Moderators of the Association Between Contact Frequency With Non-Cohabitating Adult Children and Depressive Symptoms Among Community-Dwelling Older Adults
0
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective Contact frequency with adult children plays a critical role in late-life depression. However, evidence on possible moderators of this association remains limited. Moreover, considering alterations in contact modes after the coronavirus disease-2019 pandemic, there is a need to investigate this association post-pandemic to develop effective therapeutic interventions.Methods This study included 7,573 older adults who completed the Living Profiles of the Older People Survey in Korea. Participants’ contact frequency and depressive symptoms were analyzed. Regression analysis was performed after adjusting for covariates. The moderating effects of variables were verified using a process macro.Results Multivariable logistic regression analysis revealed that infrequent face-to-face (odd ratio [OR]=1.86, 95% confidence interval [CI]=1.55–2.22) and non-face-to-face contact (OR=1.23, 95% CI=1.04–1.45) in the non-cohabitating adult children group was associated with a higher risk of late-life depression compared to that in the frequent contact group. Linear regression analysis indicated consistent results for face-to-face and non-face-to-face contact (estimate=0.458, standard error [SE]=0.090, p<0.001 and estimate=0.236, SE= 0.074, p=0.001, respectively). Moderation analysis revealed that the association between late-life depression and frequency of face-toface contact was moderated by age, household income quartiles, number of chronic diseases, physical activity frequency, presence of spouse, nutritional status, and whether the effect of frequency of non-face-to-face contact on late-life depression was increased by participation in social activity, frequent physical activity, and good cognitive function (p for interaction<0.05).Conclusion Frequent contact with non-cohabitating children lowers the risk of depression later in life. Several variables were identified as significant moderators of contact frequency and depression symptoms.
Abstract
Objective Contact frequency with adult children plays a critical role in late-life depression. However, evidence on possible moderators of this association remains limited. Moreover, considering alterations in contact modes after the coronavirus disease-2019 pandemic, there is a need to investigate this association post-pandemic to develop effective therapeutic interventions.Methods This study included 7,573 older adults who completed the Living Profiles of the Older People Survey in Korea. Participants’ contact frequency and depressive symptoms were analyzed. Regression analysis was performed after adjusting for covariates. The moderating effects of variables were verified using a process macro.Results Multivariable logistic regression analysis revealed that infrequent face-to-face (odd ratio [OR]=1.86, 95% confidence interval [CI]=1.55–2.22) and non-face-to-face contact (OR=1.23, 95% CI=1.04–1.45) in the non-cohabitating adult children group was associated with a higher risk of late-life depression compared to that in the frequent contact group. Linear regression analysis indicated consistent results for face-to-face and non-face-to-face contact (estimate=0.458, standard error [SE]=0.090, p<0.001 and estimate=0.236, SE= 0.074, p=0.001, respectively). Moderation analysis revealed that the association between late-life depression and frequency of face-toface contact was moderated by age, household income quartiles, number of chronic diseases, physical activity frequency, presence of spouse, nutritional status, and whether the effect of frequency of non-face-to-face contact on late-life depression was increased by participation in social activity, frequent physical activity, and good cognitive function (p for interaction<0.05).Conclusion Frequent contact with non-cohabitating children lowers the risk of depression later in life. Several variables were identified as significant moderators of contact frequency and depression symptoms.
참고문헌 (43)
- Blazer DG, "Depression in late life : review and commentary", J Gerontol A Biol Sci Med Sci, 58, pp.249~265 (2003)
- Chang SC, "Risk factors for late-life depression : a prospective cohort study among older women", Prev Med, 91, pp.144~151 (2016)
- Roh HW, "Participation in physical, social, and religious activity and risk of depression in the elderly : a community-based three-year longitudinal study in Korea", PLoS One, 10, pp.e0132838~ (2015)
- Arean PA, "The impact of psychosocial factors on latelife depression", Biol Psychiatry, 58, pp.277~282 (2005)
- Schwarzbach M, "Social relations and depression in late life-a systematic review", Int J Geriatr Psychiatry, 29, pp.1~21 (2014)
- Ajrouch KJ, "Social networks among blacks and whites : the interaction between race and age", J Gerontol B Psychol Sci Soc Sci, 56, pp.S112~S118 (2001)
- Mindel CH, "Multigenerational family households : recent trends and implications for the future", Gerontologist, 19, pp.456~463 (1979)
- Taqui AM, "Depression in the elderly: does family system play a role? A cross-sectional study", BMC Psychiatry, 7, pp.57~ (2007)
- Kim H, "Health behaviors influencing depressive symptoms in older Koreans living alone : secondary data analysis of the 2014 Korean longitudinal study of aging", BMC Geriatr, 18, pp.186~ (2018)
- Green MJ, "Social contact and inequalities in depressive symptoms and loneliness among older adults : a mediation analysis of the English Longitudinal Study of Ageing", SSM Popul Health, 13, pp.100726~ (2021)
- Roh HW, "Frequency of contact with non-cohabitating adult children and risk of depression in elderly : a community-based three-year longitudinal study in Korea", Arch Gerontol Geriatr, 60, pp.183~189 (2015)
- Macdonald B, "Daily social interactions and well-being in older adults : the role of interaction modality", J Soc Pers Relation, 38, pp.3566~3589 (2021)
- Hawkley LC, "Can remote social contact replace in-person contact to protect mental health among older adults?", J Am Geriatr Soc, 69, pp.3063~3065 (2021)
- Yesavage JA, "9", Geriatric Depression Scale(GDS) : recent evidence and development of a shorter version, 1986, pp.5, 165~173
- Bae JN, "Development of the Korean version of the Geriatric Depression Scale and its short form among elderly psychiatric patients", J Psychosom Res, 57, pp.297~305 (2004)
- Ji Yang Kim, "Standardization of the Korean Version of the Geriatric Depression Scale: Reliability, Validity, and Factor Structure", PSYCHIATRY INVESTIGATION, 5(4), pp.232~238 (2008), 대한신경정신의학회
- Lee SC, "The use of the Korean version of Short Form Geriatric Depression Scale(SGDSK)in the community dwelling elderly in Korea", J Korean Geriatr Psychiatry, 17, pp.37~43 (2013)
- Ward R, "Life-course changes and parent-adult child contact", Res Aging, 36, pp.568~602 (2014)
- Nguyen MH, "Staying connected while physically aprt : digital communication when face-to-face interactions are limited", New Media Soc, 24, pp.2046~2067 (2022)
- "The COVID-19 pandemic:government vs. community action across the United States. INET Oxford Working Papers 2020 Apr 18;2020-06"[URL]
- Newson N, "Digital contact does not promote wellbeing, but face-to-face contact does:a cross-national survey during the COVID-19 pandemic", New Media Soc (2021)[DOI]
- Xie Y, "Dose-response relationship between intergenerational contact frequency and depressive symptoms amongst elderly Chinese parents : a cross-sectional study", BMC Geriatr, 20, pp.349~ (2020)
- 한지원, "치매 선별용 간이정신상태검사(Mini-Mental State Examination for Dementia Screening；MMSE-DS)와 단축형 MMSE-DS(SMMSE-DS)의 한국 노인 정상규준 연구", 노인정신의학, 14(1), pp.27~37 (2010), 대한노인정신의학회
- Balbuena L, "Religious attendance, spirituality, and major depression in Canada : a 14-year follow-up study", Can J Psychiatry, 58, pp.225~232 (2013)
- Ruan H, "Negative life events, social ties, and depressive symptoms for older adults in China", Front Public Health, 9, pp.774434~ (2022)
- Tosi M, "Intergenerational contacts and depressive symptoms among older parents in Eastern Europe", Aging Ment Health, 23, pp.686~692 (2019)
- Larsen BA, "The association between family and friend integration and physical activity : results from the NHIS", Int J Behav Med, 21, pp.529~536 (2014)
- Hatfield JP, "Functional impairment, illness burden, and depressive symptoms in older adults : does type of social relationship matter?", Int J Geriatr Psychiatry, 28, pp.190~198 (2013)
- Arai K, "Malnutrition and social isolation among elderly residents of city public housing", Nihon Koshu Eisei Zasshi, 62, pp.379~389 (2015)
- Brown CL, "Cognitive activity mediates the association between social activity and cognitive performance : a longitudinal study", Psychol Aging, 31, pp.831~846 (2016)
- Fu C, "Association between social activities and cognitive function among the elderly in China : a cross-sectional study", Int J Environ Res Public Health, 15, pp.231~ (2018)
- Brummett BH, "Associations among social support, income, and symptoms of depression in an educated sample : the UNC alumni heart study", Int J Behav Med, 10, pp.239~250 (2003)
- Liu CY, "Rapid review of social contact patterns during the COVID-19 pandemic", Epidemiology, 32, pp.781~791 (2021)
- McHugh JE, "Social support differentially moderates the impact of neuroticism and extraversion on mental wellbeing among community-dwelling older adults", J Ment Health, 21, pp.448~458 (2012)
- Amirkhan JH, "Extraversion : a"hidden"personality factor in coping?", J Pers, 63, pp.189~212 (1995)
- Swickert RJ, "Extraversion, social support processes, and stress", Pers Individ Dif, 32, pp.877~891 (2002)
- Quattrochi-Tubin SJ, "Worth repeating : the influence of introversion-extraversion on activity choice and satisfaction among the elderly", Activ Adapt Aging, 4, pp.19~28 (1983)
- Wrzus C, "Social network changes and life events across the life span : a meta-analysis", Psychol Bull, 139, pp.53~80 (2013)
- Pinquart M, "Influences of socioeconomic status, social network, and competence on subjective well-being in later life : a metaanalysis", Psychol Aging, 15, pp.187~224 (2000)
- Ryan VC, "Relationship of socioeconomic status and living arrangements to nutritional intake of the older person", J Am Diet Assoc, 89, pp.1805~1807 (1989)
- Ell K, "Social networks, social support and coping with serious illness : the family connection", Soc Sci Med, 42, pp.173~183 (1996)
- Hülür G, "Change in episodic memory with spousal loss : the role of social relationships", J Gerontol B Psychol Sci Soc Sci, 77, pp.683~694 (2022)
- Seeman TE, "Structural characteristics of social networks and their relationship with social support in the elderly : who provides support", Soc Sci Med, 26, pp.737~749 (1988)