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Centre for Policy on Ageing | |
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The association of a heart attack or stroke with depressive symptoms stratified by the presence of a close social contact
— findings from the National Health and Aging Trends Study Cohort | | Author(s) | Adam Simning, Christopher L Seplaki, Yeates Conwell |
| Journal title | International Journal of Geriatric Psychiatry, vol 33, no 1, January 2018 |
| Publisher | Wiley, January 2018 |
| Pages | pp 96-103 |
| Source | http://www.orangejournal.org |
| Keywords | Heart disease ; Stroke ; Depression ; At risk ; Social contacts ; Evaluation ; Longitudinal surveys ; United States of America. |
| Annotation | The objective of this study was to examine whether the risk of having clinically significant depression following a heart attack or stroke varied by the presence of a close social contact. The National Health and Aging Trends Study was a nationally representative longitudinal survey of US Medicare beneficiaries aged 65 and older initiated in 2011. 5,643 older adults had information on social contacts at baseline and depression at the one-year follow-up interview. The two-item Patient Health Questionnaire identified clinically significant depression. Interview questions examined social contacts and the presence of self-reported heart attack or stroke during the year of follow-up. 297 older adults reported experiencing a heart attack and/or stroke between their baseline and follow-up interviews. In regression analyses accounting for sociodemographics, baseline depression, medical comorbidity and activities of daily living impairment, older adults with no close social contacts had increased odds of depression at follow-up after experiencing a heart attack or stroke, while those with close social contacts had increased odds of depression at follow-up after experiencing a stroke, but not a heart attack. Older adults had increased odds of having depression following a self-reported stroke, but only those with no close social contacts had increased odds of depression following a heart attack. Social networks may play a role in the mechanisms underlying depression among older adults experiencing certain acute health events. Future work exploring the potential causal relationships suggested here, if confirmed, could inform interventions to alleviate or prevent depression among at risk older adults. (JL). |
| Accession Number | CPA-180302218 A |
| Classmark | CQH: CQA: ENR: CA3: TOA: 4C: 3J: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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