Changes in social activities and the occurrence and persistence of depressive symptoms: Do type and combination of social activities make a difference?

Shan，Yifan1; Zhao，Wenjing1,2; Hao，Wen1; Kimura，Takashi1; Ukawa，Shigekazu3; Ohira，Hideki4; Kawamura，Takashi5; Wakai，Kenji6; Ando，Masahiko7; Tamakoshi，Akiko1

2023

10.1016/j.archger.2022.104800

ARCHIVES OF GERONTOLOGY AND GERIATRICS   影响因子和分区

0167-4943

1872-6976

Objective: We aimed to explore the association between changes in social activities and the occurrence/persistence of depressive symptoms and investigate the difference in effect sizes among the types and combinations of social activities. Methods: The study adopted a valid 15-item Geriatric Depression Scale to assess depressive symptoms in 2480 community-dwelling adults aged 64/65 years. Changes in social-related, learning, and personal activities were classified into four categories: continued low frequency (CLF), increased frequency (IF), decreased frequency (DF), and continued regular frequency (CRF). Relative ratios (RRs) and 95% confidence intervals (95% CI) were calculated using a modified Poisson regression model. Results: Those without depressive symptoms at baseline and who engaged in social-related (RR = 0.56 (0.39, 0.81), RRC= 0.55 (0.41, 0.74)), learning (RR = 0.63 (0.44, 0.89), RR = 0.62 (0.46, 0.85)), and personal activities (RRIF = 0.37 (0.24, 0.57), RR = 0.41 (0.30, 0.56)) at IF or CRF were less likely to develop depressive symptoms. Those with depressive symptoms at baseline, engaging in personal activities at IF (RR=0.67 (0.51, 0.87)) and CRF (RR= 0.80 (0.65-1.00)) were less likely to have persistent depressive symptoms. Participation in all three activities consistently at a regular frequency was inversely associated with the occurrence/persistence of depressive symptoms. Conclusions: The effect of personal activities was more manifest in preventing depressive symptoms than the other two kinds, regardless of depressive symptoms at baseline. Regularly engaging in a combination of all three activities at baseline and follow-up was associated with the occurrence and persistence of depressive symptoms.

Learning activity Occurrence of depressive symptoms Persistence of depressive symptoms Personal activity Social-related activity

SCI

英语

其他

Geriatrics & Gerontology

Geriatrics & Gerontology

WOS:000862744400007

ELSEVIER IRELAND LTD

CLINICAL MEDICINE

2-s2.0-85137626253

Scopus

1.Department of Public Health,Faculty of Medicine and Graduate School of Medicine,Hokkaido University,Sapporo,Japan
2.School of Public Health and Emergency Management,Southern University of Science and Technology,Guangdong,China
3.Research Unit of Advanced Interdisciplinary Care Science,Graduate School of Human Life Science,Osaka City University,Osaka,Japan
4.Department of Psychology,Graduate School of Informatics,Nagoya University,Nagoya,Japan
5.Kyoto University Health Service,Kyoto,Japan
6.Department of Preventive Medicine,Graduate School of Medicine,Nagoya,Japan
7.Center for Advanced Medicine and Clinical Research,Nagoya University Hospital,Nagoya,Japan

Shan，Yifan,Zhao，Wenjing,Hao，Wen,et al. Changes in social activities and the occurrence and persistence of depressive symptoms: Do type and combination of social activities make a difference?[J]. ARCHIVES OF GERONTOLOGY AND GERIATRICS,2023,104.

Shan，Yifan.,Zhao，Wenjing.,Hao，Wen.,Kimura，Takashi.,Ukawa，Shigekazu.,...&Tamakoshi，Akiko.(2023).Changes in social activities and the occurrence and persistence of depressive symptoms: Do type and combination of social activities make a difference?.ARCHIVES OF GERONTOLOGY AND GERIATRICS,104.

Shan，Yifan,et al."Changes in social activities and the occurrence and persistence of depressive symptoms: Do type and combination of social activities make a difference?".ARCHIVES OF GERONTOLOGY AND GERIATRICS 104(2023).