The association between higher social support and lower depressive symptoms among aging services clients is attenuated at higher levels of functional impairment
Objective Adults seeking services from the Aging Services Provider Network (ASPN) are at risk for depression. ASPN clients also have high prevalence of both functional impairments and social morbidities. Study of the relationships between these factors may inform the development of interventions for...
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Veröffentlicht in: | International journal of geriatric psychiatry 2015-10, Vol.30 (10), p.1085-1092 |
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container_title | International journal of geriatric psychiatry |
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creator | Van Orden, Kimberly A. Li, Yan Podgorski, Carol A. Conwell, Yeates |
description | Objective
Adults seeking services from the Aging Services Provider Network (ASPN) are at risk for depression. ASPN clients also have high prevalence of both functional impairments and social morbidities. Study of the relationships between these factors may inform the development of interventions for depression in this service setting.
Methods
We interviewed 373 older adults accessing ASPN services and assessed depression symptom severity, functional impairment (instrumental activities of daily living and activities of daily living), and social support.
Results
Lower social support and greater functional impairment were associated with greater depressive symptoms. At a high level of functional impairment, the inverse associations between indices of social support and depressive symptoms were attenuated.
Conclusions
Results suggest that older adults with more severe functional impairment may benefit somewhat less from increased social support with respect to depression symptom severity. Copyright © 2015 John Wiley & Sons, Ltd. |
doi_str_mv | 10.1002/gps.4266 |
format | Article |
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Adults seeking services from the Aging Services Provider Network (ASPN) are at risk for depression. ASPN clients also have high prevalence of both functional impairments and social morbidities. Study of the relationships between these factors may inform the development of interventions for depression in this service setting.
Methods
We interviewed 373 older adults accessing ASPN services and assessed depression symptom severity, functional impairment (instrumental activities of daily living and activities of daily living), and social support.
Results
Lower social support and greater functional impairment were associated with greater depressive symptoms. At a high level of functional impairment, the inverse associations between indices of social support and depressive symptoms were attenuated.
Conclusions
Results suggest that older adults with more severe functional impairment may benefit somewhat less from increased social support with respect to depression symptom severity. Copyright © 2015 John Wiley & Sons, Ltd.</description><identifier>ISSN: 0885-6230</identifier><identifier>EISSN: 1099-1166</identifier><identifier>DOI: 10.1002/gps.4266</identifier><identifier>PMID: 25663607</identifier><identifier>CODEN: IJGPES</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Activities of Daily Living ; Aged ; Aged, 80 and over ; aging services ; Cognitive ability ; Depressive Disorder - etiology ; depressive symptoms ; Disabled Persons - psychology ; Disabled Persons - statistics & numerical data ; Female ; functional impairment ; Geriatric psychiatry ; Health Services for the Aged - statistics & numerical data ; Humans ; Male ; Mental depression ; Middle Aged ; Older people ; Risk Factors ; social connectedness ; Social Support</subject><ispartof>International journal of geriatric psychiatry, 2015-10, Vol.30 (10), p.1085-1092</ispartof><rights>Copyright © 2015 John Wiley & Sons, Ltd.</rights><rights>Copyright Wiley Subscription Services, Inc. Oct 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5756-6c5570864c7b5c74eaf7660d52a7e5568a4e3f9438cabbb0f21869794ed3b6aa3</citedby><cites>FETCH-LOGICAL-c5756-6c5570864c7b5c74eaf7660d52a7e5568a4e3f9438cabbb0f21869794ed3b6aa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fgps.4266$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fgps.4266$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25663607$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Orden, Kimberly A.</creatorcontrib><creatorcontrib>Li, Yan</creatorcontrib><creatorcontrib>Podgorski, Carol A.</creatorcontrib><creatorcontrib>Conwell, Yeates</creatorcontrib><title>The association between higher social support and lower depressive symptoms among aging services clients is attenuated at higher levels of functional impairment</title><title>International journal of geriatric psychiatry</title><addtitle>Int J Geriatr Psychiatry</addtitle><description>Objective
Adults seeking services from the Aging Services Provider Network (ASPN) are at risk for depression. ASPN clients also have high prevalence of both functional impairments and social morbidities. Study of the relationships between these factors may inform the development of interventions for depression in this service setting.
Methods
We interviewed 373 older adults accessing ASPN services and assessed depression symptom severity, functional impairment (instrumental activities of daily living and activities of daily living), and social support.
Results
Lower social support and greater functional impairment were associated with greater depressive symptoms. At a high level of functional impairment, the inverse associations between indices of social support and depressive symptoms were attenuated.
Conclusions
Results suggest that older adults with more severe functional impairment may benefit somewhat less from increased social support with respect to depression symptom severity. Copyright © 2015 John Wiley & Sons, Ltd.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>aging services</subject><subject>Cognitive ability</subject><subject>Depressive Disorder - etiology</subject><subject>depressive symptoms</subject><subject>Disabled Persons - psychology</subject><subject>Disabled Persons - statistics & numerical data</subject><subject>Female</subject><subject>functional impairment</subject><subject>Geriatric psychiatry</subject><subject>Health Services for the Aged - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Mental depression</subject><subject>Middle Aged</subject><subject>Older people</subject><subject>Risk Factors</subject><subject>social connectedness</subject><subject>Social Support</subject><issn>0885-6230</issn><issn>1099-1166</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkl9v0zAUxS0EYt1A4hMgS7zwkmEnsZ28IKECHdL4I23Ao-U4N61HEme-Sbt-Gz4q7tZVgITEi23p_HzOtXUIecbZKWcsfbUc8DRPpXxAZpyVZcK5lA_JjBWFSGSasSNyjHjFWNR48ZgcpULKTDI1Iz8vV0ANorfOjM73tIJxA9DTlVuuINBboaU4DYMPIzV9TVu_iUINQwBEtwaK224YfYfUdL5fUrN0cUUIa2cBqW0d9CNSF_VxhH4yI9TxeJ_QwhpapL6hzdTb3Qwxz3WDcaGLF5-QR41pEZ7u9xPy9f27y_lZcv558WH-5jyxQgmZSCuEYoXMraqEVTmYRknJapEaBULIwuSQNWWeFdZUVcWalBeyVGUOdVZJY7IT8vrOd5iqDmobo4Np9RBcZ8JWe-P0n0rvVnrp1zoXqSqFigYv9wbBX0-Ao-4cWmhb04OfUHOVplzmgv0PyrNSsLIQEX3xF3rlpxC_6JaSiuV5hA-GNnjEAM1hbs70riE6NkTvGhLR57-_8wDeVyICyR2wcS1s_2mkF18u9oZ73uEINwfehB9aqkwJ_f3TQs_fFurs4-Kbvsh-Ae432KE</recordid><startdate>201510</startdate><enddate>201510</enddate><creator>Van Orden, Kimberly A.</creator><creator>Li, Yan</creator><creator>Podgorski, Carol A.</creator><creator>Conwell, Yeates</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>201510</creationdate><title>The association between higher social support and lower depressive symptoms among aging services clients is attenuated at higher levels of functional impairment</title><author>Van Orden, Kimberly A. ; Li, Yan ; Podgorski, Carol A. ; Conwell, Yeates</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5756-6c5570864c7b5c74eaf7660d52a7e5568a4e3f9438cabbb0f21869794ed3b6aa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>aging services</topic><topic>Cognitive ability</topic><topic>Depressive Disorder - etiology</topic><topic>depressive symptoms</topic><topic>Disabled Persons - psychology</topic><topic>Disabled Persons - statistics & numerical data</topic><topic>Female</topic><topic>functional impairment</topic><topic>Geriatric psychiatry</topic><topic>Health Services for the Aged - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Mental depression</topic><topic>Middle Aged</topic><topic>Older people</topic><topic>Risk Factors</topic><topic>social connectedness</topic><topic>Social Support</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Orden, Kimberly A.</creatorcontrib><creatorcontrib>Li, Yan</creatorcontrib><creatorcontrib>Podgorski, Carol A.</creatorcontrib><creatorcontrib>Conwell, Yeates</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of geriatric psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Orden, Kimberly A.</au><au>Li, Yan</au><au>Podgorski, Carol A.</au><au>Conwell, Yeates</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between higher social support and lower depressive symptoms among aging services clients is attenuated at higher levels of functional impairment</atitle><jtitle>International journal of geriatric psychiatry</jtitle><addtitle>Int J Geriatr Psychiatry</addtitle><date>2015-10</date><risdate>2015</risdate><volume>30</volume><issue>10</issue><spage>1085</spage><epage>1092</epage><pages>1085-1092</pages><issn>0885-6230</issn><eissn>1099-1166</eissn><coden>IJGPES</coden><abstract>Objective
Adults seeking services from the Aging Services Provider Network (ASPN) are at risk for depression. ASPN clients also have high prevalence of both functional impairments and social morbidities. Study of the relationships between these factors may inform the development of interventions for depression in this service setting.
Methods
We interviewed 373 older adults accessing ASPN services and assessed depression symptom severity, functional impairment (instrumental activities of daily living and activities of daily living), and social support.
Results
Lower social support and greater functional impairment were associated with greater depressive symptoms. At a high level of functional impairment, the inverse associations between indices of social support and depressive symptoms were attenuated.
Conclusions
Results suggest that older adults with more severe functional impairment may benefit somewhat less from increased social support with respect to depression symptom severity. Copyright © 2015 John Wiley & Sons, Ltd.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25663607</pmid><doi>10.1002/gps.4266</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
subjects | Activities of Daily Living Aged Aged, 80 and over aging services Cognitive ability Depressive Disorder - etiology depressive symptoms Disabled Persons - psychology Disabled Persons - statistics & numerical data Female functional impairment Geriatric psychiatry Health Services for the Aged - statistics & numerical data Humans Male Mental depression Middle Aged Older people Risk Factors social connectedness Social Support |
title | The association between higher social support and lower depressive symptoms among aging services clients is attenuated at higher levels of functional impairment |
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