scholarly journals Linking physical and social environments with mental health in old age: a multisensor approach for continuous real-life ecological and emotional assessment

2020 ◽  
pp. jech-2020-214274
Author(s):  
Amanda Fernandes ◽  
Frank J Van Lenthe ◽  
Julie Vallée ◽  
Cedric Sueur ◽  
Basile Chaix
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Older People ◽  
Electrodermal Activity ◽  
Real Life ◽  
Well Being ◽  
Mobile Sensing ◽  
Older Age ◽  
Environmental Perceptions ◽  
Mobility Patterns

BackgroundUrban stress is mentioned as a plausible mechanism leading to chronic stress, which is a risk factor of depression. Yet, an accurate assessment of urban stressors in environmental epidemiology requires new methods. This article discusses methods for the sensor-based continuous assesment of geographic environments, stress and depressive symptoms in older age. We report protocols of the promoting mental well-being and healthy ageing in cities (MINDMAP) and Healthy Aging and Networks in Cities (HANC) studies nested in the RECORD Cohort as a background for a broad discussion about the theoretical foundation and monitoring tools of mobile sensing research in older age. Specifically, these studies allow one to compare how older people with and without depression perceive, navigate and use their environment; and how the built environments, networks of social contacts, and spatial mobility patterns influence the mental health of older people.MethodsOur research protocol combines (1) Global Positioning System (GPS) and accelerometer tracking and a GPS-based mobility survey to assess participants’ mobility patterns, activity patterns and environmental exposures; (2) proximity detection to assess whether household members are close to each other; (3) ecological momentary assessment to track momentary mood and stress and environmental perceptions; and (4) electrodermal activity for the tentative prediction of stress. Data will be compared within individuals (at different times) and between persons with and without depressive symptoms.ConclusionThe development of mobile sensing and survey technologies opens an avenue to improve understanding of the role of momentary stressors and resourcing features of residential and non-residential environments for older populations’ mental health. However, validation, privacy and ethical aspects are important issues to consider.

scholarly journals Public transport policy, social engagement and mental health in older age: a quasi-experimental evaluation of free bus passes in England

2018 ◽  
Vol 72 (5) ◽  
pp. 361-368 ◽  
Author(s):  
Erica Reinhard ◽  
Emilie Courtin ◽  
Frank J van Lenthe ◽  
Mauricio Avendano
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Older People ◽  
Social Isolation ◽  
Public Transport ◽  
Public Transportation ◽  
Social Engagement ◽  
Depression Scale ◽  
Older Age ◽  
The Impact

BackgroundSocial engagement and social isolation are key determinants of mental health in older age, yet there is limited evidence on how public policies may contribute to reducing isolation, promoting social engagement and improving mental health among older people. This study examines the impact of the introduction of an age-friendly transportation policy, free bus passes, on the mental health of older people in England.MethodsWe use an instrumental variable (IV) approach that exploits eligibility criteria for free bus passes to estimate the impact of increased public transportation use on depressive symptoms, loneliness, social isolation and social engagement.ResultsEligibility for the free bus travel pass was associated with an 8% (95% CI 6.4% to 9.6%) increase in the use of public transportation among older people. The IV model suggests that using public transport reduces depressive symptoms by 0.952 points (95% CI −1.712 to −0.192) on the Center for Epidemiologic Studies Depression Scale. IV models also suggest that using public transport reduces feelings of loneliness (β −0.794, 95% CI −1.528 to −0.061), increases volunteering at least monthly (β 0.237, 95% CI 0.059 to 0.414) and increases having regular contact with children (β 0.480, 95% CI 0.208 to 0.752) and friends (β 0.311, 95% CI 0.109 to 0.513).ConclusionFree bus travel is associated with reductions in depressive symptoms and feelings of loneliness among older people. Transportation policies may increase older people’s social engagement and consequently deliver significant benefits to mental health.

scholarly journals Do opposite ends of same factors underlie life satisfaction vs. depressive symptoms among older people?

2021 ◽  
Author(s):  
Katja Pynnönen ◽  
Katja Kokko ◽  
Milla Saajanaho ◽  
Timo Törmäkangas ◽  
Erja Portegijs ◽  
...  
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Older People ◽  
Executive Functions ◽  
Physical Performance ◽  
Well Being ◽  
Community Dwelling ◽  
Satisfaction With Life Scale ◽  
Financial Situation ◽  
Self Acceptance

Abstract Background Although depressive symptoms are more common among older than younger age groups, life satisfaction tends to remain stable over the life course, possibly because the underlying factors or processes differ. Aim To study whether the factors that increase the likelihood of high life satisfaction also decrease the likelihood of depressive symptoms among older people. Methods The data were a population-based probability sample drawn from community-dwelling people aged 75, 80, and 85 years (n = 1021). Participants’ life satisfaction was measured with the Satisfaction with Life Scale and depressive symptoms with the Centre for Epidemiologic Studies Depression Scale (CES-D). Physical performance, perceived financial situation, executive functions, loneliness, self-acceptance, and having interests in one’s life were studied as explanatory variables. The data were analyzed using cross-sectional bivariate linear modeling. Results Better physical performance, not perceiving loneliness, having special interests in one’s life, and higher self-acceptance were associated with higher life satisfaction and fewer depressive symptoms. Better financial situation was related only to life satisfaction. Executive functions were not associated with either of the outcomes. Discussion The opposite ends of the same factors underlie positive and negative dimensions of mental well-being. Conclusion Further studies are warranted to better understand how people maintain life satisfaction with aging when many resources may diminish and depressive symptoms become more prevalent.

scholarly journals SEPARATED KIN: RURAL-URBAN MIGRATION AND MENTAL HEALTH TRAJECTORIES OF OLDER ADULTS LEFT BEHIND IN RURAL CHINA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S880-S880
Author(s):  
Zhiyong Lin
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Rural China ◽  
Well Being ◽  
Migrant Children ◽  
Urban Migration ◽  
Left Behind ◽  
Rate Of Increase ◽  
The Impact

Abstract As the processes of urbanization and globalization have intensified across the world, a burgeoning literature has documented the impact of emigration on the health of family members left behind in emigrant communities. Although the association between children’s migration and parental well-being is well documented, few have examined the health implications of children’s migration in the milieu of multiple children and further differentiated between children’s short-term and long-term migration. Therefore, I argue that it is not the geographic locality of a single child but the composition of all children’s location that matters. I further suggest that the impact of children’s migration on parental wellbeing is conditioned on the duration of children’s migration. Using a six waves longitudinal data (2001-2015) collected in rural China, this paper compares mental health (measured as depressive symptoms) trajectories of old adults (aged 60 and older) across different compositions of local and migrant children over a 14-year span. Results from growth curve models show that parents having more migrant children relative to local children experience a more rapid increase in depressive symptoms. In addition, older adults who have their most children migrate away for three or more waves of data have experienced the steepest rate of increase in depressive symptoms. These findings provide new evidence to support the life course processes of mental health disparities among older adults from the perspective of intergenerational proximity.

scholarly journals IMPACT OF OFFLINE AND ONLINE SOCIAL NETWORKS ON LONELINESS AND MENTAL HEALTH AMONG ITALIAN OLDER PEOPLE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S529-S529
Author(s):  
Daniele Zaccaria ◽  
Georgia Casanova ◽  
Antonio Guaita
Keyword(s):  
Mental Health ◽  
Social Networks ◽  
Social Network ◽  
Older People ◽  
Online Social Networks ◽  
Social Network Sites ◽  
Well Being ◽  
Controlled Study ◽  
Face To Face ◽  
Causal Impact

Abstract In the last decades the study of older people and social networks has been at the core of gerontology research. The literature underlines the positive health effects of traditional and online social connections and also the social networks’s positive impact on cognitive performance, mental health and quality of life. Aging in a Networked Society is a randomized controlled study aimed at investigating causal impact of traditional face-to-face social networks and online social networks (e.g. Social Network Sites) on older people’ health, cognitive functions and well-being. A social experiment, based on a pre-existing longitudinal study (InveCe - Brain Aging in Abbiategrasso) has involved 180 older people born from 1935 to 1939 living in Abbiategrasso, a municipality near Milan. We analyse effects on health and well-being of smartphones and Facebook use (compared to engagement in a more traditional face-to-face activity), exploiting the research potential of past waves of InveCe study, which collected information concerning physical, cognitive and mental health using international validate scale, blood samples, genetic markers and information on social networks and socio-demographic characteristics of all participants. Results of statistical analysis show that poor social relations and high level of perceived loneliness (measured by Lubben Scale and UCLA Loneliness scale) affect negatively physical and mental outcomes. We also found that gender and marital status mediate the relationship between loneliness and mental wellbeing, while education has not significant effect. Moreover, trial results underline the causal impact of ICT use (smartphones, internet, social network sites) on self-perceived loneliness and cognitive and physical health.

scholarly journals Depression and Psychological Well-Being as Distinct Constructs: Mutually Exclusive Associations With Biomarker

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 251-251
Author(s):  
Kheng Siang Ted Ng ◽  
Shu Cheng Wong ◽  
Glenn Wong ◽  
Ee Heok Kua ◽  
Anis Larbi ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Factor Score ◽  
Well Being ◽  
Community Dwelling ◽  
The Other ◽  
Factor Scores ◽  
Psychological Well Being ◽  
Wide Range

Abstract Despite increasing emphasis on assessing the mental health of older adults, there has been inconclusive evidence on whether depression and psychological well-being (PWB) are fundamentally distinct constructs or representations of the opposite ends of the mental health spectrum. To instantiate either hypothesis, investigation of the associations between mental health scales and biomarkers have been proposed. First, we assessed depressive symptoms and PWB in community-dwelling older adults (N=59, mean age=67) using the Self-Rating Depression Scale (SDS) and Ryff’s Scale of PWB (comprising six sub-scales). We measured a wide range of immune markers employing ELISA and flow cytometry. Subsequently, we used principal component analysis (PCA) to aggregate and derived biomarker factor scores. Lastly, multiple linear regressions were performed to examine the associations between the scales and the derived biomarker factor scores, controlling for covariates. PCA extracted six biomarker factors. Biomarker factor score 1 was significantly associated with PWB (β=-0.029, p=0.035) and the PWB sub-scale, self-acceptance (β=-0.089, p=0.047), while biomarker factor score 4 was significantly associated with the PWB sub-scale, purpose in life (β=-0.087, p=0.025). On the other hand, biomarker factor 6 was significantly associated with SDS (β=-0.070, p=0.008). There were mutually- exclusive associations between the scales with biomarker factor scores, supporting the hypothesis of distinct constructs. Our findings expanded the biomarkers of depression and PWB, deepening understanding of the biological underpinnings of depressive symptoms and PWB. These findings have implications in field work, since researchers could not infer one construct from the other, the examination of both constructs are essential.

scholarly journals Exploring Age and Gender Differences in Narcissism and Perfectionism and Their Mental-Health Correlates

2021 ◽  
Vol 66 (1) ◽  
pp. 5-36
Author(s):  
Éva Kállay ◽  
Alexandra Rebeca Mihoc
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Depressive Symptoms ◽  
Health Indicators ◽  
Well Being ◽  
Subjective Well Being ◽  
Age And Gender ◽  
Age And Gender Differences ◽  
Environmental Mastery ◽  
And Gender

"The changes occurring in modern society can significantly influence individuals’ well-being, mental health and even personality traits such as narcissism and perfectionism. Since studies investigating age and gender differences in narcissism and perfectionism have produced mixed results, and the number of studies conducted in Romanian population is scarce, the main aims of this study were to investigate possible age and gender differences in narcissism, perfectionism and several mental-health indicators in a sample of healthy participants, as well as specific association patterns between these variables within each group of participants. Our sample included 465 millennials and 149 participants over 35 years of age. The results indicate that millennials reported significantly lower levels of narcissism and self-oriented perfectionism than the older generations, higher levels of depressive symptoms and lower levels of autonomy, environmental mastery, purpose in life, and self-acceptance. Female millennials reported lower levels of narcissistic traits and higher levels of socially-prescribed perfectionism, depressive symptoms, personal growth, and positive relations with others than male participants. Older females indicated significantly higher levels of depressive symptoms and loneliness than male participants. Regarding association patterns, in the group of millennial women narcissism was positively correlated with self-oriented, socially-prescribed perfectionism and subjective well-being, and negatively with loneliness, environmental mastery and purpose in life. In millennial males, we found significant positive correlations only between narcissism and subjective well-being and environmental mastery. Our findings may have important implications for the literature regarding millennials and can contribute to the interventions and prevention programs designed to improve their well-being. Keywords: millennials, narcissism, perfectionism, mental health indicators, age and gender differences "

scholarly journals Shame Mediates the Relationship Between Pain Invalidation and Depression

2021 ◽  
Vol 12 ◽  
Author(s):  
Brandon L. Boring ◽  
Kaitlyn T. Walsh ◽  
Namrata Nanavaty ◽  
Vani A. Mathur
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Social Withdrawal ◽  
Well Being ◽  
Poor Mental Health ◽  
Future Research ◽  
Internalized Shame ◽  
Self Worth ◽  
The Impact ◽  
The Relationship

The experience of pain is subjective, yet many people have their pain invalidated or not believed. Pain invalidation is associated with poor mental health, including depression and lower well-being. Qualitative investigations of invalidating experiences identify themes of depression, but also social withdrawal, self-criticism, and lower self-worth, all of which are core components of shame. Despite this, no studies have quantitatively assessed the interrelationship between pain invalidation, shame, and depression. To explore this relationship, participants recounted the frequency of experienced pain invalidation from family, friends, and medical professionals, as well as their feelings of internalized shame and depressive symptoms. As shame has been shown to be a precursor for depression, we further explored the role of shame as a mediator between pain invalidation and depressive symptoms. All sources of pain invalidation were positively associated with shame and depressive symptoms, and shame fully mediated the relationship between each source of pain invalidation and depression. Relative to other sources, pain invalidation from family was most closely tied to shame and depression. Overall, findings indicate that one mechanism by which pain invalidation may facilitate depression is via the experience of shame. Future research may explore shame as a potential upstream precursor to depression in the context of pain. Findings provide more insight into the harmful influence of pain invalidation on mental health and highlight the impact of interpersonal treatment on the experiences of people in pain.

scholarly journals Well Being of Older Gay and Bisexual Men and Women in England: Results of a Cross-Sectional Population Based Study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Grabovac ◽  
L Smith ◽  
D T McDermott ◽  
S Stefanac ◽  
L Yang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Older People ◽  
Sexual Satisfaction ◽  
Well Being ◽  
Satisfaction With Life Scale ◽  
Cross Sectional ◽  
And Bisexual

Abstract Background Lesbian, gay, and bisexual (LGB) older people are an under-represented population in research, with limited research noting more depression, loneliness, rejection, overall poorer health and well-being outcomes. Our study compared well-being, defined as quality of life (QOL), life satisfaction, sexual satisfaction, and depression, among LGB people with their heterosexual peers’. Methods Cross-sectional data from the English Longitudinal Study of Aging, collected 2012-2013. A total of 5691 participants were included in the analysis, with 326 (5.7%) self-identifying as LGB. We used CASP-19 questionnaire for well-being; the Satisfaction with Life Scale for life satisfaction; and the Center for Epidemiologic Studies Depression Scale for depressive symptoms. The question “During the past three months, how satisfied have you been with your overall sex life?” was used for sexual satisfaction. T-test and chi-square tests were used for differences in sociodemographic characteristics between LGB and heterosexual participants. Regression models were used to test associations between sexual orientation and well-being outcomes. Results LGB participants reported significantly lower mean quality of life and life satisfaction, and had significantly lower odds of reporting satisfaction with their overall sex life and higher odds of reporting depressive symptoms in unadjusted models. After adjustment for sociodemographic and health-related covariates, there remained significant differences between groups in mean QOL scores (B= -0.96, 95% [CI] -1.87 to -0.06) and odds of sexual satisfaction (OR = 0.56, 95% CI 0.38-0.82). Conclusions LGB older people report lower quality of life and lower sexual satisfaction than their heterosexual counterparts, possibly associated with experiencing lifelong social discrimination. Main message: Older lesbian, gay and bisexual people in England report significantly lower QOL and sexual satisfaction in comparison to heterosexual counterparts.

Primary care management of older people with mental health problems

2013 ◽  
Author(s):  
Louise Robinson ◽  
Carolyn Chew-Graham
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Older People ◽  
Care Management ◽  
Mental Health Problems ◽  
Age Groups ◽  
Real Life ◽  
Health Problems ◽  
Care Systems ◽  
Primary Care Management

This chapter discusses the presentation and primary care management of the commonest mental health problems in older people; these include delirium, delusions, depression and anxiety, and dementia. Primary care is on the front line in dealing with older people who have mental health problems, supporting their families to care for them and managing people with complex co-morbidities in addition to mental health issues. Older people consult their GP almost twice as often as other age groups and up to 40% may have a mental health problem. Cases drawn from the authors’ real-life practice are presented firstly to represent clinical presentations and management within primary care and secondly to demonstrate how primary care links with secondary care and the wider services. The management of patients is discussed largely within reference to UK primary care systems and policy, but the international readership should find parallels within their own healthcare systems.

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