European Psychiatry - Volume 33 - March 2016

351 / 812

24th European Congress of Psychiatry / European Psychiatry 33S (2016) S116–S348 S347
Objectives To analyze SWB in older adults’ perspective, to inves-
tigate the latent constructs that can work as major determinants
in SWB and to examine the potential explanatory mechanisms of a
SWB overall model, in an older cross-national sample.
Methods Measures were completed, using a variety of appropri-
ate methods, including demographics and interviews. Complete
data were available for 163 older adults aged between 65–97 years
(M= 74.2; SD = 4.743). Datawere subjected to content analysis. Rep-
resentation of the associations and latent constructs were analyzed
by a multiple correspondence analysis (MCA).
Results The most prevalent response of the interviewed partici-
pants for SWB was ‘affection and care’ (11.0%). A three-dimension
model formed by ‘intimacy and well-being’, ‘care, eroticism and
desire’, and ‘sexual activity and health’ was presented as a best-
fit solution for German older adults. SWB for Portuguese older
adults were explained by a three-factor model: ‘intimacy, health
and desire’, ‘affection and well-being’ and ‘sexual activity’.
Conclusions The outcomes presented in this paper emphasized
the need to explore the indicators of SWB among older adults and
the under-developed potential of a SWB overall model for the older
population.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW659
What predicts adjustment to aging
among older women in breast cancer
remission? The influence of subjective
well-being, sense of coherence, and
socio-demographic, lifestyle and
health-related factors
S. von Humboldt ∗, I. Leal , F. Carneiro
ISPA-Instituo Universitário, William James Research Center, Lisbon,
Portugal
∗ Corresponding author.
Objectives To build a structural model to explore the predictors
of adjustment to aging (AtA) reported by older women in breast
cancer remission.
Methods Older women in breast cancer remission (n = 214) aged
between 75 and 94 years participated in this study. A question-
naire to determine socio-demographic (age, income, professional
and marital status, education, household, living setting and self-
reported spirituality), lifestyle and health-related characteristics
(physical activity, leisure, perceived health, recent disease and
medication), and measures to assess AtA, sense of coherence and
subjective well-being, were employed. Structural equation model-
ing was used to explore a structural model of the self-reported AtA,
encompassing all variables.
Results Preliminary results indicated that self-reported spiritu-
ality ( = .397; P < .001), leisure ( = .383; P < .001), physical activity
( = .267; P < .001), perceived health ( = .211; P < .001), marital
status ( = .173; P < .001), professional status ( = .156; P = .009),
sense of coherence ( = .138; P < .001), and living setting ( = .129;
P = .007), predicted AtA. The variables accounted for 79.2% of the
variability of AtA.
Conclusion Self-reported spirituality and leisure were the
strongest predictors of AtA. Our preliminary findings suggest that
health care interventions with older women in breast cancer remis-
sion still living in the communitymay benefit fromclearly including
predictors of AtA, as these are essential for promoting olderwomen’
s aging well.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW660
Analysing correlates for the
younger-old and the oldest-old:
Adjustment to aging
S. von Humboldt ∗, I. Leal
1 ISPA-Instituo Universitário, Lisbon, Portugal
2 ISPA, Instituto Universitário, William James Research Center, Lisbon,
Portugal
∗ Corresponding author.
Introduction Diverse factors may predict the adjustment to aging
(AtA) of the younger-old and oldest-old adults’.
Objectives To build a structural model for exploring whether
socio-demographic, health and lifestyle-related variables are pre-
dictors of AtA for both groups.
Methods Research encompassed a community-dwelling sample,
of 447 older adults aged 75 years and above (M= 86.27; SD = 6.78;
range 75–100). Measures included demographics (sex, marital sta-
tus, education, household, adult children, family‘s annual income,
and self-reported spirituality), lifestyle and health-related char-
acteristics (perceived health, recent disease, physical activity and
leisure), and the Adjustment to Aging Scale. Structural equation
modeling was used to investigate a structural model of the self-
reported AtA, encompassing all the above variables.
Results Significant predictors for the younger-old are perceived
health ( = .425; P < .001), leisure ( = .324; P < .001), professional
status ( = .243; P < .001). Significant predictors for the oldest-old
are self-reported spirituality ( = .816; P < .001), perceived health
( = .232; P< .001), and income ( = .233; P = .035). The variables
explained respectively 64.5% and 61.6% of the variability of AtA,
respectively.
Conclusions Perceived health is the strongest predictor of AtA for
the younger-old participants whilst self-reported spirituality is the
strongest predictor of AtA for the oldest-old adults.
Disclosure of interest The authors have not supplied their decla-
ration of competing interest.
EW661
The orientation to life questionnaire:
Assessing older adults’ sense of
coherence
S. von Humboldt ∗, I. Leal
1 ISPA-Instituo Universitário, Lisbon, Portugal
2 ISPA-Instituto Universitário, William James Research Center, Lisbon,
Portugal
∗ Corresponding author.
Introduction Growing literature suggests that the sense of coher-
ence (SOC) positively influences well-being in later life.
Objectives This study reports the assessment the following psy-
chometric properties: distributional properties, construct, criterion
and external-related validities, and reliability, of the Orientation to
Life Questionnaire (OtLQ) in an cross-national population of older
adults.
Methods We recruited 1291 community-dwelling older adults
aged between 75–102 years (M= 83.9; SD = 6.68). Convenience
sampling was used to gather questionnaire data. The construct
validity was asserted by confirmatory factor analysis, convergent
and discriminant validity. Moreover, criterion and external-related
validities, as well as distributional properties and reliability were
also tested.
Results Data gathered with the 29-items OtLQ scale showed
overall good psychometric properties, in terms of distributional
properties, construct, criterion and external-related validities, as
well as reliability. Three factors were validated for the OtLQ scale:
(a) comprehensibility; (b) manageability; and (c) meaningfulness.