A five-year study of older adults' health incongruence: consistency, functional changes and subsequent survival.

Abstract:

:In later life, optimistic health appraisals promote well-being and survival, whereas pessimistic appraisals can be harmful. This study contrasted subjective health (SH) appraisals with objective health (OH) to identify realists, whose ratings were congruent (SH = OH), distinguishing them from health pessimists (SH < OH) and health optimists (SH > OH) with incongruent ratings. Health congruence and functional well-being of 757 older adults were assessed via two interviews conducted 5 years apart. We examined consistency in health congruence, and among those with persistent OH, we examined 5-year functional well-being changes that corresponded with SH shifts and determined whether SH shifts predicted 30-month survival. Most realists remained realists; health optimists and pessimists tended to become realists. Increased health optimism corresponded with enhanced functioning; increased pessimism corresponded with decreased functioning. Among realists, increasingly positive SH predicted survival. Findings have implications for quality and length of life among older adults with chronic health conditions.

journal_name

Psychol Health

journal_title

Psychology & health

authors

Ruthig JC,Chipperfield JG,Payne BJ

doi

10.1080/08870446.2010.515307

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

1463-78

issue

11

eissn

0887-0446

issn

1476-8321

pii

936467520

journal_volume

26

pub_type

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