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Which categories of social and lifestyle activities moderate the association between negative life events and depressive symptoms among community-dwelling older adults in Japan?

Published online by Cambridge University Press:  09 September 2011

Yuriko Katsumata ,
Asuna Arai ,
Kozo Ishida ,
Masashi Tomimori ,
Romeo B. Lee  and
Hiko Tamashiro
Yuriko Katsumata*
Affiliation:
Center of Residency and Fellowship Program, University of the Ryukyus Hospital, Okinawa, Japan
Asuna Arai
Affiliation:
Department of Global Health and Epidemiology, Hokkaido University Graduate School of Medicine, Sapporo, Japan
Kozo Ishida
Affiliation:
Department of Global Health and Epidemiology, Hokkaido University Graduate School of Medicine, Sapporo, Japan
Masashi Tomimori
Affiliation:
Department of Global Health and Epidemiology, Hokkaido University Graduate School of Medicine, Sapporo, Japan
Romeo B. Lee
Affiliation:
Behavioral Sciences Department, De La Salle University, Manila, The Philippines
Hiko Tamashiro
Affiliation:
Department of Global Health and Epidemiology, Hokkaido University Graduate School of Medicine, Sapporo, Japan
*
Correspondence should be addressed to: Dr Yuriko Katsumata, Center of Residency and Fellowship Program, University of the Ryukyus Hospital, 207 Uehara Nishihara Okinawa 903-0215, Japan. Phone: +81-98-895-3331 (ext. 4121); Fax: +81-98-895-1500. Email: [email protected].
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Abstract

Background: Social and lifestyle activities may serve as potential moderators of the association between negative life events (NLEs) and depressive symptoms among older adults. In this study, we examined whether social and lifestyle activities moderate the association between NLEs and depressive symptoms among older adults, and which activities are significant moderators.

Methods: The data came from a community-based sample of non-institutionalized adults aged 65 years or older. Of the 731 eligible older adults, 682 completed the Japanese version of the 30-item Geriatric Depression Scale. We measured 15 specific negative life events as well as 17 social and lifestyle activities which were grouped into four categories.

Results: Specific NLEs pertaining to human relationships, physical condition and financial status were all or were mostly associated with depressive symptoms. Significant moderating roles of social and lifestyle activities on the association of NLEs with depressive symptoms were observed between “loss of a significant other” and “contact with family members and friends” (β = −0.282, SE = 0.091, p = 0.002); “change in human relationships” and “contact with family members and friends” (β = −0.270, SE = 0.137, p = 0.048); and “change in human relationships” and “community involvement” (β = −0.344, SE = 0.133, p = 0.010).

Conclusions: The most statistically significant variable moderating the associations between negative life events and depressive symptoms was “having frequent contact with family members”. Depressive symptoms arising from troublesome interpersonal relationships in one's proximal network might be moderated by positive interpersonal relationships.

Keywords

depressive symptomsnegative life eventssocial and lifestyle activityJapanese older adults
Type
Research Article
Information
International Psychogeriatrics , Volume 24 , Issue 2 , February 2012 , pp. 307 - 315
Copyright
Copyright © International Psychogeriatric Association 2011

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References

Al-Shammari, S. A. and Al-Subaie, A. (1999). Prevalence and correlates of depression among Saudi elderly. International Journal of Geriatric Psychiatry, 14, 739–747.3.0.CO;2-1>CrossRefGoogle ScholarPubMed
Amster, L. E. and Krauss, H. H. (1974). The relationship between life crises and mental deterioration in old age. International Journal of Aging and Human Development, 5, 51–55.CrossRefGoogle ScholarPubMed
Baron, R. M. and Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173–1182.CrossRefGoogle ScholarPubMed
Bosworth, H. B. et al. (2000). The relationship of social support, social networks and negative events with depression in patients with coronary artery disease. Aging and Mental Health, 4, 253–258.CrossRefGoogle Scholar
Box, G. E. P. and Cox, D. R. (1964). An analysis of transformations. Journal of the Royal Statistical Society, Series B, 26, 211–252.Google Scholar
Brink, T. L., Yesavage, J. A., Lum, O., Heersema, P. H., Adey, M. and Rose, T. L. (1982). Screening tests for geriatric depression. Clinical Gerontologist, 1, 37–43.CrossRefGoogle Scholar
Chiao, C., Weng, L. J. and Botticello, A. L. (2011). Social participation reduces depressive symptoms among older adults: an 18-year longitudinal analysis in Taiwan. BMC Public Health, 11, 292.CrossRefGoogle ScholarPubMed
Dalgard, O. S. et al. (2006). Negative life events, social support and gender difference in depression: a multinational community survey with data from the ODIN study. Social Psychiatry and Psychiatric Epidemiology, 41, 444–451.CrossRefGoogle ScholarPubMed
Glass, T. A., Kasl, S. V. and Berkman, L. F. (1997). Stressful life events and depressive symptoms among the elderly. Evidence from a prospective community study. Journal of Aging and Health, 9, 70–89.CrossRefGoogle ScholarPubMed
Harris, T. et al. (2003). Predictors of depressive symptoms in older people: a survey of two general practice populations. Age and Ageing, 32, 510–518.CrossRefGoogle ScholarPubMed
Hashimoto, S. et al. (1997). Development of index of social activities for the elderly. Nippon Koshu Eisei Zasshi, 44, 760–768.Google ScholarPubMed
Holmes, T. H. and Rahe, R. H. (1967). The Social Readjustment Rating Scale. Journal of Psychosomatic Research, 11, 213–218.CrossRefGoogle ScholarPubMed
Iwasaki, M., Otani, T., Ohta, A., Yosiaki, S., Kuroiwa, M. and Suzuki, S. (2002). Rural-urban differences in sociodemographic, social network and lifestyle factors related to mortality of middle-aged Japanese men from the Komo-Ise cohort study. Journal of Epidemiology, 12, 93–104.CrossRefGoogle ScholarPubMed
Kaneko, Y., Motohashi, Y., Sasaki, H. and Yamaji, M. (2007). Prevalence of depressive symptoms and related risk factors for depressive symptoms among elderly persons living in a rural Japanese community: a cross-sectional study. Community Mental Health Journal, 43, 583–590.CrossRefGoogle Scholar
Kaplan, G. A., Seeman, T. E., Cohen, R. D., Knudsen, L. P. and Guralnik, J. (1987). Mortality among the elderly in the Alameda County Study: behavioral and demographic risk factors. American Journal of Public Health, 77, 307–312.CrossRefGoogle ScholarPubMed
Katsumata, Y., Arai, A., Ishida, K., Tomimori, M., Denda, K. and Tamashiro, H. (2005). Gender differences in the contributions of risk factors to depressive symptoms among elderly persons dwelling in a community, Japan. International Journal of Geriatric Psychiatry, 20, 1084–1089.CrossRefGoogle Scholar
Kraaij, V. and De Wilde, E. J. (2001). Negative life events and depressive symptoms in the elderly: a life span perspective. Aging & Mental Health, 5, 84–91.CrossRefGoogle ScholarPubMed
Kraaij, V. and Garnefski, N. (2002). Negative life events and depressive symptoms in late life: buffering effects of parental and partner bonding? Personal Relationships, 9, 205–214.CrossRefGoogle Scholar
Kraaij, V., Arensman, E. and Spinhoven, P. (2002). Negative life events and depression in elderly persons: a meta-analysis. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 57, P87–94.CrossRefGoogle ScholarPubMed
Maciejewski, P. K., Prigerson, H. G. and Mazure, C. M. (2001). Sex differences in event-related risk for major depression. Psychological Medicine, 31, 593–604.CrossRefGoogle ScholarPubMed
McGivney, S. A., Mulvihill, M. and Taylor, B. (1994). Validating the GDS depression screen in the nursing home. Journal of the American Geriatrics Society, 42, 490–492.CrossRefGoogle ScholarPubMed
Niino, N., Imaizumi, T. and Kawakami, N. (1991). A Japanese translation of the Geriatric Depression Scale. Clinical Gerontologist, 10, 85–87.Google Scholar
Okun, M. A. and Keith, V. M. (1998). Effects of positive and negative social exchanges with various sources on depressive symptoms in younger and older adults. Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 53, P4–20.CrossRefGoogle ScholarPubMed
Parmelee, P. A., Lawton, M. P. and Katz, I. R. (1989). Psychometric properties of the Geriatric Depression Scale among the institutionalized aged. Psychological Assessment, 1, 331–338.CrossRefGoogle Scholar
Raphael, K. G. and Cloitre, M. (1994). Does mood-congruence or causal search govern recall bias? A test of life event recall. Journal of Clinical Epidemiology, 47, 555–564.CrossRefGoogle ScholarPubMed
Roberts, R. E., Kaplan, G. A., Shema, S. J. and Strawbridge, W. J. (1997). Does growing old increase the risk for depression? American Journal of Psychiatry, 154, 1384–1390.Google ScholarPubMed
Ruegg, R. G., Zisook, S. and Swerdlow, N. R. (1988). Depression in the aged: an overview. Psychiatric Clinics of North America, 11, 83–99.CrossRefGoogle ScholarPubMed
Schoevers, R. A., Beekman, A. T. F., Deeg, D. J. H., Geerlings, M. I., Jonker, C. and van Tilburg, W. (2000). Risk factors for depression in later life: results of a prospective community based study (AMSTEL). Journal of Affective Disorders, 59, 127–137.CrossRefGoogle ScholarPubMed
Wada, T. et al. (2004). Depression in Japanese community-dwelling elderly: prevalence and association with ADL and QOL. Archives of Gerontology and Geriatrics, 39, 15–23.CrossRefGoogle ScholarPubMed
Yesavage, J. A. et al. (1983). Development and validation of a geriatric depression screening scale: a preliminary report. Journal of Psychiatric Research, 17, 37–49.CrossRefGoogle Scholar