Moderate Alcohol Consumption and Depressive Symptoms Among Permanent Supportive Housing Residents

Abstract Objectives The objective of this analysis was to evaluate the influence of alcohol consumption on depressive symptoms among permanent supportive housing (PSH) residents within the context of other lifestyle factors. Methods A longitudinal analysis was conducted among 420 PSH residents participating in a technology-assisted health coaching program. Three timepoints were included: baseline, six-month, and twelve-month assessment visits. The independent variable was alcohol use, measured by the Timeline Follow-Back (TLFB). The dependent variable was depressive symptoms, measured by the 9-item Patient Health Questionnaire (PHQ-9). Covariates included total vegetable and fruit intake, tobacco use, social support, satisfaction with leisure activities, race, sex, age, and visit. The interaction of social support with the lifestyle behaviors was evaluated. Results Heavy alcohol consumers had greater depressive symptoms compared with moderate alcohol consumers (b = 1.54, P = 0.01). However, there was not a statistically significant difference in depressive symptoms between non-consumers of alcohol and moderate alcohol consumers (b = 0.77, P = 0.19). Social support was not a statistically significant effect modifier. Conclusions Moderate alcohol consumption may reduce the risk of having depressive symptoms among PSH residents. Funding Sources Funding for the program was provided through a Medicaid 1115 Waiver to the State of Texas.

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Increases in social support co-occur with decreases in depressive symptoms and substance use problems among adults in permanent supportive housing: an 18-month longitudinal study

BMC Psychology ◽

10.1186/s40359-020-00507-0 ◽

2021 ◽

Vol 9 (1) ◽

Author(s):

Zhengqi Tan ◽

Eun-Young Mun ◽

Uyen-Sa D. T. Nguyen ◽

Scott T. Walters

Keyword(s):

Social Support ◽

Substance Use ◽

Depressive Symptoms ◽

Protective Factor ◽

Growth Models ◽

Parallel Process ◽

Supportive Housing ◽

Permanent Supportive Housing ◽

Substance Use Problems ◽

Over Time

Abstract Background Social support is a well-known protective factor against depressive symptoms and substance use problems, but very few studies have examined its protective effects among residents of permanent supportive housing (PSH), a housing program for people with a history of chronic homelessness. We utilized unconditional latent growth curve models (LGCMs) and parallel process growth models to describe univariate trajectories of social support, depressive symptoms, and substance use problems and to examine their longitudinal associations in a large sample of adults residing in PSH. Methods Participants were 653 adult PSH residents in North Texas (56% female; 57% Black; mean age: 51 years) who participated in a monthly health coaching program from 2014 to 2017. Their health behaviors were assessed at baseline and tracked every six months at three follow-up visits. Results Unconditional LGCMs indicated that over time, social support increased, whereas depressive symptoms and substance use problems decreased. However, their rates of change slowed over time. Further, in parallel process growth models, we found that at baseline, individuals with greater social support tended to have less severe depressive symptoms and substance use problems (coefficients: − 0.67, p < 0.01; − 0.52, p < 0.01, respectively). Individuals with a faster increase in social support tended to have steeper rates of reduction in both depressive symptoms (coefficient: − 0.99, p < 0.01) and substance use problems (coefficient: − 0.98, p < 0.01), respectively. Conclusions This study suggests that plausibly, increases in social support, though slowing over time, still positively impact depressive symptoms and substance use problems among PSH residents. Future PSH programs could emphasize social support as an early component as it may contribute to clients’ overall health.

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Understanding the Critical Role of Alcohol Consumption in the Linkages Among Older Adults' Depressive Symptoms, Leisure Activities, and Physical Health Outcomes

PsycEXTRA Dataset ◽

10.1037/e625482009-001 ◽

2009 ◽

Author(s):

Rebecca Rueggeberg ◽

Carsten Wrosch ◽

Fatima Amari

Keyword(s):

Older Adults ◽

Depressive Symptoms ◽

Alcohol Consumption ◽

Health Outcomes ◽

Physical Health ◽

Leisure Activities ◽

Critical Role ◽

Physical Health Outcomes

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Differences in Health and Social Support between Homeless Men and Women Entering Permanent Supportive Housing

Women s Health Issues ◽

10.1016/j.whi.2016.12.011 ◽

2017 ◽

Vol 27 (3) ◽

pp. 286-293 ◽

Cited By ~ 16

Author(s):

Hailey Winetrobe ◽

Suzanne Wenzel ◽

Harmony Rhoades ◽

Benjamin Henwood ◽

Eric Rice ◽

...

Keyword(s):

Social Support ◽

Supportive Housing ◽

Men And Women ◽

Permanent Supportive Housing ◽

Homeless Men

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COVID-19 Pandemic Influence on Healthcare Professionals

Journal of Clinical Medicine ◽

10.3390/jcm10061280 ◽

2021 ◽

Vol 10 (6) ◽

pp. 1280

Author(s):

Anna Klimkiewicz ◽

Adrianna Schmalenberg ◽

Jakub Klimkiewicz ◽

Agata Jasińska ◽

Joanna Jasionowska ◽

...

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Alcohol Consumption ◽

Sleep Disorders ◽

Alcohol Intake ◽

Healthcare Professionals ◽

Female Gender ◽

Survey Study ◽

Cross Sectional Survey ◽

Cross Sectional

During the pandemic, many healthcare professionals (HCPs) are overburdened by work and stress. The aim of the study was to examine alcohol intake, sleep disorders, and depressive symptoms of HCPs during the pandemic in comparison with the pre-pandemic period. Another goal was to indicate risk factors for mental state deterioration and an increase in alcohol use. A cross-sectional survey study was conducted from 1 April to 15 May 2020. HCPs (n = 158) completed questionnaires that probed for symptoms during and prior to the pandemic, including the Beck depression inventory (BDI), Social Support Scale (MOS-SSS), Athens insomnia scale (AIS), and Alcohol Timeline Followback (TLFB) calendar of alcohol consumption. Gender, age, education, marital status, work situation, income, participants’ and relatives’ COVID-19 diagnosis as correlates were analyzed. Depressive symptoms and insomnia became more severe during the pandemic among HCPs, while social support increased. The increase in depressive symptoms was even higher among women (OR 2.78, 95% CI 1.05–7.36; p = 0.04) and was also positively correlated with work reduction (p = 0.02); the presence of sleep disorders was correlated with female gender. Alcohol consumption increased during the pandemic, and was correlated with both more time spent at work and income increase. HCPs involved in the treatment of COVID-19 need support and attention due to the excessive stress load during pandemics, resulting in depression, insomnia, and increased alcohol intake.

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Moderate alcohol consumption and depressive symptoms: A marginal structural model approach promoting causal inference

10.31219/osf.io/e2gcm ◽

2021 ◽

Author(s):

Rachel Visontay ◽

Louise Mewton ◽

Tim Slade ◽

Izzuddin M. Aris ◽

Matthew Sunderland

Keyword(s):

Depressive Symptoms ◽

Alcohol Consumption ◽

Structural Model ◽

Short Form ◽

Secondary Analysis ◽

Moderate Alcohol Consumption ◽

Marginal Structural Model ◽

Middle Adulthood ◽

Linear Contrasts ◽

Model Approach

Importance: Prevention of depressive symptoms and disorders is a key public health priority but requires an improved understanding of modifiable risk and protective factors. A salient unanswered question in this context is whether the apparent protective effect of alcohol against depression may be causal.Objective: To compare the effects of consistent abstinence, occasional, moderate, and heavy alcohol consumption throughout early-to-middle adulthood on depressive symptoms at age 50.Design: This secondary analysis of the National Longitudinal Survey of Youth (NLSY79) cohort employed a marginal structural model approach in assessing the relationship between alcohol consumption in early-to-middle adulthood (29-37 through 41-49) and depressive symptoms at age 50. Alcohol consumption was based on measurements at 1994, 2002, and 2006, covariates at 1992, 1994, and age 40 (1998-2006), and outcome at age 50 (2008-2016). Setting: The NLSY79 is a nationally representative, population-based cohort study.Participants: 5,667 eligible participants at baseline provided valid data on alcohol consumption, depressive symptoms, and covariates of interest. Exposure: Alcohol consumption was categorised as either abstinence, occasional, moderate, or heavy drinking in 1994, 2002, and 2006.Main Outcome and Measure: Depressive symptoms at age 50 as measured by the Centre for Epidemiological Studies-Depression Scale short form (CES-D-SF).Results: Of the 5,667 eligible participants at baseline, 2,862 [50.50%] were female and the mean age was 30.81 [2.24], with 3,593 participants providing valid outcome data for analysis. Results of linear contrasts from marginal structural models were consistent with a J-shaped relationship, where both consistent occasional (b=-0.84, CI= -1.47, -.11) and consistent moderate (b=-1.08, CI=-1.88, -.20) drinkers had significantly reduced predicted CES-D-SF scores at age 50 compared to consistent abstainers. Consistent heavy drinkers were predicted to have increased depressive symptoms, but this was not statistically significant (b=0.34, CI=-0.62, 1.25). In sex-stratified analyses, results were similar for females and males.Conclusions and Relevance: In this secondary analysis of longitudinal data accounting for time-varying exposure and confounding, consistent low-to-moderate alcohol consumption in early-to-middle adulthood predicted lower depressive symptoms at age 50, compared with those abstaining from alcohol. This work offers preliminary evidence that such protective effects may be causal.

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Abstract T P146: The Impact of Pre-stroke Depressive Symptoms, Fatalism, and Social Support on Disability after Stroke

Stroke ◽

10.1161/str.46.suppl_1.tp146 ◽

2015 ◽

Vol 46 (suppl_1) ◽

Author(s):

Anjail Z Sharrief ◽

Brisa N Sánchez ◽

Lynda D Lisabeth ◽

Lesli E Skolarus ◽

Darin B Zahuranec ◽

...

Keyword(s):

Social Support ◽

Depressive Symptoms ◽

Mexican American ◽

Stroke Care ◽

Cognitive Outcomes ◽

Stroke Recurrence ◽

Corpus Christi ◽

Patient Health ◽

Social Support Scale ◽

The Impact

Background: Fatalism and depression have been linked to post-stroke mortality and stroke recurrence. Our objective was to evaluate the impact of pre-stroke fatalism, depressive symptoms, and social support on neurological, functional, and cognitive outcomes after stroke. Methods: Ischemic strokes (2008 -2011) were identified from the Brain Attack Surveillance in Corpus Christi (BASIC) Project. At baseline interviews, pre-stroke depressive symptoms, fatalism, and social support were assessed using Patient Health Questionnaire (PHQ-9; 0-27; higher worse), modified Mental Adjustment for Stroke and Pearlin scales (8-40; higher worse), and a 7-item social support scale (0 -14; higher better); respectively. Outcome among survivors was assessed at 90 days using the National Institutes of Health Stroke Scale (NIHSS; 0-44, higher worse); activities/ instrumental activities of daily living (ADL/IADL; 1-4, higher worse); and Modified Mini-Mental State Exam (3MSE; 0-100, lower worse). Regression models were used to evaluate associations of interest, adjusting for demographic and clinical factors. Results: Among 364 participants with outcome interviews and complete covariate data, mean age was 66, 49.5% were female and 58.8% were Mexican American. In adjusted models, higher pre-stroke fatalism (median 17; IQR 12, 20) was associated with poorer functional (0.17 point higher ADL/IADL score per IQR higher fatalism score; 95% CI 0.05, 0.30) and cognitive (2.81 point lower 3MSE per IQR higher fatalism score; 95% CI 0.95, 4.67) outcomes. Similarly, higher pre-stroke depressive symptoms (median 3; IQR 0, 9) were associated with poorer functional (0.16 point higher ADL/IADL per IQR higher PHQ-9; 95% CI .04, 0.28) and cognitive (2.28 point lower 3MSE per IQR higher PHQ-9; 95% CI 0.46, 4.10) outcomes. There were no significant associations between fatalism or depressive symptoms and NIHSS or between social support (median 10; IQR 7, 12) and 90-day outcomes. Conclusions: Among ischemic stroke survivors, pre-stroke fatalism and depressive symptoms, but not social support, impact 90-day functional and cognitive outcomes. These findings reinforce the importance of evaluating and addressing psychological factors in stroke care.

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