Low morale is associated with increased risk of mortality in the elderly: A population-based prospective study (NEDICES)

Julián Benito-León, Elan D. Louis, Jesús Rivera-Navarro, María José Medrano, Saturio Vega, Félix Bermejo-pareja

Research output: Contribution to journalArticlepeer-review

23 Scopus citations

Abstract

Objective: The study aimed to assess the association between morale and mortality. Design: we used data from the Neurological Disorders in Central Spain (NEDICES), a population-based study. Subjects: 2,516 older persons (mean age 75.7 years) participated in the study. Methods: Cox models were used to estimate risk of mortality. Morale was assessed using the Philadelphia Geriatric Center Morale Scale. Results: 489 (21.8%) participants died over a median follow-up of 5.9 years (range 0.1-7.7 years), including 253 (21.8%) deaths among 1,163 participants with low morale scores, 168 (19.3%) among 870 participants with moderate scores and 68 (14.1%) among participants with high scores. In an unadjusted Cox model, relative risk (RR) of mortality in participants with low morale scores = 1.69 (P < 0.001) and RR in participants with moderate scores = 1.47 (P < 0.01) were compared to the reference group (participants with high scores). In a Cox model that adjusted for a variety of demographic factors and comorbidities, RR of mortality in participants with low morale scores = 1.35 (P <0.05) and moderate scores = 1.16 (not signicant) were compared to the reference group. Conclusion: low morale may be an independent predictor of mortality in the elderly. By assessing morale, practitioners might be better positioned to identify patients with poorer prognoses.

Original languageEnglish (US)
Article numberafq028
Pages (from-to)366-373
Number of pages8
JournalAge and Ageing
Volume39
Issue number3
DOIs
StatePublished - Mar 17 2010
Externally publishedYes

Keywords

  • Elderly
  • Epidemiology
  • Morale
  • Mortality
  • Quality of life

ASJC Scopus subject areas

  • Aging
  • Geriatrics and Gerontology

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