Bibliographic Details
| Title: |
Defining Resilience in Older People: Does a Subjective Definition of Stressor Work? |
| Authors: |
Pedone, Claudio, Costanzo, Luisa, Finamore, Panaiotis, Bandinelli, Stefania, Ferrucci, Luigi, Incalzi, Raffaele Antonelli, Antonelli Incalzi, Raffaele |
| Source: |
Journals of Gerontology Series A: Biological Sciences & Medical Sciences; Aug2021, Vol. 76 Issue 8, p1480-1485, 6p |
| Subject Terms: |
OLDER people, PHYSICAL mobility, PSYCHOLOGICAL resilience, ACTIVITIES of daily living, OPERATIONAL definitions, ADAPTABILITY (Personality), RESEARCH, MORTALITY, SELF-perception, RESEARCH methodology, GERIATRIC assessment, MEDICAL cooperation, EVALUATION research, COMPARATIVE studies, RESEARCH funding, HEALTH equity, LONGITUDINAL method |
| Abstract: |
Background: The operational definition of resilience is elusive and resilient people are difficult to identify. We used self-reported "major health event" (srMHE) to identify resilience and evaluate the functional and mortality trajectories associated with this condition.Method: We selected from the InCHIANTI study persons aged 65 or older who could perform the Short Physical Performance Battery at baseline and attended the 3 years follow-up visit. We identified 4 groups: Controls: no srMHE and no decline in physical function; Decliners: no srMHE and decline in physical function; Resilient: srMHE and no decline in physical function; and Non-resilient: srMHE and decline in physical function. Linear mixed models and Cox regression were used to analyze changes in activities of daily living (ADL) score over 9- and 10-year mortality across groups, respectively.Results: The 313 participants that reported a srMHE had worse perceived health status and higher number of GP visits and prescribed drugs at baseline. Of these, 78 were Resilient and 235 Non-resilient; of the remaining, 136 were Controls and 277 Decliners. Compared to the Controls, Resilient had similar change of ADL score over time (β: -.03, p = .92) and mortality (hazard ratio: 1.31, 95% confidence interval: 0.76-2.23), while Decliners and Non-resilient showed significantly higher mortality and, the latter, worsening of ADL score. Additional srMHE during follow-up affected the rate of change of ADL score and mortality more in the Controls group than in the Resilient group.Conclusions: A srMHE along with repeated evaluation of physical function may be used to identify resilience in older people, and may complement the standard functional evaluation of geriatric patients. [ABSTRACT FROM AUTHOR] |
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| Database: |
Complementary Index |
