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Cramm JM, Hartgerink JM, de Vreede PL, et al. The relationship between older adults' self-management abilities, well-being and depression. Eur J Ageing. 2012;9(4):353-360doi: 10.1007/s10433-012-0237-5.
Cramm, J. M., Hartgerink, J. M., de Vreede, P. L., Bakker, T. J., Steyerberg, E. W., Mackenbach, J. P., & Nieboer, A. P. (2012). The relationship between older adults' self-management abilities, well-being and depression. European journal of ageing, 9(4), 353-360. https://doi.org/10.1007/s10433-012-0237-5
Cramm, J M, et al. "The relationship between older adults' self-management abilities, well-being and depression." European journal of ageing vol. 9,4 (2012): 353-360. doi: https://doi.org/10.1007/s10433-012-0237-5
Cramm JM, Hartgerink JM, de Vreede PL, Bakker TJ, Steyerberg EW, Mackenbach JP, Nieboer AP. The relationship between older adults' self-management abilities, well-being and depression. Eur J Ageing. 2012 Dec;9(4):353-360. doi: 10.1007/s10433-012-0237-5. Epub 2012 Jul 04. PMID: 23125820; PMCID: PMC3480589.
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Eur J Ageing. 2012 Dec;9(4):353-360. doi: 10.1007/s10433-012-0237-5. Epub 2012 Jul 04.

The relationship between older adults' self-management abilities, well-being and depression.

European journal of ageing

J M Cramm, J M Hartgerink, P L de Vreede, T J Bakker, E W Steyerberg, J P Mackenbach, A P Nieboer

Affiliations

  1. Institute of Health Policy & Management (iBMG), Erasmus University, Burgemeester Oudlaan 50, 3000 DR Rotterdam, The Netherlands.

PMID: 23125820 PMCID: PMC3480589 DOI: 10.1007/s10433-012-0237-5

Abstract

This study aimed to identify the relationship between self-management abilities, well-being and depression. Our study was conducted among older adults (>65 years of age) who were vulnerable to loss of function after hospital discharge. Three months after hospital admission, 296/456 patients (65 % response rate) were interviewed in their homes. The 30-item Self-Management Ability Scale was used to measure six self-management abilities: taking initiative, investing in resources for long-term benefits, taking care of a variety of resources, taking care of resource multifunctionality, being self-efficacious and having a positive frame of mind. Well-being was measured with the Social Production Function (SPF) Instrument for the Level of Well-being (SPF-IL) and Cantril's ladder. The Geriatric Depression Scale was used to assess depression. Correlation analyses showed that all self-management abilities were strong indicators for well-being (p < 0.001 for all). Regression analyses revealed that investing in resources for long-term benefits, taking care of a variety of resources, taking care of resource multifunctionality and being self-efficacious were associated with well-being. While no significant relationship was found between well-being and having a positive frame of mind or taking initiative, regression analyses revealed that these self-management abilities were related to depression. Investing in resources for long-term benefits and taking care of a variety of resources were significantly related to depression. This research showed that self-management abilities are related to well-being and depression among older adults. In addition, this study identified key self-management abilities for older adults who had recently been discharged from a hospital.

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