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Updated: Jun 1, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Goal disengagement, functional disability, and depressive symptoms in old age
Erin Dunne1, Carsten Wrosch, Gregory E Miller
1Department of Psychology, Centre for Research in Human Development, Concordia University, Montreal, QC, Canada. erindunne@hotmail.com
Objectives:
This longitudinal study examined the associations between older adults' goal adjustment capacities (i.e., goal disengagement and goal reengagement capacities), functional disability, and depressive symptoms. It was expected that goal disengagement capacities would prevent an adverse effect of heightened functional disability on increases in depressive symptoms.
Method:
Multivariate regression analyses were conducted, using four waves of data from a six-year longitudinal study of 135 community-dwelling older adults (>60 years old).
Results:
Depressive symptoms and functionality disability increased over time. Moreover, poor goal disengagement capacities and high levels of functional disability forecasted six-year increases in depressive symptoms. Finally, goal disengagement buffered the association of functional disability with increases in depressive symptoms. No associations were found for goal reengagement capacities.
Conclusion:
The findings suggest an adaptive role for goal disengagement capacities in older adulthood. When confronted with increases in functional disability, the capacity to withdraw effort and commitment from unattainable goals can help protect older adults from experiencing long-term increases in depressive symptoms.
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