The effect of social frailty on mental health and quality of life in older people: a cross-sectional study.

Anxiety Frailty Older adults Quality of life Social frailty

Journal

European geriatric medicine
ISSN: 1878-7649
Titre abrégé: Eur Geriatr Med
Pays: Switzerland
ID NLM: 101533694

Informations de publication

Date de publication:
09 Feb 2024
Historique:
received: 23 04 2023
accepted: 04 01 2024
medline: 9 2 2024
pubmed: 9 2 2024
entrez: 9 2 2024
Statut: aheadofprint

Résumé

This study aims to evaluate anxiety, depression, loneliness, death anxiety, and quality of life and investigate their relationship with social frailty in the geriatric population. Additionally, it aimed to identify social frailty predictors. The study included 136 participants admitted to the geriatric outpatient clinic. The 15-item Geriatric Depression Scale (GDS-15), the Multidimensional Scale of Perceived Social Support (MSPSS), the Cumulative Illness Rating Scale for Geriatrics (CIRS-G), the Templer Death Anxiety Scale (T-DAS), the Loneliness Scale for the Elderly (LSE), the Quality of Life Scale (CASP-19), the Generalized Anxiety Disorder-7 Test (GAD-7), the Tilburg Frailty Indicator (TFI), the FRAIL Scale, and the Clinical Frailty Scale (CFS) were performed. The TFI was used to collect data about social frailty. There were 61.8% females, and the median age (min-max) was 72.2 (65.3-90.3) years. The prevalence rate of social frailty was 26.7%. The rates of depression, loneliness, anxiety, death anxiety, the burden of chronic disease, and frailty were higher in the social frailty group. Furthermore, logistic regression analysis revealed a strong relationship between social frailty status and widowhood (odds ratio (OR) 6.86; 95% confidence interval (95% CI), 2.42-19.37; p < 0.001), moderate to severe anxiety symptoms (OR 4.37; 95% CI 1.08-17.68; p = 0.038), and a TFI-physical frailty score (OR 1.40; 95% CI 1.12-1.73; p = 0.002). In older adults, the social dimension of frailty is associated with quality of life and psychological state. Physical frailty and sociodemographic characteristics may affect the development of social frailty.

Identifiants

pubmed: 38332388
doi: 10.1007/s41999-024-00931-0
pii: 10.1007/s41999-024-00931-0
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to European Geriatric Medicine Society.

Références

Hoogendijk EO, Afilalo J, Ensrud KE et al (2019) Frailty: implications for clinical practice and public health. The Lancet 394:1365–1375. https://doi.org/10.1016/S0140-6736(19)31786-6
doi: 10.1016/S0140-6736(19)31786-6
Gobbens RJ, Luijkx KG, Wijnen-Sponselee MT et al (2010) In search of an integral conceptual definition of frailty: opinions of experts. J Am Med Dir Assoc 11:338–343. https://doi.org/10.1016/j.jamda.2009.09.015
doi: 10.1016/j.jamda.2009.09.015 pubmed: 20511101
Levers MJ, Estabrooks CA, Ross Kerr JC (2006) Factors contributing to frailty: literature review. J Adv Nurs 56:282–291. https://doi.org/10.1111/j.1365-2648.2006.04021.x
doi: 10.1111/j.1365-2648.2006.04021.x pubmed: 17042807
Bunt S, Steverink N, Olthof J et al (2017) Social frailty in older adults: a scoping review. Eur J Ageing 14:323–334. https://doi.org/10.1007/s10433-017-0414-7
doi: 10.1007/s10433-017-0414-7 pubmed: 28936141 pmcid: 5587459
United Nations (2011) Current status of the social situation, well-being, participation in development and rights of older persons worldwide. New York: A United Nations Electronic Publication. http://www.un.org/esa/socdev/ageing/documents/publications/current-status-older-persons.pdf . Accessed 22 Feb 2023.
Bessa B, Coelho T, Ribeiro Ó (2021) Social frailty dimensions and frailty models over time. Arch Gerontol Geriatr 97:104515. https://doi.org/10.1016/j.archger.2021.104515
doi: 10.1016/j.archger.2021.104515 pubmed: 34597877
Gabriel Z, Bowling A (2004) Quality of life from the perspectives of older people. Ageing Soc 24:675–691. https://doi.org/10.1017/S0144686X03001582
doi: 10.1017/S0144686X03001582
Makizako H, Tsutsumimoto K, Shimada H et al (2018) Social frailty among community-dwelling older adults: recommended assessments and implications. Ann Geriatr Med Res 22:3. https://doi.org/10.4235/agmr.2018.22.1.3
doi: 10.4235/agmr.2018.22.1.3 pubmed: 32743237 pmcid: 7387641
Nguyen TN, Ngangue P, Bouhali T et al (2019) Social vulnerability in patients with multimorbidity: a cross-sectional analysis. Int J Environ Res Public Health 16:1244. https://doi.org/10.3390/ijerph16071244
doi: 10.3390/ijerph16071244 pubmed: 30965571 pmcid: 6480630
Tsutsumimoto K, Doi T, Makizako H et al (2018) Social frailty has a stronger impact on the onset of depressive symptoms than physical frailty or cognitive impairment: a 4-year follow-up longitudinal cohort study. J Am Med Dir Assoc 19:504–510. https://doi.org/10.1016/j.jamda.2018.02.008
doi: 10.1016/j.jamda.2018.02.008 pubmed: 29703687
Uchmanowicz I, Lomper K, Gros M et al (2020) Assessment of frailty and occurrence of anxiety and depression in elderly patients with atrial fibrillation. Clin Interv Aging 15:1151–1161. https://doi.org/10.2147/cia.S258634
doi: 10.2147/cia.S258634 pubmed: 32764902 pmcid: 7371919
Anantapong K, Wiwattanaworaset P, Sriplung H (2020) Association between social support and frailty among older people with depressive disorders. Clin Gerontol 43:400–410. https://doi.org/10.1080/07317115.2020.1728002
doi: 10.1080/07317115.2020.1728002 pubmed: 32046619
Hironaka S, Kugimiya Y, Watanabe Y et al (2020) Association between oral, social, and physical frailty in community-dwelling older adults. Arch Gerontol Geriatr 89:104105. https://doi.org/10.1016/j.archger.2020.104105
doi: 10.1016/j.archger.2020.104105 pubmed: 32480111
Makizako H, Shimada H, Tsutsumimoto K et al (2015) Social frailty in community-dwelling older adults as a risk factor for disability. J Am Med Dir Assoc 16:1003.e7–11. https://doi.org/10.1016/j.jamda.2015.08.023
doi: 10.1016/j.jamda.2015.08.023 pubmed: 26482055
Teo N, Gao Q, Nyunt MSZ et al (2017) Social frailty and functional disability: findings from the Singapore longitudinal ageing studies. J Am Med Dir Assoc 18:637.e13-637.e19. https://doi.org/10.1016/j.jamda.2017.04.015
doi: 10.1016/j.jamda.2017.04.015 pubmed: 28648903
Choi S, Ko H (2022) Social frailty among community-dwelling older adults during the COVID-19 pandemic in Korea: a cross-sectional study. Int J Environ Res Public Health 19:11963. https://doi.org/10.3390/ijerph191911963
doi: 10.3390/ijerph191911963 pubmed: 36231267 pmcid: 9564660
Katz S, Ford AB, Moskowitz RW et al (1963) Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA 185:914–919. https://doi.org/10.1001/jama.1963.03060120024016
doi: 10.1001/jama.1963.03060120024016 pubmed: 14044222
Arik G, Varan HD, Yavuz BB et al (2015) Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr 61:344–350. https://doi.org/10.1016/j.archger.2015.08.019
doi: 10.1016/j.archger.2015.08.019 pubmed: 26328478
Lawton MP, Brody EM (1969) Assessment of older people: selfmaintaining and instrumental activities of daily living. Gerontologist 9:179–186
doi: 10.1093/geront/9.3_Part_1.179 pubmed: 5349366
Isik EI, Yilmaz S, Uysal I et al (2020) Adaptation of the Lawton instrumental activities of daily living scale to Turkish: validity and reliability study. Ann Geriatr Med Res 24:35–40. https://doi.org/10.4235/agmr.19.0051
doi: 10.4235/agmr.19.0051 pubmed: 32743320 pmcid: 7370782
Folstein MF, Folstein SE, McHugh PR (1975) “Mini–mental state”. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 12:189–198. https://doi.org/10.1016/0022-3956(75)90026-6
doi: 10.1016/0022-3956(75)90026-6 pubmed: 1202204
Güngen C, Ertan T, Eker E et al (2002) Realiability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population. Turk Psikiyatri Derg 13:273–281
pubmed: 12794644
Guigoz Y, Lauque S, Vellas BJ (2002) Identifying the elderly at risk for malnutrition. The mini nutritional assessment. Clin Geriatr Med 18:737–757. https://doi.org/10.1016/S0749-0690(02)00059-9
doi: 10.1016/S0749-0690(02)00059-9 pubmed: 12608501
Sarikaya D, Halil M, Kuyumcu ME et al (2015) Mini nutritional assessment test long and short form are valid screening tools in Turkish older adults. Arch Gerontol Geriatr 61:56–60. https://doi.org/10.1016/j.archger.2015.04.006
doi: 10.1016/j.archger.2015.04.006 pubmed: 25944059
Gobbens RJ, van Assen MA, Luijkx KG et al (2010) The Tilburg frailty indicator: psychometric properties. J Am Med Dir Assoc 11:344–355. https://doi.org/10.1016/j.jamda.2009.11.003
doi: 10.1016/j.jamda.2009.11.003 pubmed: 20511102
Arslan M, Koç EM, Sözmen MK (2018) The Turkish adaptation of the tilburg frailty indicator: a validity and reliability study. Türk Geriatri Dergisi 21:173–183
Ding L, Lu J, Hu J et al (2022) Comparing the adverse outcomes of different frailty subgroups by employing the Tilburg frailty indicator (TFI) among elderly patients with gastric cancer. Available at Research Square. https://doi.org/10.21203/rs.3.rs-1212962/v1
Ye L, Elstgeest LE, Zhang X et al (2021) Factors associated with physical, psychological and social frailty among community-dwelling older persons in Europe: a cross-sectional study of Urban Health Centres Europe (UHCE). BMC Geriatr 21:1–11. https://doi.org/10.1186/s12877-021-02364-x
doi: 10.1186/s12877-021-02364-x
Van Campen C (2011) Frail older persons in the Netherlands. The Hague: The Netherlands Institute for Social Research (SCP).
Gobbens RJ, van Assen MA, Augustijn H et al (2021) Prediction of mortality by the Tilburg frailty indicator (TFI). J Am Med Dir Assoc 22:607–607. https://doi.org/10.1016/j.jamda.2020.07.033
doi: 10.1016/j.jamda.2020.07.033
Rockwood K, Song X, MacKnight C et al (2005) A global clinical measure of fitness and frailty in elderly people. CMAJ 173:489–495. https://doi.org/10.1503/cmaj.050051
doi: 10.1503/cmaj.050051 pubmed: 16129869 pmcid: 1188185
Özsürekci C, Balcı C, Kızılarslanoğlu MC et al (2020) An important problem in an aging country: identifying the frailty via 9 point clinical frailty scale. Acta Clin Belg 75:200–204. https://doi.org/10.1080/17843286.2019.1597457
doi: 10.1080/17843286.2019.1597457 pubmed: 30919742
Morley JE, Malmstrom TK, Miller DK (2012) A simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging 16:601–608. https://doi.org/10.1007/s12603-012-0084-2
doi: 10.1007/s12603-012-0084-2 pubmed: 22836700 pmcid: 4515112
Hymabaccus BAB, Dogrul RT, Balcı C et al (2023) An effective and practical tool to assess physical frailty in older adults: Turkish validation of the FRAIL Scale. Marmara Med J 36:149–156. https://doi.org/10.5472/marumj.1297696
doi: 10.5472/marumj.1297696
Zimet GD, Dahlem NW, Zimet SG (1988) The multidimensional scale of perceived social support. J Pers Assess 52:30–41. https://doi.org/10.1207/s15327752jpa5201_2
doi: 10.1207/s15327752jpa5201_2
Eker D, Arkar H (2001) Factorial structure, validity, and reliability of the multidimensional scale of perceived social support. Turk J Psychiatry 12:17–25
Templer DI (1970) The construction and validation of a death anxiety scale. J Gen Psychol 82:165–177. https://doi.org/10.1080/00221309.1970.9920634
doi: 10.1080/00221309.1970.9920634 pubmed: 4394812
Akça F, Köse A (2008) Adaptation of death anxiety scale (DAS): validity and reliability studies. J Clin Psychiat 11:7–16
De Jong-Gierveld J, Kamphuls F (1985) The development of a Rasch–type loneliness scale. Appl Psychol Meas 9:289–299
doi: 10.1177/014662168500900307
Akgül H, Yeşilyaprak B (2015) Yaşlilar İçin Yalnizlik Ölçeği’nin Türk Kültürüne Uyarlamasi: Geçerlilik ve Güvenirlik Çalışması. Yaşlı Sorunları Araştırma Dergisi 8:1
Hyde M, Wiggins RD, Higgs P et al (2003) A measure of quality of life in early old age: the theory, development and properties of a needs satisfaction model (CASP–19). Aging Ment Health 7:186–194. https://doi.org/10.1080/1360786031000101157
doi: 10.1080/1360786031000101157 pubmed: 12775399
Türkoğlu N, Adıbelli D (2014) Yaşlılarda yaşam kalitesi ölçeğinin (CASP–19) Türk toplumuna adaptasyonu. Akad Geriatri 6:98–105
Spitzer RL, Kroenke K, Williams JB et al (2006) A brief measure for assessing generalized anxiety disorder: the GAD–7. Arch Intern Med 166:1092–1097. https://doi.org/10.1001/archinte.166.10.1092
doi: 10.1001/archinte.166.10.1092 pubmed: 16717171
Konkan R, Şenormanci Ö, Güçlü O et al (2013) Yaygın Anksiyete Bozukluğu–7 (YAB–7) Testi Türkçe Uyarlaması Geçerlik ve Güvenirliği. Arch Neuropsychiatry 50:1
doi: 10.4274/npa.y6308
Brink TL, Yesavage JA, Lum O et al (1982) Screening tests for geriatric depression. Clin Gerontol 1:37–43. https://doi.org/10.1300/J018v01n01_06
doi: 10.1300/J018v01n01_06
Ertan T, Eker E (2000) Reliability, validity, and factor structure of the geriatric depression scale in Turkish elderly: are there different factor structures for different cultures? Int Psychogeriatr 12:163–172. https://doi.org/10.1017/s1041610200006293
doi: 10.1017/s1041610200006293 pubmed: 10937537
Miller MD, Paradis CF, Houck PR (1992) Rating chronic medical illness burden in geropsychiatric practice and research: application of the cumulative illness rating scale. Psychiatry Res 41:237–248
doi: 10.1016/0165-1781(92)90005-N pubmed: 1594710
Yu S, Wang J, Zeng L et al (2023) The prevalence of social frailty among older adults: a systematic review and meta-analysis. Geriatr Nurs 24:29–37. https://doi.org/10.1016/j.jamda.2022.10.007
doi: 10.1016/j.jamda.2022.10.007
Ko H, Jung S (2021) Association of social frailty with physical health, cognitive function, psychological health, and life satisfaction in community-dwelling older Koreans. Int J Environ Res Public Health 18:818. https://doi.org/10.3390/ijerph18020818
doi: 10.3390/ijerph18020818 pubmed: 33477925 pmcid: 7833361
Teo N, Yeo PS, Gao Q et al (2019) A bio-psycho-social approach for frailty amongst Singaporean Chinese community-dwelling older adults–evidence from the Singapore longitudinal aging study. BMC Geriatr 19:1–14. https://doi.org/10.1186/s12877-019-1367-9
doi: 10.1186/s12877-019-1367-9
Ma L, Sun F, Tang Z (2018) Social frailty is associated with physical functioning, cognition, and depression, and predicts mortality. J Nutr Health Aging 22:989–995. https://doi.org/10.1007/s12603-018-1054-0
doi: 10.1007/s12603-018-1054-0 pubmed: 30272104
Wang C, Pan R, Wan X et al (2020) Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health 17:1729. https://doi.org/10.3390/ijerph17051729
doi: 10.3390/ijerph17051729 pubmed: 32155789 pmcid: 7084952
Bessa B, Ribeiro O, Coelho T (2018) Assessing the social dimension of frailty in old age: a systematic review. Arch Gerontol Geriatr 78:101–113. https://doi.org/10.1016/j.archger.2018.06.005
doi: 10.1016/j.archger.2018.06.005 pubmed: 29940522
Andrew MK, Mitnitski AB, Rockwood K (2008) Social vulnerability, frailty and mortality in elderly people. PLoS ONE 3:e2232. https://doi.org/10.1371/journal.pone.0002232
doi: 10.1371/journal.pone.0002232 pubmed: 18493324 pmcid: 2375054
Nagai K, Tamaki K, Kusunoki H et al (2020) Physical frailty predicts the development of social frailty: a prospective cohort study. BMC Geriatr 20:1–8. https://doi.org/10.1186/s12877-020-01814-2
doi: 10.1186/s12877-020-01814-2
Gobbens RJ, van Assen MA (2014) The prediction of quality of life by physical, psychological and social components of frailty in community-dwelling older people. Qual Life Res 23:2289–2300. https://doi.org/10.1007/s11136-014-0672-1
doi: 10.1007/s11136-014-0672-1 pubmed: 24671672
Wang JMSN, Xu SMD, Liu JMSN et al (2023) The mediating effects of social support and depressive symptoms on activities of daily living and social frailty in older patients with chronic heart failure. Geriatr Nurs 53:301–306. https://doi.org/10.1016/j.gerinurse.2023.08.003
doi: 10.1016/j.gerinurse.2023.08.003 pubmed: 37603965
Papathanasiou IV, Rammogianni A, Papagiannis D et al (2021) Frailty and quality of life among community-dwelling older adults. Cureus 13:e13049. https://doi.org/10.7759/cureus.13049
doi: 10.7759/cureus.13049 pubmed: 33680593 pmcid: 7927074
Gobbens RJ, Luijkx KG, van Assen MA (2013) Explaining quality of life of older people in the Netherlands using a multidimensional assessment of frailty. Qual Life Res 22:2051–2061. https://doi.org/10.1007/s11136-012-0341-1
doi: 10.1007/s11136-012-0341-1 pubmed: 23274572
Yoo M, Kim S, Kim BS et al (2019) Moderate hearing loss is related with social frailty in a community-dwelling older adults: the Korean Frailty and Aging Cohort Study (KFACS). Arch Gerontol Geriatr 83:126–130. https://doi.org/10.1016/j.archger.2019.04.004
doi: 10.1016/j.archger.2019.04.004 pubmed: 31003135
Yamada M, Arai H (2018) Social frailty predicts incident disability and mortality among community-dwelling Japanese older adults. J Am Med Directors Assoc 19:1099–1103. https://doi.org/10.1016/j.jamda.2018.09.013
doi: 10.1016/j.jamda.2018.09.013

Auteurs

Ezgi Odaci Comertoglu (E)

Department of Internal Medicine, Faculty of Medicine, Hacettepe University, Altındag, Ankara, Turkey. ezgiodaci@gmail.com.

Yelda Ozturk (Y)

Department of Geriatrics, Eskisehir City Hospital, Health Sciences University, Eskisehir, Turkey.

Merve Hafizoglu (M)

Department of Internal Medicine, Division of Geriatrics Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Zeynep Kahyaoglu (Z)

Department of Geriatrics, Adana City Training and Research Hospital, Health Sciences University, Adana, Turkey.

Cagatay Cavusoglu (C)

Department of Geriatrics Mehmet, Akif Inan Training and Research Hospital, Health Sciences University, Sanliurfa, Turkey.

Cafer Balci (C)

Department of Internal Medicine, Division of Geriatrics Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Burcu Balam Dogu (BB)

Department of Internal Medicine, Division of Geriatrics Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Meltem Halil (M)

Department of Internal Medicine, Division of Geriatrics Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Ozlem Erden Aki (O)

Department of Psychiatry, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Mustafa Cankurtaran (M)

Department of Internal Medicine, Division of Geriatrics Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Classifications MeSH