scholarly journals CHRONIC CONDITIONS, FUNCTIONAL LIMITATIONS, AND DEPRESSION IN OLDER ADULTS: ANALYSIS OF A LONGITUDINAL STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S572-S572
Author(s):  
Jyotsana Parajuli ◽  
Diane Berish ◽  
Ying-Ling Jao
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Direct Effect ◽  
Chronic Conditions ◽  
Functional Limitations ◽  
Mediation Effect ◽  
High Risk Population ◽  
Longitudinal Impact ◽  
The Relationship ◽  
Retirement Study

Abstract Background: Chronic conditions, functional limitations, and depression are highly prevalent in older adults. Evidence suggests the links between chronic conditions, functional limitations, and depressive symptoms separately. However, few studies have considered these three conditions together longitudinally. This study examined the longitudinal relationship between chronic conditions and depressive symptoms and evaluated the mediation effect of functional limitations on the relationship between chronic conditions and depressive symptoms in older adults. Methods: This study analyzed longitudinal data from the Health and Retirement Study collected in 2012 and 2014. Mediation analysis was used to examine the direct and indirect effects of chronic conditions and functional limitations measured at the year 2012 on depressive symptoms measured at the year 2014 controlling for demographics. Results: Results revealed that chronic conditions predicted depressive symptoms. Specifically, one additional chronic condition in 2012 corresponded to an increase of 0.35 in depressive symptoms in 2014 (p<.001). After adding functional limitations as a mediator, the direct effect was reduced to 0.26 and the indirect effect was .088 (p<.001). In other words, functional limitations explained approximately 25% of the direct effect of chronic diseases on depression. Discussion: Findings reveal the longitudinal impact of chronic conditions and functional limitations on depressive symptoms in older adults. Findings help identify the high-risk population of depressive symptoms and intervene early.

scholarly journals Delaying Health Care Due to the COVID-19 Pandemic: Associations With Physical and Mental Health and Preventive Care

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 456-457
Author(s):  
Felicia Wheaton ◽  
Terika Scatliffe ◽  
Matilda Johnson
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Chronic Conditions ◽  
Sociodemographic Characteristics ◽  
Preventative Care ◽  
Physical And Mental Health ◽  
Self Rated Health ◽  
The Relationship ◽  
Retirement Study

Abstract Health care is important for maintaining optimal physical and mental health. However, due to the COVID-19 pandemic, many older adults have delayed or postponed care. Data from the special midterm release of the 2020 Health and Retirement Study (HRS) were used to examine the relationship between chronic conditions and delayed care, as well as between delayed care and mental health outcomes and preventative care among Americans aged 50+ (N=3,266). Approximately 30% of respondents said yes when asked “Since March 2020, was there any time when you needed medical or dental care, but delayed getting or did not get it at all?” Of those, 55% said their provider cancelled, closed or suggested rescheduling, 28.5% decided it could wait, and 20.8% were afraid to go. Results from OLS and logistic regression, controlling for sociodemographic characteristics, indicate that those with lung disease and those with a heart condition had significantly higher odds of delaying care. Delaying care was associated with significantly higher odds of poor self-rated health and feeling depressed, as well as significantly higher average hopelessness, loneliness and negative affect and significantly lower average positive affect. Surprisingly, delaying care was not associated with receiving a flu shot, cholesterol test, colonoscopy, mammogram or prostate exam in the previous two years. It is likely that the full effects of delaying health care during the pandemic have yet to be felt and there is a need to study the implications of such delays.

scholarly journals Cognitive Impairment, Depression, and Cooccurrence of Both among the Elderly in Panama: Differential Associations with Multimorbidity and Functional Limitations

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Alcibiades E. Villarreal ◽  
Shantal Grajales ◽  
Lineth Lopez ◽  
Gabrielle B. Britton ◽  
Panama Aging Research Initiative
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Depressive Symptoms ◽  
Chronic Conditions ◽  
Mental Health Problems ◽  
Functional Limitations ◽  
Depression Scale ◽  
The Elderly ◽  
Community Dwelling ◽  
Multinomial Regression

Cognitive impairment and depression are common mental health problems among the elderly, although few studies have examined their cooccurrence in older adults in Latin America. The purpose of this study was to examine cognitive impairment, depression, and cooccurrence of the two conditions and associated factors in a sample of older adults in Panama. This study included 304 community-dwelling elderly (≥65 years) individuals. Participants underwent a clinical interview and assessments of cognitive function by the Minimental State Examination and depressive symptoms by the Geriatric Depression Scale. Limitations in basic (BADL) and instrumental (IADL) activities in daily living and the presence of chronic illnesses were recorded. Multinomial regression analysis revealed that cooccurrence of cognitive impairment and depressive symptoms was explained by increasing age (OR: 3.2, 95% CI: 1.20, 8.30), low education (OR: 3.3, 95% CI: 1.33, 8.38), having four or more chronic conditions (OR: 11.5, 95% CI: 2.84, 46.63), and BADL limitations (OR: 5.0, 95% CI: 1.26, 19.68). Less education and limitations in BADL and IADL increased the odds of cognitive impairment alone, while less education and three or more chronic conditions increased the odds of depression alone. These findings underscore the relevance of assessing cognitive impairment in the elderly as part of a long-term approach to managing depression and vice versa.

scholarly journals Coping With Chronic Stress by Unhealthy Behaviors: A Re-Evaluation Among Older Adults by Race/Ethnicity

2016 ◽  
Vol 29 (5) ◽  
pp. 805-825 ◽  
Author(s):  
Erik J. Rodriquez ◽  
Steven E. Gregorich ◽  
Jennifer Livaudais-Toman ◽  
Eliseo J. Pérez-Stable
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Chronic Stress ◽  
Epidemiologic Studies ◽  
Stress Index ◽  
Current Smoking ◽  
Race Ethnicity ◽  
The Relationship ◽  
Retirement Study

Objective: To assess the role of unhealthy behaviors in the relationship between chronic stress and significant depressive symptoms by race/ethnicity among older adults. Method: Participant data from the 2006 to 2008 Health and Retirement Study were analyzed. Unhealthy behaviors included current smoking, excessive/binge drinking, and obesity. Chronic stress was defined by nine previously used factors. The eight-item Center for Epidemiologic Studies Depression (CES-D) Scale measured depressive symptoms, where ≥4 symptoms defined significant. Multivariable logistic regression assessed the effects of chronic stress and unhealthy behaviors in 2006 on depressive symptoms in 2008. Results: A higher chronic stress index score predicted depressive symptoms in 2008 among African Americans, Latinos, and Whites (adjusted odds ratio [aOR] = 1.78, 95% confidence interval [CI] = [1.48, 2.15]; aOR = 1.54, 95% CI = [1.15, 2.05]; and aOR = 1.40, 95% CI = [1.26, 1.56], respectively). Unhealthy behaviors moderated this relationship among Latinos (aOR = 1.54, 95% CI = [1.02, 2.33]). Discussion: Unhealthy behaviors were not effective coping mechanisms for chronic stress in terms of preventing significant depressive symptoms. Instead, they strengthened the relationship between chronic stress and significant depressive symptoms among Latinos.

Chronic Illnesses and Depressive Symptoms Among Older People: Functional Limitations as a Mediator and Self-Perceptions of Aging as a Moderator

2017 ◽  
Vol 30 (8) ◽  
pp. 1188-1204 ◽  
Author(s):  
Jina Han
Keyword(s):  
Depressive Symptoms ◽  
Health Care Professionals ◽  
Functional Limitations ◽  
Chronic Illnesses ◽  
Older Americans ◽  
Self Perceptions ◽  
Longitudinal Mediation ◽  
Perceptions Of Aging ◽  
The Relationship ◽  
Retirement Study

Objective: This research examined the mediation of functional limitations in the relationship between chronic illnesses and depressive symptoms among older Americans along with tests for the moderation of self-perceptions of aging. Method: Data from the Health and Retirement Study (2008, 2010, and 2012) were used. Longitudinal mediation models were tested using a sample of 3,382 Americans who responded to psychosocial questions and were over 65 years old in 2008. Results: Functional limitations mediated the linkage between chronic illnesses and depressive symptoms. Negative self-perceptions of aging exacerbated the effects of chronic illnesses on depressive symptoms. Discussion: Health care professionals should be aware of depressive symptoms in older adults reporting chronic illnesses and particularly in those reporting functional limitations. To decrease the risk of depressive symptoms caused by chronic illnesses, negative self-perceptions of aging may need to be challenged.

scholarly journals The mediating roles of functional limitations and social support on the relationship between vision impairment and depressive symptoms in older adults

2018 ◽  
Vol 40 (3) ◽  
pp. 465-479 ◽  
Author(s):  
Xiuquan Gong ◽  
Zhao Ni ◽  
Bei Wu
Keyword(s):  
Social Support ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Structural Equation ◽  
Structural Equation Models ◽  
Functional Limitations ◽  
Vision Impairment ◽  
Structural Relationships ◽  
Mediating Mechanisms ◽  
The Relationship

AbstractVision impairment is prevalent and it is strongly associated with depressive symptoms in older adults. This study aimed to investigate the mediating roles of functional limitations and social support on the relationship between vision impairment and depressive symptoms in older adults. This study used data from a probability-based sample of 1,093 adults aged 60 and older in Shanghai, China. Structural equation models were used to examine the structural relationships among sets of variables simultaneously, including vision impairment, activities of daily living ADLs, instrumental ADLs (IADLs), friends support, family support, relatives support and depressive symptoms. The bootstrapping method and the program PRODCLIN were used to test the indirect effects of these variables. This study found that vision impairment was directly associated with a higher level of depressive symptoms, and the association was partially mediated by functional limitations (IADLs) and social support (friends support). The study demonstrates that improving social support from friends and enhancing social participation for visually impaired older adults can reduce depressive symptoms. More importantly, this study contributes to the knowledge of mediating mechanisms between vision impairment and depressive symptoms.

scholarly journals Gender Differences in Attitudes Toward Aging and Its Longitudinal Impact on Psychological Health

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 324-325
Author(s):  
Eun Young Choi ◽  
Yujin Franco ◽  
Elizabeth Zelinski
Keyword(s):  
Gender Differences ◽  
Depressive Symptoms ◽  
Cognitive Function ◽  
Psychological Health ◽  
Later Life ◽  
Longitudinal Impact ◽  
Negative Attitudes ◽  
The Impact ◽  
The Relationship ◽  
Retirement Study

Abstract Individuals with negative attitudes towards own aging (ATOA) experience worse psychological health in later life. At the intersection of sexism and ageism, women are likely to have greater concerns about growing older and hold more negative views of aging than their men counterparts. However, the impact of gender on the relationship between ATOA and psychological health is unclear. Moving forward, the current study aims to examine 1) gender differences in longitudinal changes in ATOA and 2) whether gender moderates the association of ATOA with cognitive function and depressive symptoms. Using three waves (2008, 2012, and 2016) from the Health and Retirement Study, a total of 6,675 adults aged 50+ (60% female) were analyzed. A series of multilevel growth curve analyses were performed to investigate the 8-year changes in ATOA and within- and between-person effects of ATOA on cognitive function and depressive symptoms. The models controlled for demographic, socio-economic, and physical health characteristics. Women had more negative ATOA at baseline compared to men, but not in rates of change. When levels of ATOA were more negative, both cognitive performance and depressive symptoms were poorer over time between individuals as well as within-person. We found that the detrimental effects of negative ATOA on depressive symptoms were stronger for women, but there were no significant gender differences in relation to cognitive functioning. Our findings demonstrated that women view aging more unfavorably than men, and the effects of endorsing negative ATOA are more pronounced on women’s mental health.

scholarly journals Impact of Housing and Neighborhood on Depression Among Older Adults in the Health and Retirement Study

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 392-392
Author(s):  
Rachel Wilkie ◽  
Jennifer Ailshire ◽  
Margarita Osuna
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Psychological Wellbeing ◽  
Health And Retirement Study ◽  
Depression Symptoms ◽  
Housing Conditions ◽  
Neighborhood Conditions ◽  
Poor Neighborhood ◽  
The Relationship ◽  
Retirement Study

Abstract Prior research has suggested that poor neighborhood and housing conditions can lead to worse psychological wellbeing. Most studies examine either neighborhood or housing conditions, but not both. Since neighborhood and housing conditions may be correlated it raises the question of whether one is a proxy for the other. We use data from the 2006 and 2008 waves of the Health and Retirement Study to examine associations between perceived neighborhood and housing conditions in 2006 and depressive symptoms (CES-D 8) score in 2008. We find that worse housing conditions and neighborhood safety are associated with more depressive symptoms two years later, even when controlling for prior depressive symptoms. Furthermore, housing and neighborhood conditions are independently related to increased depression symptoms over time. Our research contributes to a deeper understanding of the relationship between home and neighborhood environments and psychological wellbeing in older adults.

scholarly journals RISK AND RESILIENCY IN THE RELATIONSHIP BETWEEN WIDOWHOOD AND DEPRESSIVE SYMPTOMS AMONG OLDER MEXICAN AMERICANS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S817-S818
Author(s):  
Zhen Cong ◽  
Yaolin Pei ◽  
Bei Wu
Keyword(s):  
Older Adults ◽  
Socioeconomic Status ◽  
Regression Analysis ◽  
Depressive Symptoms ◽  
Adverse Effects ◽  
Mexican Americans ◽  
Mexican American ◽  
Functional Limitations ◽  
Intergenerational Support ◽  
The Relationship

Abstract This study investigated the association between widowhood and depressive symptoms and the extent to which the association is contingent upon immigration status, functional limitations, financial strains, and intergenerational support, among older Mexican Americans. A sample of 344 parent-child dyads reported by 83 older adults in a city of West Taxes completed the measures for socioeconomic status and depressive symptoms. Clustered regression analysis showed that widowhood elevated the risk of depressive symptoms. Living with functional limitations, having more children and residing in the same city with children exacerbated the adverse effects of widowhood on depressive symptoms. Residing in the same city with children increased the detrimental effects of widowhood on the depressive symptoms among men, whereas this pattern did not appear among women. The findings highlight the heterogeneity of depressive symptoms among the widowed Mexican American older adults.

scholarly journals Multimorbidity and Depression Incidence Among Middle-Aged and Older Adults in China

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 256-256
Author(s):  
Fei Tang ◽  
Elizabeth Vasquez
Keyword(s):  
Older Adults ◽  
Functional Ability ◽  
Chronic Conditions ◽  
Regression Models ◽  
Functional Limitation ◽  
Mediation Effect ◽  
Middle Aged ◽  
Increased Risk ◽  
Binomial Regression ◽  
The Relationship

Abstract Previous studies suggested that multimorbidity (co-occurrence of two or more chronic conditions) is associated with increased risk of depression. However, limited studies have examined the relationships between multimorbidity and depression among Chinese middle-aged and older adults. The current study aimed to evaluate the associations between multimorbidity and incidence of depression and the potential mediation effect of functional limitation among Chinese middle–aged and older adults. Data of 8,093 individuals who participated in both wave 1 (2011) and wave 4 (2015) of China Health and Retirement Longitudinal Study (CHARLS) and were free of depression in wave 1 were included in the study. Multiple log-binomial regression models were used to evaluate the associations between multimorbidity and incident depression. Mediation analysis was conducted to examine the effect of functional limitation. A third of participants in our study were identified as having multimorbidity in wave 1 (N=2,479) and 23% participants were free of depression in wave 1 but had depression in wave 4 (N=1,827). After adjusting for potential confounders, multimorbidity was observed to be associated with depression incidence (RR: 1.31; 95% CI: 1.21 – 1.42). In addition, functional limitation mediated the relationship between multimorbidity and depression incidence. Our findings add to the literature on the potential associations between multimorbidity and depression incidence among Chinese middle-aged and older adults. Furthermore, the relationship between multimorbidity and depression incidence was observed to be mediated by functional limitation. Interventions that improve functional ability among Chinese middle-aged and older adults could potentially attenuate the effect of multimorbidity on depression incidence.

Sign in / Sign up

Export Citation Format

Share Document