Association between subjective well‐being and presence of primary care dentists in community‐dwelling elderly people: A cross‐sectional study

Gerodontology ◽  
2019 ◽  
Vol 36 (2) ◽  
pp. 134-141 ◽  
Author(s):  
Shinsuke Mizutani ◽  
Hisae Aoki ◽  
Satoru Haresaku ◽  
Kaoru Shimada ◽  
Michio Ueno ◽  
...  
Keyword(s):  
Primary Care ◽  
Elderly People ◽  
Well Being ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Cross Sectional

Conflict Avoidance in Old Age

GeroPsych ◽  
2017 ◽  
Vol 30 (2) ◽  
pp. 61-70 ◽  
Author(s):  
Lia Oberhauser ◽  
Andreas B. Neubauer ◽  
Eva-Marie Kessler
Keyword(s):  
Social Support ◽  
Perceived Social Support ◽  
Well Being ◽  
Cross Sectional Study ◽  
Conflict Avoidance ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Cross Sectional ◽  
Adult Lifespan ◽  
Set Up

Abstract. Conflict avoidance increases across the adult lifespan. This cross-sectional study looks at conflict avoidance as part of a mechanism to regulate belongingness needs ( Sheldon, 2011 ). We assumed that older adults perceive more threats to their belongingness when they contemplate their future, and that they preventively react with avoidance coping. We set up a model predicting conflict avoidance that included perceptions of future nonbelonging, termed anticipated loneliness, and other predictors including sociodemographics, indicators of subjective well-being and perceived social support (N = 331, aged 40–87). Anticipated loneliness predicted conflict avoidance above all other predictors and partially mediated the age-association of conflict avoidance. Results suggest that belongingness regulation accounts may deepen our understanding of conflict avoidance in the second half of life.

scholarly journals Development and validation of a Japanese version of the Patient Centred Assessment Method and its user guide: a cross-sectional study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e037282
Author(s):  
Rieko Mutai ◽  
Yoshifumi Sugiyama ◽  
Shuhei Yoshida ◽  
Ryoko Horiguchi ◽  
Takamasa Watanabe ◽  
...  
Keyword(s):  
Primary Care ◽  
Factor Analysis ◽  
Japanese Version ◽  
Well Being ◽  
Cross Sectional Study ◽  
Assessment Method ◽  
Sectional Study ◽  
Cross Sectional ◽  
Vas Scores ◽  
Patient Complexity

ObjectivesThe primary objective of this study was to develop the Japanese version of the Patient Centred Assessment Method (PCAM) and its user guide. The secondary objective was to examine the validity and reliability in the primary care setting.DesignCross-sectional study.SettingThree family physician teaching clinics located in urban residential areas in Tokyo, Japan.ParticipantsPatients who were aged 20 years or older, and who had an appointment with physicians at the three participating clinics.Main outcome measuresPatient complexity measured by PCAM and complexity/burden level measured by a Visual Analogue Scale (VAS).ResultsAlthough confirmatory factor analysis using a model described in a previous study revealed that the indices did not meet the criteria for good fit, exploratory factor analysis revealed a new three-factor structure of ‘Personal well-being,’ ‘Social interaction’ and ‘Needs for care/service.’ Cronbach’s alpha of PCAM was 0.86. Spearman’s rank correlation coefficients between PCAM scores and VAS scores were 0.51 for complexity (p<0.001) and 0.41 for burden (p<0.001). There were 42 patients (14.3% of total patients) with PCAM scores greater than its mean of 16.5 but with complexity VAS scores less than its mean of 20.8.ConclusionsThe Japanese version of PCAM and its user guide were developed through Japanese translation and cultural adaptation by cognitive debriefing. PCAM is a valid and reliable tool to assess patient complexity in the primary care settings in Japan. Additionally, although the correlation between total PCAM scores and complexity/burden as assessed by VAS was moderate, PCAM can more precisely identify patient complexity than skilled physician’s intuition.

scholarly journals Income More Reliably Predicts Frequent than Intense Happiness

2020 ◽  
Author(s):  
Jon Jachimowicz ◽  
Ruo Mo ◽  
Adam Eric Greenberg ◽  
Bertus F. Jeronimus ◽  
Ashley Whillans
Keyword(s):  
Life Satisfaction ◽  
Leisure Activities ◽  
Well Being ◽  
Cross Sectional Study ◽  
Lower Income ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Ongoing Debate ◽  
Cross Sectional ◽  
The Relationship

There is widespread consensus that income and subjective well-being are linked, but when and why they are connected is subject to ongoing debate. We draw on prior research that distinguishes between the frequency and intensity of happiness to suggest that higher income is more consistently linked to how frequently individuals experience happiness than how intensely happy each episode is. This occurs in part because lower-income individuals spend more time engaged in passive leisure activities, reducing the frequency but not the intensity of positive affect. Notably, we demonstrate that only happiness frequency underlies the relationship between income and life satisfaction. Data from an experience sampling study (N = 394 participants, 34,958 daily responses), a pre-registered cross-sectional study (N = 1,553), and a day reconstruction study (N = 13,437) provide empirical evidence for these ideas. Together, this research provides conceptual and empirical clarity into how income is related to happiness.

scholarly journals Use of an Electronic Clinical Decision Support System in Primary Care to Assess Inappropriate Polypharmacy in Young Seniors With Multimorbidity: Observational, Descriptive, Cross-Sectional Study

10.2196/14130 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e14130 ◽  
Author(s):  
Eloisa Rogero-Blanco ◽  
Juan A Lopez-Rodriguez ◽  
Teresa Sanz-Cuesta ◽  
Mercedes Aza-Pascual-Salcedo ◽  
M Jose Bujalance-Zafra ◽  
...  
Keyword(s):  
Primary Care ◽  
Screening Tool ◽  
Clinical Decision ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Beers Criteria ◽  
Sectional Study ◽  
Cross Sectional ◽  
Stopp Criteria ◽  
Electronic Clinical Decision Support

Background Multimorbidity is a global health problem that is usually associated with polypharmacy, which increases the risk of potentially inappropriate prescribing (PIP). PIP entails higher hospitalization rates and mortality and increased usage of services provided by the health system. Tools exist to improve prescription practices and decrease PIP, including screening tools and explicit criteria that can be applied in an automated manner. Objective This study aimed to describe the prevalence of PIP in primary care consultations among patients aged 65-75 years with multimorbidity and polypharmacy, detected by an electronic clinical decision support system (ECDSS) following the 2015 American Geriatrics Society Beers Criteria, the European Screening Tool of Older Person’s Prescription (STOPP), and the Screening Tool to Alert doctors to Right Treatment (START). Methods This was an observational, descriptive, cross-sectional study. The sample included 593 community-dwelling adults aged 65-75 years (henceforth called young seniors), with multimorbidity (≥3 diseases) and polypharmacy (≥5 medications), who had visited their primary care doctor at least once over the last year at 1 of the 38 health care centers participating in the Multimorbidity and Polypharmacy in Primary Care (Multi-PAP) trial. Sociodemographic data, clinical and pharmacological treatment variables, and PIP, as detected by 1 ECDSS, were recorded. A multivariate logistic regression model with robust estimators was built to assess the factors affecting PIP according to the STOPP criteria. Results PIP was detected in 57.0% (338/593; 95% CI 53-61) and 72.8% (432/593; 95% CI 69.3-76.4) of the patients according to the STOPP criteria and the Beers Criteria, respectively, whereas 42.8% (254/593; 95% CI 38.9-46.8) of the patients partially met the START criteria. The most frequently detected PIPs were benzodiazepines (BZD) intake for more than 4 weeks (217/593, 36.6%) using the STOPP version 2 and the prolonged use of proton pump inhibitors (269/593, 45.4%) using the 2015 Beers Criteria. Being a woman (odds ratio [OR] 1.43, 95% CI 1.01-2.01; P=.04), taking a greater number of medicines (OR 1.25, 95% CI 1.14-1.37; P<.04), working in the primary sector (OR 1.91, 95% CI 1.25-2.93; P=.003), and being prescribed drugs for the central nervous system (OR 3.75, 95% CI 2.45-5.76; P<.001) were related to a higher frequency of PIP. Conclusions There is a high prevalence of PIP in primary care as detected by an ECDSS in community-dwelling young seniors with comorbidity and polypharmacy. The specific PIP criteria defined by this study are consistent with the current literature. This ECDSS can be useful for supervising prescriptions in primary health care consultations.

scholarly journals Income More Reliably Predicts Frequent Than Intense Happiness

2020 ◽  
pp. 194855062097254
Author(s):  
Jon M. Jachimowicz ◽  
Ruo Mo ◽  
Adam Eric Greenberg ◽  
Bertus Jeronimus ◽  
Ashley V. Whillans
Keyword(s):  
Life Satisfaction ◽  
Leisure Activities ◽  
Well Being ◽  
Cross Sectional Study ◽  
Lower Income ◽  
Subjective Well Being ◽  
Sectional Study ◽  
Ongoing Debate ◽  
Cross Sectional ◽  
The Relationship

There is widespread consensus that income and subjective well-being are linked, but when and why they are connected is subject to ongoing debate. We draw on prior research that distinguishes between the frequency and intensity of happiness to suggest that higher income is more consistently linked to how frequently individuals experience happiness than how intensely happy each episode is. This occurs in part because lower-income individuals spend more time engaged in passive leisure activities, reducing the frequency but not the intensity of positive affect. Notably, we demonstrate that only happiness frequency underlies the relationship between income and life satisfaction. Data from an experience sampling study ( N = 394 participants, 34,958 daily responses), a preregistered cross-sectional study ( N = 1,553), and a day reconstruction study ( N = 13,437) provide empirical evidence for these ideas. Together, this research provides conceptual and empirical clarity into how income is related to happiness.

scholarly journals Multiple somatic symptoms and frailty: cross-sectional study in Japanese community-dwelling elderly people

2016 ◽  
Vol 33 (5) ◽  
pp. 453-460 ◽  
Author(s):  
Hirotomo Yamanashi ◽  
Yuji Shimizu ◽  
Jun Koyamatsu ◽  
Masaharu Nobuyoshi ◽  
Mako Nagayoshi ◽  
...  
Keyword(s):  
Elderly People ◽  
Somatic Symptoms ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Sectional Study ◽  
Cross Sectional
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