Self-esteem is associated with health status and PROMs in advanced age independent of multidimensional frailty: secondary analysis from a RCT with 6-month follow-up.

IF 3.8 2区社会学 Q1 GERONTOLOGY

European Journal of Ageing Pub Date : 2025-10-30 DOI:10.1007/s10433-025-00888-4

Anna Maria Affeldt, Luisa Mück, Ingrid Becker, Anne Ferring, Jill Stegemann, Laura Wiebe, Thomas Benzing, Malte P Bartram, M Cristina Polidori

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Abstract

The predictive value of patient-reported outcome measures (PROMs), such as self-esteem in advanced age in relation to biological age (frailty), remains to be elucidated. In a secondary analysis of a randomised controlled trial (RCT), 107 hospitalised patients (mean age 77.2 (SD 7.1) years, 56% female) underwent a comprehensive geriatric assessment (CGA). Assessments included the Multidimensional Prognostic Index (MPI), the Rosenberg Self-Esteem Scale (RSES), evaluation of geriatric syndromes and resources, the EQ-5D-5L quality-of-life scale, and the Geriatric Depression Scale (GDS). Follow-up data were collected via telephone six months later. After adjusting for age, sex, intervention, and MPI, baseline RSES were significantly associated with pressure ulcer risk (p = 0.009), nutritional status (p = 0.042), number of geriatric syndromes (p = 0.003), geriatric resources (p < 0.001), depressive symptoms (GDS, p < 0.001), and quality of life (EQ-5D-5L, p = 0.020). These findings show that self-esteem appears to be an independent mediator of multiple geriatric outcomes, including geriatric resources and syndromes, as well as of PROMs, beyond what is explained by MPI-based frailty. Incorporating self-esteem measures into CGA may enhance the identification of at-risk individuals and guide interventions.

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自尊与健康状况和老年prom相关，独立于多维脆弱性：来自6个月随访的随机对照试验的二次分析。

患者报告的结果测量（PROMs）的预测价值，如老年自尊与生物年龄（虚弱）的关系，仍有待阐明。在一项随机对照试验（RCT）的二次分析中，107例住院患者（平均年龄77.2 （SD 7.1）岁，56%为女性）接受了综合老年评估（CGA）。评估包括多维预后指数（MPI）、Rosenberg自尊量表（RSES）、老年综合征和资源评估、EQ-5D-5L生活质量量表和老年抑郁量表（GDS）。六个月后通过电话收集随访数据。在调整了年龄、性别、干预措施和MPI后，基线RSES与压疮风险（p = 0.009）、营养状况（p = 0.042）、老年综合征数量（p = 0.003）、老年资源（p = 0.042）显著相关

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来源期刊

European Journal of Ageing GERONTOLOGY-

CiteScore

6.50

自引率

7.90%

发文量

期刊介绍： The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over. EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects. Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered. EJA welcomes expert opinions on critical issues in ageing. By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults. To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.