A comparative study of negative life events and depressive symptoms among healthy older adults and older adults with chronic disease

Zhang, Han; Gao, Tingting; Gao, Jigang; Kong, Yixi; Hu, Yueyang; Wang, Ruimei; Mei, Songli

doi:10.1177/0020764017736543

Cited by 24 publications

(13 citation statements)

References 32 publications

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“…Similar to ndings in previous literatures, the current study supported having psychical illness as a factor which increased suicide risk [25]. Older adults with chronic diseases had more severe depressive symptoms, experienced stressful life events, had lower social support and a less positive coping method [26]. Taking care of the elderly with physical illnesses may be one method to reduce the risk of suicide associated with stressful life events.…”

Section: Discussionsupporting

confidence: 88%

The pattern of stressful life events prior to suicide among the elderly in rural China: a national case-control psychological autopsy study

Wang

et al. 2020

Preprint

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Background: There is a lack of evidence concerning the stressful life events experienced prior to suicide which may be associated with an increased suicide risk for Chinese rural elderly. The aim of this study was to identify the pattern of stressful life events prior to suicide among the elderly in China. Methods: A total of 12 counties were randomly selected using two-stage stratified cluster sampling method. Suicide cases aged 60 years and older (n =242) were collected from those counties from June 2014 to September 2015. Matched living controls were selected 1:1 with suicide cases by age, gender, and location. Data in the study were collected through face-to-face interviews by a psychological autopsy method. The Life Event Scale for the Elderly was used to measure the stressful life events prior to suicide/interviews. Results: Approximately 99.6% of suicide cases and 88.4% of controls experienced at least one stressful life event. The suicide group experienced more long-term stressful life events than recent stressful life events. The top three most frequent stressful life events for the suicide group were being diagnosed with chronic disease, hospitalization, and being diagnosed with terminal illness. More female suicide cases experienced the death of a spouse, while more males experienced hospitalization, diagnosis with terminal illness and family poverty. Experiencing at least one stressful life event, having unstable marital status, physical diseases and mental disorders were the factors that increased the risk of suicide.Conclusions: Stressful life events were common for the rural elderly, especially long-term stressful life events. The experience of at least one stressful life event can increase suicide risk for this population. More attention should be given to the rural elderly who experienced more long-term stressful life events and experienced health related life events.

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Section: Discussionsupporting

confidence: 88%

The pattern of stressful life events prior to suicide among the elderly in rural China: a national case-control psychological autopsy study

Wang

et al. 2020

Preprint

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“…The outcomes of this research also illustrate that whether having chronic diseases or not having farreaching influences on the psychological health of the elderly, there are 74.5% of the elderly with chronic diseases, and among them the elderly of at least two chronic diseases occupying 40.3%. Zhang et. al.…”

Section: Discussionmentioning

confidence: 99%

The Analysis of the Psychological Health Status of Senior Citizens From Nursing Homes in Luoyang, a Third Line City of China

Huang¹

2020

MJN

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This study aims to investigate the psychological status of old pensioners who live in aged care facilities in Luoyang; and meanwhile, analyzing factors related those older adults. Methods: Totally 250 older people from 10 nursing homes in the urban area of Luoyang were investigated by random sampling method. A questionnaire-based survey with Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) was conducted to elderly participants. We also conducted the structured interview for some residents. Results: The age，monthly income，the number of chronic diseases that they suffered from and self-care ability were influential factors of SAS score in elderly participants. The age the number of chronic diseases that they suffered from and self-care ability were influential factors of SDS score in the elderly participants. Conclusion: The psychological health status of the elderly is closely related to their age， number of chronic disease that they suffered from and self-care ability．

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“…The relationship between negative life events and depression, loneliness, hopelessness, quality of life, family function and social support has been tested. Therefore, we used GDS, USL‐6, BHS, QOL, APGAR and the Duke Social Support Scale to assess the concurrent validity of LESE, which has a high degree of reliability and validity in the Chinese context .…”

Section: Discussionmentioning

confidence: 99%

Validating the Life Events Scale for the Elderly with proxy‐based data: A case–control psychological autopsy study in rural China

Zhou

He³

et al. 2019

Geriatrics Gerontology Int

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Aim: The present study aimed to evaluate the validity of proxy informants' reports on Life Event Scale for the Elderly (LESE) by using psychological autopsy method among rural older adults in China.Methods: A multistage stratified cluster sampling method was used to select research sites. Using a case-control psychological autopsy study, face-to-face interviews were carried out to collect information from 242 suicide cases and 242 living controls. We compared the intensity and number of life events to assess the validity and reliability of LESE with proxy data reported by different informants. Data from proxy respondents of the living controls were compared with data reported by the targets (gold standards). Intraclass correlation coefficients were computed to evaluate the consistency of informants. Spearman's correlation analysis was used to analyze the convergent validity and discriminate validity of the LESE.Results: The number of life events between different informants showed higher intraclass correlation coefficients values than the intensity of life events, but the results of correlation analysis was similar. The LESE was positively correlated with depression, loneliness and hopelessness, and negatively correlated with quality of life, family function and social support both in suicide cases and living controls. Conclusions:The LESE has good convergent validity and discriminant validity. LESE is a valid instrument for measuring life events in psychological autopsy studies. We suggest using the number of life events to assess the validity and reliability with proxy data in a psychological autopsy study, which is more reliable than using the intensity of life events. Geriatr Gerontol Int 2019; 19: 547-551.

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A comparative study of negative life events and depressive symptoms among healthy older adults and older adults with chronic disease

Abstract: This study implied that to improve their mental health, attention should be paid to the role of biological, psychological and social stress factors and its inherent law of interaction.

Cited by 24 publications

References 32 publications

The pattern of stressful life events prior to suicide among the elderly in rural China: a national case-control psychological autopsy study

The pattern of stressful life events prior to suicide among the elderly in rural China: a national case-control psychological autopsy study

The Analysis of the Psychological Health Status of Senior Citizens From Nursing Homes in Luoyang, a Third Line City of China

Validating the Life Events Scale for the Elderly with proxy‐based data: A case–control psychological autopsy study in rural China

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