The Mediating Role of Depression in the Relationship between Activities of Daily Living and Successful Aging of the Elderly with Disabilities

Choi, Jung-Min; Jung‐Bin, Yang

doi:10.21742/asehl.2016.6.27

Cited by 1 publication

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“…Of all the dimensions of SA, both men and women showed great risks of depressive symptoms during the onset of ADL limitations in a span of two years. A prior finding revealed that the relationship between ADL limitation and SA is mediated by depression, and SA interventions are required to improve ADL and reduce depression [ 40 ]. Furthermore, our results mirror those of previous studies that reviewed the literature on the most common contributing factors of SA.…”

Section: Discussionmentioning

confidence: 99%

Association between successful aging transitions and depressive symptoms among older Korean adults: findings from the Korean longitudinal study of aging (2006–2018)

et al. 2021

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Background The importance of SA (Successful aging) has been emphasized in recent years, with focus shifting towards attaining healthier aging rather than longevity. However, the influence of SA and its changes on mental health such as depression remains a relatively unexplored area in gerontology. Therefore, we investigated the longitudinal association between changes in SA and depressive symptoms in Korean older adults. Methods This study comprised a longitudinal sample of older adults aged ≥ 45 years, drawn from the Korean Longitudinal Study of Aging (2006–2018). Changes in SA status was determined using the Rowe and Kahn model over two consecutive years. Using an adjusted generalized estimating equation model, we examined the association between changes in successful aging status, namely SA and NSA (Non-successful aging), and depressive symptoms. Results Compared to the SA→SA group, depressive symptom risk in the NSA→NSA and SA→NSA groups were higher in men [(OR, 1.16; 95 % CI, 1.13–1.18), (OR, 1.11; 95 % CI, 1.08–1.13), respectively] and in women [(OR, 1.15; 95 % CI, 1.13–1.18), (OR, 1.11; 95 % CI, 1.09–1.14), respectively]. Subgroup analysis of the dimensions of successful aging revealed that low or worsening criteria of successful aging status in men and women were associated with depressive symptoms. Conclusions Korean older adults who continuously failed to attain or maintain successful aging status had the highest risk of depressive symptoms. These results could further assist in establishing policies and interventions that promote successful aging and subsequently protect the mental health of the Korean older adult population.

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Section: Discussionmentioning

confidence: 99%