The Bidirectional Relationship Between Depressive Symptoms and Homebound Status Among Older Adults

Overview

Journal J Gerontol B Psychol Sci Soc Sci

Specialties Geriatrics
Psychology
Social Sciences

Date 2018 Jan 30

PMID 29378023

Citations 9

Authors

Xiaoling Xiang

Ruopeng An

Hyunsung Oh

Affiliations

Soon will be listed here.

Abstract

Objectives: This study aimed to examine the bidirectional relationship between depressive symptoms and homebound status among older adults.

Method: The study sample included 7,603 community-dwelling older adults from the National Health and Aging Trends Study. A bivariate latent state-trait model of depressive symptoms and homebound status was estimated via structural equation modeling.

Results: The model fit the data well (Root Mean Square Error of Approximation = .02, Comparative Fit Index = .97, Standardized Root Mean Square Residual = .06). The relationship between homebound status and depressive symptoms can be decomposed into three parts: a moderate correlation between the stable trait components (r = .56, p <.001); a contemporary association of the state components (b = .17, p <.001); and bidirectional lagged effects between the state components. Change in homebound status was as a stronger predictor of depressive symptoms (b = .19, p < .001) than change in depressive symptoms was of homebound status (b = .06, p < .001; test of difference: Δ scaled χ2(1) = 24.2, p < .001).

Discussion: Homebound status and depressive symptoms form a feedback loop to influence each other. Improving the outdoor mobility of older adults may have immediate benefits for reducing depressive symptoms.

Citing Articles

The bidirectional relationship between homebound status and falls among older adults: a longitudinal study.

Liu M, Peng W, Miyawaki C, Mo C, Luo Y, Gong N BMC Geriatr. 2022; 22(1):923.

PMID: 36457078 PMC: 9714142. DOI: 10.1186/s12877-022-03588-1.

Mediating role of homebound status between depressive symptoms and cognitive impairment among community-dwelling older adults in the USA: a cross-sectional analysis of a cohort study.

Peng W, Miyawaki C, Okoye S, Wang W, Luo Y, Mo C BMJ Open. 2022; 12(10):e065536.

PMID: 36316068 PMC: 9628545. DOI: 10.1136/bmjopen-2022-065536.

Physical isolation and mental health among older US adults during the COVID-19 pandemic: longitudinal findings from the COVID-19 Coping Study.

Joseph C, OShea B, Eastman M, Finlay J, Kobayashi L Soc Psychiatry Psychiatr Epidemiol. 2022; 57(6):1273-1282.

PMID: 35244741 PMC: 8895362. DOI: 10.1007/s00127-022-02248-4.

Longitudinal association between personality traits and homebound status in older adults: results from the National Health and Aging Trends Study.

Sun X, Tang S, Miyawaki C, Li Y, Hou T, Liu M BMC Geriatr. 2022; 22(1):93.

PMID: 35109812 PMC: 8812013. DOI: 10.1186/s12877-022-02771-8.

Prospective assessment of dementia on transitions in homeboundness using multistate Markov models.

Ornstein K, Liu S, Husain M, Ankuda C, Bollens-Lund E, Kelley A J Am Geriatr Soc. 2021; 70(4):1117-1126.

PMID: 34951008 PMC: 8986556. DOI: 10.1111/jgs.17631.

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