Abstract
This study aimed to investigate the moderation of social support in the association between loneliness and depression in different age groups of older adults. The sample consisted of 1532 community-dwelling adults aged 65 years or older, based on the data from the National Social Life, Health, and Aging Project (NSHAP), Wave 3 (2015–2016). Eleven items of the Center for Epidemiologic Studies Depression Scale (CES-D) were used to measure depressive symptoms. Similarly, a four-item scale was used to measure social support (each from spouse and family), and a three-item scale for loneliness. The results were as follows. Loneliness was associated with depression in both the young-old and the old-old groups. Spousal support and family support were associated with reduced depression in the young-old group, whereas only spousal support was associated with relieving depression in the old-old group. Social support had a significant moderating effect on the relationship between loneliness and depression in the old-old group, whereas it had no significant effect in the young-old group. From these results, it can be concluded that spousal support plays a significant role in seniors’ mental health. The role of caregivers for a person’s well-being grows later in life, so practitioners could help couples communicate with this consideration. In addition, regular contacts with family members and spousal support are recommended to prevent older old adults’ depression.
Highlights
Published: 17 February 2022Depression is one of the most common factors that diminishes the quality of life among older adults [1], both because of its impact and frequent comorbidity in late life.Steinman et al [2] estimate that seven million American adults aged 65 or older are affected by depression
It is one of the major risk factors of disability, premature mortality [3], and even suicide, but depression is frequently underdiagnosed in older adults [4,5]
This study aimed to examine the moderation of kinship social support in the relationship between loneliness and depression (See Figure 1)
Summary
Depression is one of the most common factors that diminishes the quality of life among older adults [1], both because of its impact and frequent comorbidity in late life. Steinman et al [2] estimate that seven million American adults aged 65 or older are affected by depression. Comorbidity of depressive disorders in older patients have been documented with a number of chronic illnesses and functional declines, such as Alzheimer’s disease [1]. It is one of the major risk factors of disability, premature mortality [3], and even suicide, but depression is frequently underdiagnosed in older adults [4,5]. Research has indicated depression’s association with reduced physical functioning, greater pain, and diminished mental health [2,6]
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