Social engagement and depressive symptoms: do baseline depression status and type of social activities make a difference?

Social engagement and depressive symptoms: do baseline depression status and type of social activities make a difference?
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DOI:
10.1093/ageing/afw125
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发表时间:
2016-11-01
期刊:
影响因子:
6.7
通讯作者:
Crimmins, Eileen M.
Crimmins, Eileen M.
中科院分区:
医学1区
文献类型:
--
作者:
Min, Joohong;Ailshire, Jennifer;Crimmins, Eileen M.

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目的:我们的目的是检查社会参与和抑郁症状之间的关联是否因抑郁症状的初始水平和老年人参与的社会参与类型而不同。设计:2006年60岁及以上的人(n = 4,098)来自韩国老龄化纵向研究的第1波,并随后通过第3波(2010年)。进行了生长曲线分析,以确定参与多种类型的社会活动与抑郁症状的4年变化之间的关联。抑郁轨迹分别检查基线抑郁status.Results:参加宗教服务与抑郁症状的增加和参加社交聚会与朋友和邻居是抑郁症状的减少,但只有在与CES-D 10量表得分低于10在基线。结论:我们的研究结果表明,在开始就有良好心理健康的老年人中,参加与朋友和家人的社交聚会的积极影响是显而易见的。我们的研究结果还表明,社会参与和心理健康之间的关联因参与类型和初始抑郁水平而异。
Objectives: our purpose is to examine whether the association between social engagement and depressive symptoms differs by initial level of depressive symptoms and by the types of social engagement in which older adults engage.Design: persons aged 60 years and older in 2006 (n = 4,098) were drawn from Wave 1 of the Korean Longitudinal Study of Ageing and followed through Wave 3 (2010). Growth curve analyses were conducted to identify the association between engagement in multiple types of social activities and 4-year change in depressive symptoms. Depression trajectories are examined separately by baseline depression status.Results: attending religious services was related to an increase in depressive symptoms and participating in social gatherings with friends and neighbours was related to a decrease in depressive symptoms, but only among persons with CES-D 10 scale score below 10 at baseline.Conclusions: our findings suggest that the positive effects of participating in social gatherings with friends and family are manifest among older adults who have good mental health to begin with. Our findings also suggest that the association between social engagement and mental health varies by type of engagement and initial depression level.