Retirement timing, living arrangements and mental health: a multi-method investigation using Survey of Health, Ageing and Retirement in Europe.

IF 5.4 2区 医学 Q1 PSYCHIATRY
Jane Maddock, Cassandra Simmons, Jacques Wels, Praveetha Patalay
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Abstract

Aims: The relationship between retirement and mental health remains unclear, with mixed evidence likely driven by methodological challenges and heterogeneity across population subgroups. This study explores the relationship between retirement, time since retirement and mental health, focusing on differences between those living alone and cohabiting.

Methods: We used data from 10,698 participants (48,815 observations) in the Survey of Health, Ageing and Retirement in Europe, waves 1-8, spanning 20 countries and 16 years. Participants were included if they were employed at baseline and retired during follow-up. We applied a triangulated approach using (1) multilevel linear spline models to examine trajectories and (2) fixed-effects instrumental variable analyses (IV) using statutory retirement age as an instrument to establish causal effects. The outcome was depressive symptoms measured using the EURO-D scale (higher scores indicate more depressive symptoms).

Results: Multilevel spline models showed minimal change in depressive symptoms before retirement. At retirement, a small decline in EURO-D scores was indicated (-0.07 points per year [95% CI: -0.13 to -0.0003]), followed by an increase starting two years post-retirement (0.09 per year, 95% CI: 0.02 to 0.16). IV analyses showed that retirement was associated with fewer depressive symptoms (-0.26, 95% CI: -0.45 to -0.07). Individuals living alone reported higher depressive symptoms, but cohabitation status did not moderate the relationship between retirement and mental health.

Conclusions: Retirement is associated with a short-term reduction in depressive symptoms, but the effect diminishes over time. While individuals living alone consistently report higher depressive symptoms, cohabitation status does not moderate the retirement-mental health relationship.

退休时间、生活安排和心理健康:使用欧洲健康、老龄化和退休调查的多方法调查。
目的:退休与心理健康之间的关系尚不清楚,可能是由于方法上的挑战和人口亚组的异质性,证据不一。本研究探讨了退休、退休后的时间与心理健康之间的关系,重点研究了独居者和同居者之间的差异。方法:我们使用了欧洲健康、老龄化和退休调查中10,698名参与者(48,815项观察结果)的数据,第1-8轮,跨越20个国家,历时16年。如果参与者在基线时受雇,并在随访期间退休,则包括在内。我们采用三角方法,使用(1)多层线性样条模型来检验轨迹;(2)固定效应工具变量分析(IV)使用法定退休年龄作为工具来建立因果关系。结果是使用EURO-D量表测量抑郁症状(分数越高表明抑郁症状越严重)。结果:多水平样条模型显示退休前抑郁症状变化最小。在退休时,EURO-D分数略有下降(每年-0.07分[95% CI: -0.13至-0.0003]),随后在退休后两年开始增加(每年0.09分,95% CI: 0.02至0.16)。静脉注射分析显示,退休与抑郁症状减少相关(-0.26,95% CI: -0.45至-0.07)。独居者报告的抑郁症状更高,但同居状态并没有缓和退休与心理健康之间的关系。结论:退休与抑郁症状的短期减轻有关,但随着时间的推移,效果逐渐减弱。虽然独居者的抑郁症状一直较高,但同居状态并不能缓和退休与心理健康的关系。
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来源期刊
CiteScore
7.80
自引率
1.20%
发文量
121
审稿时长
>12 weeks
期刊介绍: Epidemiology and Psychiatric Sciences is a prestigious international, peer-reviewed journal that has been publishing in Open Access format since 2020. Formerly known as Epidemiologia e Psichiatria Sociale and established in 1992 by Michele Tansella, the journal prioritizes highly relevant and innovative research articles and systematic reviews in the areas of public mental health and policy, mental health services and system research, as well as epidemiological and social psychiatry. Join us in advancing knowledge and understanding in these critical fields.
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