Cognitive Functioning and Life Quality of the Elderly: A Cross-sectional Study

Mirjana Kralj-Vasilj; Štefica Mikšić; Nikolina Farčić; Dunja Degmenčić; Maja Miškulin; Kasandra Musović; Ivana Barać

doi:10.3889/oamjms.2020.3634

Authors

Mirjana Kralj-Vasilj Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, Nursing Institute “Professor Radivoje Radić”, Crkvena 21, HR-31000 Osijek, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Josipa Huttlera 4, HR-31000 Osijek, Croatia
Štefica Mikšić Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, Nursing Institute “Professor Radivoje Radić”, Crkvena 21, HR-31000 Osijek, Croatia
Nikolina Farčić Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, Nursing Institute “Professor Radivoje Radić”, Crkvena 21, HR-31000 Osijek, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Josipa Huttlera 4, HR-31000 Osijek, Croatia; University Hospital Centre Osijek, Josipa Huttlera 4, HR-31000 Osijek, Croatia
Dunja Degmenčić Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Josipa Huttlera 4, HR-31000 Osijek, Croatia; University Hospital Centre Osijek, Josipa Huttlera 4, HR-31000 Osijek, Croatia
Maja Miškulin Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Josipa Huttlera 4, HR-31000 Osijek, Croatia; University Hospital Centre Osijek, Josipa Huttlera 4, HR-31000 Osijek, Croatia
Kasandra Musović Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, Nursing Institute “Professor Radivoje Radić”, Crkvena 21, HR-31000 Osijek, Croatia
Ivana Barać Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health Osijek, Nursing Institute “Professor Radivoje Radić”, Crkvena 21, HR-31000 Osijek, Croatia

DOI:

https://doi.org/10.3889/oamjms.2020.3634

Keywords:

Cognitive functioning, Elderly, Quality of life

Abstract

BACKGROUND: According to the Gerontological Health Statistics for Croatia, the number of elderly people in Croatia is increasingly growing. The UN classification ranks the Republic of Croatia as the country which belongs to group four of the European countries with elderly population.

AIM: The aim of this paper is to examine cognitive functioning and life quality of the elderly.

SUBJECTS AND METHODS: A total of 156 participants took part in the study. The cross-sectional study was conducted from March 2016 to October 2016 in the Osječko-baranjska County, Croatia. The World Health Organization quality of life (QOL)-BREF scale was used to test the QOL; cognitive functioning was tested using mini-mental state examination (MMSE) questionnaire.

RESULTS: A total of 156 subjects were tested during the study. The MMSE questionnaire for cognitive abilities and dementia assessment: 83 (53%) participants scored 24 or more which indicates a normal result. The participants whose results indicate the presence of disorders also have notably lower life quality in all domains. The participants suffering only from a physical illness exhibit significantly lower values in the environmental domain (Mann–Whitney U-test, p = 0.010) when compared to those suffering both from physical and mental illness whose results show extremely low values in practically all the segments regarding the QOL. The values of the cognitive functioning questionnaire are related to the life quality domains; the strongest connection relates to mental health (Spearman’s rank correlation coefficient Rho = 0.493 p < 0.001) and the weakest connection refers to social functioning.

CONCLUSION: After reaching a certain age, the elderly seems to exhibit the lowering in cognitive functioning which consequently reflects on lowering of the life quality as well. The problems regarding the QOL occur as a direct consequence of the gap between the possibilities of the elderly and the demands and conditions set by modern life.

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References

Croatian Bureau of Statistics. Republic of Croatia; 2018. Available from: https://www.dzs.hr. [Last accessed on 2018 Mar 10].

Ministry of Health of the Republic of Croatia. National Strategy for Health Care Development 2012-2020. Republic of Croatia; 2012. Available from: https://www.zdravlje.gov.hr/programi-iprojekti/nacionalni-programi-projekti-i-strategije/ostali-programi/ national-health-care-strategy-2012-2020/2195.

Pečjak V, Sučević Đ, Fruk-Mundorfer S. Third Age Psychology. Zagreb: Prosvjeta; 2001.

Tordoff JM, Ailabouni NJ, Browne DP, Al-Sallami HS, Gray AR. Improvements in the prescribing of antipsychotics in dementia and psychogeriatric units in New Zealand. Int J Clin Pharm. 2016;38(4):941-9. https://doi.org/10.1007/s11096-016-0318-1 PMid:27241343

Kester R, Unützer J, Hogan D, Huang H. Antipsychotic prescribing patterns in a Medicare Advantage population of older individuals with dementia. J Ment Health. 2017;26(2):167- 71. https://doi.org/10.1080/09638237.2016.1244720 PMid:27841049

World Health Organization. Global Network of Age-Friendly Cities and Communities. Geneva: World Health Organization; 2018. Available from: https://www.extranet.who.int/agefriendlyworld/ who-network. [Last accessed on 2018 Mar 10].

Langa KM, Levine D. The diagnosis and management of mild cognitive impairment: Aclinical review. JAMA. 2014;312(23):2551- 61. https://doi.org/10.1001/jama.2014.13806 PMid:25514304

Singh A, Misra N. Loneliness, depression and sociability in old age. Ind Psychiatry J. 2009;18(1):51-5. https://doi. org/10.4103/0972-6748.57861 PMid:21234164

Lipovčan LK, Prizmić-Larsen Z. Quality of life, life satisfaction and happiness in Croatia in comparison to European countries. In: Ott K, editor. Croatian Accession to the European Union the Challenges of Participation. Zagreb: Institute of Public Finances, Friedrich Ebert Stiftung; 2006. p. 189-208. Available from: http://www.ijf.hr/eng/ EU4/kaliterna-prizmic.pdf. [Last accessed on 2018 Mar 10].

Carr AJ, Gibson B, Robinson PG. Is quality of life determined by expectations or experience? BMJ. 2001;322(7296):1240-43. https://doi.org/10.1136/bmj.322.7296.1240 PMid:11358783

Folstein MF, Folstein SE, McHugh PR. Mini-mental state: Apractical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12:189-98. https://doi.org/10.1002/ (sici)1099-1166(199805)13:53.0.co;2-v PMid:1202204

Skevington SM, Lotfy M, O’Connell KA. The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial a report from the WHOQOL group. Qual Life Res. 2004;13(2):299- 310. https://doi.org/10.1023/B: QURE.0000018486.91360.00 PMid:15085902

United Nations. Department of Economic and Social Affairs. Population Division. World Population Ageing, 1950-2050. New York: United Nations; 2002.

Lučanin JD. Health psychology of ageing review of the field and of the research in Croatia. Klin Psihol. 2008;1(1-1):59-77.

Campos C, Rocha NB, Vieira RT, Rocha SA, Telles-Correia D, Paes F, et al. Treatment of cognitive deficits in Alzheimer’s disease: A psychopharmacological review. Psychiatr Danub. 2016;28(1):2-12. PMid:26938815

Van der Weele GM, Gussekloo J, De Waal MW, De Craen AJ, Van der Mast RC. Co-occurrence of depression and anxiety in elderly subjects aged 90 years and its relationship with functional status, quality of life and mortality. Int J Geriatr Psychiatry. 2009;24(6):595-601. https://doi.org/10.1002/gps.2162 PMid:19031476

Schaub RT, Linden M. Anxiety and anxiety disorders in the old and very old--results from the Berlin aging study (BASE). Compr Psychiatry. 2000;41(2 Suppl 1):48-54. https://doi.org/10.1016/ S0010-440X(00)80008-5 PMid:10746904

Sinoff G, Werner P. Anxiety disorder and accompanying subjective memory loss in the elderly as a predictor of future cognitive decline. Int J Geriatr Psychiatry. 2003;18(10):951-9. https://doi.org/10.1002/gps.1004 PMid:14533128

Schoevers RA, Beekman AT, Deeg DJ, Jonker C, van Tilburg W. Comorbidity and risk-patterns of depression, generalised anxiety disorder and mixed anxiety-depression in later life: Results from the AMSTEL study. Int J Geriatr Psychiatry. 2003;18(11):994- 1001. https://doi.org/10.1002/gps.1001 PMid:14618550

Paukert AL, Pettit JW, Kunik ME, Wilson N, Novy DM, Rhoades HM, et al. The roles of social support and self-efficacy in physical health’s impact on depressive and anxiety symptoms in older adults. J Clin Psychol Med Settings. 2010;17(4):387- 400. https://doi.org/10.1007/s10880-010-9211-6 PMid:21110074

Acton GJ. Well-being as a concept for theory, practice, and research. Worldviews Evid Based Nurs. 1994;E1(1):88-101. https://doi.org/10.1111/j.1524-475X.1994.00088.x

Pibernik-Okanović M, Szabo S, Metelko Z. Quality of life following a change in therapy for diabetes mellitus. Pharmacoeconomics. 1998;14(2):201-7. https://doi. org/10.2165/00019053-199814020-00008 PMid:10186460

Jokic-Begic N, Tadinac M, Hromatko I, Korajlija A. The subjective quality of life (SQOL) in gastroenterological patients. Psihol Teme. 2007;16:259-74.

Notenboom K, Beers E, van Riet-Nales DA, Egberts TC, Leufkens HG, Jansen PA, et al. Practical problems with medication use that older people experience: A qualitative study. J Am Geriatr Soc. 2014;62(12):2339-44. https://doi.org/10.1111/ jgs.13126 PMid:25516030

Ćurković M, Dodig-Ćurković K, Erić AP, Kralik K, Pivac N. Psychotropic medications in older adults: A review. Psychiatr Danub. 2016;28(1):13-24. PMid:26938816

Garcia LM, Navarrro LM. The impact of quality of life on the health of older people from a multidimensional perspective. JAging Res. 2018;2018:4086294. https://doi.org/10.1155/2018/4086294

Olagnero M, Meo A, Corcoran MP. Social support networks in impoverished European neighbourhoods. Eur Soc. 2005;7(1):53- 79. https://doi.org/10.1080/1461669042000327027

Speer PW, Jackson CB, Peterson NA. The relationship between social cohesion and empowerment: Support and new implications for theory. Heal Educ Behav. 2001;28(6):716-32. https://doi.org/10.1177/109019810102800605 PMid:11720274

Brissette I, Cohen S, Seeman TE. Measuring social integration and social networks. In: Social Support Measurement and Intervention. Oxford: Oxford University Press; 2000. p. 53-85. https://doi.org/10.1093/med: psych/9780195126709.003.0003

Böhnke P. Are the poor socially integrated? The link between poverty and social support in different welfare regimes. J Eur Soc Policy. 2008;18(2):133-50. https://doi. org/10.1177/0958928707087590

Kearns A, Forrest R. Social cohesion and multilevel urban governance. Urban Stud. 2000;37(5-6):995-1017.

Gana K, Bailly N, Saada Y, Joulain M, Alaphilippe D. Does life satisfaction change in old age: Results from an 8-year longitudinal study. J Gerontol Ser B Psychol Sci Soc Sci. 2013;68(4):540-52. https://doi.org/10.1093/geronb/gbs093 PMid:23103381

Davis MC, Zautra AJ, Johnson LM, Murray KE, Okvat HA. Psychosocial stress, emotion regulation, and resilience among older adults. In: Handbook of Health Psychology and Aging. New York, US: Guilford Press; 2007. p. 250-66.

Milanović SM, Erjavec K, Poljičanin T, Vrabec B, Brečić P. Prevalence of depression symptoms and associated sociodemographic factors in primary health care patients. Psychiatr Danub. 2015;2(1):31-7. PMid: 25751429.

Umberson D, Karas Montez J. Social relationships and health: A flashpoint for health policy. J Health Soc Behav. 2010;51(Suppl):S54-66. https://doi. org/10.1177/0022146510383501 PMid:20943583

del Barrio E, Marsillas S, Buffel T, Smetcoren AS, Sancto M. From active aging to active citizenship: The role of (age) friendliness. Soc Sci. 2018;7(8):134-50. https://doi.org/10.3390/ socsci7080134