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Stress, Social Engagement and Psychological Well-Being in Institutional Settings: Evidence Based on the Minimum Data Set 2.0

Published online by Cambridge University Press:  29 November 2010

Erin E. Gilbart  and
John P. Hirdes
Erin E. Gilbart
Affiliation:
University of Toronto
John P. Hirdes
Affiliation:
University of Waterloo and Providence Centre
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Abstract

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While a substantial body of literature has emerged on the relationships between stress, social support and well-being in community-based older persons, few studies have examined institutionalized populations. The present study used data from pilot studies of the MDS 2.0 in three hospitals, along with supplementary surveys related to psychological well-being. It was found that patients with higher social engagement scores tended to have higher levels of well-being, and this effect was greatest among those with more stable physical health. Pain was an important predictor of lower well-being. Since the MDS 2.0 provides a comprehensive approach to identifying and responding to social, psychological and physical problems in institutionalized older persons, it can have an important impact on well-being when used to support decision making and clinical intervention.

Résumé

RÉSUMÉ

Alors qu'il existe une importante documentation sur la relation entre le stress, le soutien social et le bien-etrê chez les aîné(e)s vivant dans la communauté, peu d'études ont examiné la population des institutions. Cette étude a utilisé les données d'enquêtes pilotes du MDS 2.0 de trois hôpitaux ainsi que d'autres enquêtes reliées au bien-être psychologique. On a constaté que les patients les plus engagés socialement avaient tendance à afficher des niveaux plus élevés de bien-être et cette tendance était encore plus frappante chez ceux qui jouissaient d'un meilleur état de santé. La douleur était un prédicteur important de la réduction du bien-être. Étant donné que le MDS 2.0 fournit une approche complète à l'identification des problèmes sociaux, psychologiques et physiques et à leur réponse chez les aîné(e)s vivant en institution, il peut entraîner des effets importants sur le bien-être si on l'utilise à l'appui de la prise de décision et des interventions cliniques.

Keywords

Long-Term CareSocial EngagementPainSoins de longue duréeengagement socialdouleur
Type
Research Article
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 19 , supplement S2 , Fall/Automne 2000 , pp. 50 - 66
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NCCreative Common License - ND
This is an Open Access article, distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is unaltered and is properly cited. The written permission of Cambridge University Press must be obtained for commercial re-use or in order to create a derivative work.
Copyright
Copyright © Canadian Association on Gerontology 2000

Footnotes

*

The authors are grateful to the Providence Centre Foundation, interRAI, and the Population Health Fund, Health Canada, for financial support of the work. We also thank the staff of the participating facilities for their efforts in completing this study.

1

Department of Health Studies and Gerontology, University of Waterloo, Waterloo, ON, N2L 3G1, (hirdes@healthy.uwaterloo.ca)

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