Cited by 90Aging, Health, and DisabilityAging and Gerontology ResearchHealth disparities and outcomes

The relationship of functional limitations to disability and the moderating effects of psychological attributes in community-dwelling older persons

Kempen, Gertrudis I.J.M, van Heuvelen, Marieke J.G, van Sonderen, Eric, van den Brink, Rob H.S, Kooijman, Aart C, Ormel, Johan·1999·Social Science & Medicine

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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Crossref · 10.1016/s0277-9536(98)00427-4

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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).”

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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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