Does Mode of Contact with Different Types of Social Relationships Predict Depression in Older Adults? Evidence from a Nationally Representative Survey.
Does Mode of Contact with Different Types of Social Relationships Predict Depression in Older Adults? Evidence from a Nationally Representative Survey.
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DOI：
10.1111/jgs.13667
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发表时间：
2015-10
影响因子：
6.3
通讯作者：
Zivin K
中科院分区：
文献类型：
--
作者：
Teo AR;Choi H;Andrea SB;Valenstein M;Newsom JT;Dobscha SK;Zivin K
在一个具有全国代表性的老年人纵向样本中，确定使用三种不同的社会接触方式（当面、电话、书面或电子邮件）、与不同类型的人接触与抑郁症状风险之间的关系。基于人群的观察队列。遍布美国各地的城市和郊区社区。2004年至2010年间参加健康和退休调查的50岁及以上的个人（N = 11065）。使用多变量logistic回归模型，使用受试者在基线时与儿童、其他家庭成员和朋友使用三种社会接触模式的频率来预测2年后的抑郁症状（使用八项流行病学研究中心抑郁量表测量）。出现抑郁症状的可能性随着面对面（不包括电话、书面或电子邮件）接触频率的减少而稳步增加。在控制了人口统计学、临床和社会变量后，每几个月或更少与儿童、其他家庭和朋友进行面对面社交接触的个体在2年后出现临床显著抑郁症状的概率（11.5%）明显高于每月一次或两次面对面社交的个体（8.1%;P < 0.001）或每周一次或两次的个体（7.3%;P < 0.001）。年龄较大、人际冲突和抑郁基线会减缓社会接触对抑郁症状的一些影响。与朋友和家人面对面社交的频率独立地预测了老年人随后抑郁的风险。临床医生应该考虑鼓励面对面的社会互动作为预防抑郁症的策略。
To determine associations between use of three different modes of social contact (in person, telephone, written or e-mail), contact with different types of people, and risk of depressive symptoms in a nationally representative, longitudinal sample of older adults. Population-based observational cohort. Urban and suburban communities throughout the contiguous United States. Individuals aged 50 and older who participated in the Health and Retirement Survey between 2004 and 2010 (N = 11,065). Frequency of participant use of the three modes of social contact with children, other family members, and friends at baseline were used to predict depressive symptoms (measured using the eight-item Center for Epidemiologic Studies Depression Scale) 2 years later using multivariable logistic regression models. Probability of having depressive symptoms steadily increased as frequency of in-person—but not telephone or written or e-mail contact—decreased. After controlling for demographic, clinical, and social variables, individuals with in-person social contact every few months or less with children, other family, and friends had a significantly higher probability of clinically significant depressive symptoms 2 years later (11.5%) than those having in-person contact once or twice per month (8.1%; P < .001) or once or twice per week (7.3%; P < .001). Older age, interpersonal conflict, and depression at baseline moderated some of the effects of social contact on depressive symptoms. Frequency of in-person social contact with friends and family independently predicts risk of subsequent depression in older adults. Clinicians should consider encouraging face-to-face social interactions as a preventive strategy for depression.
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