scholarly journals Social engagement in late life may attenuate the burden of depressive symptoms due to financial strain in childhood

2020 ◽  
Vol 263 ◽  
pp. 336-343 ◽  
Author(s):  
Federico Triolo ◽  
Linnea Sjöberg ◽  
Davide L. Vetrano ◽  
Alexander Darin-Mattsson ◽  
Marco Bertolotti ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Social Engagement ◽  
Late Life ◽  
Financial Strain

scholarly journals OLD-AGE DEPRESSIVE SYMPTOMS: THE ROLE OF EARLY-LIFE FINANCIAL STRAIN AND LATE-LIFE SOCIAL ENGAGEMENT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S5-S6
Author(s):  
Federico Triolo ◽  
Linnea Sjöberg ◽  
Davide Vetrano ◽  
Alexander Darin-Mattsson ◽  
Marco Bertolotti ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Old Age ◽  
Social Engagement ◽  
Repeated Measures ◽  
Early Life ◽  
Rating Scale ◽  
Leisure Activities ◽  
Late Life ◽  
Financial Strain ◽  
National Study

Abstract It remains unclear if childhood socioeconomic disadvantage is associated with depression in old age. This study aims to investigate the effect of childhood financial strain on depressive symptoms in old age, and to examine whether late-life social engagement modifies this association. Data from the Swedish National study of Aging and Care in Kungsholmen, a community-based longitudinal study of aging, spanning clinical assessments over 15 years of follow-up were used. Information on financial strain in childhood was collected at baseline. Repeated measures of the Montgomery–Åsberg Depression Rating Scale were used to define depressive trajectories. A social engagement index comprised information on baseline social network and leisure activities. Linear mixed models were used to estimate depressive trajectories. Childhood financial strain was associated with a higher level of depressive symptoms (β = 0.36; p<0.05), but not the rate of symptom accumulation over time. Relative to those with a combination of no financial strain and active social engagement, the level of depressive symptoms was progressively increased in those without financial strain but with inactive social engagement (β = 0.29; p<0.05), as well as in those with both financial strain and inactive engagement (β= 0.83; p<0.05). Individuals with financial strain who had active social engagement exhibited a similar burden of symptoms as those without financial strain and with rich social engagement. Early-life financial strain may have a lasting effect on old age depressive symptoms, although its detrimental consequences may be modified by active social engagement in late life.

Social Engagement and Depressive Symptoms in Late Life

2006 ◽  
Vol 18 (4) ◽  
pp. 604-628 ◽  
Author(s):  
Thomas A. Glass ◽  
Carlos F. Mendes De Leon ◽  
Shari S. Bassuk ◽  
Lisa F. Berkman
Keyword(s):  
Depressive Symptoms ◽  
Social Engagement ◽  
Late Life

Psychological vulnerability of widowhood: financial strain, social engagement and worry about having no care-giver as mediators and moderators

2017 ◽  
Vol 38 (11) ◽  
pp. 2356-2375 ◽  
Author(s):  
JOOHONG MIN ◽  
YAWEN LI ◽  
LING XU ◽  
IRIS CHI
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Social Engagement ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Least Square ◽  
Financial Strain ◽  
Psychological Wellbeing ◽  
Care Giver ◽  
Moderating Effects

ABSTRACTThis study examined how financial strain, worry about having no care-giver and social engagement modify the association between widowhood and depressive symptoms among older adults in China. Using national representative data from older adults in China in 2006, we ran structural equation models and ordinary least square regressions to investigate the mediating and moderating effects of financial strain, worry about having no care-giver and social engagement on the association between widowhood and depressive symptoms. All three variables significantly mediated the association between widowhood and depressive symptoms. Compared to their married counterparts, widowed older adults showed more worry about having no care-giver, increased financial strain and lower social engagement, which were significantly associated with depressive symptoms. Higher level of worry about having no care-giver and lower social engagement significantly exacerbated the adverse effects of widowhood on depressive symptoms in the moderation analyses. Our finding of mediating effects suggests that widowhood is negatively related to psychological wellbeing via financial strain, social engagement and care resources. The results regarding moderating effects suggest that alleviating worry about having no care-giver and increasing social engagement may buffer the deleterious effect of widowhood on psychological wellbeing in later life.

scholarly journals Health and social care service utilisation and associated expenditure among community-dwelling older adults with depressive symptoms

2021 ◽  
Vol 30 ◽  
Author(s):  
Shiyu Lu ◽  
Tianyin Liu ◽  
Gloria H. Y. Wong ◽  
Dara K. Y. Leung ◽  
Lesley C. Y. Sze ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Symptom Severity ◽  
Social Care ◽  
Late Life ◽  
Community Dwelling ◽  
Service Utilisation ◽  
Late Life Depression ◽  
Social Care Service ◽  
Health And Social Care

Abstract Aims Late-life depression has substantial impacts on individuals, families and society. Knowledge gaps remain in estimating the economic impacts associated with late-life depression by symptom severity, which has implications for resource prioritisation and research design (such as in modelling). This study examined the incremental health and social care expenditure of depressive symptoms by severity. Methods We analysed data collected from 2707 older adults aged 60 years and over in Hong Kong. The Patient Health Questionnaire-9 (PHQ-9) and the Client Service Receipt Inventory were used, respectively, to measure depressive symptoms and service utilisation as a basis for calculating care expenditure. Two-part models were used to estimate the incremental expenditure associated with symptom severity over 1 year. Results The average PHQ-9 score was 6.3 (standard deviation, s.d. = 4.0). The percentages of respondents with mild, moderate and moderately severe symptoms and non-depressed were 51.8%, 13.5%, 3.7% and 31.0%, respectively. Overall, the moderately severe group generated the largest average incremental expenditure (US$5886; 95% CI 1126–10 647 or a 272% increase), followed by the mild group (US$3849; 95% CI 2520–5177 or a 176% increase) and the moderate group (US$1843; 95% CI 854–2831, or 85% increase). Non-psychiatric healthcare was the main cost component in a mild symptom group, after controlling for other chronic conditions and covariates. The average incremental association between PHQ-9 score and overall care expenditure peaked at PHQ-9 score of 4 (US$691; 95% CI 444–939), then gradually fell to negative between scores of 12 (US$ - 35; 95% CI - 530 to 460) and 19 (US$ -171; 95% CI - 417 to 76) and soared to positive and rebounded at the score of 23 (US$601; 95% CI -1652 to 2854). Conclusions The association between depressive symptoms and care expenditure is stronger among older adults with mild and moderately severe symptoms. Older adults with the same symptom severity have different care utilisation and expenditure patterns. Non-psychiatric healthcare is the major cost element. These findings inform ways to optimise policy efforts to improve the financial sustainability of health and long-term care systems, including the involvement of primary care physicians and other geriatric healthcare providers in preventing and treating depression among older adults and related budgeting and accounting issues across services.

scholarly journals Depressive Symptoms and Cognitive Decline in Late Life

2006 ◽  
Vol 63 (2) ◽  
pp. 153 ◽  
Author(s):  
Mary Ganguli ◽  
Yangchun Du ◽  
Hiroko H. Dodge ◽  
Graham G. Ratcliff ◽  
Chung-Chou H. Chang
Keyword(s):  
Depressive Symptoms ◽  
Cognitive Decline ◽  
Late Life

scholarly journals Temporal and Reciprocal Relationship Between IADL/ADL Disability and Depressive Symptoms in Late Life

2002 ◽  
Vol 57 (4) ◽  
pp. P338-P347 ◽  
Author(s):  
J. Ormel ◽  
F. V. Rijsdijk ◽  
M. Sullivan ◽  
E. van Sonderen ◽  
G. I. J. M. Kempen
Keyword(s):  
Depressive Symptoms ◽  
Late Life ◽  
Reciprocal Relationship ◽  
Adl Disability

scholarly journals Cognitive Functioning and Late-Life Depression

2014 ◽  
Vol 20 (5) ◽  
pp. 461-467 ◽  
Author(s):  
Aaron M. Koenig ◽  
Rishi K. Bhalla ◽  
Meryl A. Butters
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Cognitive Functioning ◽  
Neuropsychological Assessment ◽  
Cognitive Deficits ◽  
Late Life ◽  
Cognitive Outcomes ◽  
Review Of The Literature ◽  
Late Life Depression ◽  
The Relationship

AbstractThis brief report provides an introduction to the topic of cognitive functioning in late-life depression (LLD). In addition to providing a review of the literature, we present a framework for understanding the heterogeneity of cognitive outcomes in this highly prevalent disorder. In addition, we discuss the relationship between LLD and dementia, and highlight the importance of regularly assessing cognitive functioning in older adults who present with depressive symptoms. If cognitive deficits are discovered during a neuropsychological assessment, we recommend referral to a geriatric psychiatrist or cognitive neurologist, for evaluation and treatment of the patient’s symptoms. (JINS, 2014, 20, 1–7)

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