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Psychological distress and frailty transitions over time in community-dwelling older adults

Published online by Cambridge University Press:  15 January 2016

J. E. McHugh Open the ORCID record for J. E. McHugh [Opens in a new window] ,
M. Dowling ,
A. Butler  and
B. A. Lawlor
J. E. McHugh*
Affiliation:
Technology Research for Independent Living (TRIL) Centre, St James’s Hospital & Trinity College, University of Dublin, Dublin 2, Ireland
M. Dowling
Affiliation:
Technology Research for Independent Living (TRIL) Centre, St James’s Hospital & Trinity College, University of Dublin, Dublin 2, Ireland
A. Butler
Affiliation:
Technology Research for Independent Living (TRIL) Centre, St James’s Hospital & Trinity College, University of Dublin, Dublin 2, Ireland
B. A. Lawlor
Affiliation:
Technology Research for Independent Living (TRIL) Centre, St James’s Hospital & Trinity College, University of Dublin, Dublin 2, Ireland
*
*Address for correspondence: J. E. McHugh, Room 3.10, Technology Research for Independent Living (TRIL) Centre, Institute of Neuroscience, St James’s Hospital & Trinity College, University of Dublin, Dublin 2, Ireland. (Email: [email protected])
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Abstract

Objectives

Physical health and, in particular, frailty may be associated with psychological factors among older adults. We aimed to investigate the relationships between aspects of psychological distress and progression of frailty over time among older adults.

Methods

We used a longitudinal observational study design with 624 participants aged over 60 years (mean age=72.75, s.d.=7.21, 68% female) completing a baseline comprehensive biopsychosocial geriatric assessment, and 447 returning for a follow-up assessment 2 years later. Aspects of psychological distress, physical health, and frailty were analysed for the purposes of this study. We employed a series of logistic regression analyses to determine psychological predictors of changing states of aspects of frailty over time.

Results

With individual components of frailty, neuroticism and age predicted negative transitions of exhaustion and grip strength, respectively, whereas age alone was a predictor of transitions in overall frailty scores based on four components.

Conclusion

We conclude that neuroticism and age may impact upon physical frailty and its progression over time in an ageing population. These findings may reflect the tendency for those with high levels of neuroticism to endorse negative symptoms, or alternatively, neuroticism may result in exhaustion via worry in an older population. Further research is required to further elucidate this relationship.

Keywords

Depressionfrailtyneuroticism
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 33 , Issue 2 , June 2016 , pp. 111 - 119
Copyright
© College of Psychiatrists of Ireland 2016 

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References

Alexopoulos, DS, Kalaitzidis, I (2003). Psychometric properties of the Eysenck Personality Questionnaire (EPQ-R) Short Scale in Greece. Personality and Individual Differences 37, 1205–1220.Google Scholar
Alexopoulos, GS, Vrontou, C, Kakuma, T, Meyers, BS, Young, RC, Klausner, E, Clarkin, J (1996). Disability in geriatric depression. The American Journal of Psychiatry 153, 877–885.Google Scholar
Avlund, K, Rantanen, T, Schroll, M (2006). Tiredness and subsequent disability in older adults: the role of walking limitations. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 61, 1201–1205.Google Scholar
Bernal-Lopez, C, Potvin, O, Avila-Funes, JA (2012). Frailty is associated with anxiety in community-dwelling elderly adults. Journal of the American Geriatrics Society 60, 2373–2374.Google Scholar
Bortz, W (1982). Disuse and aging. Journal of the American Medical Directors Association 248, 1203–1208.Google Scholar
Bourgault-Fagnou, MD, Hadjustavropoulos, HD (2009). Understanding health anxiety among community dwelling seniors with varying degrees of frailty. Aging & Mental Health 13, 226–237.Google Scholar
Brown, PJ, Roose, SP, Fieo, R, Liu, X, Rantanen, T, Sneed, JR, Rutherford, BR, Devanand, DP, Avlund, K (2013). Frailty and depression in older adults: a high-risk clinical population. American Journal of Geriatric Psychiatry 22, 1083–1095.CrossRefGoogle ScholarPubMed
Calderwood, C, Ackerman, PL (2011). The relative impact of trait and temporal determinants of subjective fatigue. Personality and Individual Differences 50, 441–445.Google Scholar
Charlson, ME, Pompei, P, Ales, KL, MacKenzie, CR (1987). A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. Journal of Chronic Disorders 40, 373–383.Google Scholar
Chen, CY, Wu, SC, Chen, LJ, Lue, BH (2010). The prevalence of subjective frailty and factors associated with frailty in Taiwan. Archives of Gerontology and Geriatrics 50 (Suppl. 1): 43–47.Google Scholar
Cigolle, CT, Ofstedal, MB, Tian, Z, Blaum, CS (2009). Comparing models of frailty: The Health and Retirement Study. Journal of the American Geriatrics Society 57, 830–839.Google Scholar
Eysenck, H, Eysenck, S (1991). Eysenck Personality Questionnaire, Revised (EPQ-R). Hodder & Stoughton: London.Google Scholar
Fried, LP, Tangen, CM, Walston, J, Newman, AB, Hirsch, C, Gottdiener, J, Seeman, TE, Tracy, R, Kop, WJ, Burke, G, McBurnie, MA (2001). Frailty in older adults: evidence for a phenotype. Journals of Gerontology A: Biological Sciences and Medical Sciences 56, 146–157.Google Scholar
Gillick, M (2001). Pinning frailty down. Journal of Gerontology: Medical Sciences 56, 134–135.Google Scholar
Harter, MC, Conway, KP, Merikangas, KR (2003). Associations between anxiety disorders and physical illness. European Archives of Psychiatry and Clinical Neuroscience 253, 313–320.Google Scholar
Jang, Y, Mortimer, JA, Haley, WE, Borenstein Graves, A (2002). The role of neuroticism in the association between performance-based and self-reported measures of mobility. Journal of Aging and Health 14, 495–508.Google Scholar
Kreuger, KR, Wilson, RS, Liping, G, Bienias, JL, Mendes de Leon, CF, Evans, DA (2005). Neuroticism, extraversion, and mortality in a defined population of older persons. Psychosomatic Medicine 67, 841–845.Google Scholar
Mathias, S, Nayak, US, Isaacs, B (1986). Balance in elderly patients: the ‘get up and go’ test. Archives of Physical Medicine and Rehabilitation 67, 387–389.Google Scholar
Merkelbach, S, Konig, J, Sittinger, H (2003). Personality traits in multiple sclerosis (MS) patients with and without fatigue experience. Acta Neurologica Scandinavia 107, 195–201.Google Scholar
Mezuk, B, Edwards, L, Lohman, M, Choi, M, Lapane, K (2012). Depression and frailty in later life: a synthetic review. International Journal of Geriatric Psychiatry 27, 879–892.CrossRefGoogle ScholarPubMed
Morley, JE, Perry, HM, Miller, DK (2002). Editorial: something about frailty. Journal of Gerontology: Medical Sciences 57.Google ScholarPubMed
Morley, JE, Vellas, B, van Kan, GA, Anker, SD, Bauer, JM, Bernabei, R, Cesari, M, Chumlea, WC, Doehner, W, Evans, J, Fried, LP, Guralnik, JM, Katz, PR, Malstrom, TK, McCarter, RJ, Gutierrez Robledo, LM, Rockwood, K, von Haehling, S, Vandenwoude, MF, Walston, J (2013). Frailty consensus: A call to action. Journal of the American Medical Directors Association 14, 392–397.Google Scholar
Nazroo, J, Marshall, A (2014). Cohort, gender and socioeconomic inequalities in trajectories of frailty: findings from a growth modelling approach. World Congress of Sociology, July 2014, ISA, Yokohama.Google Scholar
Ni Mhaolain, AM, Fan, CW, Romero-Ortuno, R, Cogan, L, Cunningham, C, Kenny, RA, Lawlor, BA (2012). Frailty, depression and anxiety in later life. International Psychogeriatrics 24, 1265–1274.Google Scholar
Ostir, GV, Ottenbacher, KJ, Markides, KS (2004). Onset of frailty in older adults and the protective role of positive affect. Psychology and Aging 19, 402–408.Google Scholar
Radloff, LS (1977). The CES-D scale a self-report depression scale for research in the general population. Applied Psychological Measurement 1, 385–401.CrossRefGoogle Scholar
Rockwood, K (2005). Frailty and its definition: a worthy challenge. Journal of the American Geriatrics Society 53, 1069–1070.Google Scholar
Romero-Ortuno, R, Cogan, L, Fan, CW, Kenny, RA (2010). Initial orthostasis relates to systolic BP changes in elders. Clinical Autonomic Research 20, 39–45.Google Scholar
Ruo, B, Rumsfeld, JS, Pipkin, S, Whooley, MA (2004). Relation between depressive symptoms and treadmill exercise capacity in the Heart and Soul Study. American Journal of Cardiology 160, 1818–1823.Google Scholar
Schutzer, KA, Graves, BS (2004). Barriers and motivations to exercise in older adults. Preventive Medicine 39, 1056–1061.Google Scholar
Stone, SV, Costa, PT (1990). Disease-prone personality or distress-prone personality? The role of neuroticism in coronary heart disease. In Personality and Disease (ed. H. S. Friedman), pp. 178–200. John Wiley and Sons: New York.Google Scholar
Tai, W, Liu, S (2007). An investigation of the influences of job autonomy and neuroticism on the job stressor-strain relations. Social Behavior & Personality: An International Journal 35, 1007–1020.Google Scholar
Walston, J, Hadley, EC, Ferrucci, L, Guralnik, JM, Newman, AB, Studenski, SA, Erschler, WB, Harris, T, Fried, LP (2006). Research agenda for frailty in older adults: toward a better understanding of physiology and etiology: summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults. Journal of the American Geriatrics Society 54, 991–1001.Google Scholar
Whooley, MA, de Jonge, P, Vittinghoff, E, Otte, C, Moos, R, Carney, RM, Ali, S, Dowray, S, Na, B, Feldman, MD, Schiller, NB, Browner, WS (2008). Depressive symptoms, health behaviours, and risk of cardiovascular events in patients with coronary heart disease. Journal of the American Medical Directors Association 300, 2379–2388.CrossRefGoogle ScholarPubMed
Woods, NF, LaCroix, AZ, Gray, SL, Aragaki, A, Cochrane, BB, Brunner, RL, Masaki, K, Murray, A, Newman, AB, Women’s Health Initiative (2005). Frailty: emergence and consequences in women aged 65 and older in the Women’s Health Initiative Observational Study. Journal of the American Geriatrics Society 53, 1321–1330.Google Scholar
Yang, Y, George, LK (2005). Functional disability, disability transitions, and depressive symptoms in late life. Journal of Aging and Health 17, 263–292.Google Scholar
Zigmond, AS, Snaith, RP (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica 67, 361–370.CrossRefGoogle ScholarPubMed