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Successful aging in health adversity: results from the National Psychiatric Morbidity Survey

  • Claudia Cooper (a1), Paul Bebbington (a1), Cornelius Katona (a1) and Gill Livingston (a1)

Background: We aimed to investigate factors enabling older people with cognitive impairment to age successfully.

Methods: We used the 12-item Short Form Health Survey to measure health-related quality of life (HR-QoL) in 2,007 people aged ≥60 in the 2000 British National Psychiatric Morbidity Survey. We tested the hypothesis that affective symptoms and social support mediated the relationship between cognitive functioning and poorer HR-QoL.

Results: The mean age of the participants was 66.2 (66.0–66.4). The majority of people with suspected dementia reported high mental health-related quality of life, suggesting they may not be distressed by, or aware of, cognitive and mental impairment, and the majority are aging “successfully.” The relationship between cognitive impairment and mental HR-QoL was mediated by affective symptoms, but not by social support. After considering mediators and confounders, HR-QoL was no longer associated with cognitive impairment.

Conclusions: The lower quality of life previously reported by people with cognitive impairment is due to the greater physical and mental health problems in this population, rather than to cognitive impairment per se. Active management of mental and physical health may improve the HR-QoL of those with cognitive impairment who are not ageing successfully.

Corresponding author
Correspondence should be addressed to: Claudia Cooper, Dept of Mental Health Sciences, University College London, Holborn Union Building, Archway Campus, Highgate Hill, London N19 5LW, U.K. Phone: +44 (0) 207 2885931 Email:
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P. B. Baltes , and J. Smith (2003). New frontiers in the future of aging: from successful aging of the young old to the dilemmas of the fourth age. Gerontology, 49, 123135.

R. M. Baron and D. A. Kenny (1986). The moderator mediator variable distinction in social psychological-research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 11731182.

A. Bowling and S. Iliffe (2006). Which model of successful ageing should be used? Baseline findings from a British longitudinal survey of ageing. Age and Ageing, 35, 607614.

A. Bowling , S. Seetai , R. Morris and S. Ebrahim (2007). Quality of life among older people with poor functioning: the influence of perceived control over life. Age and Ageing, 36, 310315.

C. A. Depp and D. V. Jeste (2006). Definitions and predictors of successful aging: a comprehensive review of larger quantitative studies. American Journal of Geriatric Psychiatry, 14, 620.

J. Diehl (2005). Frontotemporal dementia, semantic dementia, and Alzheimer's disease: the contribution of standard neuropsychological tests to differential diagnosis. Journal of Geriatric Neurology and Psychiatry, 18, 3944.

D. A. Dorr (2006). Use of health-related, quality-of-life metrics to predict mortality and hospitalizations in community-dwelling seniors. Journal of the American Geriatrics Society, 54, 667673.

O. Evans , N. Singleton , H. Meltzer , R. Stewart and M. Prince (2003). The Mental Health of Older People. London: The Stationery Office.

J. Galen Buckwalter , V. C. Crooks and D. B. Petitti (2002). A preliminary psychometric analysis of a computer-assisted administration of the telephone interview of cognitive status-modified. Journal of Clinical and Experimental Neuropsychology, 24, 168175.

J. Hoe , C. Katona , M. Orrell and G. Livingston (2007). Quality of life in dementia: care recipient and caregiver perceptions of quality of life in dementia: the LASER-AD study. International Journal of Geriatric Psychiatry, 22, 10311036.

B. L. Plassman , K. A. Welsh , M. Helms , J. Brandt , W. F. Page and J. C. Breitner (1995). Intelligence and education as predictors of cognitive state in late life: a 50-year follow-up. Neurology, 45, 14461450.

J. Ware , M. Kosinski and S. D. Keller (1996). A 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validity. Medical Care, 34, 220233.

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International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
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