Comparison of depressive symptoms between homebound older adults and ambulatory older adults

School of Social Work, University of Texas at Austin, Austin, TX 78712-0358, USA.
Aging and Mental Health (Impact Factor: 1.75). 06/2007; 11(3):310-22. DOI: 10.1080/13607860600844614
Source: PubMed


Due to the social isolation imposed by chronic illness and functional limitations, homebound older adults are more vulnerable to depression than their mobility-unimpaired peers. In this study, we compared 81 low-income homebound older adults, aged 60 and older, with their 130 ambulatory peers who attended senior centers, with respect to their depressive symptoms, depression risk and protective factors, and self-reported coping strategies. Even controlling for sociodemographics, health problems, and other life stressors, being homebound, as opposed to participating in senior centers, was significantly associated with higher depressive symptoms. However, when the coping resources-social support and engagement in frequent physical exercise, in particular-were added to the regression model, the homebound state was no longer a significant factor, showing that the coping resources buffered the effect of the homebound state on depressive symptoms. In terms of self-reported coping strategies, even among the depressed respondents, only a small proportion sought professional help, and that was largely limited to consulting their regular physician and social workers, who may not have had professional training in mental health interventions.

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    • "This can further increase the level of social isolation and reduced community involvement that is associated with old age where social support networks tend to become smaller and less accessible. Both the decreased size of the social network as well as its reciprocal imbalance are known to have a negative impact on emotional and physical well-being (Choi and McDougall 2007; House et al. 1988 "

    Full-text · Chapter · Jan 2015
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    • "These senior centers provide not only social education, exercise, and recreation, but also preventive medical consultations and health promotion programs to enhance the quality of life of older adults [4]. Previous studies in advanced countries, including Korea, have suggested the positive effects of using the senior center on physical health (fall prevention, resistance exercise, and walking distance) [5-8] and psychological health (depressive symptoms, friendships, and stress-related distress) [9-11]. In spite of such proven effects both physically and psychologically, only 28.7% of older adults have ever used a senior center in Korea, and only 3.6% reported using the senior centers regularly [12]. "
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    ABSTRACT: The purpose of the study was to examine the relationships among the psychological, social, and environmental factors influencing the utilization of senior centers among older adults in Korea. A questionnaire survey was administered to two types of older adults who lived in Seoul, Korea: 262 older adults who used senior centers (3 places) and 156 older adults who did not use senior centers. Our results showed clearly that the utilization of the senior centers in Korea is affected by higher self-efficacy (odds ratio [OR], 6.08; 95% confidence interval [CI], 3.31 to 12.32), higher perceived benefits (OR, 1.71; 95% CI, 1.16 to 4.36), lower perceived barriers (OR, 6.43; 95% CI, 3.07 to 11.45), higher family support (OR, 4.21; 95% CI, 2.02 to 8.77), and higher support from friends (OR, 4.08; 95% CI, 2.38 to 7.81). The results also showed that participants whose total travel time was 15 to 29 minutes (OR, 2.84; 95% CI, 1.21 to 3.64) or less than 14 minutes (OR, 4.68; 95% CI, 3.41 to 8.41) were more likely to use a senior center than those who had to travel more than 30 minutes. This study showed that the utilization of senior centers in Korea is affected by psychological, social, and environmental factors, specifically by self-efficacy, perceived benefits, perceived barriers, social support, convenience of transportation, and total travel time to the senior centers. The effects of longer-term utilization of the senior centers by non-users on health-related outcomes in a large population warrant attention.
    Full-text · Article · Jul 2012
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    • "In a different publication, the Amsterdam group found that higher levels of cortisol were not associated with cognitive decline in older adults (N = 1,154) over a period of 6 years (Comijs et al., 2010). Salivary cortisol was measured in 40 healthy ethnicity (Killian, Turner, & Cain, 2005); living arrangements (Choi & McDougall, 2007), and memory complaints (Crane, Bogner, Brown, & Gallo, 2007; McDougall, 1995). This study examined the prevalence of depressive symptoms over time in a sample of community-residing older adults at baseline, 2 months, 6 months, and 14 months. "
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    ABSTRACT: We examined the prevalence of depressive symptoms over time in a sample of community-residing older adults at baseline, 2 months, 6 months, and 14 months. The nonprobability sample (N = 222) was 90% female, 87% Caucasian, 15% Hispanic, and 12% African American with an average age of 75 years. If depressive symptoms had been measured at only one time, 19% of the sample would have scored above the cutoff versus 39% scoring above the cutoff when measured at all 4 periods. The findings provide evidence that depressive symptoms in older adults are variable and fluctuate over time. The significance of this research was the longitudinal evaluation of depressive symptoms in community-residing elders.
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