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Poverty, food insecurity, being frightened of family members, and intimate partner violence increased both depressive symptoms and lowered wellbeing.
After adjusting for disability, only impairment due to paralysis was independently associated with lowered wellbeing.
The effect of having two or more impairments compared to none was associated with lowered wellbeing after adjusting for demographic factors and social support (adjusted difference -2.37 on the well-being scale with SD = 7.9, p < 0.001) but after adjusting for disability the coefficient fell and was non-significant.
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Living in Hue city, low education, poor maternal competence and a negative family response to the baby lowered maternal wellbeing.
Two cultural factors previously suggested to be influential in the Vietnamese context (traditional confinement practices and son preference) were not linked to depressive symptoms, but poor family relationships and negative reactions to the infant lowered maternal wellbeing.
The key finding from this paper is that impairment due to paralysis was associated with lowered psychological wellbeing in older Thai people, even after controlling for eleven other physical impairments, disability, socio-economic factors and social support.
The high prevalence of panic-fear or anxiety symptoms in asthma populations does not in itself establish a specific link as this could be part of a broader relationship between any chronic disease and lowered psychological wellbeing.
"We took a step back and asked whether it's possible that instead of the midlife crisis being human-specific, and driven only by social factors, it reflects some evolved tendency for middle-aged individuals to have lower wellbeing," he said.
And suppose that those low wellbeing levels cannot be justified (on the ground, for example, that they save many existing persons from still lower wellbeing levels) and that we are accordingly convinced that act A is wrong.
Impairments due to arthritis, pain, paralysis, vision, stomach problems or breathing were all associated with lower wellbeing.
Perception of poor neighbourhood aesthetic quality was associated with lower wellbeing (RRR 0.4, 95% CI 0.3, 0.5).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com