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A new look at nursing home residents’ depressive symptoms: the role of basic versus expanded everyday competence

Published online by Cambridge University Press:  29 September 2016

Mona Diegelmann ,
Hans-Werner Wahl ,
Oliver K. Schilling ,
Carl-Philipp Jansen ,
Katrin Classen  and
Klaus Hauer
Mona Diegelmann*
Affiliation:
Department of Psychological Aging Research, Institute of Psychology, Heidelberg University, 69115 Heidelberg, Germany
Hans-Werner Wahl
Affiliation:
Department of Psychological Aging Research, Institute of Psychology, Heidelberg University, 69115 Heidelberg, Germany
Oliver K. Schilling
Affiliation:
Department of Psychological Aging Research, Institute of Psychology, Heidelberg University, 69115 Heidelberg, Germany
Carl-Philipp Jansen
Affiliation:
Department of Psychological Aging Research, Institute of Psychology, Heidelberg University, 69115 Heidelberg, Germany
Katrin Classen
Affiliation:
Department of Psychological Aging Research, Institute of Psychology, Heidelberg University, 69115 Heidelberg, Germany
Klaus Hauer
Affiliation:
Department of Geriatric Research, Bethanien-Hospital/Geriatric Center at Heidelberg University, 69126 Heidelberg, Germany
*
Correspondence should be addressed to: Mona Diegelmann, Department of Psychological Aging Research, Institute of Psychology, Heidelberg University, Bergheimer Strasse 20, 69115 Heidelberg, Germany. Phone: +49(0)6221 548117; Fax: +49(0)6221 548112. E-mail: [email protected].
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Abstract

Background:

Depressive symptoms are highly prevalent in nursing home (NH) residents. The relationship between depressive symptoms and everyday competence in terms of basic (BaCo) and expanded everyday competence (ExCo; see Baltes et al., 2001) in the NH setting is, however, not clear. Applying Lewinsohn's depression model, we examined how residents’ BaCo and ExCo relate to their depressive symptoms. Furthermore, we investigated the mediating role of perceived control.

Methods:

Cross-sectional data from 196 residents (Mage = 83.7 years, SD = 9.4 years) of two German NHs were analyzed. Study variables were assessed by the Geriatric Depression Scale-Residential (GDS-12R), maximal gait speed (BaCo), proxy ratings of residents’ in-home activity participation, and self-initiated social contact done by staff (ExCo). Structural equation modeling (SEM) was used and a simulation study was included to determine power and potential estimation bias.

Results:

At the descriptive level, one quarter of the residents showed symptoms of depression according to the GDS-12R cut-off criterion. Residents’ BaCo and ExCo were independently and equally strongly associated with their depressive symptoms in the SEM analysis. These findings were affected neither by cognitive impairment, sex, nor age. Perceived control mediated between BaCo but not ExCo and depressive symptoms.

Conclusion:

Future research needs to follow the connection between residents’ everyday competence and their depressive symptoms longitudinally to better understand the underlying mechanisms.

Keywords

nursing homedepressive symptomseveryday competencefunctional impairmentsocial activitystructural equation modeling
Type
Research Article
Information
International Psychogeriatrics , Volume 29 , Issue 1 , January 2017 , pp. 165 - 175
Copyright
Copyright © International Psychogeriatric Association 2016 

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