Mobility, well-being, and community participation among people with depression: an observation study using geographically-explicit ecological momentary assessment (GEMA) (Preprint)

2021 ◽  
Author(s):  
Maritta Välimäki ◽  
Man Sing Wong ◽  
Paul Lee ◽  
Rick Yiu Cho Kwan ◽  
Man Hon Chung ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Community Participation ◽  
Satisfaction With Life ◽  
Well Being ◽  
Self Esteem ◽  
Activity Level ◽  
Negatively Associated ◽  
Mobility Tracking ◽  
Extra Stress ◽  
At Home

BACKGROUND Globally, more than 300 million people suffer from depressive disorders. Despite a wide range of conducted research, information on the mobility and daily routines of persons with depression remains lacking. OBJECTIVE To describe a preliminary explication of the association between mobility, well-being, and community participation of people with depression as they occur in real-time settings. METHODS We used a multivariate, time-series, single-subject, repeated measures (MRSRM) design. People with depression (N=33) were invited to use a GPS device for over two weeks for continuous mobility tracking, while information on their well-being was collected with paper surveys before and after two-weeks periods. The tracking records from 32 participants were imported into Geographical Information Systems (GIS) to extract the specific mobility information. Socio-demographic and environmental information (building density, greenness index and PM2.5) was derived for statistical analysis to explore the relationship between mobility, community participation and mental health using correlation coefficients and logistic regression analysis. RESULTS The more hours participants stayed at home, the more often they had depressive symptoms (r=0.47, P<.01) but their satisfaction with life was higher (r=0.38, P<.05). On the contrary, participants with longer total distance reported more stress (r=0.47, P<.01) and the more destinations participants travelled to, the more depressive symptoms they had (r=-0.36, P<.05). Wide travelling area was positively associated with stress and negatively associated with satisfaction with life, while more time spent at home was positively associated with depressive symptoms and low self-esteem. Time spent outside the home was also negatively associated with satisfaction with life and self-esteem. The great majority (91%) perceived the tracking device as comfortable and convenient and 31% had positive feelings about mobility tracking. Still, three participants (9%) expressed that the device caused inconvenience, stress or fair as the battery needed to be charged frequently. CONCLUSIONS Our study showed that having signs of depression is associated with mobility area and time spent at home among persons with depression, which may mean that their activity level in society is limited. Staying home may be a solution for avoiding extra stress, problems with self-esteem and maintaining satisfaction with life. Low-threshold access to health services should be tailored for each person based on their needs. More information based on studies using robust design, bigger sample size, and more accurate measurement methods, however, is required before individualized services can be fully achieved. Although using GPS may be a feasible data collection method, more effort should be put into collecting the data with easy-to-use technology to avoid extra stress in the participants.

The Role of Perceived Familial Expectations on Depressive Symptoms and Self-Esteem in Emerging Adulthood: A Cultural Analysis

2021 ◽  
pp. 216769682110058
Author(s):  
Yesenia Mejia ◽  
Andrew J. Supple ◽  
Scott W. Plunkett ◽  
Andrea L. Kulish ◽  
Gabriela L. Stein
Keyword(s):  
Depressive Symptoms ◽  
Emerging Adults ◽  
Well Being ◽  
The United States ◽  
Self Esteem ◽  
Cultural Analysis ◽  
Negatively Associated ◽  
Self Image ◽  
Asian Youth ◽  
Familial Expectations

Asian and Latinx emerging adults in the United States typically hold stronger values and expectations regarding their duty to support and respect their families than their White peers. Yet, research has not fully explored how meeting familial expectations is associated with psychological well-being in these populations. This study examined ethnic-racial differences in perceptions of meeting familial expectations and their relation to depressive symptoms and self-esteem (i.e., positive and negative self-image) in Latinx, Asian, and White emerging adults. Participants were 1,223 students (51% female, mean age = 19.2) recruited from a state university in southern California. Results found that meeting familial expectations regarding personal responsibility was negatively associated with depressive symptoms only for Asian youth, and with negative self-image for all groups; however, the association was stronger for Asians. Further, meeting familial academic expectations was positively associated with positive self-image and negatively associated with negative self-image for Latinx and Asian youth.

Analysis of Self-Concept in Older Adults in Different Contexts

2004 ◽  
Vol 20 (4) ◽  
pp. 262-274 ◽  
Author(s):  
Manuel de Gracia Blanco ◽  
Josep Garre Olmo ◽  
María Marcó Arbonès ◽  
Pilar Monreal Bosch
Keyword(s):  
Older Adults ◽  
Nursing Home ◽  
Depressive Symptoms ◽  
External Validity ◽  
Aging Process ◽  
Well Being ◽  
Self Esteem ◽  
Self Concept ◽  
Self Perceptions ◽  
Discriminatory Capacity

Summary: Self-concept is a construct consisting of a group of specific self-perceptions that are hierarchically organized. Age-associated changes of self-concept are related to the individual's perception of the changes occurring throughout the aging process. The authors examined external validity and internal consistency of an instrument that has been developed to assess self-concept in older adults and examined self-concept's characteristics in two different contexts. Results confirm the multidimensionality of the scale and show a satisfactory external validity, indicating good discriminatory capacity. Findings support the hypothesis that older people who live in a nursing home have a poor self-esteem, self-concept, and psychological well-being and have a greater presence of depressive symptoms than people who live in their own home.

scholarly journals Satisfaction with Life: Mediating Role in the Relationship between Depressive Symptoms and Coping Mechanisms

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 787
Author(s):  
Daniela Almeida ◽  
Diogo Monteiro ◽  
Filipe Rodrigues
Keyword(s):  
Life Satisfaction ◽  
Depressive Symptoms ◽  
Coping Strategies ◽  
Satisfaction With Life ◽  
Well Being ◽  
Coping Mechanisms ◽  
Significant Positive Association ◽  
Mediating Role ◽  
The Relationship

The purpose of this study was to analyze the mediating role of life satisfaction in the relationship between fourteen coping strategies and depressive symptoms in the Portuguese population. To undertake this work, 313 Portuguese adults aged 18 to 70 years (M = 30.73; SD = 10.79) were invited to participate in this study. Their participation was completely voluntary, and participants granted and signed informed consent previously to the filling of the validated Portuguese questionnaires. These questionnaires measured depressive symptoms, coping, and life satisfaction. The results revealed that life satisfaction displayed a mediating role in the relationship between adaptive coping mechanisms, specifically between active coping, planning, reinterpretation, and acceptance and depressive symptoms, showing a negative and significant indirect effect. Maladaptive coping mechanisms of self-blame, denial, self-distraction, disengagement, and substance use had a significant positive association with depressive symptoms, considering the mediating role of satisfaction with life. Current investigation provides initial evidence of how each coping mechanism is associated with satisfaction with life and depressive symptoms. This study clearly demonstrates that not all coping strategies are capable of influencing well-being indicators and that health professionals should focus on endorsing those that are significantly associated with lowering depressive symptoms and increasing overall satisfaction with life.

scholarly journals Role of Global Self-Esteem in Predicting Life Satisfaction of Nursing Students in Poland, Spain and Slovakia

2020 ◽  
Vol 17 (15) ◽  
pp. 5392
Author(s):  
Ewa Kupcewicz ◽  
Elżbieta Grochans ◽  
Marzena Mikla ◽  
Helena Kadučáková ◽  
Marcin Jóźwik
Keyword(s):  
Life Satisfaction ◽  
Nursing Students ◽  
Satisfaction With Life ◽  
Well Being ◽  
Self Esteem ◽  
Satisfaction With Life Scale ◽  
Full Time ◽  
Life Scale ◽  
The Mean

Background: This study analyzed the role of global self-esteem and selected sociodemographic variables in predicting life satisfaction of nursing students in Poland, Spain and Slovakia. Methods: The study subjects were full-time nursing students from three European countries. A diagnostic survey was used as a research method, while the Rosenberg self-esteem scale (SES) and the satisfaction with life scale (SWLS) were used to collect data. Results: The research was performed on a group of 1002 students. The mean age of those surveyed was 21.6 (±3.4). The results showed significant differences both in the level of the global self-esteem index (F = 40.74; p < 0.0001) and in the level of general satisfaction with life (F = 12.71; p < 0.0001). A comparison of the structure of results demonstrated that there were significantly fewer students with high self-esteem in Spain (11.06%) than in Poland (48.27%) and in Slovakia (42.05%), while more students with a high sense of life satisfaction were recorded in Spain (64.90%) than in Poland (37.87%) or in Slovakia (47.44%). A positive, statistically significant correlation was found between global self-esteem and satisfaction with life in the group of Slovak students (r = 0.37; p < 0.0001), Polish students (r = 0.31; p < 0.0001) and Spanish students (r = 0.26; p < 0.0001). Furthermore, a regression analysis proved that three variables explaining a total of 12% output variation were the predictors of life satisfaction in Polish students. The regression factor was positive (ßeta = 0.31; R2 = 0.12), which indicates a positive correlation and the largest share was attributed to global self-esteem (9%). In the group of Spanish students, global self-esteem explained 7% (ßeta = 0.27; R2 = 0.07) of the output variation and 14% in the group of Slovak students (ßeta = 0.38; R2 = 0.14). Conclusions: The global self-esteem demonstrates the predictive power of life satisfaction of nursing students, most clearly marked in the group of Slovak students. The measurement of the variables under consideration may facilitate the planning and implementation of programs aimed at increasing self-esteem among young people and promoting the well-being of nursing students.

scholarly journals EVERYDAY ACTIVITIES AND DEPRESSIVE SYMPTOMS: DOES GENDER MATTER?

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S931-S931
Author(s):  
Celeste Beaulieu ◽  
Jeffrey E Stokes
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Depressive Symptoms ◽  
Social Engagement ◽  
Later Life ◽  
Well Being ◽  
Self Esteem ◽  
Self Concept ◽  
Everyday Activities ◽  
Retirement Study

Abstract Previous research has suggested that informal socializing can be beneficial for mental health, whereas prior findings concerning solitary activities and mental health have been equivocal. Activity theory posits that involvement in activities – particularly social activities – can improve adults’ self-concept and self-esteem, leading to improved well-being. Solitary activities may perform the same function, though without any social reinforcement. However, social engagement and mental health may both vary by gender. Thus, we examined associations of informal socializing and solitary activities with depressive symptoms among 13,387 respondents of the 2012/2014 waves of the Health and Retirement Study, and further assessed potential gender differences. Results revealed that both informal socializing and solitary activities were significantly associated with lower depressive symptoms when analyzed separately. However, when both types of activities were modeled simultaneously, only informal socializing remained significant. Further, stratified analyses revealed that informal socializing was a significant predictor of depressive symptoms among women but not men, although these coefficients were not significantly different from each other. Overall, findings suggest that both informal socializing and solitary activities may be beneficial for mental health, yet results were clearly stronger for informal socializing. Socializing may benefit mental health not only by bolstering one’s self-concept, but also by linking adults with social ties and support networks that are instrumental for well-being in mid- and later life. Moreover, gender differences in effects were minimal and largely non-significant, indicating that activity involvement can bolster mental health for men and women alike.

scholarly journals Assessment of Implicit Self-Esteem in Older Adults: The Role of Actual and Ideal Self-Esteem in Negative Mood

Assessment ◽  
2017 ◽  
Vol 25 (3) ◽  
pp. 302-309
Author(s):  
Ineke Demeyer ◽  
Nuria Romero ◽  
Rudi De Raedt
Keyword(s):  
Older Adults ◽  
Depressive Symptoms ◽  
Emotional Disorders ◽  
Negative Mood ◽  
Well Being ◽  
Self Esteem ◽  
Ideal Self ◽  
Reliable Measure ◽  
Age Appropriate

The interplay between actual and ideal self-esteem may be a key component in emotional disorders. Since automatic self-evaluations are not always consciously accessible, assessment through implicit measures is necessary. Given the lack of implicit self-esteem measures in late life, we aimed to identify a reliable measure and to clarify the role of actual and ideal self-esteem in mood and depressive symptoms in older adults. Forty-nine older adults completed two adapted Go/No go Association tasks measuring implicit actual and ideal self-esteem and measures of mood and depressive symptoms. The two Go/No go Association tasks showed satisfactory internal consistency. Moderation analyses revealed that lower actual self-esteem in older adults is related to higher levels of sad mood when ideal self-esteem is high. Moreover, lower actual self-esteem is related to more anxious mood. Given the role of self-esteem in emotional well-being, a reliable measure for older adults is crucial to improve age-appropriate diagnostics and treatment.

A hopefulness survey of SWOG members: Relationships among hope, job stress, and burnout.

2020 ◽  
Vol 38 (29_suppl) ◽  
pp. 185-185
Author(s):  
David B. Feldman ◽  
Mark Allen O'Rourke ◽  
Robert S. Krouse ◽  
Marie Bakitas ◽  
Heidi Deininger ◽  
...  
Keyword(s):  
Social Support ◽  
Life Satisfaction ◽  
Job Stress ◽  
Work Stress ◽  
Satisfaction With Life ◽  
Well Being ◽  
Research Network ◽  
Psychological Well Being ◽  
Negatively Associated ◽  
General Satisfaction

185 Background: Hope is a cognitive, goal-directed phenomenon that is measurable. It is “a cognitive set that is based on a reciprocally-derived sense of successful agency (goal-directed determination) and pathways (planning to meet goals).” Although hope has been explored in patients, few studies have investigated hope in physicians and other healthcare providers. Low hope has been shown to predict work burnout in other professions. This survey in the SWOG Cancer Research Network tests the relationships among hope, work stress, burnout, and general satisfaction with life. Methods: SWOG members randomly selected and invited to participate by email linked to a 10-minute online survey consisting of the following: The Adult Hope Scale, Satisfaction with Life Scale, demographic questionnaire, and items assessing burnout, work stress, and general social support. Of 1000 invitees, 226 responded to the survey, including physicians ( n = 77) and RNs ( n = 46). Results: On average, respondents reported relatively high work stress ( M = 3.59 out of 5). Levels of work stress were positively associated with burnout ( r = .58, p < .001), but not with general satisfaction with life ( r = .11, p = .08). Hope levels were negatively associated with burnout ( r = -.21, p = .003) and positively associated with satisfaction with life ( r = .58, p < .001). Consistent with past research showing that people with greater availability of general social support suffer from lower rates of burnout and experience higher levels of psychological well-being, we found that social support was negatively associated with burnout ( r = -.18, p = .007) and positively associated with life satisfaction ( r = .38, p < .001). In addition, we tested a meditational model using Hayes’ bootstrapping approach via the PROCESS macro in SPSS. In this model, hope partially mediated the relationships between social support and both burnout and life satisfaction. In the model, job stress also predicted burnout, but, as in the previous correlational analysis, had no relationship with general life satisfaction. Conclusions: Our cross-sectional results suggest that hope may mitigate the effects of burnout. Our data indicate that the particular combination of social support and hope may prove helpful for reducing job burnout and increasing general satisfaction with life. Single-session hope-enhancement workshops that incorporate both of these elements have been shown to increase hope and psychological well-being in non-medical populations. Such interventions for healthcare professionals warrant further study.

Longitudinal Study of Depressive Symptoms in Patients With Metastatic Gastrointestinal and Lung Cancer

2010 ◽  
Vol 28 (18) ◽  
pp. 3084-3089 ◽  
Author(s):  
Christopher Lo ◽  
Camilla Zimmermann ◽  
Anne Rydall ◽  
Andrew Walsh ◽  
Jennifer M. Jones ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Social Support ◽  
Depressive Symptoms ◽  
Longitudinal Study ◽  
Well Being ◽  
Self Esteem ◽  
Physical Suffering ◽  
Spiritual Well Being ◽  
Physical Distress ◽  
Proximity To Death

Purpose Although early intervention is increasingly advocated to prevent and relieve distress in patients with metastatic cancer, the risk factors for such symptoms and their trajectory are not well established. We therefore conducted a longitudinal study to determine the course and predictors of depressive symptoms. Patients and Methods Patients (N = 365) with metastatic gastrointestinal or lung cancer completed measures of physical distress, self-esteem, attachment security, spiritual well-being, social support, hopelessness, and depression at baseline; physical distress, social support, hopelessness, and depression were subsequently assessed at 2-month intervals. Results Of the sample, 35% reported at least mild depressive symptoms, with 16% reporting moderate to severe depressive symptoms that persisted in at least one third of such individuals. Moderate to severe depressive symptoms were almost three times more common in the final 3 months of life than ≥ 1 year before death. Predictors of depressive symptoms included younger age, antidepressant use at baseline, lower self-esteem and spiritual well-being, and greater attachment anxiety, hopelessness, physical burden of illness, and proximity to death. The combination of greater physical suffering and psychosocial vulnerability put individuals at greatest risk for depression. Conclusion Depressive symptoms in advanced cancer patients are relatively common and may arise as a final common pathway of distress in response to psychosocial vulnerabilities, physical suffering, and proximity to death. These findings support the need for an integrated approach to address emotional and physical distress in this population and to determine whether early intervention may prevent depression at the end of life.

Love of Life as a New Construct in the Well-being Domain

2007 ◽  
Vol 35 (1) ◽  
pp. 125-134 ◽  
Author(s):  
Ahmed M. Abdel-Khalek
Keyword(s):  
Factor Analysis ◽  
Positive Attitude ◽  
Satisfaction With Life ◽  
Well Being ◽  
Self Esteem ◽  
General Factor ◽  
Life Scale ◽  
High Internal Consistency ◽  
Oxford Happiness Inventory ◽  
Positive Correlations

Love of life is defined as a generally positive attitude towards one's own life, a liking for it, and pleasurable attachment to it. The Love of Life Scale (LLS) was constructed by the author. It consists of 16 short statements with high internal consistency (α = .91) and temporal reliability (.81). Factor analysis yielded three high-loaded factors labeled Positive attitude towards life, Happy consequences of love of life, and Meaningfulness of life, with moderate interfactor correlations. The LLS had significant and positive correlations with the Oxford Happiness Inventory (Argyle, Martin, & Lu, 1995), optimism, self-esteem, hope, satisfaction with life, and extraversion. Therefore, the LLS received strong concurrent validational support in terms of these correlations. A factor analysis of the total scores on the LLS and the six other questionnaires yielded a general factor of well-being onto which the LLS loaded .78. The simultaneous multiple regression revealed that the best predictors of love of life were tapped by happiness, optimism, self-esteem, and hope. It was found that there was no gender difference on the LLS.

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