A change in social activity and depression among Koreans aged 45 years and more: analysis of the Korean Longitudinal Study of Aging (2006–2010)

2014 ◽  
Vol 27 (4) ◽  
pp. 629-637 ◽  
Author(s):  
Young Choi ◽  
Eun-Cheol Park ◽  
Jae-Hyun Kim ◽  
Ki-Bong Yoo ◽  
Jae-Woo Choi ◽  
...  

ABSTRACTBackground:The aim of this study is to examine a relationship between a change in social activity and depression among Koreans aged 45 years or more.Methods:Data came from the Korean Longitudinal Study of Aging (KLoSA) (2006–2010), with 5,327 participants aged 45 years or more. The generalized estimating equation (GEE) with the logit link was used to investigate an association between a change in social activity during 2006–2008 (or 2008–2010) and depression among respondents in year 2008 (or Y2010). Depression was measured by Center for Epidemiological Studies Depression scale (CES-D10) and a change in social activity was classified with four categories, i.e. “consistent participation”, “consistent non-participation”, “participation to non-participation”, and “non-participation to participation”. Social activity was divided into various elements and the same analysis was conducted for each of these elements.Results:Those with consistent non-participation and from participation to non-participation were more likely to be depressed than those with consistent participation and from non-participation to participation in social activities (OR 1.44 [95% CI 1.22–1.71], OR 1.35 [95% CI 1.15–1.58] vs. OR 1.00 [Reference], OR 1.27 [95% CI 1.09–1.48]). In addition, the strength of the negative association between consistent or new participation in social activity and depression was different across different elements of social activity. The negative association was particularly strong for leisure, culture or sports clubs, and for family or school reunion.Conclusion:For improving the mental health of the population aged 45 years or more, the promotion of their continued or new participations in leisure/culture clubs and family/school reunion might be needed in South Korea.

2021 ◽  
Vol 4 ◽  
pp. 103
Author(s):  
Cillian McDowell ◽  
Mark Ward ◽  
Christine McGarrigle ◽  
Aisling O'Halloran ◽  
Sarah Gibney ◽  
...  

Background: The coronavirus disease 2019 (COVID-19) pandemic and containment strategies employed to limit its spread have profoundly impacted daily life. Emerging evidence shows that mental health worsened compared to pre-pandemic trends. In this study, we examine associations of self-reported changes in physical activities and sedentary behaviors with mental health changes during the COVID-19 pandemic among older Irish adults. Methods: This study used data from Wave 5 (2018) and the COVID-19 study (July–November 2020) of the Irish Longitudinal Study on Ageing (TILDA). Depressive symptoms were measured using the 8-item Centre for Epidemiological Studies Depression Scale; Perceived stress, using the 4‐item Perceived Stress Scale. Participants reported perceived changes in participation in physical activities and sedentary behaviours before and after the outbreak of COVID-19. Linear regressions examined separate associations between changes in physical activities and sedentary behaviours and changes in perceived stress/depressive symptoms. Adjustment included demographics, body mass index, smoking, alcohol, chronic diseases and stress/depressive symptoms at Wave 5. Results: Among 2,645 participants (mean age, 68.2yrs; 56% female), 19.5% (95%CI: 18.2–20.9) reported clinically significant depressive symptoms during the COVID-19 pandemic. Compared to before the pandemic, reduced and no exercise at home and walking were associated with increased depressive symptoms and stress. A reduction in home DIY (do it yourself) was also associated with both depression and stress while doing no DIY at all was associated with increased stress but not depressive symptoms (all p<.05). Reduced hobbies and reading were associated with higher depressive symptoms, and both reduced and increased screen time were associated with increased depressive symptoms. Conclusions: Greater decreases in mental health were seen among those who reported negative changes in their physical and sedentary activities. These findings have important implications for mental health care both as we transition back to normal life and for responses to future pandemics.


2016 ◽  
Vol 24 (3) ◽  
pp. 213-229 ◽  
Author(s):  
Oriel J. Strickland ◽  
Stacie Davidson

Animal-Assisted Activity Programs have been shown to improve physiological and mental health outcomes among program participants. The purpose of this study was to assess the significance of gender, depression, and companion animal attitudes as predictors of interest in participation in an animal-assisted activity program. The participants were 62 residents (average age 82 years) at assisted-living centers who responded to survey measures including the Pet Attitude Scale (pas), Center for Epidemiological Studies Depression Scale (ces-d), and a newly developed scale to measure interest in an animal assisted activity program. Pet attitudes and gender significantly predicted willingness to participate in the program. These results provide a contribution to the literature, which has not yet documented predictors of interest in participation in such a program among elderly citizens.


2016 ◽  
Vol 29 (3) ◽  
pp. 399-407
Author(s):  
Woorim Kim ◽  
Eun-Cheol Park ◽  
Kyu-Tae Han ◽  
Tae-Hoon Lee ◽  
Tae Hyun Kim

ABSTRACTBackground:Noticeable demographic changes have taken place in South Korea, with the general marriage rate decreasing and the average first age at marriage and general divorce rate increasing. The shown trends have contributed to intergenerational discordance in the perception of familial values, which is important in addressing the psychological well-being of parents. This study aimed to investigate the association between the marital status of offspring aged 40 years and over and the depression levels of parents.Methods:Data were from the Korean Longitudinal Study of Aging (KLoSA), 2006–2012. A total of 2,540 individuals with at least two offspring aged 40 years and over were included. Association between offspring marital status and parental depression scores, measured using the Center for Epidemiological Studies and Depression (CES-D 10) scale, was investigated using the generalized estimating equation (GEE) model. Subgroup analysis was performed based on offspring education level.Results:When parents with only married offspring were set as reference, parents with never married offspring (β: 0.27,p= 0.02), parents with separated offspring (β: 0.52,p= 0.03), and parents with never married offspring and separated offspring (β: 0.38,p< 0.001) showed increases in depression scores. In the subgroup analysis, these higher depression score effects were largely limited to parents with high school graduate offspring.Conclusion:It is important to monitor the mental health status of parents with never married, separated, or both never married and separated offspring as this group may be comparatively vulnerable to depressive symptoms.


2005 ◽  
Vol 39 (4) ◽  
pp. 262-265 ◽  
Author(s):  
Jon J Pfaff ◽  
Jon J Pfaff ◽  
Osvaldo P Almeida

Objective: To determine the characteristics of depressed older patients whose mental health status is detected by their general practitioner (GP). Method: Cross-sectional analytical design of 218 patients scoring above the cut-off (≥ 16) of the Center for Epidemiological Studies – Depression Scale (CES-D), from a sample of 916 consecutive patients aged 60 years or over attending one of 54 randomly selected GPs in Western Australia. Prior to their medical consultation, patients completed a self-report questionnaire, which included questions about depressive symptomatology (CES-D). Following the consultation, general practitioners recorded the patient's presenting complaint(s), medication information, and mental health details on a patient summary sheet. Results: Among these 218 patients, 39.9% (87/218) were correctly classified as depressed by their GP. Detection of depressive symptomatology was associated with patients who acknowledged taking sleeping tablets (OR = 2.6, 95% CI = 1.3–5.4), had CES-D scores indicative of major depression (≥ 22) (OR = 2.8, 95% CI = 1.4–5.6) and were thought to be at risk for suicide (OR = 35.1, 95% CI = 4.5–274.2). Conclusions: While GPs are most apt to detect depression among older patients with prominent mental health symptoms, many patients in this age group silently experience significant depressive symptomatology and miss the opportunity for effective treatment. The routine use of screening tools in primary care is recommended to enhance the detection rate of depression in older adults.


2011 ◽  
Vol 42 (6) ◽  
pp. 1273-1282 ◽  
Author(s):  
J. Leung ◽  
C. Gartner ◽  
W. Hall ◽  
J. Lucke ◽  
A. Dobson

BackgroundTobacco smoking and poor mental health are both prevalent and detrimental health problems in young women. The temporal relationship between the two variables is unclear. We investigated the prospective bi-directional relationship between smoking and mental health over 13 years.MethodParticipants were a randomly selected community sample of 10 012 young women with no experience of pregnancy, aged 18–23 years at baseline (1996) from the Australian Longitudinal Study on Women's Health. Follow-up surveys over 13 years were completed in 2000, 2003, 2006 and 2009, allowing for five waves of data. Measures included self-reported smoking and mental health measured by the Mental Health Index from the 36-item short-form health questionnaire and the 10-item Center for Epidemiologic Studies Depression Scale. Sociodemographic control variables included marital status, education level and employment status.ResultsA strong cross-sectional dose–response relationship between smoking and poor mental health was found at each wave [odds ratio (OR) 1.41, 95% confidence intervals (CI) 1.17–1.70 to OR 2.27, 95% CI 1.82–2.81]. Longitudinal results showed that women who smoked had 1.21 (95% CI 1.06–1.39) to 1.62 (95% CI 1.24–2.11) times higher odds of having poor mental health at subsequent waves. Women with poor mental health had 1.12 (95% CI 1.17–1.20) to 2.11 (95% CI 1.68–2.65) times higher odds of smoking at subsequent waves. These results held after adjusting for mental health history and smoking history and sociodemographic factors. Correlation analysis and structural equation modelling results were consistent in showing that both directions of the relationship were statistically significant.ConclusionsThe association between poor mental health and smoking in young women appeared to be bi-directional.


Diagnostics ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 1524
Author(s):  
Maria Dagla ◽  
Calliope Dagla ◽  
Irina Mrvoljak-Theodoropoulou ◽  
Dimitra Sotiropoulou ◽  
Aikaterini-Taxiarchoula Kavakou ◽  
...  

Background: The aim of this study is to investigate whether symptoms of anxiety and depression disorders in women during the perinatal period predict the occurrence of lactation mastitis. Methods: This is a retrospective longitudinal study of 622 Greek women who were monitored from pregnancy until the first year postpartum (during the period January 2015–May 2018). The Edinburgh Postnatal Depression Scale (EPDS) and the Perinatal Anxiety Screening Scale (PASS) were administered at four time points: (a) 24th–28th gestation week, (b) 34th–38th gestation week, (c) 6 weeks postpartum, and (d) 12 months postpartum. Multivariate binary logistic regression analyses were performed. Results: Results showed that (a) increased EPDS (p < 0.02) and PASS (p < 0.05) scores during the last period before birth, (b) increased EPDS score at 6 weeks postpartum (p < 0.02), (c) PMS symptoms (p < 0.03), (d) traumatic life events during the last year (p < 0.03), and (e) the existence of a history of psychotherapy (before pregnancy) (p = 0.050) appear to be the psycho-emotional factors that can predict the possible occurrence of lactation mastitis in a breastfeeding mother. Conclusions: The association between women’s poor mental health and the occurrence of a physical health problem, such as lactation mastitis, is recognized. This study highlights the important role of early and timely detection of perinatal mental health disorders.


2020 ◽  
Vol 29 ◽  
Author(s):  
D. Farid ◽  
P. Li ◽  
D. Da Costa ◽  
W. Afif ◽  
J. Szabo ◽  
...  

Abstract Aims Early diagnosis and treatment of depression are associated with better prognosis. We used baseline data of the Canadian Longitudinal Study on Aging (2012–2015; ages 45–85 years) to examine differences in prevalence and predictors of undiagnosed depression (UD) between immigrants and non-immigrants at baseline and persistent and/or emerging depressive symptoms (DS) 18 months later. At this second time point, we also examined if a mental health care professional (MHCP) had been consulted. Methods We excluded individuals with any prior mood disorder and/or current anti-depressive medication use at baseline. UD was defined as the Center for Epidemiological Studies Depression 10 score ⩾10. DS at 18 months were defined as Kessler 10 score ⩾19. The associations of interest were examined in multivariate logistic regression models. Results Our study included 4382 immigrants and 18 620 non-immigrants. The mean age (standard deviation) in immigrants was 63 (10.3) years v. 65 (10.7) years in non-immigrants and 52.1% v. 57.1% were male. Among immigrants, 12.2% had UD at baseline of whom 34.2% had persistent DS 18 months later v. 10.6% and 31.4%, respectively, among non-immigrants. Female immigrants were more likely to have UD than female non-immigrants (odds ratio 1.50, 95% confidence interval 1.25–1.80) but no difference observed for men. The risk of persistent DS and consulting an MHCP at 18 months did not differ between immigrants and non-immigrants. Conclusions Female immigrants may particularly benefit from depression screening. Seeking mental health care in the context of DS should be encouraged.


2019 ◽  
Vol 73 (9) ◽  
pp. 817-824 ◽  
Author(s):  
Milagros Ruiz ◽  
Yaoyue Hu ◽  
Pekka Martikainen ◽  
Martin Bobak

BackgroundDespite the growing prevalence of depression in the Chinese elderly, there is conflicting evidence of life course socioeconomic position (SEP) and depression onset in China, and whether this association is akin to that observed in Western societies. We compared incident risk of mid–late life depression by childhood and adulthood SEP in China and England, a country where mental health inequality is firmly established.MethodsDepression-free participants from the China Health and Retirement Longitudinal Study (N=8508) and the English Longitudinal Study of Ageing (N=6184) were studied over 4 years. Depressive symptoms were classified as incident cases using the Center for Epidemiologic Studies Depression Scale criteria. Associations between SEP (education, wealth, residence ownership and childhood/adolescent deprivation) and depression symptom onset were assessed using Cox proportional hazards models. In China, we also investigated children’s government employment status as a SEP marker.ResultsHigher education and wealth predicted lower incidence of depression in both countries. The association with non-ownership of residence appeared stronger in England (HR 1.61, 95% CI 1.41 to 1.86) than in China (HR 1.11, 95% CI 0.95 to 1.29), while that with childhood/adolescent deprivation was stronger in China (HR 1.43, 95% CI 1.29 – 1.60) than in England (HR 1.33, 95% CI 0.92 to 1.92). Chinese adults whose children were employed in high-status government jobs, had lower rates of depression onset.ConclusionsConsistent findings from China and England demonstrate that SEP is a pervasive determinant of mid–late life depression in very diverse social contexts. Together with conventional measures of SEP, the SEP of children also affects the mental health of older Chinese.


2017 ◽  
Vol 38 (6) ◽  
pp. 1199-1222
Author(s):  
WOORIM KIM ◽  
YOUNG CHOI ◽  
TAE-HOON LEE ◽  
SUK-YONG JANG ◽  
KYU-TAE HAN ◽  
...  

ABSTRACTThis study aimed to investigate the relationship between the unemployment experience and depressive symptoms among mid-aged (ages 45–59) and elderly (ages 60 or above) persons and to examine further the effects of unemployment insurance, industrial accident compensation insurance (IACI) and national pension on the stated relationship. Data were used from the Korean Longitudinal Study of Aging (KLoSA) between 2006 and 2012. A total of 1,536 individuals employed at the 2006 baseline were followed. The association between employment status change during 2006 to 2008, 2008 to 2010 or 2010 to 2012 and depressive symptoms in years 2008, 2010 or 2012 were analysed using a generalised estimating equation model. Depressive symptoms were measured with the Center for Epidemiological Studies Depression Scale (CES-D 10) scale. The results showed that the ‘employed to unemployed’ group had statistically significant increases in depression scores in the mid-aged (β = 0.4884,p= 0.0038) and elderly (β = 0.8275,p⩽ 0.0001) categories, compared to the ‘employed to employed’ group. Findings were maintained in groups without a social safety net. Contrastingly, the ‘employed to unemployed’ groups with unemployment insurance and IACI did not show statistically significant increases in depression scores. The ‘employed to unemployed’ category of individuals enrolled in the national pension system exhibited a lower increase of depression. Therefore, an enhanced focus on the mental health of unemployed individuals is required, in addition to the provision of a reliable social safety net.


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