scholarly journals Effect of Spousal Loss on Depression in Older Adults: Impacts of Time Passing, Living Arrangement, and Spouse’s Health Status before Death

2021 ◽  
Vol 18 (24) ◽  
pp. 13032
Author(s):  
Yu-Chan Hung ◽  
Yong-Hsin Chen ◽  
Meng-Chih Lee ◽  
Chih-Jung Yeh
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Successful Aging ◽  
Smoking Status ◽  
Living Arrangement ◽  
Family Members ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Factors Affecting ◽  
Self Rated Health

In addition to increasing the mortality among older adults, spousal death (SD) increases their risk of depression. This study explored the factors affecting depression among widowed older adults to provide health care strategies for successful aging. A total of 710 adults older than 60 years completed a questionnaire before and after their spouses’ deaths. The survey data included age, sex, ethnic group, education level, financial station socioeconomic status, SD (including time point), smoking status, alcohol consumption, self-rated health status, Center for Epidemiologic Studies Depression Scale score, mobility, and degree of support from relatives and friends. The proportion of participants with depression after SD was 1.7 times that of before SD (p < 0.0001). Worsened mobility (odds ratio [OR] = 1.3, p < 0.01), low self-rated health status (OR = 0.5, p < 0.01), and a high degree of support from relatives and friends (OR = 1.5, p < 0.01) had a significant positive correlation with depression after SD. The proportion of depression that occurred within 6 months after SD was 6.0 times higher than that of depression before SD. Participants who lived alone after losing their spouses who were healthy before their deaths exhibited a significantly increased proportion of depression after their spouses’ deaths. Male sex, spouse’s health, and the period of 6 months after SD are risk factors for depression in older adults. The maintenance of mobility, positive self-rated health status, and a shorter period of depression after a spouse’s death result in more favorable adaptability among women. Social workers or family members should focus on older adults whose spouses died unexpectedly or within the last 6 months. Living with family members after SD can alleviate depression in older adults.

scholarly journals Effect of spousal loss on depression in older adults

2020 ◽  
Author(s):  
Yong-Hsin Chen ◽  
Meng-Chih Lee ◽  
Mei-Huey Shiau ◽  
Chih-Jung Yeh
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Successful Aging ◽  
Smoking Status ◽  
Family Members ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Factors Affecting ◽  
Self Rated Health ◽  
Before And After

Abstract Background: In addition to increasing the mortality among older adults, spousal death (SD) increases their risk of depression. This study explored the factors affecting depression among widowed older adults to provide health care strategies for successful aging. Methods: A total of 710 adults older than 60 years completed a questionnaire before and after their spouses’ deaths. The survey data included age, sex, ethnic group, education level, financial station socioeconomic status, SD (including time point), smoking status, alcohol consumption, self-rated health status, Center for Epidemiologic Studies Depression Scale score, mobility, and degree of support from relatives and friends. Results: The proportion of participants with depression after SD was 1.7 times that of before SD (P < 0.0001). Worsened mobility (odds ratio [OR] = 1.3, P < 0.01), low self-rated health status (OR = 0.5, P < 0.01), and a high degree of support from relatives and friends (OR = 1.5, P < 0.01) had a significant positive correlation with depression after SD. The proportion of depression that occurred within 6 months after SD was 6.0 times higher than that of depression before SD. Participants who lived alone after losing their spouses who were healthy before their deaths exhibited a significantly increased proportion of depression after their spouses’ deaths. Conclusion: Male sex, spouse’s health, and the period of 6 months after SD are risk factors for depression in older adults. The maintenance of mobility, positive self-rated health status, and a shorter period of depression after a spouse’s death result in more favorable adaptability among women. Social workers or family members should focus on older adults whose spouses died unexpectedly or within the last 6 months. Living with family members after SD can alleviate depression in older adults.

Heterogeneity in Depression Symptoms and Health Status Among Older Adults

2012 ◽  
Vol 24 (5) ◽  
pp. 879-896 ◽  
Author(s):  
Pablo A. Mora ◽  
Teerah Beamon ◽  
LeAnn Preuitt ◽  
Marco DiBonaventura ◽  
Elaine A. Leventhal ◽  
...  
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Latent Profile Analysis ◽  
Profile Analysis ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Depression Symptoms ◽  
Class Model ◽  
Cross Sectional ◽  
Best Fit

Objectives: We assessed whether distinct classes of depression symptoms could be identified. In addition, we determined how these classes differed in terms of health status. Methods: Data were analyzed with latent profile analysis. MANOVA tests were used to compare the health status of the various classes. Results: A four-class model had the best fit. Classes were labeled according to participants’ responses to the Center for Epidemiologic Studies–Depression Scale (CES-D) items and their overall score: low depression symptoms, high depression symptoms, subthreshold with anhedonia, and subthreshold with anhedonia and negative interpersonal feelings. Cross-sectional and longitudinal analyses showed that health status differed across classes. Conclusions: The results provide support for the idea that there is heterogeneity in the presentation of depression symptoms among older adults. These data showed that about a third of our sample of older adults reported increased levels of anhedonia and that negative interpersonal feelings were uncommon.

scholarly journals Patterns of Sedentary Behavior in a Community-Based Cohort of Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 790-790
Author(s):  
Dori Rosenberg ◽  
Rod Walker ◽  
Mikael Anne Greenwood-Hickman ◽  
KatieRose Richmire ◽  
John Bellettiere ◽  
...  
Keyword(s):  
Older Adults ◽  
Epidemiologic Study ◽  
Epidemiologic Studies ◽  
Community Based ◽  
Covariate Data ◽  
Self Rated Health ◽  
Measurement Protocol ◽  
Sleep Logs ◽  
Hispanic White ◽  
Difficulty Walking

Abstract Few epidemiologic studies have examined device-measured sitting patterns by demographics and health status. The Adult Changes in Thought (ACT) study is an on-going epidemiologic study of adults age ≥65 years. We conducted a sub-study that added a thigh-worn activPAL device and sleep logs for 7 days to the measurement protocol. A total of 997 had valid wear time (≥4 days with 10-20 hours of data per day) and covariate data. activPAL sedentary pattern measures included number of sitting bouts lasting 30 minutes or more and mean sitting bout duration. On average, participants (56% female, 57% &gt; age 75, 89% non-Hispanic white) sat in bouts lasting 17 minutes (SD = 12) and had 5.9 (SD = 1.7) bouts of sitting lasting 30 minutes or more. Participants who were older, were male, had obesity, had worse self-rated health, had depression, and had difficulty walking had longer sitting bouts and more prolonged bouts.

Educational Differences in Self-Rated Health Trends Among Middle-Aged and Older Adults Living Alone, 1972–2018

2022 ◽  
pp. 089826432110527
Author(s):  
Esther O. Lamidi
Keyword(s):  
Older Adults ◽  
Living Arrangements ◽  
Living Arrangement ◽  
Living Alone ◽  
Middle Aged ◽  
Older Americans ◽  
Health Trends ◽  
Self Rated Health ◽  
Educational Differences ◽  
Middle Aged Adults

Objectives: This study examines educational differences in living alone and in self-rated health trends among middle-aged and older adults. Methods: We used logistic regression to analyze data from the 1972–2018 National Health Interview Survey ( n = 795,239 aged 40–64; n = 357,974 aged 65–84). Results: Between 1972–1974 and 2015–2018, living alone became more prevalent, particularly among men and at lower levels of education. Self-rated health trends varied by living arrangement and education. We found self-rated health declines among middle-aged adults having no college degree and living alone, but trends in self-rated health were mostly stable or even improved among middle-aged adults living with others. Among older adults, self-rated health improved over time, but for the least-educated older Americans living alone, the probability of reporting fair or poor health increased between 1972–1974 and 2015–2018. Discussion: The findings suggest growing disparities by social class, in living arrangements and in self-rated health.

The Acceptance Behavior of New Media Entertainment Among Older Adults: Living Arrangement as a Mediator

2019 ◽  
Vol 91 (3) ◽  
pp. 274-298
Author(s):  
Dawei Liu ◽  
Anqi Liu ◽  
Wanying Tu
Keyword(s):  
Older Adults ◽  
New Media ◽  
Technology Acceptance ◽  
Technology Acceptance Model ◽  
Living Arrangement ◽  
Value Orientations ◽  
Perceived Usefulness ◽  
Factors Affecting ◽  
Business Practitioners ◽  
Acceptance Model

New media entertainment is currently being spotlighted by business practitioners and researchers. This article highlighted this issue of elder online users and explored the factors affecting their acceptance decisions in new media entertainment. Older adults prefer to status and value orientations, so their online acceptance of new media entertainment is significantly influenced by the perceived usefulness and social benefits. In addition, types of living arrangement significantly affect technology acceptance model of older adults.

scholarly journals Relationship between Eating Alone and Poor Appetite Using the Simplified Nutritional Appetite Questionnaire

Nutrients ◽  
2022 ◽  
Vol 14 (2) ◽  
pp. 337
Author(s):  
Yurie Mikami ◽  
Keiko Motokawa ◽  
Maki Shirobe ◽  
Ayako Edahiro ◽  
Yuki Ohara ◽  
...  
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Living Alone ◽  
Geriatric Depression ◽  
Poor Appetite ◽  
Self Rated Health ◽  
The Poor ◽  
Multivariable Logistic Regression

One prominent factor associated with malnutrition is poor appetite. In Japan, the number of older adults living alone has increased annually. Those living alone tended to eat alone, which may lead to poor appetite. This study aimed to investigate the association between eating alone and poor appetite using an index called the Simplified Nutritional Appetite Questionnaire (SNAQ). We surveyed 818 people aged 70 and over in Takashimadaira, Itabashi-ku, Tokyo, Japan, in 2016. Comparisons were made between two groups, a poor appetite group (n = 295) and a good appetite group (n = 523), and results indicate that the poor appetite group had a higher rate of eating alone than the good appetite group (38.0% vs. 20. 1%: p < 0.001). Multivariable logistic regression (OR; 95%CI) was performed and poor appetite was significantly associated with the Geriatric Depression Scale (GDS) score (1.707; 1.200–2.427), the number of medications (1.061; 1.007–1.118), JST score (0.894; 0.841–0.950), the indication of “very healthy” on a self-rated health scale (0.343; 0.152–0.774), and reports of eating alone (1.751; 1.130–2.712). Our results suggest that eating alone is associated with a poor appetite.

scholarly journals Factors Associated with Successful Aging among Community-Dwelling Older Adults Based on Ecological System Model

2020 ◽  
Vol 17 (9) ◽  
pp. 3220 ◽  
Author(s):  
Hye-Young Jang
Keyword(s):  
Older Adults ◽  
Successful Aging ◽  
Living Arrangement ◽  
Individual Characteristics ◽  
Community Dwelling ◽  
Ecological System ◽  
System Model ◽  
Healthcare Intervention ◽  
Factors Associated ◽  
Study Results

This study was conducted to identify the factors associated with successful aging in older adults based on the ecological system model. Data from the 2017 National Survey of the Living Conditions of Korean Elderly were used. Participants comprised 10,074 older adults. The three principal components in the successful aging model developed by Rowe and Kahn, “absence of disease and disease-related disability,” “maintenance of high mental and physical function,” and “continued engagement with life,” were used to determine successful aging. The collected data were analyzed using descriptive statistics, chi-squared test, t-test, and logistic regression. The study results showed that the correlation factors were age, sex, educational level, economic status, heavy drinking, subjective health status, and health screening in the individual system; living arrangement, satisfaction with spouse, and frequency of contacting family, siblings, and relatives in the family system; and the frequency of contacting neighbors and friends, number of close neighbors and friends, and accessibility of neighborhood facilities in the community system. This study is significant because it confirms that individual characteristics and the environmental systems surrounding older adults should be considered for successful aging; it is necessary to develop and apply healthcare intervention programs that consider both of these aspects.

scholarly journals The Center for Epidemiologic Studies Depression scale (CES-D) in a mixed-mode repeated measurements design: sex and age effects in older adults

1999 ◽  
Vol 8 (2) ◽  
pp. 102-109 ◽  
Author(s):  
Sandra W. Geerlings ◽  
Aartjan T.F. Beekman ◽  
Dorly J.H. Deeg ◽  
Willem Van Tilburg ◽  
Jan H. Smit
Keyword(s):  
Older Adults ◽  
Mixed Mode ◽  
Depression Scale ◽  
Epidemiologic Studies ◽  
Repeated Measurements ◽  
Age Effects

scholarly journals EMOTIONS AND WELL-BEING IN LATER LIFE CHILDHOOD HAPPINESS, SELF-MASTERY, AND LATER-LIFE HEALTH

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S576-S576
Author(s):  
Haena Lee ◽  
Markus H Schafer
Keyword(s):  
Depressive Symptoms ◽  
Family Environment ◽  
Social Life ◽  
Successful Aging ◽  
Living Arrangement ◽  
Later Life ◽  
Well Being ◽  
Adult Health ◽  
Growing Up ◽  
Self Rated Health

Abstract Considerable work has documented that positive childhood memories, especially childhood happiness, predict better health among young adults. However, it is not known whether growing up happy has enduring health consequences across the life course. Using two waves of the National Social Life, Health and Aging Project (2010-2011 and 2015-2016; N = 1,937), we investigate the relationship between childhood happiness and changes in physical, mental, and biological functioning in later life. Childhood happiness was retrospectively assessed using a question: “When I was growing up, my family life was always happy.” Self-rated health, depressive symptoms, and frailty over a five-year period were examined to reflect changes in functional status. Childhood SES and living arrangement were examined to assess childhood sociodemographic background. Educational attainment, family support and strain, and self-mastery were considered as potential mediators. We find that, among other childhood factors, childhood happiness significantly predicts older adult health. Specifically, childhood happiness was associated with better self-rated health and lower depressive symptoms at follow-up, net of baseline health conditions. We did not find a relationship between frailty and childhood happiness. Unlike prior work, we found no significant effect of childhood SES on the measured outcomes. Associations between childhood happiness and self-rated health and depression were mediated by psychosocial resources including self-mastery and perceived social support from family members. This implies that growing up in nurturing, cherished family environment has the potential to cultivate social relationships and build resilience which could provide an important pathway to successful aging.

scholarly journals Physical and Psychological Factors Associated with Poor Self-Reported Health Status in Older Adults with Falls

2020 ◽  
Vol 17 (10) ◽  
pp. 3548 ◽  
Author(s):  
Jiyeon Kim ◽  
Mikyong Byun ◽  
Moonho Kim
Keyword(s):  
Older Adults ◽  
Health Status ◽  
Psychological Factors ◽  
Hearing Impairments ◽  
Factors Associated ◽  
Self Rated Health ◽  
Physical Tests ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Poor Nutrition

Background: Previous studies have proposed various physical tests for screening fall risk in older adults. However, older adults may have physical or cognitive impairments that make testing difficult. This study describes the differences in individual, physical, and psychological factors between adults in good and poor self-rated health statuses. Further, we identified the physical or psychological factors associated with self-rated health by controlling for individual variables. Methods: Data from a total of 1577 adults aged 65 years or over with a history of falls were analyzed, using the 2017 National Survey of Older Persons in South Korea. Self-reported health status was dichotomized as good versus poor using the 5-point Likert question: “poor” (very poor and poor) and “good” (fair, good, and very good). Results: Visual/hearing impairments, ADL/IADL restriction, poor nutrition, and depression were more frequently observed in the group with poor self-rated health. Multivariable logistic regression revealed that poor self-reported health was significantly associated with hearing impairments (OR: 1.51, 95% CI 1.12–2.03), ADL limitation (OR: 1.77, 95% CI 1.11–2.81), IADL limitation (OR: 2.27, 95% CI 1.68–3.06), poor nutrition (OR: 1.36, 95% CI 1.05–1.77), and depression (OR 3.77, 95% CI 2.81–5.06). Conclusions: Auditory impairment, ADL/IADL limitations, poor nutrition, and depression were significantly associated with poor self-reported health. A self-rated health assessment could be an alternative tool for older adults who are not able to perform physical tests.

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