Psychological adjustment variables as predictors of mortality among nursing home residents

Psychol Aging. 1998 Sep;13(3):368-74. doi: 10.1037//0882-7974.13.3.368.


Mortality over a 4-year period was examined in relation to self-esteem, depression, life satisfaction, and meaning in life in a nonclinical sample of 129 intermediate-care nursing home residents. Survival was associated with the psychological adjustment variables, and the effect persisted after statistically controlling for age, sex, and physical health. Self-evaluations (self-esteem and depression) were stronger predictors of mortality than were general life evaluations (life satisfaction and meaning in life). Comparisons with previous studies suggest conditions under which psychological variables are likely to be associated with mortality.

MeSH terms

  • Adaptation, Psychological*
  • Aged
  • Aged, 80 and over
  • Chronic Disease / mortality*
  • Chronic Disease / psychology
  • Depression / mortality
  • Depression / psychology
  • Female
  • Homes for the Aged* / statistics & numerical data*
  • Humans
  • Male
  • Motivation
  • Nursing Homes / statistics & numerical data*
  • Personal Satisfaction
  • Risk Factors
  • Self Concept
  • Survival Analysis