AGE DIFFERENCES AMONG WITHIN-PERSON INDICATORS OF STRESS AND DEPRESSION

IF 4.9 3区 医学 Q1 GERIATRICS & GERONTOLOGY Innovation in Aging Pub Date : 2023-12-01 DOI:10.1093/geroni/igad104.0078
Jessica M. Blaxton, C. Bergeman
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Abstract

Abstract Although older adults tend to regulate their emotions and resist stress better than midlife or younger adults (Charles & Carstensen, 2007), research suggests that when older adults do negatively react to stress they may have more difficulty recovering (Charles, 2010). Research reveals that various indicators of stress relate to greater depression – even suggesting that stress causes the depression (van Praag, 2004). Individual perceived stress (PS) as well as perceived stress reactivity (PSR) influence how stress impacts well-being (Folkman et al., 1986). Thus, we examined age differences in the within-person relationships among PS, PSR, and depression, and potential causal determinants of depression with a longitudinal mediation model. We used data from 572 participants in the Notre Dame Study of Health & Well-being (M(age) = 59.77; sd(age) = 14.22) who completed two to four waves of yearly assessments. Sequentially built multilevel models, in which year was nested within person, illustrated that only midlife adults experience an exacerbated effect of within-person fluctuations in PSR on the relationship between within-person PS and depressive levels (gamma41 = -0.004, p < .01). The longitudinal mediation model revealed that PSR at Time 2 mediated the relationship between PS at Time 1 and Depression at Time 3. Findings suggest that older adults illustrate successful emotion regulation strategies at the yearly level --resisting the negative ramifications of years of greater PS and PSR, whereas midlife adults who experience years of greater PSR would particularly benefit from stress management interventions and monitoring of depressive levels.
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人内压力和抑郁指标的年龄差异
摘要 尽管老年人往往比中年人或年轻人更善于调节情绪和抵御压力(Charles & Carstensen,2007 年),但研究表明,当老年人对压力做出消极反应时,他们可能更难恢复过来(Charles,2010 年)。研究表明,各种压力指标都与抑郁有关,甚至表明压力会导致抑郁(van Praag,2004 年)。个人感知压力(PS)和感知压力反应性(PSR)会影响压力对幸福感的影响(Folkman 等人,1986 年)。因此,我们采用纵向中介模型研究了压力感、压力反应性和抑郁之间的人际关系的年龄差异,以及抑郁的潜在因果决定因素。我们使用了圣母大学健康与幸福研究(Notre Dame Study of Health & Well-being)中 572 名参与者(M(年龄)= 59.77;sd(年龄)= 14.22)的数据,这些参与者完成了两到四波的年度评估。依次建立的多层次模型(其中年份嵌套在个人中)表明,只有中年成人的人内PSR波动会加剧人内PS与抑郁水平之间的关系(gamma41 = -0.004,p < .01)。纵向调解模型显示,时间 2 的 PSR 调解了时间 1 的 PS 与时间 3 的抑郁之间的关系。研究结果表明,老年人在年度层面上采取了成功的情绪调节策略--抵御了多年来较高的 PS 和 PSR 所带来的负面影响,而经历了多年较高 PSR 的中年人将特别受益于压力管理干预和抑郁水平监测。
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来源期刊
Innovation in Aging
Innovation in Aging GERIATRICS & GERONTOLOGY-
CiteScore
4.10
自引率
0.00%
发文量
72
审稿时长
15 weeks
期刊介绍: Innovation in Aging, an interdisciplinary Open Access journal of the Gerontological Society of America (GSA), is dedicated to publishing innovative, conceptually robust, and methodologically rigorous research focused on aging and the life course. The journal aims to present studies with the potential to significantly enhance the health, functionality, and overall well-being of older adults by translating scientific insights into practical applications. Research published in the journal spans a variety of settings, including community, clinical, and laboratory contexts, with a clear emphasis on issues that are directly pertinent to aging and the dynamics of life over time. The content of the journal mirrors the diverse research interests of GSA members and encompasses a range of study types. These include the validation of new conceptual or theoretical models, assessments of factors impacting the health and well-being of older adults, evaluations of interventions and policies, the implementation of groundbreaking research methodologies, interdisciplinary research that adapts concepts and methods from other fields to aging studies, and the use of modeling and simulations to understand factors and processes influencing aging outcomes. The journal welcomes contributions from scholars across various disciplines, such as technology, engineering, architecture, economics, business, law, political science, public policy, education, public health, social and psychological sciences, biomedical and health sciences, and the humanities and arts, reflecting a holistic approach to advancing knowledge in gerontology.
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