Functional impairment, illness burden, and depressive symptoms in older adults: does type of social relationship matter?
Functional impairment, illness burden, and depressive symptoms in older adults: does type of social relationship matter?
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DOI：
10.1002/gps.3808
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发表时间：
2013-02
影响因子：
4
通讯作者：
Lyness, Jeffrey M.
中科院分区：
文献类型：
--
作者：
Hatfield, Joshua P.;Hirsch, Jameson K.;Lyness, Jeffrey M.
The nature of interpersonal relationships, whether supportive or critical, may affect the association between health status and mental health outcomes. We examined the potential moderating effects of social support, as a buffer, and family criticism, as an exacerbating factor, on the association between illness burden, functional impairment and depressive symptoms. Our sample of 735 older adults, aged 65 and older, was recruited from internal and family medicine primary care offices. Trained interviewers administered the Hamilton Rating Scale for Depression, Duke Social Support Inventory, and Family Emotional Involvement and Criticism Scale. Physician-rated assessments of health, including the Karnofsky Performance Status Scale and Cumulative Illness Rating Scale were also completed. Linear multivariable hierarchical regression results indicate that social interaction was a significant buffer, weakening the association between illness burden and depressive symptoms, whereas perceived social support buffered the relationship between functional impairment and depressive symptoms. Family criticism and instrumental social support were not significant moderators. Type of medical dysfunction, whether illness or impairment, may require different therapeutic and supportive approaches. Enhancement of perceived social support, for those who are impaired, and encouragement of social interactions, for those who are ill, may be important intervention targets for treatment of depressive symptoms in older adult primary care patients.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
11.3
作者：
Iannuzzo, Rebecca W.;Jaeger, Judith;Sublette, M. Elizabeth
通讯作者：
Sublette, M. Elizabeth
影响因子：
10.5
作者：
GEORGE, LK;BLAZER, DG;FOWLER, N
通讯作者：
FOWLER, N
影响因子：
3.1
作者：
LANDERMAN, R;GEORGE, LK;BLAZER, DG
通讯作者：
BLAZER, DG
DOI：
10.1093/geronj/46.4.m139
发表时间：
1991-07-01
期刊：
JOURNALS OF GERONTOLOGY
影响因子：
--
作者：
CROOKS, V;WALLER, S;HAHN, TJ
通讯作者：
HAHN, TJ