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The Gerontologist 1999 39(4):406-416; doi:10.1093/geront/39.4.406
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© 1999 The Gerontological Society of America

Health, Valuation of Life, and the Wish to Live

M. Powell Lawton, PhD1, Miriam Moss, MA2, Christine Hoffman, MA2, Richard Grant, MD3, Thomas Ten Have, PhD4 and Morton H. Kleban, PhD2

2 Polisher Research Institute Philadelphia, PA
3 Albert Einstein Medical Center Philadelphia, PA
4 Center for Biostatistics and Epidemiology, University of Pennsylvania Philadelphia, PA

1 Address correspondence to M. Powell Lawton, Polisher Research Institute, Philadelphia Geriatric Center, 5301 Old York Road, Philadelphia, PA 19141.


   Abstract

This research investigated the relationship of an affective-cognitive schema, valuation of life (VOL), to older people's responses to a set of health utility (years of desired life) questions. Six hundred healthy and chronically ill elders aged 70 and older were interviewed to measure quality of life (QOL), mental health, and VOL Valuation of life was significantly correlated with longer Years of Desired Life under 8 of 10 health conditions when background, health, QOL, and mental health states were controlled. We concluded that VOL is an internal representation of the many positive and negative features of the person and her everyday life that is necessary to comprehend how people may cling to life or welcome its end.

Keywords: Quality of life, Chronic illness, End of life, Mental health

Received July 28, 1998; Accepted April 4, 1999


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