Is well-being prior to receiving rehabilitation services associated with postrehabilitation mental health and functioning?

Adam Simning, Thomas V. Caprio, Frank J. Infurna, Christopher L. Seplaki

Research output: Contribution to journalArticlepeer-review


Objectives: Millions of older adults receive rehabilitation services every year, which aim to restore, maintain, or limit decline in functioning. We examine whether lower reported well-being prior to receiving rehabilitation services is associated with increased odds of worsening anxiety symptoms, depressive symptoms, and impairment in self-care and household activities following rehabilitation. Methods: Data come from the National Health and Aging Trends Study (NHATS), an annual survey of a nationally representative sample of Medicare beneficiaries aged 65 years and older. Our sample consists of 811 NHATS participants who, in the 2015 interview, had information on well-being and, in the 2016 interview, reported receiving rehabilitation services in the prior year. Results: In multivariable logistic regression analyses, compared to the highest quartile, those in the lowest quartile of well-being at baseline have increased odds of having worsening depressive symptoms (OR = 9.25, 95% CI: 3.78–22.63) and worsening impairments in self-care activities (OR = 2.39, 95% CI: 1.12–5.11). Conclusion: Our findings suggest that older adults with the lowest levels of baseline well-being may be susceptible to having worsening depressive symptoms and impairment in self-care activities following rehabilitation services. Examination on whether consideration of well-being during the rehabilitation process could lead to better mental health and functional outcomes following rehabilitation is needed.

Original languageEnglish (US)
Pages (from-to)269-276
Number of pages8
JournalAging and Mental Health
Issue number2
StatePublished - 2021


  • Depression and anxiety
  • disabilities
  • epidemiology
  • function/mobility
  • quality of life

ASJC Scopus subject areas

  • Phychiatric Mental Health
  • Gerontology
  • Geriatrics and Gerontology
  • Psychiatry and Mental health


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