The associations between family characteristics and depressive symptoms in older adults: a community-based survey in rural China

2012 ◽  
Vol 24 (8) ◽  
pp. 1226-1234 ◽  
Author(s):  
Yanhong Gong ◽  
Xiaopiao Wen ◽  
Chaoping Guan ◽  
Zhiqing Wang ◽  
Yuan Liang
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Life Events ◽  
Rural China ◽  
Economic Status ◽  
Negative Life Events ◽  
Family Members ◽  
Family Characteristics ◽  
Negative Life Event ◽  
The Past

ABSTRACTBackground: The aim of the current study was to investigate the associations between family characteristics and depressive symptoms, and provide new evidence and recommendations for prevention and intervention in the depressive symptoms of older adults.Methods: The study was a cross-sectional survey conducted door-to-door, utilizing a sample of 1,317 individuals aged 60 years and above in rural China. The five family characteristic variables recorded were: living with spouse, living with descendant, support of family members, self-reported family economic status in the previous year, and family-related negative life events that occurred anytime in the past with a continuous psychological effect during the past 12 months. Gender, age, years of schooling, and self-rated physical health status were taken as potential confounders. Univariable and multivariable logistic regression models were used to examine independent effects on depressive symptoms.Results: In addition to the potential confounders, only family-related negative life events, support of family members, and self-reported family economic status had significant effects on depressive symptoms in older adults. Experiencing a family-related negative life event was the most significant variable (OR = 11.70, 95% CI: 7.72–17.73), the second was support of family members (OR = 6.93, 95% CI: 3.26–14.70), while family economic status was less important than support of family members (OR = 2.38, 95% CI: 1.08–5.25).Conclusion: This study, from the perspective of family characteristics on depressive symptoms in older adults, showed a strong correlation between being exposed to harmful family environments and depressive symptoms among the elderly. Efforts to address family risk factors and strengthen family cohesiveness deserve a higher priority, given the importance of these factors, compared with other efforts such as promoting economic development.

scholarly journals Which categories of social and lifestyle activities moderate the association between negative life events and depressive symptoms among community-dwelling older adults in Japan?

2011 ◽  
Vol 24 (2) ◽  
pp. 307-315 ◽  
Author(s):  
Yuriko Katsumata ◽  
Asuna Arai ◽  
Kozo Ishida ◽  
Masashi Tomimori ◽  
Romeo B. Lee ◽  
...  
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Life Events ◽  
Interpersonal Relationships ◽  
Negative Life Events ◽  
Family Members ◽  
Community Dwelling ◽  
Significant Variable ◽  
Human Relationships ◽  
Lifestyle Activities

ABSTRACTBackground: Social and lifestyle activities may serve as potential moderators of the association between negative life events (NLEs) and depressive symptoms among older adults. In this study, we examined whether social and lifestyle activities moderate the association between NLEs and depressive symptoms among older adults, and which activities are significant moderators.Methods: The data came from a community-based sample of non-institutionalized adults aged 65 years or older. Of the 731 eligible older adults, 682 completed the Japanese version of the 30-item Geriatric Depression Scale. We measured 15 specific negative life events as well as 17 social and lifestyle activities which were grouped into four categories.Results: Specific NLEs pertaining to human relationships, physical condition and financial status were all or were mostly associated with depressive symptoms. Significant moderating roles of social and lifestyle activities on the association of NLEs with depressive symptoms were observed between “loss of a significant other” and “contact with family members and friends” (β = −0.282, SE = 0.091, p = 0.002); “change in human relationships” and “contact with family members and friends” (β = −0.270, SE = 0.137, p = 0.048); and “change in human relationships” and “community involvement” (β = −0.344, SE = 0.133, p = 0.010).Conclusions: The most statistically significant variable moderating the associations between negative life events and depressive symptoms was “having frequent contact with family members”. Depressive symptoms arising from troublesome interpersonal relationships in one's proximal network might be moderated by positive interpersonal relationships.

scholarly journals Negative Life Events, Social Ties, and Depressive Symptoms for Older Adults in China

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 580-580
Author(s):  
Hangqing Ruan ◽  
Feinian Chen
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Life Events ◽  
Social Relations ◽  
Stressful Life Events ◽  
Social Ties ◽  
Negative Life Events ◽  
Old Age Support ◽  
Social Survey ◽  
Different Types

Abstract Negative life events are considered important risk factors of depression among older adults. An overwhelming amount of literature suggests that individuals with the most supportive social relations tend to make a better recovery from stressful life events. As for which types of ties matter the most, whether being family, relatives, friends or the broader community, existing literature is much less consistent and has documented varying effects across different contexts. This study is set in China, which traditionally relies on family systems and filial obligations for old-age support. Using two waves of data from China Longitudinal Aging Social Survey, we examine the protective effect of different types of social relations on depressive symptoms, including those who are living in the household, children who live close by or far away, as well as their ties with family, relatives, and friends.

For better or worse: Negative life events and sibling relationships

2012 ◽  
Vol 27 (3) ◽  
pp. 330-348 ◽  
Author(s):  
Marieke Voorpostel ◽  
Tanja van der Lippe ◽  
Henk Flap
Keyword(s):  
Life Events ◽  
Sibling Relationships ◽  
Negative Life Events ◽  
Physical Illness ◽  
Psychological Problems ◽  
Negative Life Event ◽  
Financial Problems ◽  
Life Event ◽  
The Past ◽  
The Law

Using Dutch data ( N = 6630), this article examines how sibling relationships (including full biological, half- and adopted siblings) differed for persons who experienced a negative life event (divorce, physical illness, psychological problems, addiction, problems with the law, victimization of abuse or financial problems) and those who did not. Results showed that people who experienced serious negative life events in the past often had less active, less supportive and more strained sibling ties. The group that experienced a physical illness formed an exception, showing more supportive and active sibling ties, but also higher levels of conflict. Results suggest inequality between persons who have experienced negative life events and those who have not in terms of access to positive and supportive sibling relationships.

scholarly journals Disentangling the causal inter-relationship between negative life events and depressive symptoms in women: a longitudinal twin study

2012 ◽  
Vol 42 (9) ◽  
pp. 1801-1814 ◽  
Author(s):  
M. Wichers ◽  
H. H. Maes ◽  
N. Jacobs ◽  
C. Derom ◽  
E. Thiery ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Life Events ◽  
Longitudinal Design ◽  
Negative Life Events ◽  
Model Fitting ◽  
Negative Life Event ◽  
Life Event ◽  
Specific Effects ◽  
Best Fitting ◽  
Longitudinal Twin Study

BackgroundNegative life events are strongly associated with the development of depression. However, the etiologic relationship between life events and depression is complex. Evidence suggests that life events can cause depression, and depression increases the risk for life events. Additionally, third factors influencing both phenotypes may be involved. In this work we sought to disentangle these relationships using a genetically informative longitudinal design.MethodAdult female twins (n=536, including 281 twin pairs) were followed up for measurements of negative life event exposure and depressive symptoms. Four follow-ups were completed, each approximately 3 months apart. Model fitting was carried out using the Mx program.ResultsThe best-fitting model included causal paths from life events to depressive symptoms for genetic and shared environmental risk factors, whereas paths from depressive symptoms to life events were apparent for shared environmental factors. Shared latent influence on both phenotypes was found for individual-specific effects.ConclusionsLife events and depressive symptoms have complex inter-relationships that differ across sources of variance. The results of the model, if replicated, indicate that reducing life event exposure would reduce depressive symptoms and that lowering depressive symptoms would decrease the occurrence of negative life events.

scholarly journals Depressive symptoms and time perspective in older adults: associations beyond personality and negative life events

2018 ◽  
Vol 23 (12) ◽  
pp. 1674-1683 ◽  
Author(s):  
Elisabeth Åström ◽  
Michael Rönnlund ◽  
Rolf Adolfsson ◽  
Maria Grazia Carelli
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Life Events ◽  
Time Perspective ◽  
Negative Life Events

scholarly journals Steeling or sensitizing? A longitudinal examination of how ongoing accumulation of negative life events affects depressive symptoms in older adults

2021 ◽  
Author(s):  
Almar A L Kok ◽  
Jos W R Twisk ◽  
Fenneke Blom ◽  
Aartjan T F Beekman ◽  
Martijn Huisman
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Life Events ◽  
Multilevel Models ◽  
Negative Life Events ◽  
Interaction Effects ◽  
Severity Scores ◽  
Measurement Wave ◽  
Longitudinal Aging Study Amsterdam ◽  
Aging Study

Abstract Objectives To examine whether: 1) as people age, accumulation of negative events increases (‘sensitizing’) or decreases (‘steeling’) the detrimental effects of subsequent events on depressive symptoms, and 2) how particular psychosocial factors are associated with the strength of these steeling or sensitizing effects. Method We used data from six measurement waves from 2,069 adults aged 55-84 (M=68.0) at baseline in the Longitudinal Aging Study Amsterdam, the Netherlands. We included 18 different life events across the life course. Using hybrid multilevel models, we tested whether the effects of proximate life events (<3 years) on depressive symptoms (measured by the CES-D) were moderated by previous cumulative events (childhood until previous measurement wave). Additionally, we tested whether education, mastery, emotional support, neuroticism, having strong faith, and loneliness were associated with the strength of steeling/sensitizing effects. Results Cumulative and proximate life events were independently associated with more depressive symptoms. Interaction effects indicated that the more cumulative life events, the weaker the effects of recent life events, suggesting a ‘steeling’ effect. Unexpectedly, three-way interaction effects showed that higher mastery and lower neuroticism were associated with weaker steeling effects. These effects were predominantly attributable to within-person changes rather than to fixed between-person differences. Results from analyses with event severity scores were similar. Conclusions As a population, older adults appear to become more resilient against new stressors as they accumulate experience in dealing with negative life events. Findings on mastery tentatively suggest that accepting limits to one’s own control over life circumstances may foster a steeling effect.

Poor Acceptance of the Past is Related to Depressive Symptoms in Older Adults

GeroPsych ◽  
2020 ◽  
Vol 33 (4) ◽  
pp. 246-251
Author(s):  
Gozde Cetinkol ◽  
Gulbahar Bastug ◽  
E. Tugba Ozel Kizil
Keyword(s):  
Older Adults ◽  
Regression Analysis ◽  
Depressive Symptoms ◽  
Death Anxiety ◽  
Geriatric Depression ◽  
Ego Integrity ◽  
The Past ◽  
Depressed Group ◽  
Total Death ◽  
The Relationship

Abstract. Depression in older adults can be explained by Erikson’s theory on the conflict of ego integrity versus hopelessness. The study investigated the relationship between past acceptance, hopelessness, death anxiety, and depressive symptoms in 100 older (≥50 years) adults. The total Beck Hopelessness (BHS), Geriatric Depression (GDS), and Accepting the Past (ACPAST) subscale scores of the depressed group were higher, while the total Death Anxiety (DAS) and Reminiscing the Past (REM) subscale scores of both groups were similar. A regression analysis revealed that the BHS, DAS, and ACPAST predicted the GDS. Past acceptance seems to be important for ego integrity in older adults.

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