scholarly journals Social Support and Social Strain as Predictors of Depressive Symptom Trajectories Following a Marital Transition

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 1024-1024
Author(s):  
Emily Denning ◽  
AnneMarie O'Neill ◽  
Sheila Markwardt ◽  
Anda Botoseneanu ◽  
Heather Allore ◽  
...  
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Depressive Symptom ◽  
Social Strain ◽  
Growth Curve Models ◽  
Symptom Trajectories ◽  
Mental Health Support ◽  
Marital Transition ◽  
Health Support ◽  
Using Data

Abstract We investigated trajectories of depressive symptoms over 10 years following a marital transition (widowed or divorced) using data from the Health and Retirement Study (N = 377, mean age = 67.55 years; years 2006-2016). Piecewise growth curve models were estimated to investigate whether social support and strain from one’s spouse, measured prior to transition, predicted depressive symptom trajectories following the transition. Covariates included sex, age, education, race/ethnicity, wealth, and chronic conditions. Overall, trajectories of depressive symptoms after a marital transition were significantly negative, indicating a decrease in depressive symptoms over time. Findings did not differ significantly between participants who were widowed and those who were divorced. Spousal social support was associated with an increase in depressive symptoms and spousal social strain was associated with a decrease in depressive symptoms following a marital transition in separate models: support: b = .250, SE = .062, p <.001; strain: b = -.209, SE = .095, p <.05. However, social strain was not significant when examined jointly with social support. Depressive symptoms declined significantly for low (b = -.370, SE = .100, p <.001) and average levels of social support (b = -.113, SE = .037, p <.01), but not for high levels of spouse social support (b = .143, SE = .109, p = .188). These results suggest those with the highest levels of spousal support prior to the transition, whether divorced or widowed, experienced a more difficult recovery and may be targets for additional mental health support following a marital transition.

scholarly journals Psychosocial and health-related risk factors for depressive symptom trajectories among midlife women over 15 years: Study of Women's Health Across the Nation (SWAN)

2018 ◽  
Vol 49 (2) ◽  
pp. 250-259 ◽  
Author(s):  
Joyce T. Bromberger ◽  
Laura L. Schott ◽  
Nancy E. Avis ◽  
Sybil L. Crawford ◽  
Sioban D. Harlow ◽  
...  
Keyword(s):  
Risk Factors ◽  
Social Support ◽  
Depressive Symptoms ◽  
Depressive Symptom ◽  
Midlife Women ◽  
Role Functioning ◽  
Symptom Trajectories ◽  
Related Risk ◽  
Health Related ◽  
Symptom Trajectory

AbstractBackgroundPsychosocial and health-related risk factors for depressive symptoms are known. It is unclear if these are associated with depressive symptom patterns over time. We identified trajectories of depressive symptoms and their risk factors among midlife women followed over 15 years.MethodsParticipants were 3300 multiracial/ethnic women enrolled in a multisite longitudinal menopause and aging study, Study of Women's Health Across the Nation. Biological, psychosocial, and depressive symptom data were collected approximately annually. Group-based trajectory modeling identified women with similar longitudinal patterns of depressive symptoms. Trajectory groups were compared on time-invariant and varying characteristics using multivariable multinomial analyses and pairwise comparisons.ResultsFive symptom trajectories were compared (50% very low; 29% low; 5% increasing; 11% decreasing; 5% high). Relative to whites, blacks were less likely to be in the increasing trajectory and more likely to be in the decreasing symptom trajectory and Hispanics were more likely to have a high symptom trajectory than an increasing trajectory. Psychosocial/health factors varied between groups. A rise in sleep problems was associated with higher odds of having an increasing trajectory and a rise in social support was associated with lower odds. Women with low role functioning for 50% or more visits had three times the odds of being in the increasing symptom group.ConclusionsChanges in psychosocial and health characteristics were related to changing depressive symptom trajectories. Health care providers need to evaluate women's sleep quality, social support, life events, and role functioning repeatedly during midlife to monitor changes in these and depressive symptoms.

Perspectives on mental health among patients receiving dialysis

2020 ◽  
Author(s):  
Melissa Nataatmadja ◽  
Nicole Evangelidis ◽  
Karine E Manera ◽  
Yeoungjee Cho ◽  
David W Johnson ◽  
...  
Keyword(s):  
Mental Health ◽  
Symptom Burden ◽  
Self Management ◽  
Health Practitioners ◽  
Taking Charge ◽  
Mental Health Support ◽  
Health Support ◽  
Mental Wellness ◽  
Uncertain Future ◽  
Using Data

Abstract Background Diminished mental health is associated with increased morbidity and mortality and may contribute to loss of independence and motivation in patients receiving dialysis and their caregivers. Increased understanding of the patient perspective on triggers, impacts and strategies for managing mental health may inform ways to address mental health conditions in this population. Methods A secondary thematic analysis was undertaken using data from the Standardized Outcomes in Nephrology (SONG)-Hemodialysis and SONG-Peritoneal Dialysis projects. We extracted and analysed data on the perceived causes, meaning, impact and management of mental health in patients receiving dialysis from 26 focus groups (in six countries), multinational Delphi surveys and consensus workshops. Results A total of 644 patients and caregivers participated. We identified five themes: bound to dialysis (forced into isolation, enslaved to a machine, stress of relentless planning and grieving the loss of a normal life), underrecognized and ignored (missed by health practitioners, need for mental health support), an uncertain future (dreading complications, coming to terms with mortality), developing self-reliance (vulnerability in being solely responsible for dialysis, sustaining motivation for dialysis, necessity for self-vigilance and taking charge to regulate emotions) and responding to a lifestyle overhaul (guilt of burdening family, controlling symptoms for overall mental wellness, protecting independence and trying to feel grateful). Conclusions Patients receiving dialysis and their caregivers endure mental and emotional distress attributed to the burden of dialysis, lifestyle restrictions, the constant threat of death and symptom burden, which can impair motivation for self-management. Increased attention to monitoring and management of mental health in this population is needed.

scholarly journals The Impact of Academic Achievement and Parental Practices on Depressive Symptom Trajectories Among Chinese Adolescents

2021 ◽  
Author(s):  
Xingna Qin ◽  
Tessa Kaufman ◽  
Lydia Laninga-Wijnen ◽  
Ping Ren ◽  
Yunyun Zhang ◽  
...  
Keyword(s):  
Academic Achievement ◽  
Depressive Symptoms ◽  
Depressive Symptom ◽  
Autonomy Support ◽  
Psychological Control ◽  
Chinese Adolescents ◽  
Parental Practices ◽  
Symptom Trajectories ◽  
Symptom Profile ◽  
The Impact

AbstractThough depressive symptoms tend to increase in early adolescence, the trajectories of these symptoms may vary strongly. This longitudinal study investigated the extent to which the distinct developmental trajectories of depressive symptoms were predicted by adolescents' academic achievement and perceived parental practices in a sample of Chinese young adolescents (N = 2,576). The results showed four trajectory profiles of depressive symptoms: low-stable (75%), low-increasing (11%), high-stable (9%), and high-decreasing (5%). Adolescents with high academic achievement were more likely to be classified into the low-stable, low-increasing, and high-decreasing profiles than into the high-stable depressive symptom profile. Moreover, students who perceived greater parental autonomy support were more likely to be in the low-stable and low-increasing profiles than the high-stable profile, whereas adolescents perceiving more parental psychological control had higher odds of being in the low-increasing rather than the low-stable profile. Parental educational involvement was unrelated to students' depressive symptom trajectories. In sum, Chinese adolescents with higher academic achievement and who perceived more parental autonomy support, and less psychological control, were at lower risk of experiencing depressive symptoms.

Psychological prognosis after newly diagnosed chronic conditions: socio-demographic and clinical correlates

2016 ◽  
Vol 29 (2) ◽  
pp. 281-292 ◽  
Author(s):  
Ching-Ju Chiu ◽  
Yu-Ching Hsu ◽  
Shuo-Ping Tseng
Keyword(s):  
Depressive Symptoms ◽  
Depressive Symptom ◽  
Chronic Conditions ◽  
Liver Diseases ◽  
Lung Diseases ◽  
Heart Diseases ◽  
Psychological Burden ◽  
Symptom Trajectories ◽  
Physical Limitations ◽  
Over Time

ABSTRACTBackground:This study was aimed toward discerning depressive symptom trajectories associated with different chronic conditions and toward finding modifiable factors associated with those trajectories.Methods:Data were drawn from the 1996–2007 Taiwan Longitudinal Study on Aging. Nine chronic conditions were selected, and mood trajectories were measured with the Center of Epidemiological Studies-Depression scale.Results:Among the nine chronic conditions we examined, four patterns of depressive symptom trajectories were identified: (1) elevated depressive symptoms and worsened over time after diagnosed with heart disease (n= 681), arthritis (n= 850), or hypertension (n= 1,207); (2) elevated depressive symptoms without worsening over time after diagnosed with stroke (n= 160), lung diseases (n= 432), gastric conditions (n= 691), or liver diseases (n= 234); (3) no elevated depressive symptoms after diagnosis but an increase in depressive symptoms over time for participants with diabetes (n= 499); and (4) no significant patterns after diagnosed with cancer (n= 57). Cumulative psychological burden over time was significant for participants with hypertension, diabetes, heart diseases, or arthritis. However, these effects disappeared after controlling for comorbidities and physical limitations. Moreover, psychiatric condition was found to play an important role in baseline depressive symptoms among participants diagnosed with lung diseases, arthritis, or liver diseases.Conclusions:Findings from this study provide information in addressing psychological burden at different times for different conditions. In addition, minimizing the incidence of comorbidities, physical limitations, or psychiatric conditions may have the prospective effect of avoiding the trend of increased depressive symptoms, especially when adults diagnosed with hypertension, diabetes, heart diseases, arthritis, lung diseases, arthritis, or liver diseases.

scholarly journals Positive and negative social support and depressive symptoms according to economic status among adults in Korea: cross-sectional results from the Health Examinees-Gem Study

BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e023036 ◽  
Author(s):  
Hwa-Young Lee ◽  
Juhwan Oh ◽  
Ichiro Kawachi ◽  
Jongho Heo ◽  
Sujin Kim ◽  
...  
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Depressive Symptom ◽  
Symptom Score ◽  
Household Income ◽  
Depression Scale ◽  
Social Supports ◽  
Positive Association ◽  
Health Examination ◽  
Positive Social Support

ObjectivesThe interaction between positive and negative social support as well as each domain of social support and income on depressive symptom has not been much explored. We aimed to examine the associations of positive and negative social support with the risk of depressive symptoms among urban-dwelling adults in Korea, focusing on those interaction effects.DesignWe used the first wave of a large-scale cohort study called The Health Examinees-Gem Study. Positive and negative support scores ranged between 0 and 6; the variables were then categorised into low, medium, and high groups. A two-level random intercept linear regression model was used, where the first level is individual and the second is the community. We further tested for interactions between each domain of social supports and household income.SettingA survey conducted at 38 health examination centres and training hospitals in major Korean cities and metropolitan areas during 2009–2010.Participants21 208 adult men and women aged between 40 and 69 in Korea (mean age: 52.6, SD: 8.0).Outcome measuresDepressive symptoms score measured by Epidemiologic Studies-Depression Scale, with scores ranging from 0 to 60.ResultsLevel of positive and negative social support showed a negative and positive association with depressive symptom score with statistical significance at p<0.05, respectively. When the interaction terms among household income and social supports were examined, a negative association between level of positive social support and depressive symptom score was more pronounced as income was lower and level of negative social support was higher. Similarly, positive association between level of negative social support and depressive symptom score was more pronounced as income was lower and level of positive social support was lower.ConclusionsOur findings suggest that strategies for encouraging positive social support and discouraging negative social support for disadvantaged individuals might be effective in reducing depression in Korea.

scholarly journals Trajectories of maternal depressive symptoms over her child's life span: Relation to adrenocortical, cardiovascular, and emotional functioning in children

2009 ◽  
Vol 21 (1) ◽  
pp. 207-225 ◽  
Author(s):  
Brooks B. Gump ◽  
Jacki Reihman ◽  
Paul Stewart ◽  
Ed Lonky ◽  
Tom Darvill ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Depressive Symptom ◽  
Life Span ◽  
Acute Stress ◽  
Depression Scale ◽  
Cardiovascular Responses ◽  
Epidemiological Studies ◽  
Maternal Depressive Symptoms ◽  
Symptom Trajectories ◽  
Maternal Depressive Symptom

AbstractMaternal depression has a number of adverse effects on children. In the present study, maternal depressive symptoms were assessed (using the Center for Epidemiological Studies Depression Scale) when their child was 3 months, 6 months, 1 year, 2 years, 4.25 years, 6 years, 7 years, 8 years, and 10 years of age. At 9.5 years of age, children's (94 females, 82 males) depressive symptoms as well as cardiovascular and cortisol levels during baseline and two psychologically stressful tasks were measured. Using multilevel modeling, maternal depressive symptom trajectories were considered in relation to their child's adrenocortical and cardiovascular responses to acute stress. Our goal was to determine maternal depressive symptom trajectories for children with elevated cardiovascular and cortisol reactivity to acute stress and elevated depressive symptoms. In general, those mothers with chronically elevated depressive symptoms over their child's life span had children with lower initial cortisol, higher cardiac output and stroke volume in response to acute stress, lower vascular resistance during acute stress tasks, and significantly more depressive symptoms at 9.5 years of age. These results are discussed in the context of established associations among hypothalamic–pituitary–adrenal axis dysregulation, depression, and cardiovascular disease.

scholarly journals Social Support Moderates the Impact of Marital Transitions on Depression for Older Adult Women

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 927-927
Author(s):  
Julia Tucker ◽  
Nicholas Bishop ◽  
Kaipeng Wang ◽  
Farya Phillips
Keyword(s):  
Social Support ◽  
Service Providers ◽  
Short Form ◽  
Social Contact ◽  
Adult Women ◽  
Social Strain ◽  
Marital Transitions ◽  
Marital Transition ◽  
The Impact ◽  
The Relationship

Abstract Given the rapid growth of older Americans and the increased incidence of divorce among this population, it is paramount to identify negative health outcomes following marital transition and investigate the potential protective role of social support. Our study aims to identify relationships between change in depression and marital transitions, test whether social support moderates this association, and to examine variation by gender. The sample included 3,705 participants from the Health and Retirement Study, who reported being married or partnered in 2012. Changes in marital status were measured between 2012 and 2014 (remained married/partnered (reference), divorced/separated, and widowed). Depression was measured using the Center for Epidemiological Studies Depression short form (CESD-8). Three types of social support from family, friends, and children were assessed: social support, social strain, and social contact. Autoregressive multiple regression was used to examine the relationship between change in depression, marital transitions, social support, and gender. Widowhood and social strain were independently associated with an increase in CESD-8 scores between 2012 and 2014. Significant interactions between social support and social strain, and separation/divorce were identified, and the relationship between social support, depression, and divorce varied by gender. Change in depression was positively associated with social support for separated/divorced females, but not separated/divorced males. These results indicate that social support may modify the influence of divorce on changes in depression among recently divorced older females. These findings can help mental health service providers more effectively target older adults at the greatest risk of depression after experiencing a marital transition.

scholarly journals INCREMENTAL VALIDITY OF OPTIMISM AND PURPOSE FOR PREDICTING OLDER ADULTS’ DEPRESSIVE SYMPTOMS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S314-S315
Author(s):  
Lauren L Mitchell ◽  
Chris Erbes ◽  
Paul Arbisi
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Big Five ◽  
Well Being ◽  
Incremental Validity ◽  
Big Five Personality ◽  
Psychological Constructs ◽  
Symptom Trajectories ◽  
Big Five Traits ◽  
Using Data

Abstract After age 60, depressive symptoms tend to increase slowly over time on average across the population. However, individual trajectories vary, with some increasing more steeply, and others remaining stable. A broad array of psychological constructs have been demonstrated to predict depressive symptoms, including neuroticism, extraversion, optimism, and sense of purpose in life. It is important for psychologists to understand which among these factors are the strongest and most robust predictors. A substantial body of research demonstrates that Big Five personality traits are strongly associated with depressive symptoms (e.g., Hakulinen et al., 2015). Optimism and purpose are also associated with well-being (Carver et al., 2009; Pinquart, 2002), but it is not clear whether such associations could be accounted for by Big Five traits, which are also correlated with optimism and purpose. Using data from the Health and Retirement Study (N = 14,021), we tested the incremental validity of optimism and purpose for predicting older adults’ depressive symptoms, controlling for Big Five traits and demographics. A latent growth curve modeling approach allowed us to examine associations with trajectories of depressive symptoms over six waves (approximately 10 years). Results demonstrated that both optimism and purpose are significantly associated with baseline levels of depressive symptoms, over and above the Big Five. However, only Big Five traits were associated with linear and quadratic slope in depressive symptom trajectories. These findings suggest that optimism and purpose are not redundant with Big Five traits for predicting depressive symptoms, and may be valuable targets for intervention efforts.

scholarly journals Social Relationships and Risk of Type 2 Diabetes Among Postmenopausal Women

2019 ◽  
Vol 75 (7) ◽  
pp. 1597-1608 ◽  
Author(s):  
Michael Hendryx ◽  
Wanda Nicholson ◽  
JoAnn E Manson ◽  
Candyce H Kroenke ◽  
Jennifer Lee ◽  
...  
Keyword(s):  
Social Support ◽  
Depressive Symptoms ◽  
Postmenopausal Women ◽  
Life Events ◽  
Social Relationships ◽  
Social Relationship ◽  
Stressful Life Events ◽  
Stressful Life ◽  
Social Strain

Abstract Objectives We examined whether social relationship variables (social support, social strain, social network size, and stressful life events) were associated with risk of developing type 2 diabetes among postmenopausal women. Method 139,924 postmenopausal women aged 50–79 years without prevalent diabetes at baseline were followed for a mean of 14 years. 19,240 women developed diabetes. Multivariable Cox proportional hazard models tested associations between social relationship variables and diabetes incidence after consideration of demographics, depressive symptoms, and lifestyle behaviors. We also examined moderating effects of obesity and race/ethnicity, and we tested whether social variable associations were mediated by lifestyle or depressive symptoms. Results Compared with the lowest quartile, women in the highest social support quartile had lower risk of diabetes after adjusting for demographic factors, health behaviors, and depressive symptoms (hazard ratio [HR] = 0.93, 95% confidence interval [CI] = 0.89–0.97). Social strain (HR = 1.09, 95% CI = 1.04–1.13) and stressful life events (HR = 1.10, 95% CI = 1.05–1.15) were associated with higher diabetes risks. The association between diabetes and social strain was stronger among African American women. Social relationship variables had direct relationships to diabetes, as well as indirect effects partially mediated by lifestyle and depressive symptoms. Discussion Social support, social strain, and stressful life events were associated with diabetes risk among postmenopausal women independently of demographic factors and health behaviors. In addition to healthy behaviors such as diet and physical activity, healthy social relationships among older women may be important in the prevention of diabetes.

Sign in / Sign up

Export Citation Format

Share Document