Depressive Symptoms Following the Diagnosis of Major Chronic Illness

Hollingshaus, Michael S.; Utz, Rebecca L.

doi:10.1177/2156869312464788

Cited by 17 publications

(30 citation statements)

References 87 publications

(148 reference statements)

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“…Diagnosis may require embracing a complex medication regimen, and may force the person to confront his/her mortality. Increases in depressive symptoms following a single diagnosis are common ( Deimling, Kahana, Bowman, & Schaefer, 2002 ; Hollingshaus & Utz, 2012 ; Massie, 2004 ; Polsky et al, 2005 ; Schnittker, 2005 ; Stanton, Revenson, & Tennen, 2007 ).…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Onset of Multiple Chronic Conditions and Depressive Symptoms: A Life Events Perspective

Wilson‐Genderson

Heid

Pruchno

2017

Innovation in Aging

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BackgroundWhile the association between depressive symptoms and chronic illness has been the subject of many studies, little is known about whether depressive symptoms differ as a function of the illnesses people have as they transition to living with multiple chronic conditions.MethodsSelf-reports of five diagnosed chronic conditions (arthritis, diabetes, heart disease, hypertension, and pulmonary disease) and depressive symptoms were provided by 3,396 people participating in three waves of the ORANJ BOWLSM research panel. Longitudinal multilevel modeling was used to examine the effects that transitioning to having a diagnosis of multiple chronic conditions has on depressive symptoms.ResultsBetween 2006 and 2014, controlling for age, gender, income, race, and a lifetime diagnosis of depression, people who transitioned to having a diagnosis of multiple chronic conditions had significantly higher levels of depressive symptoms than people who did not make this transition. The diagnosis of arthritis, diabetes, heart disease, and pulmonary disease, but not hypertension had independent effects, increasing depressive symptoms.ConclusionsHaving a diagnosis of multiple chronic conditions leads to increases in depressive symptoms, but not all illnesses have the same effect. Findings highlight the need for clinicians to be aware of mental health risks in patients diagnosed with multiple chronic conditions, particularly those with a diagnosis of arthritis, diabetes, heart disease, and pulmonary disease. Clinical care providers should take account of these findings, encouraging psychosocial supports for older adults who develop multiple chronic conditions to minimize the negative psychological impact of illness diagnosis.

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Section: Conceptual Frameworkmentioning

confidence: 99%

Onset of Multiple Chronic Conditions and Depressive Symptoms: A Life Events Perspective

Wilson‐Genderson

Heid

Pruchno

2017

Innovation in Aging

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“…Due to its high prevalence, the mental health impact of cancer represents an important topic of research in a number of fields, particularly because “psychosocial distress is highly prevalent and diverse at all stages of cancer care” (Holland and Alici 2010:4). Indeed, several recent population-based studies report that older adults—and particularly whites—show increased levels of depressive symptomology following an initial cancer diagnosis (Hollingshaus and Utz 2013; Pudrovska 2010b). Using six waves of a nationally representative longitudinal survey of adults aged 50 or older at baseline, Hollingshaus and Utz (2013) found that a cancer diagnosis resulted in greater increases in depressive symptomology for whites compared to Hispanic and black adults.…”

Section: Introductionmentioning

confidence: 99%

“…Indeed, several recent population-based studies report that older adults—and particularly whites—show increased levels of depressive symptomology following an initial cancer diagnosis (Hollingshaus and Utz 2013; Pudrovska 2010b). Using six waves of a nationally representative longitudinal survey of adults aged 50 or older at baseline, Hollingshaus and Utz (2013) found that a cancer diagnosis resulted in greater increases in depressive symptomology for whites compared to Hispanic and black adults. Pudrovska (2010b) assessed the effects of a cancer diagnosis on depressive symptomology among white men and women with two waves of the Wisconsin Longitudinal Study.…”

Section: Introductionmentioning

confidence: 99%

“…Social ties are generally considered health-protective assets (Berkman et al 2000), and scholars point to their capacity to buffer the effects of stressful experiences (Cohen and Wills 1985; Smith and Christakis 2008). Existing research, moreover, implies that network resources are important for understanding the mental health consequences of cancer, accounting, perhaps, for some of the differences due to race/ethnicity and gender (Hollinghaus and Utz 2013). Past analyses, however, have relied mainly on rough proxy indicators instead of incorporating explicit social network measures.…”

Section: Introductionmentioning

confidence: 99%

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Cancer Diagnosis and Mental Health among Older White Adults

Schafer

Koltai

2015

Society and Mental Health

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Cancer is a life-changing condition for many American seniors, and a growing body of literature is assessing the mental health implications of living with the disease. This article builds from the well-known buffering hypothesis with insights from recent cancer research to investigate whether social networks moderate the association between cancer and mental health for older men and women. Analyses use two waves of survey data (2005)(2006) and 2011) from the National Social Life, Health, and Aging Project (N = 1,367), enabling us to track new diagnoses of cancer and network dynamics over time. Consistent with a stress-buffering pattern, larger and growing networks were associated with lower rates of depressive symptomology among women survivors relative to those with small and shrinking networks. There was little evidence that emotional closeness to network members or density moderated the mental health consequences of cancer among men or women.

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“…Chronic diseases including hypertension, stroke, heart disease and so on, are threating more and more families in China, especially in elderly households [1]. Chronic conditions have brought not only heavy economic burden on families, but also negative emotional and mental impacts to patients and their family members [2]. On one hand, at patient level, chronic conditions increases the health cost, physical disabilities and pain; and on the other hand, other family members especially spouse, would undertake more housework and psychological burden [3].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Spousal Chronic Health Shock on Subjective Well-Being Among Elderly in China: An Urban-Rural Dimension

Zhou

Cao

Zhao

et al. 2020

Preprint

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Backgrounds Chronic conditions could bring not only heavy economic burden on families, but also had negative emotional and mental impacts to patients and their family members. The aim of this study is to explore the effect of chronic health shock of elderly people on spousal subjective well-being in China from urban-rural dimension.Methods We used two most recent databases —2011 and 2015—of China Health and Nutrition Survey, and the total sample were categorized into urban sample and rural sample. Participants were defined as treatment group if his/her spouse was diagnosed with chronic disease in 2015 and not diagnosed in 2011; others were defined as control group. Propensity score matching was used to evaluate the average treatment effect of treated(ATT)of spousal chronic health shock. Ordinary linear square(OLS) regression was also deployed to explore the relationship between spousal chronic health shock and subjective well-being.Results The total sample size was 2577, with 1023 in urban area and 1554 in rural area. ATT in urban area was -0.209 in radius matching with caliper, and it is statistically significant; however, in rural area, ATT was 0.069, and it didn’t achieve statistical significance. The results of OLS regression after PSM also suggested that spousal chronic health shock had a negative effect on subjective well-being of urban elderly, and for rural elderly, there was no such an effect.Conclusions Our study highlights more attention needs to be paid in subjective well-being of individual whose spouse suffers from chronic conditions, especially in urban China.

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Depressive Symptoms Following the Diagnosis of Major Chronic Illness

Cited by 17 publications

References 87 publications

Onset of Multiple Chronic Conditions and Depressive Symptoms: A Life Events Perspective

Onset of Multiple Chronic Conditions and Depressive Symptoms: A Life Events Perspective

Cancer Diagnosis and Mental Health among Older White Adults

The Impact of Spousal Chronic Health Shock on Subjective Well-Being Among Elderly in China: An Urban-Rural Dimension

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