NDLI: Mediating relationships within the Disablement Process model: a cross-sectional study of the oldest-old

Content Provider	Springer Nature Link
Author	Fauth, Elizabeth Braungart Zarit, Steven H. Malmberg, Bo
Copyright Year	2008
Abstract	The Disablement Process model proposes a pathway for how chronic diseases in late life can lead to disability, with the variables in the main pathway designated as pathology, impairment, functional limitations, and disability. The model also suggests that psychosocial and contextual variables in the periphery of the model affect disability outcomes. The current study included 149 Swedish adults aged 86, 90, or 94 living in the community or in institutions who answered questions and performed tasks of physical and cognitive ability. A series of regressions were used to test the mediating role of variables within the main pathway of the model, as well as the ability of psychosocial variables to mediate main pathway relationships. Results indicated that physical limitations accounted for between 31 and 52% of the direct effects between impairments and disability, but delayed recall did not mediate these relationships. For the tests of psychosocial variables, mastery was a consistent mediator between impairments and functional limitations, and also mediated several relationships between functional limitations and disability variables. Depression and loneliness also mediated some of the relationships within the main pathway, but explained a smaller percentage of the total effects than mastery. The study concludes that the Disablement Process model is an effective biopsychosocial approach in describing and predicting disability in the oldest-old. In addition, the course of disability seems to be buffered by certain psychosocial variables, particularly feelings of mastery.
Starting Page	161
Ending Page	179
Page Count	19
File Format	PDF
ISSN	16139372
Journal	European Journal of Ageing
Volume Number	5
Issue Number	3
e-ISSN	16139380
Language	English
Publisher	Springer-Verlag
Publisher Date	2008-09-02
Publisher Place	Berlin, Heidelberg
Access Restriction	Subscribed
Subject Keyword	Disability Functional ability Disablement Process model Oldest-old Mastery Psychology Public Health/Gesundheitswesen Geriatrics/Gerontology Demography Aging
Content Type	Text
Resource Type	Article
Subject	Health (social science) Geriatrics and Gerontology

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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