Chronic conditions and depressive symptoms in older adults: the mediating role of functional limitations

Background Depressive symptoms, chronic conditions, and functional limitations are common in older adults. Several studies have examined the relationship between chronic conditions or functional limitations and depressive symptoms separately. However, little is known about how much of the effect of chronic conditions on depressive symptoms is due to the functional limitations resulting from such conditions.

Methods This paper examined the longitudinal association of chronic conditions and functional limitations with depressive symptoms in older adults aged 65 and over in the USA using the data from the 2012 wave and 2014 wave of the Health and Retirement Study (HRS). Mediation analysis was used to examine the mediation effects of 2012 functional limitations on the relationship between 2012 chronic conditions and 2014 depressive symptoms controlling for other measures including gender, age, race, education, marital status, and BMI.

Results Results revealed that chronic conditions and functional limitations were significantly associated with depressive symptoms. There was a 13.7% mediation effect when 2012 functional limitations were added as a mediator on the relationship between 2012 chronic conditions and 2014 depressive symptoms.

Conclusion Functional limitations mediate the relationship between chronic conditions and depressive symptoms. Preventing or managing functional limitations may help reduce depressive symptoms in older adults with chronic conditions.

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Work Title Chronic conditions and depressive symptoms in older adults: the mediating role of functional limitations
Access
Open Access
Creators
  1. Jyotsana Parajuli
  2. Diane E Berish
  3. Ying Ling Jao
Keyword
  1. Depressive symptoms
  2. Depression
  3. Chronic conditions
  4. Functional limitations
  5. Disability
  6. Mediation
License In Copyright (Rights Reserved)
Work Type Article
Publisher
  1. Aging and Mental Health
Publication Date November 25, 2019
Publisher Identifier (DOI)
  1. https://doi.org/10.1080/13607863.2019.1693971
Deposited July 25, 2022

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  • Created

    July 25, 2022 11:57 by Researcher Metadata Database

  • Added Chronic_conditions_and_depressive_symptoms_in_older_adults_the_mediating_role_of_functional_limitations.pdf

    July 25, 2022 11:57 by Researcher Metadata Database

  • Added Creator Jyotsana Parajuli

    July 25, 2022 11:57 by Researcher Metadata Database

  • Added Creator Diane E Berish

    July 25, 2022 11:57 by Researcher Metadata Database

  • Added Creator Ying Ling Jao

    July 25, 2022 11:57 by Researcher Metadata Database

  • Published

    July 25, 2022 11:57 by Researcher Metadata Database

  • Updated Keyword, Description, Publication Date Show Changes

    October 12, 2023 14:39 by avs5190

    Keyword
    • Depressive symptoms, Depression, Chronic conditions, Functional limitations, Disability, Mediation
    Description
    • Chronic conditions and depressive symptoms in older adults: the mediating role of functional limitations
    • Background
    • Depressive symptoms, chronic conditions, and functional limitations are common in older adults. Several studies have examined the relationship between chronic conditions or functional limitations and depressive symptoms separately. However, little is known about how much of the effect of chronic conditions on depressive symptoms is due to the functional limitations resulting from such conditions.
    • Methods
    • This paper examined the longitudinal association of chronic conditions and functional limitations with depressive symptoms in older adults aged 65 and over in the USA using the data from the 2012 wave and 2014 wave of the Health and Retirement Study (HRS). Mediation analysis was used to examine the mediation effects of 2012 functional limitations on the relationship between 2012 chronic conditions and 2014 depressive symptoms controlling for other measures including gender, age, race, education, marital status, and BMI.
    • Results
    • Results revealed that chronic conditions and functional limitations were significantly associated with depressive symptoms. There was a 13.7% mediation effect when 2012 functional limitations were added as a mediator on the relationship between 2012 chronic conditions and 2014 depressive symptoms.
    • Conclusion
    • Functional limitations mediate the relationship between chronic conditions and depressive symptoms. Preventing or managing functional limitations may help reduce depressive symptoms in older adults with chronic conditions.
    Publication Date
    • 2021-01-01
    • 2019-11-25
  • Updated

    April 04, 2024 10:21 by [unknown user]