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Original Articles • Rev. bras. geriatr. gerontol. 25 (5) • 2022 • https://doi.org/10.1590/1981-22562022025.210210   copy

Direct and indirect associations between self-rated health, objective health indicators and neuroticism in older adults

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

to analyze the direct and indirect associations between self-rated health, objective health indicators and neuroticism in older adults.

Method

Data were extracted from follow-up records (2016-2017) of the Study of Frailty in Brazilian Elderly (FIBRA Study), a population-based study of frailty and associated variables in old age. Three hundred and ninety-seven individuals aged 73 years and over at follow-up answered an item on self-rated health. Polimedication, chronic pain and multimorbidity were self-reported, fatigue was measured by CES-D, depression by GDS and neuroticism by NEO-PI-R. Path analysis was performed to verify direct and indirect associations between self-rated health, objective health indicators and neuroticism in the follow-up.

Results

Neuroticism mediated the relationship between sex and age with self-rated health, and between depression and self-rated health. More robust relationships were observed between depression and neuroticism, pain and neuroticism, and sex and neuroticism; the least robust occurred between age and fatigue.

Conclusion

Neuroticism is an important mediator of the relationship between self-rated health and objective health indicators. Longitudinal work is needed to

Keywords
Elderly; Chronic Diseases; Pain; Neuroticism; Self-Assessment

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