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Association between Stress-Coping Strategy and Functional Disability in the General Older Adult Population: The Takashima Study.

TAKASHIMA Naoyuki 80435883 0000-0002-9593-6797 NAKAMURA Yasuyuki 20144371 MIYAGAWA Naoko 20388169 0000-0002-9148-1078 KADOTA Aya 60546068 0000-0001-7378-0544 Tanaka-Mizuno Sachiko 50453824 MATSUI Kenji 60431764 MIURA Katsuyuki 90257452 0000-0002-2646-9582 UESHIMA Hirotsugu 70144483 0000-0002-7742-4253 KITA Yoshikuni 滋賀医科大学

2021.09.30

概要

Background:
Both physical and psychological factors have been associated with functional disability. However, the associations between stress-coping strategies and future functional disability remain unclear.
Methods:
We analyzed 2,924 participants who did not have incidence of functional disability or death within the first 3 years of the baseline survey and were aged 65 years or more at the end of follow-up. Stress-coping strategies were assessed via a self-administered questionnaire (emotional expression, emotional support seeking, positive thought, problem-solving, and disengagement) in a baseline survey from 2006 to 2014. Levels of coping strategies were classified as low, middle, and high based of frequency. Functional disability decline was followed up using the long-term-care insurance program until November 1, 2019. Functional disability decline was defined as a new long-term-care insurance program certification. Cox proportional hazards model with competing risk analysis for death was used to evaluate associations between coping strategy levels and functional disability.
Results:
During the follow-up period, we observed 341 cases of functional disability and 73 deaths without previous incidence of functional disability. A significant inverse association between "positive thought" and "problem-solving" and future functional disability was observed. Multivariable adjusted hazard ratios (95% confidence interval) for functional disability were 0.68 (0.51-0.92) for high levels of "positive thought" and 0.73 (0.55-0.95) for high levels of "problem-solving," compared with low levels of the coping strategies. The inverse association was stronger in men.
Conclusions:
Some subcomponents of stress-coping strategies might be associated with future incidence of functional disability among older adults.

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