The association between higher social support and lower depressive symptoms among aging services clients is attenuated at higher levels of functional impairment

Objective Adults seeking services from the Aging Services Provider Network (ASPN) are at risk for depression. ASPN clients also have high prevalence of both functional impairments and social morbidities. Study of the relationships between these factors may inform the development of interventions for...

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Bibliographic Details
Published in:International journal of geriatric psychiatry 2015-10, Vol.30 (10), p.1085-1092
Main Authors: Van Orden, Kimberly A., Li, Yan, Podgorski, Carol A., Conwell, Yeates
Format: Article
Language:English
Subjects:
Activities of Daily Living
Aged
Aged, 80 and over
aging services
Cognitive ability
Depressive Disorder - etiology
depressive symptoms
Disabled Persons - psychology
Disabled Persons - statistics & numerical data
Female
functional impairment
Geriatric psychiatry
Health Services for the Aged - statistics & numerical data
Humans
Male
Mental depression
Middle Aged
Older people
Risk Factors
social connectedness
Social Support
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Summary:Objective Adults seeking services from the Aging Services Provider Network (ASPN) are at risk for depression. ASPN clients also have high prevalence of both functional impairments and social morbidities. Study of the relationships between these factors may inform the development of interventions for depression in this service setting. Methods We interviewed 373 older adults accessing ASPN services and assessed depression symptom severity, functional impairment (instrumental activities of daily living and activities of daily living), and social support. Results Lower social support and greater functional impairment were associated with greater depressive symptoms. At a high level of functional impairment, the inverse associations between indices of social support and depressive symptoms were attenuated. Conclusions Results suggest that older adults with more severe functional impairment may benefit somewhat less from increased social support with respect to depression symptom severity. Copyright © 2015 John Wiley & Sons, Ltd.
ISSN:0885-6230
1099-1166
DOI:10.1002/gps.4266