Joint Trajectories of Spousal Social Support and Depressive Symptoms in Older Age

The relationship between social support and happiness in older adults referred to health centers in Zarrin Shahr, Iran

BACKGROUND

Creasing the older adult population has become a major public health challenge. Social support plays an important role in people's health. Social support helps improve the living conditions of the elderly and brings happiness into the lives of the elderly. This study aimed to investigate the relationship between social support and happiness status in 60-75-year-olds referred to health centers of Zarrin Shahr, Iran in 2019.

METHODS

In this cross-sectional study, 584 samples (female: 62.2%, men: 37.8%) participated in this study. To collect data for this study, Oxford Happiness, and Social Support questionnaires were used. The older adults of the target group were selected through simple multistage random sampling from the health centers of Zarrin Shahr. The collected data were entered into SPSS software version 22. They were described and analyzed by inferential statistics and regressions at a 95% confidence level.

RESULTS

Sex, marital status, and level of education influenced total social support (P < 0.05). Moreover, age, marital status, and level of education affected happiness (P < 0.05). There was a significant positive correlation between total social support and components of social support with happiness (P < 0.05). Also, the multi-stage regression test showed emotional social support and education level were highly correlated with happiness (R2 = 0.265).

CONCLUSION

The results highlight the need to increase social support for older adults because it can increase the level of happiness in this age group. In interventions to improve the social support and happiness of older adults, low-educated, unmarried, divorced, or deceased spouses should be prioritized.

Social connectedness as a determinant of mental health: A scoping review

Public health and epidemiologic research have established that social connectedness promotes overall health. Yet there have been no recent reviews of findings from research examining social connectedness as a determinant of mental health. The goal of this review was to evaluate recent longitudinal research probing the effects of social connectedness on depression and anxiety symptoms and diagnoses in the general population. A scoping review was performed of PubMed and PsychInfo databases from January 2015 to December 2021 following PRISMA-ScR guidelines using a defined search strategy. The search yielded 66 unique studies. In research with other than pregnant women, 83% (19 of 23) studies reported that social support benefited symptoms of depression with the remaining 17% (5 of 23) reporting minimal or no evidence that lower levels of social support predict depression at follow-up. In research with pregnant women, 83% (24 of 29 studies) found that low social support increased postpartum depressive symptoms. Among 8 of 9 studies that focused on loneliness, feeling lonely at baseline was related to adverse outcomes at follow-up including higher risks of major depressive disorder, depressive symptom severity, generalized anxiety disorder, and lower levels of physical activity. In 5 of 8 reports, smaller social network size predicted depressive symptoms or disorder at follow-up. In summary, most recent relevant longitudinal studies have demonstrated that social connectedness protects adults in the general population from depressive symptoms and disorders. The results, which were largely consistent across settings, exposure measures, and populations, support efforts to improve clinical detection of high-risk patients, including adults with low social support and elevated loneliness.

Factors associated with the depression status of Chinese parents who have lost their only child

Aim

This study aimed to assess the risk factors for depression among parents who have lost their only child (PLOCs).

Methods

We used a cross-sectional survey to reveal the risk factors of depression among PLOCs. Multi-stage, stratified, cluster sampling was used to recruit the participants. The cluster sampling method was used to select PLOCs in Hangzhou, Zhejiang Province, and Wuhu, Anhui Province, while the stratified cluster sampling method was used in Anshun, Guizhou Province. A total of 651 PLOCs were recruited in this study. Participants completed the Social Support Rating Scale (SSRS) and the Geriatric Depression Scale-15 (GDS-15). Socio-demographics were also collected, including age, sex, monthly income, education level, marital status, self-reported health, and a number of diseases were collected as well. Chi-square tests and binary logistic regression were conducted to analyze the influence of these factors on PLOCs' mental status.

Results

Two hundred and fifty-eight PLOCs (39.56%) reported depression. Compared to PLOCs living in Wuhu, those living in Hangzhou (OR = 3.374, CI = 2.337-4.870) had a higher risk of depression. Being single (OR = 1.449, CI = 1.019-2.061) and the presence/absence of grandchildren (OR = 0.430, CI = 0.274-0.676)were significantly associated with the depression status of PLOCs.

Conclusion

The sampled Chinese PLOCs reported a high prevalence of depression that was influenced by their place of residence, marital status, and presence/absence of grandchildren. This may highlight the need for routine assessment and help of this group by the relevant stakeholders (including government, non-profit social organizations, and professional psychologists) with more attention paid to single and low-income PLOCs that have no grandchildren. It is imperative to build a comprehensive care system of "extended family-community-society-government" for this vulnerable group.

Friends, family, and romantic partners: Three critical relationships in older women's lives

How are different social relationships jointly and uniquely associated with older women's health and well-being, and what is the directionality of these associations? We address these questions using longitudinal data from the Midlife in the United States study. We find that relationship quality with romantic partners, family, and friends is positively linked with better health and well-being concurrently and longitudinally. Cross-lagged analyses indicate that romantic relationships are more predictive of than predicted by health and well-being, family relationships are more predicted by than predictive of health and well-being, and friendships are both predicted by and predictive of health and well-being.

Depression predicts longitudinal declines in social support among women with newly diagnosed breast cancer

OBJECTIVE

Among breast cancer survivors, low social support is associated with adverse clinical and psychosocial outcomes. This study prospectively examined longitudinal trends in perceived social support in women with newly diagnosed breast cancer as a function of depression status prior to initiation of cancer treatment.

METHODS

One hundred ten patients with newly diagnosed breast cancer and 59 age-matched noncancer controls completed behavioral measures at four assessments: prior to treatment and at 1 month, 1 year, and 2 years post-treatment. Participants reported their perceived tangible and emotional/informational support using the Medical Outcomes Study Social Support Survey and were categorized as "depressed" or "non-depressed" based on the Brief Symptom Inventory-18 (BSI-18). Analyses first compared longitudinal trends in support between patients and controls and then examined differences in longitudinal trends as a function of depression status in patients only, controlling for key covariates.

RESULTS

Both tangible and emotional/informational support decreased among breast cancer patients but increased or remained unchanged among noncancer controls across the assessments. Among patients, depressed individuals experienced a significant decline in both tangible (P = 0.004) and emotional/informational support (P = 0.013) between 1 month and 1 year post-treatment, which remained unchanged between 1 year and 2 years post-treatment. In contrast, nondepressed individuals had stable levels across all assessments. Depressed patients also had lower levels of both support types compared with nondepressed patients across all assessments.

CONCLUSIONS

Breast cancer patients with depressive symptomatology have an elevated risk for declines in perceived social support over time.