A Comprehensive Model of Factors Associated With Subjective Perceptions of "Living Well" With Dementia Findings From the IDEAL Study
A Comprehensive Model of Factors Associated With Subjective Perceptions of "Living Well" With Dementia Findings From the IDEAL Study
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DOI：
10.1097/wad.0000000000000286
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发表时间：
2019-01-01
影响因子：
2.1
通讯作者：
Matthews, Fiona E.
中科院分区：
文献类型：
--
作者：
Clare, Linda;Wu, Yu-Tzu;Matthews, Fiona E.
简介：我们的目的是更好地了解是什么预测能力“活得好”与痴呆症通过识别生活的主观experience well.Methods相关的生活领域的相对贡献：我们分析了数据从1547个人与轻度至中度痴呆症的理想队列。我们从生活质量、生活满意度和幸福感的衡量标准中产生了一个“生活得好”的潜在因素。我们使用多变量建模来识别与生活良好措施和结构方程模型相关的变量，以获得5个生活领域的潜在变量，并研究这些领域与生活well.Results的关联：所有5个领域都单独与生活良好。当一起建模时，心理特征和心理健康领域是生活良好的唯一独立预测因素[效应量，3.55; 95%置信区间（CI）：2.93-4.17]，而身体健康和身体健康的效应量较小（1.23，95% CI：-0.10至2.58），社会资本、资产和资源（0.67; 95% CI：-0.04至1.38），管理痴呆患者的日常生活（0.33; 95% CI：-0.06至0.71），以及社会位置（0.08; 95% CI：-2.10至2.26）。心理资源，以及支持积极心理状态的社会、环境和物理因素，是旨在改善痴呆症患者生活体验的干预措施和举措的潜在重要目标。
Introduction: We aimed to better understand what predicts the capability to "live well" with dementia by identifying the relative contribution of life domains associated with the subjective experience of living well.Methods: We analyzed data from 1547 individuals with mild-to-moderate dementia in the IDEAL cohort. We generated a "living well" latent factor from measures of quality of life, satisfaction with life, and well-being. We used multivariate modeling to identify variables related to living well measures and structural equation modeling to derive latent variables for 5 life domains and to examine the associations of these domains with living well.Results: All 5 domains were individually associated with living well. When modeled together, the psychological characteristics and psychological health domain was the only independent predictor of living well [effect size, 3.55; 95% confidence interval (CI): 2.93-4.17], and effect sizes were smaller for physical fitness and physical health (1.23, 95% CI: -0.10 to 2.58), social capitals, assets and resources (0.67; 95% CI: -0.04 to 1.38), managing everyday life with dementia (0.33; 95% CI: -0.06 to 0.71), and social location (0.08; 95% CI: -2.10 to 2.26).Discussion: Psychological resources, and the social, environmental, and physical factors that underpin positive psychological states, are potentially important targets for interventions and initiatives that aim to improve the experience of living with dementia.