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Does psychological resilience mediate the relation between daily functioning and prefrailty status?

Published online by Cambridge University Press:  11 October 2021

Axelle Costenoble Open the ORCID record for Axelle Costenoble [Opens in a new window] ,
Gina Rossi Open the ORCID record for Gina Rossi [Opens in a new window] ,
Veerle Knoop Open the ORCID record for Veerle Knoop [Opens in a new window] ,
Aziz Debain Open the ORCID record for Aziz Debain [Opens in a new window] ,
Celeste Smeys ,
Ivan Bautmans Open the ORCID record for Ivan Bautmans [Opens in a new window] ,
Dominique Verté Open the ORCID record for Dominique Verté [Opens in a new window] ,
Patricia De Vriendt Open the ORCID record for Patricia De Vriendt [Opens in a new window]  and
Ellen Gorus Open the ORCID record for Ellen Gorus [Opens in a new window]
Axelle Costenoble
Affiliation:
Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium
Gina Rossi
Affiliation:
Personality and Psychopathology Research Group, Faculty of Psychology and Educational Sciences, VUB, Brussels, Belgium
Veerle Knoop
Affiliation:
Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium
Aziz Debain
Affiliation:
Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium Geriatrics Department, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, B-1090Brussels, Belgium
Celeste Smeys
Affiliation:
Geriatrics Department, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, B-1090Brussels, Belgium
Ivan Bautmans
Affiliation:
Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium Geriatrics Department, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, B-1090Brussels, Belgium
Dominique Verté
Affiliation:
Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium Belgian Ageing Studies Research Group, VUB, Brussels, Belgium
Patricia De Vriendt
Affiliation:
Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium Arteveldehogeschool, Ghent, Belgium
Ellen Gorus*
Affiliation:
Frailty in Ageing (FRIA) Research Department, Vrije Universiteit Brussel (VUB), Laarbeeklaan 103, B-1090Brussels, Belgium Gerontology Department, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium Geriatrics Department, Universitair Ziekenhuis Brussel (UZ Brussel), Laarbeeklaan 101, B-1090Brussels, Belgium
*
Correspondence should be addressed to: Ellen Gorus, PhD, Gerontology (GERO) and FRIA Research Departments, VUB, Laarbeeklaan 103, B-1090Brussels, Belgium. Email: ellen.gorus@vub.be.
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Abstract

Objectives:

Understanding of prefrailty’s relationship with limitations in activities of daily living (ADLs) moderated by psychological resilience is needed, as resilience might support ADLs’ maintenance and thus protect against frailty. Therefore, this study aims to analyze the influence of psychological resilience (using the Connor–Davidson Resilience Scale; CD-RISC) on the relation between ADLs and frailty status of older individuals (i.e. prefrail versus robust).

Design:

Cross-sectional design.

Setting:

UZ Brussels, Belgium.

Participants:

Robust (Fried 0/4;n = 214; Age = 82.3 ± 2.1yrs) and prefrail (Fried 1-2/4; n = 191; Age = 83.8 ±3.2yrs) community-dwelling older individuals were included.

Measurements:

Frailty scores were obtained from weight loss, exhaustion, gait speed, and grip strength. A total Disability Index (DI) expressed dependency for basic (b-), instrumental (i-), and advanced (a-)ADLs. Mediation was investigated by estimating direct and indirect effects of all levels of ADLs and CD-RISC total score on prefrailty/robustness using a stepwise multiple regression approach.

Results:

Prefrailty/robustness significantly correlated with a-ADL-DI (point-biserial correlation (rpb) = 0.098; p<0.05). Adjusted for age and gender, the a-ADL-DI (p<0.05) had a significant protective direct effect against prefrailty. No effects were found with the CD-RISC total score.

Conclusions:

Less limitation in a-ADLs is a directly correlated factor of prefrailty and might represent a higher likelihood of robustness.

Keywords

frailtyassessmentactivities of daily livingdisabilityresilienceolder individualsCD-RISCdaily functioning
Type
Original Research Article
Information
International Psychogeriatrics , Volume 34 , Special Issue 3: Issue Theme: Positive Psychiatry Factors and Health , March 2022 , pp. 253 - 262
Copyright
© International Psychogeriatric Association 2021

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Footnotes

*

Axelle Costenoble and Gina Rossi have contributed equally to this article and should be indexed as shared first authorship.

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