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Longitudinal links between behavioral activation coping strategies and depressive symptoms of U.S. adults living alone during the COVID-19 pandemic.

ABSTRACT: The COVID-19 pandemic and related physical distancing measures have posed a significant threat to the mental health of adults, particularly those living alone. Accordingly, the World Health Organization implemented the #HealthyAtHome program, encouraging people to keep in regular contact with loved ones, stay physically active, and keep a regular routine. The current study aims to examine a micro-longitudinal link between behavioral activation coping strategies (exercise, meditation, relaxation, and social connection) and depressive symptoms among adults who lived alone during the COVID-19 pandemic. We used 21 biweekly waves of longitudinal data from the Understanding America Study (UAS) collected between April 2020 and February 2021 (N = 1,280). The multilevel models with correlated random effects were estimated to examine lagged effects of coping strategies (t-1) on depressive symptoms (t). The results showed that exercise was predictive of lower depressive symptoms even after controlling for time-invariant and time-varying covariates. The results showed that modifiable lifestyle factors, such as taking time to exercise, may be beneficial for the mental health of Americans living in single-person households.

SUBMITTER: Kim S

PROVIDER: S-EPMC9064085 | biostudies-literature | 2022

REPOSITORIES: biostudies-literature

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Longitudinal links between behavioral activation coping strategies and depressive symptoms of U.S. adults living alone during the COVID-19 pandemic.

Kim Seoyoun S Yoon Hyunwoo H Morton Patricia P Jang Yuri Y

PloS one 20220503 5

The COVID-19 pandemic and related physical distancing measures have posed a significant threat to the mental health of adults, particularly those living alone. Accordingly, the World Health Organization implemented the #HealthyAtHome program, encouraging people to keep in regular contact with loved ones, stay physically active, and keep a regular routine. The current study aims to examine a micro-longitudinal link between behavioral activation coping strategies (exercise, meditation, relaxation, ...[more]

PMID: 35503796

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Project description:ObjectiveThe goal of this research was to reveal the association between living alone and depressive symptoms in older adults. It also aims to explore the mediating role of social activity and adult children's relationship satisfaction. Ultimately, the study seeks to add to the body of knowledge for lowering the risk of depression among older people and promoting positive aging.MethodsBased on information from the 2020 China Health and Retirement Longitudinal Study, the ordinary least square (OLS) regression model and propensity score matching (PSM) were used to investigate the association between living alone and depressive symptoms in older adults and to explore possible heterogeneity in different groups. Utilizing the SPSS PROCESS macro application, the mediation model was constructed. The significance of the mediation effect was investigated using the Bootstrap technique.ResultsThe average level of depressive symptoms of older people living alone (10.55 ± 6.962) was higher than that of older people who do not live alone (8.80 ± 6.363). The baseline regression analysis revealed a significant connection between living alone and the depressive symptoms of older people (β = 0.842, p < 0.001). The association between living alone and the level of depressive symptoms was significantly higher in those aged 60-74 years (β = 1.698, p < 0.001) than in those aged 75 and older (β = 0.953, p < 0.05). The association between living alone and depressive symptoms was significantly higher in rural older adults (β = 1.512, p < 0.001) than in urban older adults (β = 1.141, p < 0.001). Between living alone and the level of depressive symptoms experienced by older people, there was a substantial mediation impact on social engagement and adult children's relationship satisfaction, which contributed to 2.91 and 13.62% of the overall effect.ConclusionFor older age groups, living alone is associated with higher levels of depressive symptoms. This effect is stronger in older adults aged 60-74 or rural areas. In older age groups, the association between living alone and depressive symptoms is mediated by social activity and adult children's relationship satisfaction.

Project description:BackgroundThere were a few studies that examined the longitudinal association between living alone and depressive symptoms, and the vast majority of them were conducted in patients with certain diseases, such as heart failure, cancer, and glaucoma. This study aimed to examine the association between living alone and depressive symptoms in a large representative older Chinese population.MethodsThe China Health and Retirement Longitudinal Study (CHARLS) data from 2015 to 2018 were used. Living alone was defined as participants who did not live with others ever or more than 11 months in the past year at baseline. Depressive symptoms were measured using the 10-item Center for Epidemiological Studies-Depression Scale (CES-D10). The multivariate logistic regression was used to estimate the relationship between living alone and depressive symptoms.ResultsThere were 5,311 and 2,696 participants ≥ 60 years old included in the cross-sectional and cohort analysis, respectively. The risk of depressive symptoms in participants who lived alone was significantly higher than those who lived with others in both cross-sectional (OR:1.33; 95%CI:1.14,1.54) and cohort analysis (OR:1.23; 95%CI:0.97,1.55). There was a significant interaction between financial support and living alone (Pinteraction = 0.008) on the risk of depressive symptoms. Stratified analyses showed that, compared to those who lived with others, the risk of depressive symptoms in participants who lived alone increased by 83% (OR:1.83; 95%CI:1.26,2.65) in participants receiving lower financial support. However, we did not find statistically significant associations in participants with medium (OR:1.10; 95%CI: 0.74,1.63) and higher financial support (OR: 0.87; 95%CI: 0.53,1.41).ConclusionLiving alone was associated with a higher risk of depressive symptoms in the Chinese older population, and this association was moderated by the receipt of financial support. Living alone may be an effective and easy predictor for early identification of high-risk populations of depression in the older population.

Project description:BackgroundConfronted with stressful circumstances, individuals use coping strategies to adapt. During the COVID-19 pandemic, individuals were threatened by an unprecedented health crisis, which governments tried to navigate with various imposed measures. Social distancing had massive negative consequences for mental health; yet studies also documented important interindividual differences, which may be related to differences in coping strategies. This study aims at identifying the most frequent coping responses, their change over time, as well as their possible role for adapting to the crisis.MethodsOur sample consisted of 732 individuals living in Switzerland (age range 18-81 years). An online three-wave questionnaire was administered during the second pandemic wave (i.e., October, November, and December 2020). We used bivariate latent growth modeling and multilevel modeling in order to investigate the development of depressive symptoms and the extent to which it related to the level and change in coping strategies, adjusting for sociodemographic characteristics.ResultsBivariate latent growth models showed that feeling depressed was related to lower use of seeking functional and emotional support, positive reappraisal and acceptance, and higher use of self-distracting. Moreover, results indicated that more change in depressive symptoms was related to less change in seeking functional support and positive reappraisal, and to more change in self-distracting. Regarding multilevel modeling, where all coping strategies were simultaneously included as predictors of depressive symptoms, a higher level of support seeking and positive reappraisal, and a lower level of self-distracting were related to fewer depressive symptoms. Over time, seeking support, positive reappraisal, acceptance, and self-distracting decreased, while depressive symptoms increased. Decreasing the use of positive reappraisal and increasing the use of self-distracting were related to increasing depressive symptoms. Younger aged individuals experienced significantly more depressive symptoms than their older age counterparts when they decreased the use of positive reappraisal.ConclusionsIn conclusion, individuals used various coping strategies to adapt to the COVID-19-related life circumstances, but only some of them related to changes in depressing symptoms, possibly demonstrating a gap between the availability and use of coping strategies during the pandemic and their actual effect on mental health.

Dataset Information

Longitudinal links between behavioral activation coping strategies and depressive symptoms of U.S. adults living alone during the COVID-19 pandemic.

Publications

Longitudinal links between behavioral activation coping strategies and depressive symptoms of U.S. adults living alone during the COVID-19 pandemic.

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