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Appl Psychol Health Well Being. 2019 Jul;11(2):262-285. doi: 10.1111/aphw.12152. Epub 2019 Feb 5.

The Association of Psychological Well-Being with Disablement Processes in a National Sample.

Author information

1
Purdue University, USA.

Abstract

OBJECTIVE:

Objectives were to explore subgroups of individuals with differential disability trajectories and evaluate the protective effects of psychological well-being (i.e. hedonic and eudaimonic) in the presence of multiple disease conditions (or multimorbidity) and sociodemographic disadvantages.

METHODS:

Data come from the prospective longitudinal cohort study the Midlife Development in the United States (n = 3,904). Three waves of data spanning a 20-year period were used to identify subgroups with different disability trajectories. Subgroup membership was then modelled as a function of psychological well-being assessed at wave 1 of the study using multinomial logistic regression.

RESULTS:

Three unique groups were identified: a normative group with initially low and slowly increasing levels of disability; a group with high levels of disability that was stable over time; and a group with moderate initial levels of disability that increased over time. Hedonic well-being at wave 1 was associated with membership in the risk groups relative to the normative group.

CONCLUSION:

Individuals may follow one of three disability pathways mostly as a function of multimorbidity. However, hedonic well-being was associated with having an advantageous disability trajectory regardless of multimorbidity status. Cultivating psychological well-being may improve disability outcomes in aging individuals.

KEYWORDS:

disability; longitudinal; person-centered; psychological well-being

PMID:
30724036
PMCID:
PMC6609476
[Available on 2020-07-01]
DOI:
10.1111/aphw.12152

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