Health, financial stresses, and life satisfaction affecting late-life depression among older adults: a nationwide, longitudinal survey in Taiwan

Lue, Bee-Horng; Chen, Liang-Ju; Wu, Shwu-Chong

doi:10.1016/s0167-4943(10)70010-8

Cited by 109 publications

(119 citation statements)

References 36 publications

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“…In our study area, the spiritual culture of elderly people is to pray to their ancestors for safety, health, and development for themselves, their family, and their friends, and this has long been incorporated into their lives. As reported in a previous study 41) , spiritual culture and practice may improve depression in the elderly, especially those who live alone in Japan. As Ogusu 19) points out, it is possible that these cultural customs help to re-es-tablish a sense of roles within the social system, which tends to be lost during onesʼ old age, and help to promote "meaning and purpose of life" and the "meaning of suffering and death".…”

Section: Discussionsupporting

confidence: 63%

“…38) , and this reduces social integration, leading to less social support and feelings of isolation 39) . Older Korean people living alone have also been reported to have lower self-esteem and life satisfaction than those living with others 4,40) , which in turn leads to a higher prevalence of depression 41) . In this manner, the situation of living alone has a significant impact on the psychological aspects and social roles of the elderly, and it can also be expected to affect mental health and QOL.…”

Section: Discussionmentioning

confidence: 99%

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The moderating effect of spiritual well-being on the association between depressive state and living arrangement in the elderly in rural Okinawa

Toyosato

Iha

Takahara

et al. 2016

Japanese Journal of Health and Human Ecology

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Objective: The aim of this study was to verify the role of spiritual well-being as a moderator of the effect of living arrangement on depressive state in the elderly. Methods: We conducted a cross-sectional study using semi-structured interviews in Okinawa on 2010. Four hundreds thirteen (165 men, 248 women) participants were asked about 5-item Geriatric Depression Scale (GDS-5) as dependent variable, living arrangements (living alone or living with others) as independent variable, spiritual rating scale for elderly as mediating variable, and demographic and socioeconomic variables as control variables. The main and interaction effects were assessed using hierarchical multiple regression and simple slope analyses. Results: The proportion of elderly who living alone was 26.6% (n 110), and they were significantly higher scores of GDS-5 than the elderly who living with others (P 0.001). Significant negative correlation was found between depressive state and spiritual well-being (r 0.27, P 0.001), and the result indicated that the elderly with higher spiritual well-being were lower depressive state. Results of hierarchical regression analysis showed that the correlation between living arrangement and spiritual well-being was positively associated with increased risk for depressive state (β 0.10, P 0.037). Simple slope analyses revealed that the elderly who living alone had significantly higher depressive state scores than those who living with others only in low spiritual well-being (P 0.002), but not in high spiritual well-being (P 0.445). Conclusions: Our findings suggest that spiritual well-being might play an important role in preventing the elderly who living alone from depression, and interventions aimed at promoting spiritual well-being in the elderly who living alone may lead to improvements in mental health.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

The moderating effect of spiritual well-being on the association between depressive state and living arrangement in the elderly in rural Okinawa

Toyosato

Iha

Takahara

et al. 2016

Japanese Journal of Health and Human Ecology

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“…The 10-item CES-D assesses participant mood for the past week, and its purpose is to measure the severity of depressive symptoms, not to diagnose depression as defined by DSM-IV criteria; however, a score of 10 has been established as an acceptable cutoff for clinical depression. [26][27][28] Previous observational studies also used the CES-D to assess depressive symptoms in large populations. [20][21][22][23][24]31 History of depression was based on patient report and confirmed by the physician but not further defined.…”

Section: Discussionmentioning

confidence: 99%

“…This self-report scale assesses depressed affect, somatic retardation, and positive affect, generating a total severity score from 0 to 30, with a cutoff score of 10 or more indicating clinical depression in prior research. [26][27][28] The CES-D has high reliability and validity in detecting symptoms of depression. 27 In our population, participants with CES-D scores of 10 or more were considered to have "current depressive symptoms," and those with scores below 10 were considered to "not have current depressive symptoms."…”

Section: Participantsmentioning

confidence: 99%

Association Between Low Serum 25-Hydroxyvitamin D and Depression in a Large Sample of Healthy Adults: The Cooper Center Longitudinal Study

Hoang

DeFina

Willis

et al. 2011

Mayo Clinic Proceedings

143

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Low 25(oH)D anD DepressionFor personal use. Mass reproduce only with permission from Mayo Clinic Proceedings a .Objective: To investigate the association between serum vitamin D levels and depression in a large database of patients from the Cooper Clinic. © 2011 Mayo Foundation for Medical Education and ResearchD epression occurs in persons of all ages and backgrounds and both sexes and is a leading cause of disability worldwide. 1 Depression affects overall healthrelated quality of life to an equal or greater degree than other chronic medical conditions. 2 Therefore, identifying risk factors for depression or biomarkers associated with depressive symptoms is of considerable importance.Low vitamin D level is implicated as a risk factor for numerous medical conditions, including autoimmune diseases, vascular disease, infectious diseases, osteoporosis, obesity, diabetes, cardiovascular disease, and certain cancers. 3,4 More recently, low vitamin D level has also been associated with neurologic disorders such as multiple sclerosis, Alzheimer disease, Parkinson disease, and cognitive decline. [3][4][5][6][7] Vitamin D receptors and the vitamin D-activating enzyme 1α−hydroxylase are found in most organ systems of the human body, including the brain. 8 Within the hypothalamus and the dopaminergic neurons of the substantia nigra is found a high density of vitamin D receptors as well as the vitamin D-activating enzyme. 8 Recent evidence suggests that damage to these aspects of the brain is associated with depression, at least in the elderly. 9 In addition, vitamin D may have an effect on neurotransmitters, inflammatory markers, calcium homeostasis in the brain, and nerve growth factor synthesis. 6,10-15 Vitamin D receptor knockout mice exhibit depression-like behaviors such as poorer performance on swim tests, less activity, and more anxiety than wild-type controls. 16

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“…Depression is pervasive and consistently has a poor outcome in the elderly. Among the consequences of depression are social deprivation, loneliness, increased use of health and home care services, poor quality of life (Rodda, Walker, & Carter, 2011;Lue, Chen, & Wu, 2010;Li, Pang, Chen, Song, Zhang, et al, 2011;Ferna´ndez-Nin˜ o, Manrique-Espinoza, Bojorquez-Chapela, Salinas-Rodrı´guez, 2014), disability (Gureje, Kola, & Afolabi, 2007), increased risk of physical disorders (for example, stroke) (Liebetrau, Steen, & Skoog, 2008), decline in cognition (Connors et al, 2015), chronicity (Gureje et al, 2007), suicide (Waern et al, 2002), and increased nonsuicidal mortality (Saz & Dewey, 2001).Untreated mental illness has a devastating emotional impact. The risk for suicide increases with the incidence of untreated mental illness (Carlson & Ong, 2014).…”

Section: Introductionmentioning

confidence: 99%

The Life Experiences of Community Older Adults With Mental Illness in Taiwan: A Qualitative Study

Liao¹,

Rong²,

Liu³

et al. 2017

IJSN

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Aims: The risk of mental illness and mental health problems is known to increase with aging, there is a continuing need for research and information about the daily life and care needs of elderly people with mental illness. The aim of this study was to examine the real-life experience of elderly outpatients with mental illnesses in Taiwan communities through in-depth interviews.Methods: A qualitative study involving semi-structured interviews of mentally ill elderly patients was conducted in 15 participants (3 men and 12 women, mean age = 74.67 years, SD = 10.04 years).

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Health, financial stresses, and life satisfaction affecting late-life depression among older adults: a nationwide, longitudinal survey in Taiwan

Cited by 109 publications

References 36 publications

The moderating effect of spiritual well-being on the association between depressive state and living arrangement in the elderly in rural Okinawa

The moderating effect of spiritual well-being on the association between depressive state and living arrangement in the elderly in rural Okinawa

Association Between Low Serum 25-Hydroxyvitamin D and Depression in a Large Sample of Healthy Adults: The Cooper Center Longitudinal Study

The Life Experiences of Community Older Adults With Mental Illness in Taiwan: A Qualitative Study

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