Differences in Autonomy and Health-Related Quality of Life between Resilient and Non-Resilient Individuals with Mild Cognitive Impairment

Violeta Clement-Carbonell, Rosario Ferrer-Cascales, Nicolás Ruiz-Robledillo, María Rubio-Aparicio, Irene Portilla-Tamarit and María José Cabañero-Martínez
Additional contact information
Violeta Clement-Carbonell: Department of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, Spain
Rosario Ferrer-Cascales: Department of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, Spain
Nicolás Ruiz-Robledillo: Department of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, Spain
María Rubio-Aparicio: Department of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, Spain
Irene Portilla-Tamarit: Department of Health Psychology, Faculty of Health Science, University of Alicante, 03690 Alicante, Spain
María José Cabañero-Martínez: Department of Nursing, Faculty of Health Science, University of Alicante, 03690 Alicante, Spain

IJERPH, 2019, vol. 16, issue 13, 1-13

Abstract: The dramatic increase in the number of older people with Mild Cognitive Impairment (MCI) entails a serious public health problem. MCI involves different degrees of dependence that has been previously related to a decrease in Health-Related Quality of Life (HRQoL), due to impairment in the performance of activities of daily living. Resilient coping, as an adaptive coping style, could reduce the associated limitations derived by the characteristic deficits of MCI, and hence improve HRQoL. The principal objective of this work was to compare the level of autonomy (measured in terms of independence in the performance of basic (ADL) and instrumental (IADL) activities of daily living), and HRQoL between resilient and non-resilient individuals with MCI. The results showed a positive relationship between resilience, autonomy, and HRQoL. Hence, resilient participants exhibited higher independence in daily living activities and better HRQoL than non-resilient individuals. Mediation analyses confirmed an indirect influence of resilience on HRQoL through the mediation effect of better performance in IADLs. These findings underline the relevance of resilience as a coping style to compensate deficits in daily living in people with MCI. The inclusion of intervention programs, oriented to the promotion of resilience coping for older adults, might increase the autonomy levels in this population, improving their HRQoL.

Keywords: mild cognitive impairment; resilience; coping; health-related quality of life; disability; dependence; autonomy; activities of daily living (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

Downloads: (external link)
https://www.mdpi.com/1660-4601/16/13/2317/pdf (application/pdf)
https://www.mdpi.com/1660-4601/16/13/2317/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:16:y:2019:i:13:p:2317-:d:244378

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().