The Relationship Between Work and Depressive Symptoms in Older Adults: The Moderating Effect of Income, Subjective Socioeconomic Status, and Social Participation.

IF 2.6 3区 医学 Q3 GERIATRICS & GERONTOLOGY Clinical Gerontologist Pub Date : 2024-12-14 DOI:10.1080/07317115.2024.2441364
Eun-Jung Shim, Eun Jung Yang, Seung Bin Cho, Paola Zaninotto, Andrew Steptoe
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Abstract

Objectives: We examined the moderating effects of household income, subjective socioeconomic status (SES), social contact, and social engagement on the work-depressive symptoms relationship.

Methods: We analyzed data from 5,216 adults aged 60 and older from six waves (2008-2018) of the Korean Longitudinal Study of Ageing (KLoSA).

Results: Two-level mixed-effects models showed that within-individual variation in work status was negatively associated with depressive symptoms. The relationship between work and depressive symptoms was stronger for older adults with low household income than for those with the average household income and was not significant for those with high household income. Moreover, the work-depressive symptoms relationship was stronger among older adults with low levels of subjective SES and social engagement and fewer social contacts compared with those with average or high levels of subjective SES and social engagement and more social contacts.

Conclusions: The greater impact of work on depressive symptoms in older adults with limited financial and social resources highlights the importance of addressing these deficits to improve mental health.

Clinical implications: Clinicians should consider that the effect of work on depression varies depending on income, subjective SES, and social participation. Addressing financial hardship and promoting social participation are important for preventing depression in older adults.

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老年人工作与抑郁症状之间的关系:收入、主观社会经济地位和社会参与的调节作用。
目的:探讨家庭收入、主观社会经济地位(SES)、社会接触和社会投入对工作抑郁症状关系的调节作用。方法:我们分析了韩国老龄化纵向研究(KLoSA)六波(2008-2018)5216名60岁及以上成年人的数据。结果:双水平混合效应模型显示,工作状态的个体内部差异与抑郁症状呈负相关。工作与抑郁症状之间的关系在家庭收入较低的老年人中强于家庭平均收入的老年人,而在家庭收入较高的老年人中则不显著。此外,主观社会地位和社会参与水平较低、社会接触较少的老年人的工作抑郁症状关系强于主观社会地位和社会参与水平较高、社会接触较多的老年人。结论:在经济和社会资源有限的老年人中,工作对抑郁症状的影响更大,这突出了解决这些缺陷以改善心理健康的重要性。临床意义:临床医生应该考虑到工作对抑郁症的影响取决于收入、主观社会地位和社会参与。解决经济困难和促进社会参与对于预防老年人抑郁症非常重要。
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来源期刊
Clinical Gerontologist
Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY
CiteScore
6.20
自引率
25.00%
发文量
90
审稿时长
>12 weeks
期刊介绍: Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.
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