Examining resilience of quality of life in the face of health-related and psychosocial adversity at older ages: what is "right" about the way we age?
OBJECTIVE
This article examines resilience at older ages, focusing on the relationships between quality of life (qol) and adversity. Our objectives are to identify (a) the basis of adversity, (b) the characteristics of resilient individuals, and (c) the attributes that attenuate the full impact of adversity.


METHODS
Resilience is defined as flourishing despite adversity. Analysis is carried out in a subsample of the Boyd Orr cohort (aged between 68 and 82 years) using questionnaire data. Adversity was identified as circumstances that produce a significant average decrease in qol (CASP-19 scores). Participants were classified into resilient and vulnerable groups based on high or low qol (CASP-19 scores dichotomized at the median) in the face of significant adversity. Shared characteristics that define these outcomes are reported. Attributes that attenuate the negative impact of adversity were analyzed using stratified logistic regression.


RESULTS
Adversity was typified by functional limitation; life getting worse in the domains of health, stress, and general living circumstances; and experiencing a negative life event. The resilient tended to report fewer multiple adversities. Indicators of protective attributes, which also characterized resilient outcomes relative to qol, included good quality relationships (5.105, confidence interval [CI] 95% 1.323-19.699), integration in the community (10.800, 95% CI 1.227-95.014), developmental coping (3.397, 95% CI 1.079-10.690), and adaptive coping styles (3.211, 95% CI 1.041-9.910).


CONCLUSIONS
Overall results indicate that policies that offer access to protection and help minimize adversity exposure where possible will promote resilience.
Hildon
Zoe
Z
Department of Clinical, Educational and Health Psychology, Centre for Outcomes Research and Effectiveness, University College London, 1-19 Torrington Place, London WC1E 7HB, UK. z.Hildon@UCL.ac.uk
Montgomery
Scott M
SM
Blane
David
D
Wiggins
Richard D
RD
Netuveli
Gopalakrishnan
G
D000223:Adaptation, Psychological; D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006304:Health Status; D006801:Humans; D008016:Life Change Events; D008297:Male; D011788:Quality of Life / Q000523:psychology*; D012179:Retirement / Q000523:psychology; D013315:Stress, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires