psychosocial Well-Being Associated With Activity of Daily Living Stages Among Community-Dwelling Older Adults

Ling Na et al. Gerontol Geriatr Med. .

Abstract

Objectives: Activity of daily living (ADL) stages demonstrated ordered associations with risk of chronic conditions, hospitalization, nursing home use, and mortality among community-living elderly. This article explores the association of stages with psychosocial well-being. We hypothesized that higher ADL stages (greater ADL limitation) are associated with more restricted social networks, less perceived social support, greater social isolation, and poorer mental health. Methods: Cross-sectional data from the National Social Life, Health, and Aging Project (N = 3,002) were analyzed in regression models and latent factor models. Results: Although ADL stages had a nearly monotonic relationship with most mental health measures (e.g., Center for Epidemiologic Studies Depression Scale [CES-D]), only the complete limitation stage (Stage IV) showed significant disadvantage in the majority of social network measures. Discussion: The study may aid clinicians and policy makers to better understand the social and mental health needs of older adults at different ADL stages and provide well-planned social and mental health care.

Keywords: ADL stages; disability; mental health; psychosocial well-being; social network.

PubMed Disclaimer

Conflict of interest statement

Declaration of Conflicting Interests: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

References

    1. Astrom M. (1996). Generalized anxiety disorder in stroke patients: A 3-year longitudinal study. Stroke, 27, 270-275. - PubMed
    1. Avlund K., Lund R., Holstein B. E., Due P. (2004). Social relations as determinant of onset of disability in aging. Archives of Gerontology and Geriatrics, 38, 85-99. - PubMed
    1. Barth J., Martin C. R. (2005). Factor structure of the Hospital Anxiety and Depression Scale (HADS) in German coronary heart disease patients. Health and Quality of Life Outcomes, 3, Article 15. - PMC - PubMed
    1. Beekman A. T., de Beurs E., van Balkom A. J., Deeg D. J., van Dyck R., van Tilburg W. (2000). Anxiety and depression in later life: Co-occurrence and communality of risk factors. The American Journal of Psychiatry, 157, 89-95. doi: 10.1176/ajp.157.1.89 - DOI - PubMed
    1. Bisschop M. I., Kriegsman D. M., van Tilburg T. G., Penninx B. W., van Eijk J. T., Deeg D. J. (2003). The influence of differing social ties on decline in physical functioning among older people with and without chronic diseases: The longitudinal aging study Amsterdam. Aging Clinical and Experimental Research, 15, 164-173. - PubMed

LinkOut - more resources