Life satisfaction among persons living with dementia and those without dementia.
Life satisfaction among persons living with dementia and those without dementia.
复制标题
痴呆症患者和非痴呆症患者的生活满意度。
DOI：
10.1111/jgs.18174
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发表时间：
2023
影响因子：
6.3
通讯作者：
Reuben,DavidB
中科院分区：
文献类型：
--
作者：
Gotanda,Hiroshi;Tsugawa,Yusuke;Xu,Haiyong;Reuben,DavidB
背景尽管可能产生重大的认知、身体、社会和行为后果，但人们对痴呆症患者如何感知生活满意度（幸福的关键组成部分）知之甚少。我们试图检查（i）与没有痴呆的同龄人相比，患有痴呆的人是否感知到较低的满意度水平，以及（ii）患有痴呆和没有痴呆的人之间的个体特征和生活满意度之间的关联是否不同。我们比较了生活满意度量表（SWLS）的得分，这是一个自我报告的5项量表，范围从1到7（更满意），在可能患有痴呆症的人（n= 341）和没有痴呆症的人（n= 5530）之间，调整个人特征。我们还测试了个体特征和SWLS之间的关联是否因痴呆状态而异。结果当调整包括日常生活活动（ADL）限制在内的个体特征时，可能患有痴呆症的人和没有痴呆症的人的SWLS评分没有差异（调整后的差异，-0.09; 95%CI，-0.33至+0.15;p值，0.45）。然而，痴呆状态与生活满意度较低相关，通过调节ADL的限制（总效应，-0.29;自助95%CI，-0.47至-0.12）。与生活满意度较低相关的大多数个体特征在两组中相似，包括年龄较小，ADL更多限制和抑郁。较少的财富与较低的满意度之间没有痴呆症的人，但不是那些可能dementions. ConclusionsDementionsStatus是只有适度相关的生活满意度较低，通过调解的限制，在ADL的参与者谁能够提供响应。未来的研究是必要的，以确定生活满意度是否可以作为一个有意义的结果时，评估生活与痴呆症患者的福祉。
BackgroundDespite possible major adverse cognitive, physical, social, and behavioral consequences, little is known about how persons living with dementia perceive satisfaction with life, a key component of well‐being. We sought to examine (i) whether persons living with dementia perceive a lower level of satisfaction compared to their peers without dementia and (ii) whether the associations between individual characteristics and life satisfaction are different between persons living with and without dementia.MethodsUsing a nationally representative sample of community‐dwelling older adults aged ≥70 years in the U.S. from the Health and Retirement Study, we compared scores on the Satisfaction with Life Scale (SWLS), a self‐reported 5‐item scale ranging from 1 to 7 (more satisfaction), between persons with probable dementia (n= 341) and those without (n= 5530), adjusting for individual characteristics. We also tested whether the associations between the individual characteristics and SWLS differ by dementia status.ResultsScores on SWLS did not differ between persons with probable dementia and those without when adjusting for individual characteristics including limitations in activities of daily living (ADL) (adjusted difference, −0.09; 95% CI, −0.33 to +0.15;p‐value, 0.45). However, dementia status was associated with lower life satisfaction through the mediation of limitations in ADL (total effect, −0.29; bootstrapped 95% CI, −0.47 to −0.12). Most individual characteristics associated with lower life satisfaction were similar in the two groups, including younger age, more limitations in ADL, and depression. Less wealth was associated with lower satisfaction among persons without dementia but not among those with probable dementia.ConclusionsDementia status was only modestly associated with lower life satisfaction through the mediation of limitations in ADL among participants who were able to provide response. Future research is warranted to determine whether life satisfaction can be used as a meaningful outcome when evaluating well‐being among persons living with dementia.