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Reiner A, Steinhoff P. The association of social networks and depression in community-dwelling older adults: a systematic review. Syst Rev 2024; 13:161. [PMID: 38902787 PMCID: PMC11188217 DOI: 10.1186/s13643-024-02581-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Accepted: 06/10/2024] [Indexed: 06/22/2024] Open
Abstract
BACKGROUND AND OBJECTIVE Depression is a globally prevalent mental condition, particularly among older adults. Previous research has identified that social networks have a buffering effect on depression. Existing systematic reviews have either limited their research to specific geographic areas or provided evidence from over a decade ago. The vast body of recent literature particularly from the last decade emphasizes the need for a comprehensive review. This systematic review aims to analyze the association of structural aspects of social networks and depression in older adults. METHODS The electronic databases APA PsycINFO, ProQuest, PSYINDEX, PubMed, Scopus, SocINDEX, and Web of Science were searched from date of data base inception until 11 July 2023. Studies were eligible for inclusion if they reported on community-dwelling older adults (defined as a mean age of at least 60 years old), had an acceptable definition for depression, referred to the term social network in the abstract, and were published in English. Quality was appraised using the Newcastle Ottawa Scale for cross-sectional and longitudinal studies. Outcome data were extracted independently from each study and analyzed by direction of the relationship, social network domain and cross-sectional or longitudinal study design. RESULTS In total, 127 studies were included. The study categorizes structural network aspects into seven domains and finds that larger and more diverse networks, along with closer social ties, help mitigate depression. The literature on the relationships between depression and network density, homogeneity, and geographical proximity is scarce and inconclusive. DISCUSSION AND IMPLICATIONS: Despite inconsistent findings, this review highlights the importance of quantifying complex social relations of older adults. Limitations of this review include publication and language bias as well as the exclusion of qualitative research. Further research should use longitudinal approaches to further investigate the reciprocal relationship between social networks and depression. Following this review, interventions should promote the integration of older adults in larger and more diverse social settings. Other: This work was supported by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation) under Grant [454899704]. This systematic review was pre-registered. The review-protocol can be accessed at https://doi.org/10.17605/OSF.IO/6QDPK .
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Affiliation(s)
- Amelie Reiner
- Institute of Sociology and Social Psychology, University of Cologne, Albertus-Magnus-Platz, 50923, Cologne, Germany.
| | - Paula Steinhoff
- Institute of Sociology and Social Psychology, University of Cologne, Albertus-Magnus-Platz, 50923, Cologne, Germany
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Kida H, Niimura H, Eguchi Y, Suzuki K, Shikimoto R, Bun S, Takayama M, Mimura M. Relationship Between Life Satisfaction and Psychological Characteristics Among Community-Dwelling Oldest-old: Focusing on Erikson's Developmental Stages and the Big Five Personality Traits. Am J Geriatr Psychiatry 2024; 32:724-735. [PMID: 38216354 DOI: 10.1016/j.jagp.2023.12.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2023] [Revised: 12/21/2023] [Accepted: 12/22/2023] [Indexed: 01/14/2024]
Abstract
OBJECTIVE To clarify the relationship between life satisfaction and the psychological characteristics of the oldest-old, and explore the factors for achieving mental health and longevity. DESIGN This cross-sectional study conducted questionnaire surveys and face-to-face interviews as part of a larger prospective cohort study. SETTING Arakawa Ward, a district in Tokyo, Japan. PARTICIPANTS A total of 247 oldest-old individuals from two age groups, 85+ (aged 85-87 years) and 95+ (aged 95 years or older). MEASUREMENTS Life satisfaction was assessed using the Satisfaction with Life Scale (SWLS), developmental stages of the elderly (Erikson's 8th and 9th stages, i.e., ego integrity, and gerotranscendence), and the Big Five personality traits (extraversion, agreeableness, openness, conscientiousness, and neuroticism) using the NEO-Five Factor Inventory. Multiple regression analyses were performed to examine the relationship between the SWLS scores and each assessment, controlling for age, sex, education, activities of daily living, depressive symptoms, and cognitive function. RESULTS The SWLS scores of 85+ were positively correlated with scores of ego integrity, extraversion, and conscientiousness. Contrastingly, the SWLS scores of 95+ were positively correlated with gerotranscendence scores. CONCLUSIONS Psychological characteristics associated with the level of life satisfaction among community-dwelling oldest-old individuals were identified, but a causal relationship between these factors and life satisfaction was not established. Ego integrity, extraversion, conscientiousness, and gerotranscendence may be associated with enhanced life satisfaction and mental health in the oldest-old. Further, the factors associated with life satisfaction in the 85+ and 95+ age groups varied, suggesting that life satisfaction among the oldest-old has different foundations in different age groups.
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Affiliation(s)
- Hisashi Kida
- Department of Neuropsychiatry (HK, HN, YE, KS, RS, SB, MM), Keio University School of Medicine, Shinjuku, Tokyo, Japan; Department of Neuropsychiatry (HK), Asaka Hospital, Koriyama, Fukushima, Japan.
| | - Hidehito Niimura
- Department of Neuropsychiatry (HK, HN, YE, KS, RS, SB, MM), Keio University School of Medicine, Shinjuku, Tokyo, Japan; Faculty of Psychology and Sociology (HN), Taisho University, Toshima, Tokyo, Japan
| | - Yoko Eguchi
- Department of Neuropsychiatry (HK, HN, YE, KS, RS, SB, MM), Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Kouta Suzuki
- Department of Neuropsychiatry (HK, HN, YE, KS, RS, SB, MM), Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Ryo Shikimoto
- Department of Neuropsychiatry (HK, HN, YE, KS, RS, SB, MM), Keio University School of Medicine, Shinjuku, Tokyo, Japan; Center for Supercentenarian Medical Research (RS), Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Shogyoku Bun
- Department of Neuropsychiatry (HK, HN, YE, KS, RS, SB, MM), Keio University School of Medicine, Shinjuku, Tokyo, Japan
| | - Midori Takayama
- Faculty of Science and Technology (MT), Keio University, Yokohama, Kanagawa, Japan
| | - Masaru Mimura
- Department of Neuropsychiatry (HK, HN, YE, KS, RS, SB, MM), Keio University School of Medicine, Shinjuku, Tokyo, Japan; Center for Preventive Medicine (MM), Keio University, Minato, Tokyo, Japan
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