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
Hauptverfasser: Van Orden, Kimberly A., Li, Yan, Podgorski, Carol A., Conwell, Yeates
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container_end_page 1092
container_issue 10
container_start_page 1085
container_title International journal of geriatric psychiatry
container_volume 30
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
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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 &amp; 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 &amp; numerical data ; Female ; functional impairment ; Geriatric psychiatry ; Health Services for the Aged - statistics &amp; 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 &amp; Sons, Ltd.</rights><rights>Copyright Wiley Subscription Services, Inc. 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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. 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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 &amp; 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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