fpsyg-11-01568.pdf (207.75 kB)
Download file

Emotional well-being and cognitive function have robust relationship with physical frailty in institutionalized older women

Download (207.75 kB)
journal contribution
posted on 18.08.2020, 08:46 by Guilherme Eustáquio Furtado, Adriana Caldo, Ana Vieira-Pedrosa, Rubens Vinícius Letieri, Eef HogervorstEef Hogervorst, Ana Maria Teixeira, José Pedro Ferreira
Introduction: Frailty associated to core dimensions of psychological well-being (PwB) has appeared as a possible new frailty phenotype named psychological frailty, implying a parallel to physical frailty (PF). Very little is known about the associations between mental well-being, especially emotional, mood, and self-perception dimensions, and the frailty syndrome in institutionalized older populations. The present study aims to examine the interlink between the PF phenotype and the core dimensions of PwB in Portuguese institution-dwelling older women. Methods: Cross-sectional data were collected. A total of 358 older women, aged 75 years or more, were recruited from four nursing homes within the city of Coimbra and asked to complete a sociodemographic and a general health assessment survey. The main PwB dimensions were assessed in all participants: (i) global cognitive status was assessed using The Montreal Cognitive Assessment (MoCA) Neuropsychology Test, (ii) self-perception was screened using the General Self-Efficacy Scale (GSES) and Global Self-Esteem Scale, (iii) CES-D of depression and Perceived Stress Scale (PSS) were used to screen mood states, and (iv) subjective happiness, satisfaction with life, and attitudes to aging psychometric rating scales were used to screen for emotional well-being. The syndrome of PF was assessed using Fried’s PF phenotype that includes weight loss, weakness, slowness, exhaustion, and low physical activity (PA) level assessments. Results: Frail older women had a poor score in all PwB outcomes, except for global self-esteem and satisfaction with life. A hierarchical regression model analysis showed that global cognitive status and emotional well-being of subjective happiness and attitude to aging showed a significant negative relationship with PF in both unadjusted and adjusted models (explaining 34 and 40% of variance, respectively). Conclusion: Emotional well-being and global cognitive performance are strongly associated with PF. Implementing active lifestyle interventions to improve positive psychological outcomes using geriatric assessments could assist in the older institutionalized patients’ physical and mental health care.


FEDER funds by COMPETE and national funds by the Portuguese Foundation for Science and Technology (FCT) in the context of the PTDC/DTP-DES/0154/2012 research project.

CAPES/CNPQ – Ministry of Education, Brazil (grant reference number BEX: 11929/13-8).

CIDAF (UID/PTD/04213/2019).



  • Sport, Exercise and Health Sciences

Published in

Frontiers in Psychology




Frontiers Media


VoR (Version of Record)

Rights holder

© Furtado, Caldo, Vieira-Pedrosa, Letieri, Hogervorst, Teixeira and Ferreira.

Publisher statement

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) https://creativecommons.org/licenses/by/4.0/. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

Acceptance date


Publication date


Copyright date









Prof Eef Hogervorst. Deposit date: 17 August 2020

Article number