Structural Relationships Between Social Activities and Longitudinal Trajectories of Depression Among Older Adults

Structural Relationships Between Social Activities and Longitudinal Trajectories of Depression Among Older Adults
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DOI:
10.1093/geront/gnp006
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发表时间:
2009-02-01
期刊:
影响因子:
5.7
通讯作者:
Bowland, Sharon
Bowland, Sharon
中科院分区:
医学1区
文献类型:
--
作者:
Hong, Song-Iee;Hasche, Leslie;Bowland, Sharon

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目的:本研究探讨社会活动与晚年抑郁轨迹之间的结构关系。设计和方法:潜类分析被用于老年人(N= 5,294)的纵向研究老化II的社会活动模式进行分类的概念上的代表性样本。潜在增长曲线模型捕捉抑郁症的纵向变化,并测试社会活动的影响,同时控制住宅搬迁,健康状况,保险和社会人口统计。结果:我们在8项社会活动中发现了3种不同的参与模式。志愿服务和锻炼的具体活动,社会活动水平的自我感知为“足够”,以及较高的参与水平模式与较低的初始状态和抑郁症的纵向变化相关。影响:评估参与多种社会活动是很重要的,当使用社会活动,以预防和治疗抑郁症。未来的工作与改进的措施可以进一步澄清如何具体的活动可以降低抑郁症的风险。
Purpose: This study examines the structural relationships between social activities and trajectories of late-life depression. Design and Methods: Latent class analysis was used with a notionally representative sample of older adults (N=5,294) from the Longitudinal Study on Aging II to classify patterns of social activities. A latent growth curve model captured longitudinal changes in depression and tested the impact of social activities while controlling for residential relocation, health status, insurance, and sociodemographics. Results: We found 3 different patterns of participation across 8 social activities. Specific activities of volunteering and exercise, self-perception of social activity level as "enough," and a higher participation level pattern were associated with lower initial status and longitudinal changes in depression. Implications: Assessing involvement in multiple social activities is important when using social activities to prevent and treat depression. Future work with improved measures can further clarify how specific activities may reduce risk for depression.