Universität zu Köln

Bordne, Saskia, Rietz, Christian, Schulz, Ralf-Joachim and Zank, Susanne (2019). Subjective well-being of geriatric patients during and after inpatient geriatric rehabilitation: a biopsychosocial prediction model. Eur. Geriatr. Med., 10 (6). S. 965 - 976. NEW YORK: SPRINGER. ISSN 1878-7657

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Abstract

Purpose The study focused on indicators of subjective well-being (SWB) and how they developed during and after geriatric rehabilitation. Furthermore, a biopsychosocial prediction model for longer-term SWB was tested. Methods Patients of an inpatient geriatric rehabilitation unit were assessed at admission, discharge and a three-month follow-up. Indicators of SWB comprised affect, life satisfaction, valuation of life and autonomy. Further, biomedical and psychosocial variables assessed upon admission were used to predict SWB at follow-up. Statistical analysis included repeated-measures (M)ANOVA depicting SWB development over time with Cohen's d for effect size, along with canonical correlation analyses used to test the biopsychosocial prediction model. Results 78 out of 122 patients were assessed three times. Across all measurement points, different change patterns among SWB indicators were detected: Positive affect was significantly higher at follow-up than at admission (mean difference (MD) = .28, p < .01, Cohen's d = .37). Negative affect declined during rehabilitation (MD = - .29, p < .01, Cohen's d = .40) but increased again until follow-up (MD = .31, p < .01, Cohen's d = .42). Life satisfaction and valuation of life showed no change over time, while experience of autonomy gradually worsened from admission until follow-up (MD = - .29, p < .05, Cohen's d = .32). The biopsychosocial model revealed that personality traits and control beliefs best predicted SWB at follow-up. Conclusions Although geriatric rehabilitation has a positive effect on affect, it does not consistently improve other SWB indicators. Moreover, paying attention to psychological parameters such as personality in the daily geriatric routine could help to identify patients for whom longer-term SWB is particularly at risk. Key summary pointsAim This study aimed at gaining insights into the development of subjective well-being during and after geriatric rehabilitation, and at testing a biopsychosocial prediction model to identify determinants for longer-term subjective well-being. Findings Different indicators of subjective well-being showed different change patterns during and after geriatric rehabilitation, but only positive affect showed significant improvements from admission until follow-up. Personality traits and control beliefs predicted the longer-term subjective well-being of geriatric patients undergoing geriatric rehabilitation. Message Efforts are needed to expand the effects of geriatric rehabilitation on subjective well-being and to increase knowledge about patterns of personality characteristics of geriatric patients, which could lead to even more effective rehabilitation plans.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bordne, Saskia UNSPECIFIED UNSPECIFIED UNSPECIFIED Rietz, Christian UNSPECIFIED UNSPECIFIED UNSPECIFIED Schulz, Ralf-Joachim UNSPECIFIED UNSPECIFIED UNSPECIFIED Zank, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-126537
DOI:	10.1007/s41999-019-00240-x
Journal or Publication Title:	Eur. Geriatr. Med.
Volume:	10
Number:	6
Page Range:	S. 965 - 976
Date:	2019
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1878-7657
Language:	English
Faculty:	Faculty of Human Sciences
Divisions:	Faculty of Human Sciences > Department Heilpädagogik und Rehabilitation > Zentrum für Heilpädagogische Gerontologie
Subjects:	Social sciences Education Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language QUALITY-OF-LIFE; OLDER PATIENTS; NEGATIVE AFFECT; HEALTH; HAPPINESS; STATE English Geriatrics & Gerontology English
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12653