EPA-1703 – Hope and well-being in the elderly
EPA-1703 – Hope and well-being in the elderly
EPA-1703 – Hope and well-being in the elderly
HOPE AND WELL-BEING IN THE ELDERLY
Pessoa, P.1, Cunha, M.1,2, Daniel, F.1,3, Galhardo, A.1,2, Simões, S.1,4, & Espírito-Santo, H.1,4
1Miguel Torga Institute, Coimbra, Portugal;
2Cognitive-Behavioural Research Centre; 3Centre for Health Studies and Research, University of Coimbra;
4CEPESE, University of Oporto, Portugal
Introduction Results
The aging of population is a worldwide reality. According to Table 1: Participants’ characterization in terms of quality of life
data from the National Statistics Institute (NSI) aging of the indicators (general health status perception, feelings of
Portuguese population for the next 50 years will increase loneliness and activity level)
significantly and a relevant decrease in young population will Quality of life indicators N %
also take place. Along with these phenomena it is also worth Health status
Very bad 11 8.5
of note the social impact associated with it which points to the Bad 39 30.0
importance of specific interventions targeting this elderly Reasonable 68 52.3
population. Furthermore it is necessary to address more in Good/Very Good 10/2 7.7/1.5
depth the characteristics and special needs of these M = 2.64 SD = 0.81
individuals in order to enhance their mental health and design Feelings of loneliness
Never 62 47.7
specific strategies to meet their needs. Sometimes 49 37.7
The concepts of well-being and hope are associated with life Many times 19 14.6
satisfaction. Public policies should include the promotion of M = 1.67 SD = 0.72
quality of life in the elderly. Activity level
Not at all active 15 11.5
Slight active 52 40.0
Active 37 28.5
Objectives Very/Extremely active 25/1 19.2/0.8
M = 2.58 SD = 0.96
Address the concepts of hope and well-being in the elderly,
analysing the role of socio-demographic variables. Table 2: Correlations between hope, satisfaction with life and
Characterize this population in terms of other quality of life positive and negative affect
indicators such as perception of general health status, Hope Satisfactio Positive
feelings of loneliness and degree of activity (current n with Life affect
Hope Scale (HS) 1
participation in social, cultural and civil life).
Satisfaction with Life (SWLS) 0.41** 1
Positive Affect (PANAS) 0.53** 0.03 1
Materials and Methods Negative Affect (PANAS) -0.22* -0.46** 0.23**
Note. * p <0,05; ** p <0,001
Participants: were recruited from day care centers (66.2%), Influence of gender, age, education years, marital status
nursing homes (22.3%) or from their own homes (11.5%) in and SES, on hope, life satisfaction and affective states
Coimbra, Portugal. Subjects presenting cognitive deficit Results showed a significant difference between men and
(assessed by the Short Portable Mental Status Questionnaire) women in hope (t (128) = 2.46, p = 0.015). Men revealed more
were excluded. The sample included 130 elderly people, 42 hope (M = 45.36; SD = 5.47) when compared to female
men (32.3%) and 88 women (67.7%) with ages ranging from participants (M = 42.86; SD = 5.40).
65 to 94 years old (M = 79.2; SD = 6.05), Age did not correlate with any of the studied variables. Years
The majority were widow (61%), 29% were married, 7% were of education showed a positive association with hope (r =
single and 3% were divorced/separated. Regarding years of 0.35; p < 0,001) and positive affect (r = 0.31; p < 0.001). There
education, there was a significant percentage of illiteracy was a significant difference in hope regarding marital status (F
(42%), the majority had the 4th grade (51%), 5% had 9th-12th (2.127) = 6.81; p = 0.002). Post-Hoc tests revealed that
grade and only a minority had medium/higher education (4%). married participants had higher levels of hope (M = 46.32)
Finally, 48% of participants reported their socioeconomic when compared to widows (M = 42.48).
status (SES) as low-medium and the majority (52%) as Significant differences were found between the two SES
medium-high level. groups, in hope (t (128) = -4.53, p < 0.001), satisfaction with
Procedure: All participants gave their informed consent. The life (t (128) = -2.94, p = 0.004), and positive affect (t (128) = -
protocol was administered individually (time completion: 30’). 2.41, p = 0.017). The medium-high socioeconomic group
showed higher scores on hope (M = 45.62), life satisfaction (M
Instruments = 23.47) and positive affect (M = 20.25) when compared to the
Hope Scale (HS; Snyder et al., 1991) is a 12-item Likert scale, low-medium group (M = 41.52, M = 20.81, M = 18.37).
that assesses Agency and Pathways. In this study, Cronbach
alpha for the combined HS was 0.83. Table 3: Relationship between quality of life indicators (general
Positive and Negative Affect Schedule (PANAS; Watson, health status perception, feelings of loneliness and activity level)
Clark & Tellegen, 1988) is composed by two 10-item mood and hope, satisfaction with life and affective states
scales that assess positive and negative affect. In our sample HS SWLS Pos Affect Neg Affect
Cronbach alphas for the positive and negative affect subscales Health 0.28** 0.35** 0.22* -0.37
were 0.72 and 0.80, respectively. Loliness -0.13 -0.16 -0.16 0.20*
Satisfaction With Life Scale (SWLS; Pavot & Diener, 1993) Activity 0.54** 0.29** 0.61** -0.09
assesses satisfaction with life as a whole. In this study the Note. HS = Hope Scale; SWLS = Satisfaction with Life Scale. ** p<.001; *p<.05
Cronbach alpha was 0.82.
Discussion/Conclusions
The majority of participants perceive their health status as affect.
reasonable, frequently mentioning feelings of loneliness. Only Male participants who were married and belonging to the middle-
20% perceive themselves as active or socially involved. These high socioeconomic level show higher levels of hope when
data are in accordance with the information provided by NSI compared to women, widows and the lower-middle socio-
(2002). economic group.
The more positive the general health status perception and the The current study points to the association of specific variables
greater the level of activity, the greater the hope, life satisfaction (sociodemographic, contextual, and psychological) and its
and positive affect, and the lower the negative affect. Perception contribution to well-being in the elderly. Results suggest that
of loneliness is only associated with negative affect. hope-based interventions designed to enhance hope, life
The elderly showing more hope feelings are more satisfied with satisfaction, self-worth and mental health, in elderly population,
their lives, experience more positive emotions and less negative are quite important.
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