Aging & Mental Health最新文献

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Drinking and mental health in middle adulthood: exploring the impact of wellbeing, mental health literacy, and drinking motives on risk of alcohol dependence. 成年中期的饮酒与心理健康:探讨幸福感、心理健康知识和饮酒动机对酒精依赖风险的影响。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-02-28 DOI: 10.1080/13607863.2024.2320134
Angela Creery, Emma L Davies
{"title":"Drinking and mental health in middle adulthood: exploring the impact of wellbeing, mental health literacy, and drinking motives on risk of alcohol dependence.","authors":"Angela Creery, Emma L Davies","doi":"10.1080/13607863.2024.2320134","DOIUrl":"10.1080/13607863.2024.2320134","url":null,"abstract":"<p><strong>Objectives: </strong>Risky drinking is a concern among UK-based middle-aged adults. We aimed to explore the relationship between risky drinking, drinking motives, wellbeing, and mental health literacy (MHL).</p><p><strong>Method: </strong>Cross-sectional analysis of online survey data completed by 193 UK-based adults aged 40-65 who drank alcohol, incorporating the Alcohol Use Disorders Identification Test (AUDIT); Drinking Motives Questionnaire-Revised (DMQ-R); Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS); Mental Health Literacy Scale (MHLS) and demographic questions.</p><p><strong>Results: </strong>Coping, enhancement and conformity motives and gender significantly predicted higher AUDIT scores (measuring risky drinking). Enhancement motives were found to mediate the relationship between the self-help component of MHL and AUDIT scores, while coping motives mediated the association between wellbeing and AUDIT scores.</p><p><strong>Conclusion: </strong>Findings support research emphasising the influence of drinking motives on risky drinking and highlights how low wellbeing may interact with coping motives to explain risky drinking among middle-aged adults, particularly men. Interventions supporting individuals to understand the relationship between drinking motives and risky drinking, develop adaptive coping strategies, and address the causes of low wellbeing, may be beneficial. However, as the sample was 84% ethnically White, 64% women, 85% educated to at least undergraduate level, and reported a relatively high mean socioeconomic status (6.98 out of 10), the results may not generalise beyond these groups. Future research should use stratified sampling to increase generalisability, as well as exploring whether alcohol-specific, component-specific, or disorder-specific MHL is associated with risky drinking and wellbeing.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1286-1293"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Diversity of purposes of use, time spent online, and depression among older Chinese Internet users. 中国老年网民使用目的的多样性、上网时间和抑郁情绪。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-03-04 DOI: 10.1080/13607863.2024.2323953
Jia Li, Qi Wang, Xiaochen Zhou
{"title":"Diversity of purposes of use, time spent online, and depression among older Chinese Internet users.","authors":"Jia Li, Qi Wang, Xiaochen Zhou","doi":"10.1080/13607863.2024.2323953","DOIUrl":"10.1080/13607863.2024.2323953","url":null,"abstract":"<p><p><b>Objectives:</b> Previous studies on the associations between Internet use and older people's depression have mostly focused on single types of online activities, especially online social engagement. The current study investigated the diversity of purposes of Internet use and its interaction with the time spent online in shaping older Chinese Internet users' depression.</p><p><p><b>Method:</b> A sample of 974 Internet users aged 60 and above was adopted from the 2020 China Family Panel Studies wave. We adopted a latent class analysis (LCA) to explore the diverse purposes of internet usage.</p><p><p><b>Results:</b> The participants were classified into three distinct types: socializers, basic users, and maximizers. Basic users and maximizers use the Internet for various purposes, despite different intensities; socializers use the Internet only to keep connected with families and friends. Compared with basic users and maximizers, a longer time spent online among socializers was significantly associated with a higher level of depression.</p><p><p><b>Conclusion:</b> This study calls for a closer examination of online profiles among older Internet users; more attention should be paid to the potential harms of excessive Internet use for social reasons only among older adults. Practitioners should enhance older Internet users' digital literacy to maximize the wide-range benefits of Internet use and reduce potential health inequality.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1216-1224"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anger and anxiety in older adults: a cross-lagged examination. 老年人的愤怒与焦虑:一项交叉滞后研究。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-03-22 DOI: 10.1080/13607863.2024.2320137
Dikla Segel-Karpas
{"title":"Anger and anxiety in older adults: a cross-lagged examination.","authors":"Dikla Segel-Karpas","doi":"10.1080/13607863.2024.2320137","DOIUrl":"10.1080/13607863.2024.2320137","url":null,"abstract":"<p><strong>Objectives: </strong>Both anger and anxiety are common in older adulthood, with aversive consequences for individuals' physical and mental health. Theory suggests that anger can be an emotional response to the experience of anxiety. Similarly, anger can induce anxiety symptoms. Despite studies documenting the co-occurrence of anger and anxiety and their strong theoretical links, little is known about their temporal relationship. The primary aim of this study was to investigate the longitudinal cross-lagged relationship between anger expression, anger suppression, and anxiety.</p><p><strong>Methods: </strong>A large and representative sample of older adults (N=6,852) was utilized, with data collected in two waves at an interval of four years. All variables were measured using validated self-report scales.Data were analyzed using Structural Equation Modeling.</p><p><strong>Results: </strong>Results indicate that both anger suppression and anger expression are significant predictors of anxiety symptoms. Similarly, anxiety is a significant predictor of both anger suppression and anger expression.</p><p><strong>Conclusions: </strong>The effects did not differ in magnitude, suggesting a balanced reciprocity between anger and anxiety. An understanding of this reciprocal association can inform interventions and strategies aimed at promoting emotional well-being in older individuals. By addressing both anger and anxiety concurrently, interventions may have a more comprehensive impact on improving mental health outcomes in this population.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1209-1215"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140186438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Procrastination, depressive symptomatology, and loneliness in later life. 拖延症、抑郁症状和晚年孤独感。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-05-02 DOI: 10.1080/13607863.2024.2345781
Cormac Monaghan, Ione Avila-Palencia, S Duke Han, Joanna McHugh Power
{"title":"Procrastination, depressive symptomatology, and loneliness in later life.","authors":"Cormac Monaghan, Ione Avila-Palencia, S Duke Han, Joanna McHugh Power","doi":"10.1080/13607863.2024.2345781","DOIUrl":"10.1080/13607863.2024.2345781","url":null,"abstract":"<p><strong>Objectives: </strong>Procrastination is an almost universal behaviour and yet little research to date has focused on procrastination among older adults. The purpose of this study was to explore the potential association between age and procrastination, and the potential mediating roles of depressive symptomatology and loneliness.</p><p><strong>Method: </strong>Structural equation modelling was applied to data from 1309 participants (aged 29-92) from two waves United States Health and Retirement Study (2016-2020). Within the model, sex, education, marital status, and job status were added as covariates.</p><p><strong>Results: </strong>There was no statistically significant direct effect between age and procrastination (β = 0.06, <i>p</i> = 0.106). However, an indirect effect was present <i>via</i> depressive symptomatology (β = -0.40, <i>p</i> < 0.001). No mediating effect of loneliness was observed (β = - 0.01, <i>p</i> = 0.371). Subsequent analysis revealed that the symptoms, fatigue, loneliness, and lack of motivation significantly predicted procrastination.</p><p><strong>Conclusion: </strong>While age was not directly associated with procrastination, increasing age was associated with a decreased likelihood of depressive symptomatology, which was in turn associated with an increased likelihood of procrastination. Such findings indicates that age demonstrates no association with procrastination because of the suppressing effect of depressive symptomatology.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1270-1277"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140855999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
'If I don't take care of me, then I can't be there for others:' a qualitative study of caregiving relationships among older women living with HIV. 如果我不照顾好自己,就不能照顾好别人:"对感染艾滋病毒的老年妇女的照顾关系的定性研究。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-02-07 DOI: 10.1080/13607863.2024.2313729
Thi Vu, Marielle Quinn, Julie Womack, Joan Monin
{"title":"'If I don't take care of me, then I can't be there for others:' a qualitative study of caregiving relationships among older women living with HIV.","authors":"Thi Vu, Marielle Quinn, Julie Womack, Joan Monin","doi":"10.1080/13607863.2024.2313729","DOIUrl":"10.1080/13607863.2024.2313729","url":null,"abstract":"<p><strong>Objective: </strong>The population of women ages 50 years and older living with HIV is increasing. Yet, little is known about the care networks that older women living with HIV (OWLH) use to manage their health. The goal of this study was to explore the caregiving and care receiving relationships among OWLH and how these relationships impact HIV management.</p><p><strong>Methods: </strong>OWLH aged 50 years and older were recruited from clinics and community-based organizations across the U.S. We conducted semi-structured, in-depth phone interviews and performed content and thematic analysis on transcripts.</p><p><strong>Results: </strong>Participants (<i>N</i> = 23) were on average 60 years old and had been living with HIV for an average of 23.7 years. Participants 1) relied on diverse care networks; 2) were caregivers for grandchildren and parents; 3) had pride and joy in being caregivers; and 4) were highly proactive in their own HIV management. Care networks promoted self-love and acceptance. However, concerns about aging with HIV were still highly prevalent.</p><p><strong>Conclusion: </strong>Being a caregiver and care recipient are sources of meaning and strength to help OWLH manage HIV. Public health programs should consider engaging both OWLH and their care networks in healthcare discussions and educational efforts.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1304-1315"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139704059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patterns of suicide intent disclosures among older adult decedents, 2016-2018: a qualitative analysis. 2016-2018年老年人死者披露自杀意图的模式:定性分析。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-02-12 DOI: 10.1080/13607863.2024.2313734
Kristen A DeBois, Sheryl L Chatfield, Shelly D Evans, Baaba Essel, Saroj Bista, Erin R Orlins
{"title":"Patterns of suicide intent disclosures among older adult decedents, 2016-2018: a qualitative analysis.","authors":"Kristen A DeBois, Sheryl L Chatfield, Shelly D Evans, Baaba Essel, Saroj Bista, Erin R Orlins","doi":"10.1080/13607863.2024.2313734","DOIUrl":"10.1080/13607863.2024.2313734","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this work is to examine suicide intent disclosures to identify patterns to support an improved understanding of the impetus for suicidal behavior in late life, which may offer insight useful in aiding prevention efforts.</p><p><strong>Methods: </strong>Using restricted access data from the National Violent Death Reporting System for years 2016-2018, we conducted qualitative content analysis of included narrative descriptions of 2,969 cases in which the decedent was aged 65 years or older and disclosed their intent to die by suicide.</p><p><strong>Results: </strong>The majority of suicide intent disclosures were direct statements of intent to die by suicide (37.19%), followed by a smaller proportion of indirect (implied) statements (25.29%). When response of disclosure recipient was described, such disclosures were frequently dismissed as insincere. Uncontrolled or chronic pain was cited by 11.62% of decedents as the rationale for suicide.</p><p><strong>Conclusion: </strong>Findings from this work suggest the content of suicide intent disclosures may vary considerably but demonstrate consistent patterns. Dismissal of such disclosures is a common response, likely due to inability to assess sincerity. Given the high rate of lethality among suicide attempts in late life, any intent disclosures should be critically evaluated.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1234-1241"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mental pain as a mediator in the association between avoidant attachment and suicidal ideation among older men. 精神痛苦是老年男性回避型依恋与自杀意念之间关系的中介。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-03-08 DOI: 10.1080/13607863.2024.2323957
Mira Lutzman, Eliane Sommerfeld
{"title":"Mental pain as a mediator in the association between avoidant attachment and suicidal ideation among older men.","authors":"Mira Lutzman, Eliane Sommerfeld","doi":"10.1080/13607863.2024.2323957","DOIUrl":"10.1080/13607863.2024.2323957","url":null,"abstract":"<p><strong>Objectives: </strong>In the present study, our aim was to deepen the understanding of suicidality in older men by adopting a biopsychosocial approach. The study focused on older men as they face an elevated risk of suicide, surpassing not only other age groups but also exhibiting higher rates compared to women. We examined the contribution of mental pain as a mediator in the association between attachment avoidance and suicidal ideation among older men, taking into consideration the severity of their physical illnesses.</p><p><strong>Methods: </strong>Participants were 200 men in Israel, aged ≥65 years, living in the community and without cognitive impairment. Data collection was based on self-report measures of suicidal ideation (Beck Scale for Suicidal Ideation, BSSI), attachment (Experience in Close Relationships, ECR-R), mental pain (Orbach and Mikulincer Mental Pain Scale, OMMP), and the severity of physical illnesses (Cumulative Illnesses Rating Scale, CIRS).</p><p><strong>Results: </strong>Mental pain was found to mediate the association between attachment avoidance and suicidal ideation, but only among participants with higher levels of physical illnesses.</p><p><strong>Conclusions: </strong>Mental pain should be considered as a complication of an avoidant coping strategy, which increases the risk of suicide among older men, especially those suffering from significant physical illnesses. The theoretical and clinical implications of these findings are discussed.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1278-1285"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140061419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk and protective factors of a wish to die and suicidal ideation in community-dwelling, older, Flemish adults: results of the Belgian ageing studies. 居住在社区的佛兰德老年人希望死亡和产生自杀念头的风险和保护因素:比利时老龄化研究的结果。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-05-06 DOI: 10.1080/13607863.2024.2345779
Beau Nieuwenhuijs, Ellen Gorus, Gwendolyn Portzky, Nico De Witte
{"title":"Risk and protective factors of a wish to die and suicidal ideation in community-dwelling, older, Flemish adults: results of the Belgian ageing studies.","authors":"Beau Nieuwenhuijs, Ellen Gorus, Gwendolyn Portzky, Nico De Witte","doi":"10.1080/13607863.2024.2345779","DOIUrl":"10.1080/13607863.2024.2345779","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to increase the understanding of suicidality in older adults by investigating the prevalence, characteristics, risk and protective factors of suicidal phenomena in community-dwelling older adults (60+) in Flanders, specifically of a current wish to die (WTD) and lifetime suicidal ideation and behaviour (LSIB).</p><p><strong>Method: </strong>Cross-sectional data from the Belgian Ageing Studies (BAS) is used (<i>N</i> = 3050). The BAS aims to monitor the needs and quality of life of community-dwelling older adults through a standardised survey. Statistical methods used are bivariate analyses and binary logistic regression.</p><p><strong>Results: </strong>Prevalence rates of 4.8% for WTD and 8.2% for LSIB are found. LSIB is the biggest predictor of a current WTD, followed by requiring support on three domains, elder abuse, depression and subjective cognitive complaints, and elder abuse were significant risk factors for both WTD and LSIB. Limited effects of protective factors were found.</p><p><strong>Conclusion: </strong>Previous research regarding risk factors to be confirmed in this study, and new insights on the effect of elder abuse, subjective indicators of cognitive complaints and requiring support are added. Further research into protective factors and underlying mechanisms is required.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1262-1269"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physical, cognitive, and social activities as mediators between personality and cognition: evidence from four prospective samples. 体育、认知和社交活动是人格与认知之间的中介:来自四个前瞻性样本的证据。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-02-27 DOI: 10.1080/13607863.2024.2320135
Yannick Stephan, Angelina R Sutin, Martina Luchetti, Damaris Aschwanden, Antonio Terracciano
{"title":"Physical, cognitive, and social activities as mediators between personality and cognition: evidence from four prospective samples.","authors":"Yannick Stephan, Angelina R Sutin, Martina Luchetti, Damaris Aschwanden, Antonio Terracciano","doi":"10.1080/13607863.2024.2320135","DOIUrl":"10.1080/13607863.2024.2320135","url":null,"abstract":"<p><strong>Objectives: </strong>The present study examined how activity engagement mediates the association between personality and cognition.</p><p><strong>Methods: </strong>Participants were middle-aged and older adults (Age range: 24-93 years; <i>N</i> > 16,000) from the Midlife in the United States Study, the Health and Retirement Study, the English Longitudinal Study of Ageing, and the Wisconsin Longitudinal Study of Aging. In each sample, personality traits and demographic factors were assessed at baseline, engagement in cognitive, physical, and social activities was assessed in a second wave, and cognition was measured in a third wave, 8 to 20 years later.</p><p><strong>Results: </strong>Random-effect meta-analyses indicated that lower neuroticism and higher extraversion, openness, and conscientiousness were prospectively associated with better cognition. Most of these associations were partly mediated by greater engagement in physical and cognitive activities but not social activities. Physical activity accounted for 7% (neuroticism) to 50% (extraversion) and cognitive activity accounted for 14% (neuroticism) to 45% (extraversion) of the association with cognition.</p><p><strong>Conclusion: </strong>The present study provides replicable evidence that physical and cognitive activities partly mediate the prospective association between personality traits and cognitive functioning.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1294-1303"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11324381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Childhood maltreatment and association with trajectories of depressive symptoms among older adults: a longitudinal study in China. 童年遭受虐待与老年人抑郁症状轨迹的关系:中国的一项纵向研究。
IF 2.8 3区 医学
Aging & Mental Health Pub Date : 2024-09-01 Epub Date: 2024-03-04 DOI: 10.1080/13607863.2024.2323955
Weiwei Wang, Ling Xu, Huiping Zhang
{"title":"Childhood maltreatment and association with trajectories of depressive symptoms among older adults: a longitudinal study in China.","authors":"Weiwei Wang, Ling Xu, Huiping Zhang","doi":"10.1080/13607863.2024.2323955","DOIUrl":"10.1080/13607863.2024.2323955","url":null,"abstract":"<p><strong>Objectives: </strong>Childhood maltreatment has long-lasting effects on mental health. Existing evidence suggests that trajectories of depressive symptoms vary among individuals; however, little is known about how childhood maltreatment shapes these trajectory patterns. Therefore, this study investigated the impacts of childhood maltreatment on eight-year depressive trajectories among Chinese older adults.</p><p><strong>Method: </strong>Five waves of longitudinal data from the China Health and Retirement Longitudinal Study were utilized. Growth Mixture Modelling was performed to identify distinct trajectories of depressive symptoms, and multinomial logistic regression was conducted to explore the associations between these trajectories and childhood maltreatment.</p><p><strong>Results: </strong>Four trajectories of depressive symptoms were identified: the 'no symptoms' class (61.83%), the 'increasing symptoms' class (14.49%), the 'decreasing symptoms' class (16.44%), and the 'chronic symptoms' class (7.24%). Older adults who experienced childhood physical abuse were more likely to be in the 'chronic symptoms' class than in the 'no symptoms' class, whereas emotional neglect did not show a significant association with three problematic trajectories.</p><p><strong>Conclusion: </strong>This study provides empirical evidence that childhood physical abuse increases the likelihood of developing chronic depressive symptoms in later life. To mitigate this risk, it is crucial to institute comprehensive treatment plans that incorporate trauma-informed care principles, employ evidence-based therapies specifically designed to address the long-term effects of abuse, and prioritize regular screening and assessment of mental health among older adults.</p>","PeriodicalId":55546,"journal":{"name":"Aging & Mental Health","volume":" ","pages":"1225-1233"},"PeriodicalIF":2.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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