Hostname: page-component-8448b6f56d-cfpbc Total loading time: 0 Render date: 2024-04-18T06:19:17.166Z Has data issue: false hasContentIssue false

Relationship between self-assessed health and life satisfaction in older adults: the moderating role of ego-resiliency

Published online by Cambridge University Press:  15 November 2021

Waclaw Bak*
Affiliation:
Institute of Psychology, The John Paul II Catholic University of Lublin, Lublin, Poland
Donat Dutkiewicz
Affiliation:
Faculty of Pedagogy and Psychology, Jan Kochanowski University of Kielce, Kielce, Poland
Pawel Brudek
Affiliation:
Institute of Psychology, The John Paul II Catholic University of Lublin, Lublin, Poland
*
*Corresponding author. Email: waclaw.bak@kul.pl

Abstract

The present study was focused on the relationship between the subjective assessment of physical health and satisfaction with life (SWL) in older adults. The relationship itself was found in previous studies, but we postulated that it is moderated by ego-resiliency (ER). To verify this hypothesis, 124 Polish participants aged between 60 and 89 (mean = 71.72, standard deviation = 7.08) were asked to complete questionnaire measures of: self-assessed health (SAH; measured with seven items from the World Health Organization Quality of Life WHOQOL-BREF assessment), SWL (measured with the Satisfaction with Life Scale) and ER (measured with the Ego-Resiliency Scale ER89). The results confirmed the moderating role of ER by showing that the relationship between SAH and SWL was statistically significant only when ER was high or moderate, while there was no relationship for participants with low ER. To interpret these results, we postulate that ego-resilient older adults are more accurate in the assessment of health, i.e. their SAH reflects the objective condition more closely, which strengthens the relationship between SAH and wellbeing. ER is thus conceived as an important psychological resource that promotes the accuracy of SAH and, consequently, makes it a more robust predictor of SWL. We hypothesise that this is based on the positive relationship between ER and wisdom in older adults.

Type
Article
Copyright
Copyright © The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ardelt, M (2011) Wisdom, age, and well-being. In Schaie, KW and Willis, SL (eds), Handbook of the Psychology of Aging. London: Academic Press, pp. 279291.CrossRefGoogle Scholar
Ardelt, M and Edwards, CA (2016) Wisdom at the end of life: an analysis of mediating and moderating relations between wisdom and subjective well-being. Journals of Gerontology: Psychological Sciences and Social Sciences 71B, 502513.CrossRefGoogle Scholar
Bagwell, CL, Barkley, RA and Murphy, KR (2005) Accuracy of self-evaluation in adults with ADHD: evidence from a driving study. Journal of Attention Disorders 8, 221234.Google Scholar
Baltes, MM and Carstensen, LL (2003) The process of successful aging: selection, optimization, and compensation. In Staudinger, UM and Lindenberger, U (eds), Understanding Human Development: Dialogues with Lifespan Psychology. Boston, MA: Kluwer Academic Publishers, pp. 81104.CrossRefGoogle Scholar
Bangen, KJ, Meeks, TW and Jeste, DV (2013) Defining and assessing wisdom: a review of the literature. American Journal of Geriatric Psychiatry 21, 12541266.CrossRefGoogle Scholar
Banjongrewadee, M, Wongpakaran, N, Wongpakaran, T, Pipanmekaporn, T, Punjasawadwong, Y and Mueankwan, S (2020) The role of perceived stress and cognitive function on the relationship between neuroticism and depression among the elderly: a structural equation model approach. BMC Psychiatry 20, 25.CrossRefGoogle ScholarPubMed
Berg, AI, Hoffman, L, Hassing, LB, McClearn, GE and Johansson, B (2009) What matters, and what matters most, for change in life satisfaction in the oldest-old? A study over 6 years among individuals 80 + . Aging and Mental Health 13, 191201.CrossRefGoogle ScholarPubMed
Bishop, AJ, Martin, P and Poon, L (2006) Happiness and congruence in older adulthood: a structural model of life satisfaction. Aging and Mental Health 10, 445453.CrossRefGoogle ScholarPubMed
Block, JH and Block, J (1980) The role of ego-control and ego-resiliency in the organization of behavior. In Collins, WA (ed.), Minnesota Symposia on Child Psychology, Vol. 13. New York, NY: Psychology Press, pp. 39101.Google Scholar
Block, J and Block, JH (2006) Venturing a 30-year longitudinal study. American Psychologist 61, 315327.CrossRefGoogle ScholarPubMed
Block, J and Kremen, AM (1996) IQ and ego-resiliency: conceptual and empirical connections and separateness. Journal of Personality and Social Psychology 70, 349361.CrossRefGoogle ScholarPubMed
Brown, JD and Marshall, MA (2006) The three faces of self-esteem. In Kernis, MH (ed.), Self-esteem Issues and Answers. A Sourcebook of Current Perspectives. New York, NY: Psychology Press, pp. 49.Google Scholar
Byun, J and Jung, D (2016) The influence of daily stress and resilience on successful ageing. International Nursing Review 63, 482489.CrossRefGoogle ScholarPubMed
Davis, MC, Zautra, AJ, Johnson, LM, Murray, KE and Okvat, HA (2007) Psychosocial stress, emotion regulation, and resilience among older adults. In Aldwin, CM, Park, CL and Spiro, A (eds), Handbook of Health Psychology and Aging. New York, NY: Guilford Press, pp. 250262.Google Scholar
Despot Lučanin, J and Lučanin, D (2012) Associations of psychological, functional, and biological factors with age changes in the self-perceived health of old persons. Journal of Gerontopsychology and Geriatric Psychiatry 25, 135143.Google Scholar
Diener, E, Emmons, RA, Larsen, RJ and Griffin, S (1985) The Satisfaction with Life Scale. Journal of Personality Assessment 49, 7175.CrossRefGoogle ScholarPubMed
Dumitrache, CG, Rubio, L and Rubio-Herrera, R (2017) Perceived health status and life satisfaction in old age, and the moderating role of social support. Aging & Mental Health 21, 751757.CrossRefGoogle ScholarPubMed
García-León, , Pérez-Mármol, JM, Gonzalez-Pérez, R, del Carmen García-Ríos, M and Peralta-Ramírez, MI (2019) Relationship between resilience and stress: perceived stress, stressful life events, HPA axis response during a stressful task and hair cortisol. Physiology & Behavior 202, 8793.CrossRefGoogle ScholarPubMed
Hayat, SZ, Khan, S and Sadia, R (2016) Resilience, wisdom, and life satisfaction in elderly living with families and in old-age homes. Pakistan Journal of Psychological Research 31, 475494.Google Scholar
Hayes, AF (2017) Introduction to Mediation, Moderation, and Conditional Process Analysis. A Regression-based Approach, 2nd Edn. New York, NY: Guilford Press.Google Scholar
Haywood, KL, Garratt, AM and Fitzpatrick, R (2005) Quality of life in older people: a structured review of generic self-assessed health instruments. Quality of Life Research 14, 16511668.CrossRefGoogle ScholarPubMed
Kunzmann, U and Baltes, PB (2005) The psychology of wisdom: theoretical and empirical challenges. In Sternberg, RJ and Jordan, J (eds), A Handbook of Wisdom: Psychological Perspectives. New York, NY: Cambridge University Press, pp. 110135.CrossRefGoogle Scholar
Letzring, TD, Block, J and Funder, DC (2005) Ego-control and ego-resiliency: generalization of self-report scales based on personality descriptions from acquaintances, clinicians, and the self. Journal of Research in Personality 39, 395422.CrossRefGoogle Scholar
Marks, GR and Lutgendorf, SK (1999) Perceived health competence and personality factors differentially predict health behaviors in older adults. Journal of Aging and Health 11, 221239.CrossRefGoogle ScholarPubMed
Mathias, JL, Biebl, SJW and DiLalla, LF (2011) Self-esteem accuracy and externalizing problems in preschool-aged boys. Journal of Genetic Psychology 172, 285292.CrossRefGoogle ScholarPubMed
McCrae, RR and Costa, PT Jr (2008) The five-factor theory of personality. In John, OP, Robins, RW and Pervin, LA (eds), Handbook of Personality: Theory and Research. New York, NY: Guilford Press, pp. 159181.Google Scholar
Mungas, D, Beckett, L, Harvey, D, Tomaszewski Farias, S, Reed, B, Carmichael, O, Olichney, J, Miller, J and DeCarli, C (2010) Heterogeneity of cognitive trajectories in diverse older persons. Psychology and Aging 25, 606619.CrossRefGoogle ScholarPubMed
Musich, S, Wang, SS, Kraemer, S, Hawkins, K and Wicker, E (2018) Purpose in life and positive health outcomes among older adults. Population Health Management 21, 139147.CrossRefGoogle ScholarPubMed
Nygren, B, Aléx, L, Jonsén, E, Gustafson, Y, Norberg, A and Lundman, B (2005) Resilience, sense of coherence, purpose in life and self-transcendence in relation to perceived physical and mental health among the oldest old. Aging & Mental Health 9, 354362.CrossRefGoogle ScholarPubMed
Oshio, A, Taku, K, Hirano, M and Saeed, G (2018) Resilience and Big Five personality traits: a meta-analysis. Personality and Individual Differences 127, 5460.CrossRefGoogle Scholar
Partridge, L, Deelen, J and Slagboom, PE (2018) Facing up to the global challenges of ageing. Nature 561, 4556.CrossRefGoogle Scholar
Resnick, B, Gwyther, L and Roberto, KA (2011) Resilience in Aging. New York, NY: Springer.CrossRefGoogle Scholar
Rodgers, V, Neville, S and La Grow, S (2017) Health, functional ability and life satisfaction among older people 65 years and over: a cross-sectional study. Contemporary Nurse 53, 284292.CrossRefGoogle ScholarPubMed
Schaie, KW and Willis, SL (eds) (2011) Handbook of the Psychology of Aging. London: Academic Press.Google Scholar
Seah, B, Espnes, GA, Ang, ENK, Lim, JY, Kowitlawakul, Y and Wang, W (2021) Achieving healthy ageing through the perspective of sense of coherence among senior-only households: a qualitative study. Aging & Mental Health 25, 936945.CrossRefGoogle ScholarPubMed
Shahid, A (2014) Ageing with dignity: old-age pension schemes from the perspective of the right to social security under ICESCR. Human Rights Review 15, 455471.CrossRefGoogle Scholar
Shipley, BA, Weiss, A, Der, G, Taylor, MD and Deary, IJ (2007) Neuroticism, extraversion, and mortality in the UK Health and Lifestyle Survey: a 21-year prospective cohort study. Psychosomatic Medicine 69, 923931.CrossRefGoogle ScholarPubMed
Skevington, SM, Lotfy, M and O'Connell, KA (2004) The World Health Organization's WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL Group. Quality of Life Research 13, 299310.CrossRefGoogle ScholarPubMed
Sprangers, MAG, de Regt, EB, Andries, F, van Agt, HME, Bijl, RV, de Boer, JB, Foets, M, Hoeymans, N, Jacobs, AE, Kempen, GIJM, Miedema, HS, Tijhuis, MAR and de Haes, HCJM (2000) Which chronic conditions are associated with better or poorer quality of life? Journal of Clinical Epidemiology 53, 895907.CrossRefGoogle ScholarPubMed
Spuling, SM, Wolff, JK and Wurm, S (2017) Response shift in self-rated health after serious health events in old age. Social Science & Medicine 192, 8593.CrossRefGoogle ScholarPubMed
Staudinger, UM, Fleeson, W and Baltes, PB (1999) Predictors of subjective physical health and global well-being: similarities and differences between the United States and Germany. Journal of Personality and Social Psychology 76, 305319.CrossRefGoogle Scholar
Sternberg, RJ (2003) Wisdom, Intelligence, and Creativity Synthesized. New York, NY: Cambridge University Press.CrossRefGoogle Scholar
The WHOQOL Group (1998) Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychological Medicine 28, 551558.CrossRefGoogle Scholar
Tkatch, R, Musich, S, MacLeod, S, Kraemer, S, Hawkins, K, Wicker, ER and Armstrong, DG (2017) A qualitative study to examine older adults’ perceptions of health: keys to aging successfully. Geriatric Nursing 38, 485490.CrossRefGoogle ScholarPubMed
Tomás, JM, Sancho, P, Melendez, JC and Mayordomo, T (2012) Resilience and coping as predictors of general well-being in the elderly: a structural equation modeling approach. Aging & Mental Health 16, 317326.CrossRefGoogle ScholarPubMed
Tornstam, L (2005) Gerotranscendence: A Developmental Theory of Positive Aging. New York, NY: Springer.Google Scholar
Urban, K and Urban, M (2020) Effects of performance feedback and repeated experience on self-evaluation accuracy in high- and low-performing preschool children. European Journal of Psychology of Education 36, 109124.CrossRefGoogle Scholar
Van Kessel, G (2013) The ability of older people to overcome adversity: a review of the resilience concept. Geriatric Nursing 34, 122127.CrossRefGoogle ScholarPubMed
Wagnild, G (2003) Resilience and successful aging: comparison among low and high income older adults. Journal of Gerontological Nursing 29, 4249.CrossRefGoogle ScholarPubMed
Wells, M (2012) Resilience in older adults living in rural, suburban, and urban areas. Online Journal of Rural Nursing and Health Care 10, 4554.CrossRefGoogle Scholar
Weststrate, NM, Ferrari, M and Ardelt, M (2016) The many faces of wisdom: an investigation of cultural-historical wisdom exemplars reveals practical, philosophical, and benevolent prototypes. Personality and Social Psychology Bulletin 42, 662676.CrossRefGoogle ScholarPubMed
Woods, RE and Clare, LE (2008) Handbook of the Clinical Psychology of Ageing. Chichester, UK: John Wiley & Sons.CrossRefGoogle Scholar