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A longitudinal exploration of mental health resilience, cognitive impairment and loneliness

Gill Windle Orcid Logo, Zoe Hoare, Bob Woods Orcid Logo, Martijn Huisman, Vanessa Burholt Orcid Logo

International Journal of Geriatric Psychiatry, Volume: 36, Issue: 7, Pages: 1020 - 1028

Swansea University Author: Vanessa Burholt Orcid Logo

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DOI (Published version): 10.1002/gps.5504

Abstract

ObjectiveThere is a growing interest in how people living with dementia may achieve good outcomes and be resilient despite their health challenges. Understanding what might be important for resilience in this population is largely untested theory.MethodsThe analysis draws a subsample with cognitive...

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Published in: International Journal of Geriatric Psychiatry
ISSN: 0885-6230 1099-1166
Published: Wiley 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa60590
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spelling 2022-08-18T11:02:37.4774771 v2 60590 2022-07-22 A longitudinal exploration of mental health resilience, cognitive impairment and loneliness cf7fe9863906cd54df5b0a99904d535e 0000-0002-6789-127X Vanessa Burholt Vanessa Burholt true false 2022-07-22 ObjectiveThere is a growing interest in how people living with dementia may achieve good outcomes and be resilient despite their health challenges. Understanding what might be important for resilience in this population is largely untested theory.MethodsThe analysis draws a subsample with cognitive impairment (N = 579) from two waves of the Cognitive Function and Ageing Studies Wales study, a nationally representative study of community-dwelling people aged 65+ in Wales. We constructed a measure of mental health resilience (MHR) defined as no depression, no anxiety and high well-being. Drawing on a resilience framework, we tested univariate and cumulative effects models of the factors that enable MHR, and then examined whether MHR is important for reducing loneliness over time.ResultsAcross both waves of data 22% (n = 121) met the criteria for MHR. The cumulative effects model found the odds of MHR were greater for male gender, higher self-esteem, greater social resources and no subjective memory complaints. Controlling for these significant predictors, MHR significantly predicted lower total and sub-scale scores for loneliness at wave 2. Sensitivity analysis shows these effects held at lower levels of cognitive function when the Mini-Mental State Examination score was <25, but not at <23.ConclusionsThis paper addresses a gap in research regarding the conceptualisation and measurement of resilience when facing cognitive impairment. Understanding what aspects of a person's life might enable good mental health despite cognitive impairment—to be resilient—could inform effective strategies for friends and families, along with health, and social policy and practice. Journal Article International Journal of Geriatric Psychiatry 36 7 1020 1028 Wiley 0885-6230 1099-1166 anxiety, cognitiveimpairment, dementia, depression, loneliness, longitudinal, mentalhealth, resilience, well‐being 1 7 2021 2021-07-01 10.1002/gps.5504 COLLEGE NANME COLLEGE CODE Swansea University Another institution paid the OA fee This work (CFAS Wales study) was supported by the Economic and Social Research Council (RES‐060‐25‐0060) and Higher Education Funding Council Wales as ‘Maintaining function and well‐being in later life: a longitudinal cohort study'. 2022-08-18T11:02:37.4774771 2022-07-22T00:12:59.1235862 Faculty of Medicine, Health and Life Sciences The Centre for Innovative Ageing Gill Windle 0000-0003-0479-1172 1 Zoe Hoare 2 Bob Woods 0000-0002-6781-651x 3 Martijn Huisman 4 Vanessa Burholt 0000-0002-6789-127X 5 60590__24699__d63c6141f35e4ef9bf7dba0651cfb82e.pdf Reslience cognitive impairment and loneliness IJGP Offprint.pdf 2022-07-22T00:19:34.7720774 Output 294073 application/pdf Version of Record true © 2021 The Authors. This is an open access article under the terms of the Creative Commons Attribution License true eng http://creativecommons.org/licenses/by/4.0/
title A longitudinal exploration of mental health resilience, cognitive impairment and loneliness
spellingShingle A longitudinal exploration of mental health resilience, cognitive impairment and loneliness
Vanessa Burholt
title_short A longitudinal exploration of mental health resilience, cognitive impairment and loneliness
title_full A longitudinal exploration of mental health resilience, cognitive impairment and loneliness
title_fullStr A longitudinal exploration of mental health resilience, cognitive impairment and loneliness
title_full_unstemmed A longitudinal exploration of mental health resilience, cognitive impairment and loneliness
title_sort A longitudinal exploration of mental health resilience, cognitive impairment and loneliness
author_id_str_mv cf7fe9863906cd54df5b0a99904d535e
author_id_fullname_str_mv cf7fe9863906cd54df5b0a99904d535e_***_Vanessa Burholt
author Vanessa Burholt
author2 Gill Windle
Zoe Hoare
Bob Woods
Martijn Huisman
Vanessa Burholt
format Journal article
container_title International Journal of Geriatric Psychiatry
container_volume 36
container_issue 7
container_start_page 1020
publishDate 2021
institution Swansea University
issn 0885-6230
1099-1166
doi_str_mv 10.1002/gps.5504
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str The Centre for Innovative Ageing{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}The Centre for Innovative Ageing
document_store_str 1
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description ObjectiveThere is a growing interest in how people living with dementia may achieve good outcomes and be resilient despite their health challenges. Understanding what might be important for resilience in this population is largely untested theory.MethodsThe analysis draws a subsample with cognitive impairment (N = 579) from two waves of the Cognitive Function and Ageing Studies Wales study, a nationally representative study of community-dwelling people aged 65+ in Wales. We constructed a measure of mental health resilience (MHR) defined as no depression, no anxiety and high well-being. Drawing on a resilience framework, we tested univariate and cumulative effects models of the factors that enable MHR, and then examined whether MHR is important for reducing loneliness over time.ResultsAcross both waves of data 22% (n = 121) met the criteria for MHR. The cumulative effects model found the odds of MHR were greater for male gender, higher self-esteem, greater social resources and no subjective memory complaints. Controlling for these significant predictors, MHR significantly predicted lower total and sub-scale scores for loneliness at wave 2. Sensitivity analysis shows these effects held at lower levels of cognitive function when the Mini-Mental State Examination score was <25, but not at <23.ConclusionsThis paper addresses a gap in research regarding the conceptualisation and measurement of resilience when facing cognitive impairment. Understanding what aspects of a person's life might enable good mental health despite cognitive impairment—to be resilient—could inform effective strategies for friends and families, along with health, and social policy and practice.
published_date 2021-07-01T02:30:11Z
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