The disability paradox?: Trajectories of well-being in older adults with functional decline

Anouk M van Loon; Marja F I A Depla; Cees M P M Hertogh; Martijn Huisman; Almar A L Kok

doi:10.1177/08982643221108660

The disability paradox? Trajectories of well-being in older adults with functional decline

Anouk M van Loon, Marja F I A Depla, Cees M P M Hertogh, Martijn Huisman, Almar A L Kok

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Objectives: The 'disability paradox' (DP) suggests that most older adults maintain subjective well-being (SWB) despite functional decline. However, this may depend the SWB component: positive affect (PA), negative/depressed affect (NA/DA) or life satisfaction (LS). We assessed trajectories of these components in older adults with substantial functional decline. Methods: Data originated from the Longitudinal Aging Study Amsterdam (N = 2545) observed during 1992-2008. Using latent class growth analysis, we distinguished a group with substantial functional decline and examined their SWB trajectories and individual characteristics. Results: The DP occurred more frequently for DA (Men:73%, Women:77%) and LS (Men:14%, Women:83%) than for PA (Men:26%, Women:17%). Higher perceived control (mastery) emerged as the most consistent factor associated with higher odds of the DP. Discussion: We provide a nuanced view of the DP, shifting the question from whether it exists to for which dimension of SWB and for whom it is more or less apparent.

Original language	English
Pages (from-to)	125-137
Number of pages	13
Journal	Journal of Aging and Health
Volume	35
Issue number	1-2
Early online date	17 Jun 2022
DOIs	https://doi.org/10.1177/08982643221108660
Publication status	Published - Jan 2023

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study is supported by The Longitudinal Aging Study Amsterdam is supported by a grant from the Netherlands Ministry of Health, Welfare and Sport, Directorate of Long-Term Care. The data collection [in 2012-2013 and 2013-2014] was financially supported by the Netherlands Organization for Scientific Research (NWO) in the framework of the project “New Cohorts of young old in the 21st century” (file number 480-10-014) and supported by Dutch Ministry of Health, Welfare and Sports.

Funders	Funder number
Netherlands Ministry of Health, Welfare and Sport, Directorate of Long-Term Care	2013-2014
Ministerie van Volksgezondheid, Welzijn en Sport
Nederlandse Organisatie voor Wetenschappelijk Onderzoek	480-10-014

Keywords

Male
Humans
Female
Aged
Aging
Longitudinal Studies
Latent Class Analysis
Personal Satisfaction

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10.1177/08982643221108660

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Cite this

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title = "The disability paradox?: Trajectories of well-being in older adults with functional decline",

abstract = "Objectives: The 'disability paradox' (DP) suggests that most older adults maintain subjective well-being (SWB) despite functional decline. However, this may depend the SWB component: positive affect (PA), negative/depressed affect (NA/DA) or life satisfaction (LS). We assessed trajectories of these components in older adults with substantial functional decline. Methods: Data originated from the Longitudinal Aging Study Amsterdam (N = 2545) observed during 1992-2008. Using latent class growth analysis, we distinguished a group with substantial functional decline and examined their SWB trajectories and individual characteristics. Results: The DP occurred more frequently for DA (Men:73%, Women:77%) and LS (Men:14%, Women:83%) than for PA (Men:26%, Women:17%). Higher perceived control (mastery) emerged as the most consistent factor associated with higher odds of the DP. Discussion: We provide a nuanced view of the DP, shifting the question from whether it exists to for which dimension of SWB and for whom it is more or less apparent.",

keywords = "Male, Humans, Female, Aged, Aging, Longitudinal Studies, Latent Class Analysis, Personal Satisfaction",

author = "{van Loon}, {Anouk M} and Depla, {Marja F I A} and Hertogh, {Cees M P M} and Martijn Huisman and Kok, {Almar A L}",

year = "2023",

month = jan,

doi = "10.1177/08982643221108660",

language = "English",

volume = "35",

pages = "125--137",

journal = "Journal of Aging and Health",

issn = "0898-2643",

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T1 - The disability paradox?

T2 - Trajectories of well-being in older adults with functional decline

AU - van Loon, Anouk M

AU - Depla, Marja F I A

AU - Hertogh, Cees M P M

AU - Huisman, Martijn

AU - Kok, Almar A L

PY - 2023/1

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N2 - Objectives: The 'disability paradox' (DP) suggests that most older adults maintain subjective well-being (SWB) despite functional decline. However, this may depend the SWB component: positive affect (PA), negative/depressed affect (NA/DA) or life satisfaction (LS). We assessed trajectories of these components in older adults with substantial functional decline. Methods: Data originated from the Longitudinal Aging Study Amsterdam (N = 2545) observed during 1992-2008. Using latent class growth analysis, we distinguished a group with substantial functional decline and examined their SWB trajectories and individual characteristics. Results: The DP occurred more frequently for DA (Men:73%, Women:77%) and LS (Men:14%, Women:83%) than for PA (Men:26%, Women:17%). Higher perceived control (mastery) emerged as the most consistent factor associated with higher odds of the DP. Discussion: We provide a nuanced view of the DP, shifting the question from whether it exists to for which dimension of SWB and for whom it is more or less apparent.

AB - Objectives: The 'disability paradox' (DP) suggests that most older adults maintain subjective well-being (SWB) despite functional decline. However, this may depend the SWB component: positive affect (PA), negative/depressed affect (NA/DA) or life satisfaction (LS). We assessed trajectories of these components in older adults with substantial functional decline. Methods: Data originated from the Longitudinal Aging Study Amsterdam (N = 2545) observed during 1992-2008. Using latent class growth analysis, we distinguished a group with substantial functional decline and examined their SWB trajectories and individual characteristics. Results: The DP occurred more frequently for DA (Men:73%, Women:77%) and LS (Men:14%, Women:83%) than for PA (Men:26%, Women:17%). Higher perceived control (mastery) emerged as the most consistent factor associated with higher odds of the DP. Discussion: We provide a nuanced view of the DP, shifting the question from whether it exists to for which dimension of SWB and for whom it is more or less apparent.

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KW - Female

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KW - Latent Class Analysis

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