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Family criticism and depressive symptoms in older adult primary care patients: optimism and pessimism as moderators.

ABSTRACT: Depression is a significant global public health burden, and older adults may be particularly vulnerable to its effects. Among other risk factors, interpersonal conflicts, such as perceived criticism from family members, can increase risk for depressive symptoms in this population. We examined family criticism as a predictor of depressive symptoms and the potential moderating effect of optimism and pessimism.One hundred five older adult, primary care patients completed self-report measures of family criticism, optimism and pessimism, and symptoms of depression. We hypothesized that optimism and pessimism would moderate the relationship between family criticism and depressive symptoms.In support of our hypothesis, those with greater optimism and less pessimism reported fewer depressive symptoms associated with family criticism.Therapeutic enhancement of optimism and amelioration of pessimism may buffer against depression in patients experiencing familial criticism.

SUBMITTER: Hirsch JK

PROVIDER: S-EPMC3840145 | biostudies-literature | 2014 Jun

REPOSITORIES: biostudies-literature

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Family criticism and depressive symptoms in older adult primary care patients: optimism and pessimism as moderators.

Hirsch Jameson K JK Walker Kristin L KL Wilkinson Ross B RB Lyness Jeffrey M JM

The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry 20130730 6

<h4>Objective</h4>Depression is a significant global public health burden, and older adults may be particularly vulnerable to its effects. Among other risk factors, interpersonal conflicts, such as perceived criticism from family members, can increase risk for depressive symptoms in this population. We examined family criticism as a predictor of depressive symptoms and the potential moderating effect of optimism and pessimism.<h4>Methods</h4>One hundred five older adult, primary care patients co ...[more]

PMID: 23907069

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Project description:IntroductionThe COVID-19 pandemic led to the implementation of physical-social distancing measures-including self-isolation, home confinement, and quarantine around the world, with psychological consequences such as depression. Older adults are especially likely to develop depressive symptomatology. This study aims to investigate the association between physical activity intensities and sedentary behavior with depression levels among previously active older adults during the COVID-19 lockdown.MethodsA total of 1,123 physically active older Brazilian adults (67.68 ± 5.91 years, 91.00% female) were interviewed by telephone in regard to sociodemographic, general health status, depression (GDS-15), and physical activity (IPAQ-SV) after being home-confined for 11.59 ± 2.42 weeks. Participants were also asked to self-report changes in their physical activity levels and time spent sitting. Descriptive statistics (mean, frequencies), between-groups comparisons (t-tests and chi-square), and hierarchical regression analysis were used.ResultsAbout 83.80% of older adults self-reported a decrease in daily physical activity levels and 73.90% increased sitting time. Overall, depressive symptoms were observed in 30.40, and 20.80% met physical activity recommendations. Daily moderate (β = -0.174; 95% CI = -0.026; -0.012) and moderate-to-vigorous (β = -0.183; 95% CI = -0.023; 0.011) physical activity intensities were negatively associated with depression score explaining 2.6 and 2.9% of depression variability, respectively, after adjusting for age, gender, education level, body mass index, and polypharmacy. Daily walking and sitting time were not associated with the depression score (p > 0.05).ConclusionThe results provide empiric suggestion supporting moderate to vigorous physical activity as a way to reduce depressive levels among older adults during COVID-19 confinement. Supervised home-based exercise programs, specifically designed for older adults, might be an important strategy to maintain and improve older adults' mental health.

Dataset Information

Family criticism and depressive symptoms in older adult primary care patients: optimism and pessimism as moderators.

Publications

Family criticism and depressive symptoms in older adult primary care patients: optimism and pessimism as moderators.

Similar Datasets

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