The relationship of functional limitations to disability and the moderating effects of psychological attributes in community-dwelling older persons
Abstract
This paper examines the moderating effects of three psychological attributes (neuroticism, self-efficacy expectancies and mastery) on the association between functional limitations (motor and cognitive limitation, vision and hearing loss) and disability ((instrumental) activities of daily living, role function and social function) in a sample of 624 community-dwelling older persons. In contrast to our hypothesis, we did not find any evidence for interaction effects. This means that low levels of psychological resources do not exacerbate the effect of functional limitation on disability in community-dwelling older persons. We found significant unique contributions of the psychological attributes to disability. Even when all three psychological attributes were taken into account, neuroticism and mastery had unique effects on social and role function, and self-efficacy expectancies had unique effects on (instrumental) activities of daily living. We conclude that the effects of functional limitation and psychological attributes on disability can be considered as additive. Older persons with less psychological resources are particularly at risk in developing disability.
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Executive functions are particularly vulnerable to declines at later ages.
“Executive planning and organizational skills appear to be important to maintaining functional independence (4–7) and appear to be particularly vulnerable to declines at later ages (8–10) along with the prefrontal cortical regions of the brain that support them (11–14).”
From Evidence for Neurocognitive Plasticity in At-Risk Older Adults: The Experience Corps Program (2009) · cites this paper as [9]
Cites
Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975) · Journal of Psychiatric Research · doi:10.1016/0022-3956(75)90026-6 · Cited by 88,282 · see citing works
Multiple regression: testing and interpreting interactions
(1992) · Choice Reviews Online · doi:10.5860/choice.29-3352 · Cited by 36,644 · see citing works
“Stress: appraisal and coping,”
Folkman, S. (2013) · Encyclopedia of Behavioral Medicine · doi:10.1007/978-1-4419-1005-9_215 · Cited by 27,833 · see citing works
(1985) · Medical Entomology and Zoology · Cited by 19,180 · see citing works
Pearlin, L. I., & Schooler, C. (1978) · Journal of Health and Social Behavior · doi:10.2307/2136319 · Cited by 7,791 · see citing works
(1991) · Cited by 7,187 · see citing works
Pearlin, L. I., Menaghan, E. G., Lieberman, M. A., & Mullan, J. T. (1981) · Journal of Health and Social Behavior · doi:10.2307/2136676 · Cited by 6,289 · see citing works
The Mini‐Mental State Examination: A Comprehensive Review
Tombaugh, T. N., & McIntyre, N. J. (1992) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1992.tb01992.x · Cited by 5,152 · see citing works
The Self-Efficacy Scale: Construction and Validation
Sherer, M., Maddux, J. E., Mercandante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982) · Psychological Reports · doi:10.2466/pr0.1982.51.2.663 · Cited by 4,028 · see citing works
The MOS Short-form General Health Survey: Reliability and Validity in a Patient Population
Stewart, A. L., Hays, R. D., & Ware, J. E. (1988) · Medical Care · doi:10.1097/00005650-198807000-00007 · Cited by 3,339 · see citing works
Verbrugge, L. M., & Jette, A. M. (1994) · Social Science & Medicine · doi:10.1016/0277-9536(94)90294-1 · Cited by 3,310 · see citing works
A revised version of the Psychoticism scale
Eysenck, S. B. G., Eysenck, H. J., & Barrett, P. (1985) · Personality and Individual Differences · doi:10.1016/0191-8869(85)90026-1 · Cited by 3,094 · see citing works
Katz, S. (1983) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1983.tb03391.x · Cited by 2,734 · see citing works
Kriegsman, D. M. W., Penninx, B. W. J. H., van Eijk, J. T. M., Boeke, A. J. P., & Deeg, D. J. H. (1996) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(96)00274-0 · Cited by 934 · see citing works
Physical Disability and Depression: A Longitudinal Analysis
Turner, R. J., & Noh, S. (1988) · Journal of Health and Social Behavior · doi:10.2307/2137178 · Cited by 530 · see citing works
Learning and Retrieval Rate of Words Presented Auditorily and Visually
Brand, N., & JOLLES, J. (1985) · The Journal of General Psychology · doi:10.1080/00221309.1985.9711004 · Cited by 426 · see citing works
Parkes, K. R. (1986) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.51.6.1277 · Cited by 397 · see citing works
Kempen, G. I. J. M., Miedema, I., Ormel, J., & Molenaar, W. (1996) · Social Science & Medicine · doi:10.1016/s0277-9536(96)00057-3 · Cited by 393 · see citing works
Self-citationAssociation of Visual Impairment with Mobility and Physical Function
Salive, M. E., Guralnik, J. M., Glynn, R. J., Christen, W., Wallace, R. B., & Ostfeld, A. M. (1994) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1994.tb01753.x · Cited by 312 · see citing works
de Leon, C. F. M., Seeman, T. E., Baker, D. I., Richardson, E. D., & Tinetti, M. E. (1996) · The Journals of Gerontology Series B · doi:10.1093/geronb/51b.4.s183 · Cited by 296 · see citing works
The development of a hierarchical polychotomous ADL-IADL scale for noninstitutionalized elders
Kempen, G. I. J. M., & Suurmeijer, T. P. B. M. (1990) · The Gerontologist · doi:10.1093/geront/30.4.497 · Cited by 285 · see citing works
Self-citationParkes, K. R. (1986) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.51.6.1277 · Cited by 284 · see citing works
Reuben, D. B., Valle, L. A., Hays, R. D., & Siu, A. L. (1995) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1995.tb06236.x · Cited by 265 · see citing works
Ormel, J., Kempen, G. I. J. M., Deeg, D. J. H., Brilman, E. I., van Sonderen, E., & Relyveld, J. (1998) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1998.tb01011.x · Cited by 260 · see citing works
Self-citationKempen, G. I. J. M., Ormel, J., Brilman, E. I., & Relyveld, J. (1997) · American Journal of Public Health · doi:10.2105/ajph.87.1.38 · Cited by 224 · see citing works
Self-citationSager, M. A., Dunham, N. C., Schwantes, A., Mecum, L., Halverson, K., & Harlowe, D. (1992) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1992.tb02011.x · Cited by 204 · see citing works
The Relationship of Vision and Hearing Impairment to One-Year Mortality and Functional Decline
Laforge, R. G., Spector, W. D., & Sternberg, J. (1992) · Journal of Aging and Health · doi:10.1177/089826439200400108 · Cited by 192 · see citing works
Ormel, J., Kempen, G. I. J. M., Penninx, B. W. J. H., Brilman, E. I., Beekman, A. T. F., & van Sonderen, E. (1997) · Psychological Medicine · doi:10.1017/s0033291797005321 · Cited by 186 · see citing works
Self-citationPersonality, chronic medical morbidity, and health-related quality of life among older persons.
Kempen, G. I. J. M., Jelícic, M., & Ormel, J. (1997) · Health Psychology · doi:10.1037//0278-6133.16.6.539 · Cited by 177 · see citing works
Self-citationRudberg, M. A., Furner, S. E., Dunn, J. E., & Cassel, C. K. (1993) · Journal of Gerontology · doi:10.1093/geronj/48.6.m261 · Cited by 177 · see citing works
Remaining Active in Later Life
Menec, V. H., & Chipperfield, J. G. (1997) · Journal of Aging and Health · doi:10.1177/089826439700900106 · Cited by 168 · see citing works
Disability and cognitive impairment in the elderly
Barberger-Gateau, P., & Fabrigoule, C. (1997) · Disability and Rehabilitation · doi:10.3109/09638289709166525 · Cited by 158 · see citing works
Functional limitations and disability among elders in the Framingham Study.
Kelly‐Hayes, M., Jette, A. M., Wolf, P. A., D’Agostino, R. B., & Odell, P. M. (1992) · American Journal of Public Health · doi:10.2105/ajph.82.6.841 · Cited by 156 · see citing works
The Daily Life of Elderly Germans: Activity Patterns, Personal Control, and Functional Health
Baltes, M. M., Wahl, H., & Schmid-Furstoss, U. (1990) · Journal of Gerontology · doi:10.1093/geronj/45.4.p173 · Cited by 145 · see citing works
Personality, chronic medical morbidity, and health-related quality of life among older persons.
Kempen, G. I. J. M., Jelícic, M., & Ormel, J. (1997) · Health Psychology · doi:10.1037/0278-6133.16.6.539 · Cited by 141 · see citing works
Self-citationKempen, G. I. J. M., van Heuvelen, M. J. G., van den Brink, R. H. S., KOOIJMAN, A. C., Klein, M., Houx, P. J., & Ormel, J. (1996) · Age and Ageing · doi:10.1093/ageing/25.6.458 · Cited by 125 · see citing works
Self-citationEveryday activity patterns and sensory functioning in old age.
Marsiske, M., Klumb, P. L., & Baltes, M. M. (1997) · Psychology and Aging · doi:10.1037//0882-7974.12.3.444 · Cited by 89 · see citing works
Physical fitness related to age and physical activity in older persons
van Heuvelen, M. J. G., Kempen, G. I. J. M., Ormel, J., & Rispens, P. (1998) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199803000-00015 · Cited by 85 · see citing works
Self-citationMarx, M. S., Werner, P., Cohen‐Mansfield, J., et al. (1992) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1992.tb04479.x · Cited by 85 · see citing works
Impairment, Disability and Handicap as Risk Factors for Depression in Old Age
Harwood, R., Prince, M. J., & MANN, A. H. (1997) · Age and Ageing · doi:10.1093/ageing/26.suppl_1.p17-b · Cited by 85 · see citing works
van den Bos, G. A. M. (1995) · European Journal of Public Health · doi:10.1093/eurpub/5.1.29 · Cited by 80 · see citing works
Everyday activity patterns and sensory functioning in old age.
Marsiske, M., Klumb, P. L., & Baltes, M. M. (1997) · Psychology and Aging · doi:10.1037/0882-7974.12.3.444 · Cited by 65 · see citing works
Personality as modifier of the life change-distress relationship
Ormel, J., Stewart, R. E., & Sanderman, R. (1989) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/bf02351820 · Cited by 44 · see citing works
Self-citationBosscher, R. J., Smit, J. H., & Kempen, G. I. J. M. (1997) · University of Groningen research database (University of Groningen / Centre for Information Technology) · Cited by 39 · see citing works
Self-citation[Assessment of health status of the elderly. Application of a Dutch version of the MOS scale].
Kempen, G. I. J. M. (1992) · PubMed · Cited by 36 · see citing works
Self-citationLaukkanen, P., Kauppinen, M., Era, P. A., & Heikkinen, E. M. (1993) · International Journal of Geriatric Psychiatry · doi:10.1002/gps.930080403 · Cited by 36 · see citing works
van Heuvelen, M. J. G., Kempen, G. I. J. M., Ormel, J., et al. (1997) · Journal of Aging and Physical Activity · doi:10.1123/japa.5.4.298 · Cited by 27 · see citing works
Self-citationBorchelt, M., & Steinhagen‐Thiessen, E. (1992) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1992.tb27470.x · Cited by 25 · see citing works
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Evidence for Neurocognitive Plasticity in At-Risk Older Adults: The Experience Corps Program
Carlson, M. C., Erickson, K. I., Kramer, A. F., Voss, M. W., Bolea, N., Mielke, M., McGill, S., Rebok, G. W., Seeman, T., & Fried, L. P. (2009) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/glp117 · Cited by 286 · see citing works
Chapman, B., Duberstein, P., & Lyness, J. M. (2007) · The Journals of Gerontology Series B: Psychological Sciences and Social Sciences · doi:10.1093/geronb/62.6.p343 · Cited by 132 · see citing works
- Authors
- Kempen, G. I. J. M., van Heuvelen, M. J. G., van Sonderen, E., van den Brink, R. H. S., Kooijman, A. C., & Ormel, J.
- Affiliations
- Maastricht University (NL)
- University of Groningen (NL)
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 1999-05
- Volume
- 48
- Issue
- 9
- Pages
- 1161-1172
- ISSN
- 0277-9536 (ISSN-L)
- OpenAlex
- W2080311187
- Cited by
- 90
- References
- 48
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2017: 3 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 2 · 2012: 9
- FWCI
- 2.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Social Sciences › Health › Health disparities and outcomes
- Keywords
- functional limitations, disability, community-dwelling older adults, neuroticism, mastery, psychological resources, instrumental activities of daily living, role functioning, social function, motor limitations, moderating effect
- MeSH terms
- Activities of Daily Living, Aged, Female, Disabled Persons, Persons with Disabilities, Humans, Internal-External Control, Male, Geriatric Assessment, Frail Elderly
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