Differences in Autonomy and Health-Related Quality of Life between Resilient and Non-Resilient Individuals with Mild Cognitive Impairment

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Title: Differences in Autonomy and Health-Related Quality of Life between Resilient and Non-Resilient Individuals with Mild Cognitive Impairment
Authors: Clement, Violeta | Ferrer-Cascales, Rosario | Ruiz-Robledillo, Nicolás | Rubio-Aparicio, María | Portilla-Tamarit, Irene | Cabañero-Martínez, María José
Research Group/s: Psicología Aplicada a la Salud y Comportamiento Humano (PSYBHE) | Calidad de Vida, Bienestar Psicológico y Salud | Person-centred Care and Health Outcomes Innovation / Atención centrada en la persona e innovación en resultados de salud (PCC-HOI)
Center, Department or Service: Universidad de Alicante. Departamento de Psicología de la Salud | Universidad de Alicante. Departamento de Enfermería
Keywords: Mild cognitive impairment | Resilience | Coping | Health-related quality of life | Disability | Dependence | Autonomy | Activities of daily living
Knowledge Area: Psicología Básica | Personalidad, Evaluación y Tratamiento Psicológico | Enfermería
Issue Date: 30-Jun-2019
Publisher: MDPI
Citation: Clement-Carbonell V, Ferrer-Cascales R, Ruiz-Robledillo N, Rubio-Aparicio M, Portilla-Tamarit I, Cabañero-Martínez MJ. Differences in Autonomy and Health-Related Quality of Life between Resilient and Non-Resilient Individuals with Mild Cognitive Impairment. International Journal of Environmental Research and Public Health. 2019; 16(13):2317. doi:10.3390/ijerph16132317
Abstract: The dramatic increase in the number of older people with Mild Cognitive Impairment (MCI) entails a serious public health problem. MCI involves different degrees of dependence that has been previously related to a decrease in Health-Related Quality of Life (HRQoL), due to impairment in the performance of activities of daily living. Resilient coping, as an adaptive coping style, could reduce the associated limitations derived by the characteristic deficits of MCI, and hence improve HRQoL. The principal objective of this work was to compare the level of autonomy (measured in terms of independence in the performance of basic (ADL) and instrumental (IADL) activities of daily living), and HRQoL between resilient and non-resilient individuals with MCI. The results showed a positive relationship between resilience, autonomy, and HRQoL. Hence, resilient participants exhibited higher independence in daily living activities and better HRQoL than non-resilient individuals. Mediation analyses confirmed an indirect influence of resilience on HRQoL through the mediation effect of better performance in IADLs. These findings underline the relevance of resilience as a coping style to compensate deficits in daily living in people with MCI. The inclusion of intervention programs, oriented to the promotion of resilience coping for older adults, might increase the autonomy levels in this population, improving their HRQoL.
Sponsor: This research was supported by the Program of Networks-I3CE of Investigation in University Teaching (Program Networks) from the Vice-Rectorate of Quality and Educational Innovation and Education Sciences Institute of the University of Alicante (2017–2018). Ref.: (4253).
URI: http://hdl.handle.net/10045/93708
ISSN: 1661-7827 (Print) | 1660-4601 (Online)
DOI: 10.3390/ijerph16132317
Language: eng
Type: info:eu-repo/semantics/article
Rights: © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Peer Review: si
Publisher version: https://doi.org/10.3390/ijerph16132317
Appears in Collections:INV - PSYBHE - Artículos de Revistas
INV - CV, BP Y S - Artículos de Revistas
INV - PCC-HOI - Artículos de Revistas

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