Expectations regarding transitioning into long-term care, social connectedness, and mental health of older adults.

IF 3.5 2区 医学 Q1 PSYCHIATRY
Annalise Lane, Linh Dang, Weidi Qin, Sarah Burgard, Briana Mezuk
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Abstract

Purpose: This study examined the association between perceived likelihood of moving into a nursing home and depressive and suicidal outcomes among adults aged 65+, and explored variation in those associations by two aspects of social connectedness: individual social networks and neighborhood social cohesion.

Methods: Data comes from the 2018 Health & Retirement Study (N = 7,897). Perceived likelihood of moving into a nursing home in the next five years was assessed using a probability scale (0-100%). Past-year elevated depressive symptoms, major depressive episodes (MDE), and passive suicidal ideation (PSI) were indexed by the Composite International Diagnostic Interview. Social networks (e.g., diversity and frequency of contact with social network, number of close relationships) and neighborhood social cohesion (e.g., living close to good friends, neighborhood social cohesion index) were self-reported. Multivariable logistic regression models were used to examine the association between nursing home expectations and depression outcomes; moderation by social connectedness was examined using interaction terms.

Results: The majority of respondents reported low perceived likelihood of moving into a nursing home (median: 5%, IQR: 0-20%). Higher perceived likelihood was positively associated with depressive symptoms (Odds Ratio [OR]: 1.06, 95% CI: 1.01, 1.11), MDE (OR: 1.08, 95% CI: 1.02, 1.15), and PSI (OR: 1.10, 95% CI: 1.04, 1.17). Having a close friend in the neighborhood heightened the association between expectations and mental health; other measures of social connectedness did not moderate this association.

Conclusion: Older adults anticipating transitioning to long-term care may have unmet emotional support needs, particularly if they are socially-integrated in their neighborhood.

对老年人过渡到长期护理、社会联系和心理健康的期望。
目的:本研究考察了65岁以上老年人入住养老院的感知可能性与抑郁和自杀结果之间的关系,并从社会联系的两个方面探讨了这些关系的变化:个人社会网络和社区社会凝聚力。方法:数据来自2018年健康与退休研究(N = 7,897)。使用概率量表(0-100%)评估未来五年内搬进养老院的感知可能性。过去一年的抑郁症状升高、重度抑郁发作(MDE)和被动自杀意念(PSI)通过综合国际诊断访谈进行索引。社会网络(如与社会网络接触的多样性和频率、亲密关系的数量)和邻里社会凝聚力(如与好朋友住得近、邻里社会凝聚力指数)是自我报告的。采用多变量logistic回归模型检验养老院期望与抑郁结局的关系;使用互动术语考察社会联系的适度性。结果:大多数受访者表示,他们认为搬进养老院的可能性很低(中位数:5%,IQR: 0-20%)。较高的感知似然与抑郁症状呈正相关(比值比[OR]: 1.06, 95% CI: 1.01, 1.11)、MDE(比值比:1.08,95% CI: 1.02, 1.15)和PSI(比值比:1.10,95% CI: 1.04, 1.17)。在邻居中有一个亲密的朋友加强了期望和心理健康之间的联系;其他社会联系的测量并没有缓和这种联系。结论:预期过渡到长期护理的老年人可能有未满足的情感支持需求,特别是如果他们在他们的社区融入社会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.50
自引率
2.30%
发文量
184
审稿时长
3-6 weeks
期刊介绍: Social Psychiatry and Psychiatric Epidemiology is intended to provide a medium for the prompt publication of scientific contributions concerned with all aspects of the epidemiology of psychiatric disorders - social, biological and genetic. In addition, the journal has a particular focus on the effects of social conditions upon behaviour and the relationship between psychiatric disorders and the social environment. Contributions may be of a clinical nature provided they relate to social issues, or they may deal with specialised investigations in the fields of social psychology, sociology, anthropology, epidemiology, health service research, health economies or public mental health. We will publish papers on cross-cultural and trans-cultural themes. We do not publish case studies or small case series. While we will publish studies of reliability and validity of new instruments of interest to our readership, we will not publish articles reporting on the performance of established instruments in translation. Both original work and review articles may be submitted.
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