The Role of Social Isolation and the Development of Depression. A Comparison of the Widowed and Married Oldest Old in Germany
| Autor: | Hanna Kaduszkiewicz, Hans-Helmut König, Anke Oey, Carolin van der Leeden, Birgitt Wiese, Kathrin Heser, Wolfgang Maier, Alexander Pabst, André Hajek, Michael Pentzek, Angela Fuchs, Jochen Werle, Melanie Luppa, Siegfried Weyerer, Martin Scherer, Dagmar Weeg, Edelgard Mösch, Franziska Förster, Michael Wagner, Luca Kleineidam, Steffi G. Riedel-Heller |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
sex differences Longitudinal study social isolation Health Toxicology and Mutagenesis epidemiology [Germany] Article 03 medical and health sciences 0302 clinical medicine depressive symptoms Germany Medicine Humans widowhood ddc:610 Longitudinal Studies Risk factor Social isolation Depressive symptoms Depression (differential diagnoses) Aged old age Aged 80 and over epidemiology [Depression] Social network business.industry Depression Public Health Environmental and Occupational Health Widowhood Oldest old 030227 psychiatry Spouse Female medicine.symptom business 030217 neurology & neurosurgery Demography Follow-Up Studies |
| Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 13 International journal of environmental research and public health 18(13), 6986-(2021). doi:10.3390/ijerph18136986 International Journal of Environmental Research and Public Health, Vol 18, Iss 6986, p 6986 (2021) |
| ISSN: | 1660-4601 |
| DOI: | 10.3390/ijerph18136986 |
| Popis: | Widowhood is common in old age, can be accompanied by serious health consequences and is often linked to substantial changes in social network. Little is known about the impact of social isolation on the development of depressive symptoms over time taking widowhood into account. We provide results from the follow-up 5 to follow-up 9 from the longitudinal study AgeCoDe and its follow-up study AgeQualiDe. Depression was measured with GDS-15 and social isolation was assessed using the Lubben Social Network Scale (LSNS-6). The group was aligned of married and widowed people in old age and education through entropy balancing. Linear mixed models were used to examine the frequency of occurrence of depressive symptoms for widowed and married elderly people depending on the risk of social isolation. Our study shows that widowhood alone does not lead to an increased occurrence of depressive symptoms. However, “widowed oldest old”, who are also at risk of social isolation, have significantly more depressive symptoms than those without risk. In the group of “married oldest old”, women have significantly more depressive symptoms than men, but isolated and non-isolated do not differ. Especially for people who have lost a spouse, the social network changes significantly and increases the risk for social isolation. This represents a risk factor for the occurrence of depressive symptoms. |
| Databáze: | OpenAIRE |
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