Life satisfaction in a sample of empty-nest elderly: a survey in the rural area of a mountainous county in China

ObjectiveTo estimate the life satisfaction and its predictors between the empty-nest and not-empty-nest elderly.MethodsA semi-structured questionnaire including socio-demographic characteristics, physical health, and the Life Satisfaction Index (LSI), UCLA Loneliness Scale (UCLA-LS), and Geriatric Depression Scale (GDS) was administered to 275 empty-nest and 315 not-empty-nest rural elderly in a Chinese county. Linear regression analysis was used to examine the predictors of LSI score.ResultsThe empty-nest elderly had lower life satisfaction, lower income, poorer relationships with children, less social support, higher prevalence of chronic diseases, and more feelings of depression and loneliness compared to the not-empty-nest elderly. “Empty-nest status” was negatively related with life satisfaction. Depression was the strongest predictor of life satisfaction in both groups. The second strongest predictor was loneliness among the empty-nest group, while it was chronic diseases among the not-empty-nest group. Marital status and income were correlated with life satisfaction only among the empty-nest elderly.ConclusionsThe empty-nest elderly were likely to have mental health problems and to feel unsatisfied with their life. These findings also emphasize the importance of mental health as the determinant of life satisfaction among the empty-nest elderly.

[1]  Graeme Hawthorne,et al.  Quality of life assessment in the community-dwelling elderly: validation of the Assessment of Quality of Life (AQoL) Instrument and comparison with the SF-36. , 2003, Journal of clinical epidemiology.

[2]  Qiang Guo,et al.  Loneliness and health-related quality of life for the empty nest elderly in the rural area of a mountainous county in China , 2007, Quality of Life Research.

[3]  V. Wood,et al.  An analysis of a short self-report measure of life satisfaction: correlation with rater judgments. , 1969, Journal of gerontology.

[4]  O. Baiyewu,et al.  Life satisfaction in elderly Nigerians: reliability and factor composition of the life satisfaction Index Z. , 1992, Age and ageing.

[5]  R. Schulz,et al.  Social support as a mediator in the relation between functional status and quality of life in older adults. , 1996, Psychology and aging.

[6]  O. Hayran,et al.  The links between health-related behaviors and life satisfaction in elderly individuals who prefer institutional living , 2007, BMC Health Services Research.

[7]  I. Hallberg,et al.  Feeling hindered by health problems and functional capacity at 60 years and above. , 2007, Archives of gerontology and geriatrics.

[8]  P. Martin,et al.  Personality, relationship closeness, and loneliness of oldest old adults and their children. , 2000, The journals of gerontology. Series B, Psychological sciences and social sciences.

[9]  K. Morgan,et al.  Mental Health and Psychological Well-being Among the Old and the Very Old Living at Home , 1987, British Journal of Psychiatry.

[10]  A. Furnham,et al.  General health mediates the relationship between loneliness, life satisfaction and depression , 2007, Social Psychiatry and Psychiatric Epidemiology.

[11]  D. Russell,et al.  The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. , 1980, Journal of personality and social psychology.

[12]  G. Salem,et al.  A Randomized Trial of Weighted Vest Use in Ambulatory Older Adults: Strength, Performance, and Quality of Life Outcomes , 2000, Journal of the American Geriatrics Society.

[13]  M. MacEntee,et al.  Seniors' Assessment of Their Health and Life Satisfaction: The Case for Contextual Evaluation , 1992, International journal of aging & human development.

[14]  Qiang Guo,et al.  Health-Care Utilization among Empty-Nesters in the Rural Area of a Mountainous County in China , 2007, Public health reports.

[15]  B. Cassou,et al.  Predictors of life satisfaction amongst retired people in Paris. , 1996, International journal of epidemiology.

[16]  Y. Gustafson,et al.  Morale in the oldest old: the Umeå 85+ study. , 2005, Age and ageing.

[17]  Colin R. Martin,et al.  Factor structure of the Chinese version of the Geriatric Depression Scale , 2006, Psychology, health & medicine.

[18]  A. Pillay.  Midlife Depression and the “Empty Nest” Syndrome in Indian Women , 1988, Psychological reports.

[19]  B. Fahrenberg.  [Coping with the empty nest situation as a developmental task for the aging female--an analysis of the literature]. , 1986, Zeitschrift fur Gerontologie.

[20]  T. Strine,et al.  The Associations Between Life Satisfaction and Health-related Quality of Life, Chronic Illness, and Health Behaviors among U.S. Community-dwelling Adults , 2008, Journal of Community Health.

[21]  L. George,et al.  Age and impaired subjective support. Predictors of depressive symptoms at one-year follow-up. , 1992, The Journal of nervous and mental disease.

[22]  M. Pelkonen,et al.  Smoking: relationship to chronic bronchitis, chronic obstructive pulmonary disease and mortality , 2008, Current opinion in pulmonary medicine.

[23]  Ljiljana Kaliterna Lipovčan,et al.  Monthly income and subjective well-being of Croatian citizens. , 2007, Croatian medical journal.