Depressive symptoms across the retirement transition in men and women: associations with emotion regulation, adjustment difficulties and work centrality

• Published in: BMC geriatrics 2024-07, Vol.24 (1), p.643-11, Article 643
• Main Authors: Hed, Sara, Berg, Anne Ingeborg, Hansson, Isabelle, Kivi, Marie, Waern, Margda
• Format: Article
• Language: English
• Subjects: Adaptation, Psychological - physiology; Adjustment; Adjustment (Psychology); Age; Aged; Analysis; Care and treatment; Depression - epidemiology; Depression - psychology; Depression, Mental; Depressive symptoms; Diagnosis; Emotion regulation; Emotional regulation; Emotional Regulation - physiology; Female; Gender; Gender differences; Geriatrics; Geriatrik; Health aspects; Humans; Longitudinal; Longitudinal studies; Male; Mental depression; Mental health; Middle Aged; Older people; Patient outcomes; Population-based; Prospective Studies; Psychological aspects; Psychopathology; Retirement; Retirement - psychology; Retirement transition; Self esteem; Social aspects; Social networks; Societies, clubs, etc; Sweden - epidemiology; Women; Women's organizations
• ISSN: 1471-2318; 1471-2318
• DOI: 10.1186/s12877-024-05228-2

Retirement is a major life event and factors driving depression in the retirement transition might differ in men and women. The aim was to prospectively study depressive symptoms across the retirement transition in men and women and to test associations with emotion regulation strategies (suppression and reappraisal), adjustment difficulties, and work centrality. The sample included 527 individuals from the population-based Health, Aging and Retirement Transitions in Sweden (HEARTS) study who were working at baseline and retired during one of the following four annual measurement waves. Participants contributed with a total of 2635 observations across five measurement waves. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression Scale (CES-D); total score was modelled as a function of time to and from retirement. Changes over the retirement transition were analyzed with multilevel growth curve models. Gender differences in associations with emotion regulation, adjustment difficulties and work centrality were examined by including interaction effects with sex. We observed a general reduction of depressive symptoms in the early years of retirement in both men and women. Higher suppression was related to higher depression scores while higher cognitive reappraisal was related to lower levels of depressive symptoms. Women more often used cognitive reappraisal, and men more often suppression, but no significant gender interaction in associations with depressive symptoms could be shown. Retirement adjustment difficulties and greater importance of work for self-esteem were related to higher depression scores. Greater meaning of work, on the other hand, was related to lower levels of depressive symptoms, and this association was stronger in men. There was a general reduction of depression scores in the early years of retirement in both women and men. Findings suggest that basing one's self-esteem on workplace performance was related to higher levels of depressive symptoms after retirement, while perceiving one's job as important and meaningful may facilitate better adjustment in terms of lower depression symptom levels, especially in men.