Association between Stress-Coping Strategy and Functional Disability in the General Older Adult Population: The Takashima Study

Naoyuki Takashima, Yasuyuki Nakamura, Naoko Miyagawa, Aya Kadota, Sachiko Tanaka-Mizuno, Kenji Matsui, Katsuyuki Miura, Hirotsugu Ueshima, Yoshikuni Kita

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Background: Both physical and psychological factors have been associated with functional disability. However, the associations between stress-coping strategies and future functional disability remain unclear. Methods: We analyzed 2,924 participants who did not have incidence of functional disability or death within the first 3 years of the baseline survey and were aged 65 years or more at the end of follow-up. Stress-coping strategies were assessed via a self-administered questionnaire (emotional expression, emotional support seeking, positive thought, problem-solving, and disengagement) in a baseline survey from 2006 to 2014. Levels of coping strategies were classified as low, middle, and high based of frequency. Functional disability decline was followed up using the long-term-care insurance program until November 1, 2019. Functional disability decline was defined as a new long-term-care insurance program certification. Cox proportional hazards model with competing risk analysis for death was used to evaluate associations between coping strategy levels and functional disability. Results: During the follow-up period, we observed 341 cases of functional disability and 73 deaths without previous incidence of functional disability. A significant inverse association between "positive thought"and "problem-solving"and future functional disability was observed. Multivariable adjusted hazard ratios (95% confidence interval) for functional disability were 0.68 (0.51-0.92) for high levels of "positive thought"and 0.73 (0.55-0.95) for high levels of "problem-solving,"compared with low levels of the coping strategies. The inverse association was stronger in men. Conclusions: Some subcomponents of stress-coping strategies might be associated with future incidence of functional disability among older adults.

Original languageEnglish
Pages (from-to)699-706
Number of pages8
Issue number6
Publication statusPublished - 2022 Jun 1


  • Asian population
  • Cohort study
  • Positive thought
  • Problem-solving

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology


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