Does emotional dysregulation mediate the relationship between disability and depressive symptoms in older people?

Autor:	Espirito-Santo H; Miguel Torga Higher Education Institute, Coimbra, Portugal; Center for Research in Neuropsychology and Cognitive and Behavioral Intervention (CINEICC), Coimbra, Portugal. Electronic address: helenum@gmail.com., Costa-Santos H; Miguel Torga Higher Education Institute, Coimbra, Portugal., Simões-Cunha L; Miguel Torga Higher Education Institute, Coimbra, Portugal; Centro de Investigação e Desenvolvimento do Instituto Universitário Militar, Lisboa, Portugal., Lemos L; Miguel Torga Higher Education Institute, Coimbra, Portugal., Grasina A; Miguel Torga Higher Education Institute, Coimbra, Portugal., Daniel F; Miguel Torga Higher Education Institute, Coimbra, Portugal; Centro de Estudos e Investigação em Saúde da Universidade de Coimbra, Portugal.
Jazyk:	angličtina
Zdroj:	Revista espanola de geriatria y gerontologia [Rev Esp Geriatr Gerontol] 2022 Nov-Dec; Vol. 57 (6), pp. 312-319. Date of Electronic Publication: 2022 Oct 22.
DOI:	10.1016/j.regg.2022.09.009
Abstrakt:	Background: Emotion dysregulation has been consistently linked to psychopathology, and the relationship between disability and depressive symptomatology in old age is well-known. Objective: To examine the mediational role of emotional dysregulation in the relationship between perceived disability and depressive symptomatology in older adults. Methods: Two hundred eighty-three participants, aged 60-96 years (M±SD=74.22±8.69; 62.9% women; 29.0% with long-term care support [LTC-S] and 71.0% community residents without LTC-S), were assessed with the Geriatric Depression Scale-8 (GDS-8), the World Health Organization Disability Assessment Schedule-2 (WHODAS-2), and the Difficulties in Emotion Regulation Scale-16 (DERS-16). Results: A mediation model was established, which revealed: (1) a moderate association between WHODAS-2 and GDS-8 (β=0.20; p<.001); (2) DERS-16 partially and weakly mediated the relationship between WHODAS-2 and GDS-8 (β=0.003; p<.01). The model explained 31.9% of the variance of depressive symptoms. An inconsistent mediation model was obtained in the LTC-S group. Conclusions: Globally, our findings indicate that disability has an indirect relationship with depressive symptomatology through emotional dysregulation (except for those in the LTC-S). Accordingly, we present suggestions for the treatment of depressive symptoms and for the inclusion of other emotion regulation variables in the study of the disability-depressive symptom link in future studies with older people in the LTC-S. (Copyright © 2022 SEGG. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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