Social Participation and Depression in Old Age: A Fixed-Effects Analysis in 10 European Countries
Social Participation and Depression in Old Age: A Fixed-Effects Analysis in 10 European Countries
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DOI：
10.1093/aje/kwv015
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发表时间：
2015-07-15
影响因子：
5
通讯作者：
van Lenthe, Frank J.
中科院分区：
文献类型：
--
作者：
Croezen, Simone;Avendano, Mauricio;van Lenthe, Frank J.
我们研究了不同形式的社会参与的变化是否与老年欧洲人抑郁症状的变化有关。我们使用滞后个体固定效应模型，基于欧洲健康、老龄化和退休调查（SHARE）第1波（2004/2005）、第2波（2006/2007）和第4波（2010/2011）中9,068名年龄≥ 50岁的人的数据。在我们控制了一系列混杂因素后，宗教组织参与度的增加预示着抑郁症状的减少（欧洲-D量表;可能范围，0-12）4年后（β = -0.190单位，95%置信区间：-0.365，-0.016），而参与政治/社区组织与抑郁症状的增加有关（β = 0.222单位，95%置信区间：0.018，0.428）。在这些协会中，欧洲地区之间没有显着差异。我们的研究结果表明，社交参与与抑郁症状有关，但这种关联的方向和强度取决于社交活动的类型。参加宗教组织可能提供的心理健康益处超过其他形式的社会参与所提供的益处。
We examined whether changes in different forms of social participation were associated with changes in depressive symptoms in older Europeans. We used lagged individual fixed-effects models based on data from 9,068 persons aged >= 50 years in wave 1 (2004/2005), wave 2 (2006/2007), and wave 4 (2010/2011) of the Survey of Health, Ageing and Retirement in Europe (SHARE). After we controlled for a wide set of confounders, increased participation in religious organizations predicted a decline in depressive symptoms (EURO-D Scale; possible range, 0-12) 4 years later (beta = -0.190 units, 95% confidence interval: -0.365, -0.016), while participation in political/community organizations was associated with an increase in depressive symptoms (beta = 0.222 units, 95% confidence interval: 0.018, 0.428). There were no significant differences between European regions in these associations. Our findings suggest that social participation is associated with depressive symptoms, but the direction and strength of the association depend on the type of social activity. Participation in religious organizations may offer mental health benefits beyond those offered by other forms of social participation.