Influence of Social Support on Older Adults with Cognitive Impairment,Depressive Symptoms,or Both Coexisting

Abstract

The influence of social support dimensions (the extent of contact with others, the satisfaction with contacts, and the availability of help if sick or disabled) in elderly people with cognitive impairment (COG), depressive symptoms (DEP), or the co-occurrence of these symptoms (COG-DEP) was assessed in a cross-sectional analysis of a representative sample of 579 individuals aged 65 years and older. A lower extent of contact was related to COG (OR: 2.26). Fair satisfaction with contacts was related to DEP (OR: 2.88) and COG-DEP (OR: 4.22). A low level of satisfaction with contacts was an important predictor for DEP (OR: 7.99) and COG-DEP (OR: 7.88). Therefore, different dimensions of social support were independently correlated with different aspects of mental health. Quantitative aspects of social support were significantly linked to the presence of cognitive impairment. Satisfaction with social support affected depressive symptoms both alone and when they co-occurred with cognitive impairment.

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References

Barnes

L. L.

De Leon

Mendes C. F.

Wilson

R. S.

Bienias

J. L.

, & Evans

D. A.

(2004). Social resources and cognitive decline in a population of older African Americans and whites. Neurology, 63, 2322–2326.

Bassuk

S. S.

Glass

T. A.

, & Berkman

L. F.

(1999). Social disengagement and incident cognitive decline in community-dwelling elderly persons. Annals of Internal Medicine, 131, 165–173.

Berger

A. K.

Fratiglioni

Forsell

Winblad

, & Backman

(1999). The occurrence of depressive symptoms in the preclinical phase of AD. Neurology, 53, 1998–2002.

Bisschop

M. I.

Kriegsman

D. M.

Beekman

A. T.

, & Deeg

D. J. H.

(2004). Chronic diseases and depression: The modifying role of psychosocial resources. Social Science & Medicine, 59, 721–733.

Brummett

B. H.

Barefoot

J. C.

Siegler

I. C.

, & Steffens

D. C.

(2000). Relation of subjective and received social support to clinical and self-report assessments of depressive symptoms in an elderly population. Journal of Affective Disorders, 61, 41–50.

Chan

Malhotra

, & Østbye

(2011). Living arrangements, social networks and depressive symptoms among older men and women in Singapore. International Journal of Geriatric Psychiatry, 26, 630–639.

Chao

S. F.

(2011). Assessing social support and depressive symptoms in older Chinese adults: A longitudinal perspective. Aging & Mental Health, 15, 765–774.

Charlson

M. E.

Pompei

Ales

K. L.

, & MacKenzie

C. R.

(1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases, 40, 373–383.

Chi

, & Chou

K- L.

(2001). Social support and depression among elderly Chinese people in Hong Kong. The International Journal of Aging and Human Development, 52, 231–252.

10.

Chiao

Weng

L. J.

, & Botticello

A. L.

(2011). Social participation reduces depressive symptoms among older adults: An 18-year longitudinal analysis in Taiwan. BMC Public Health, 11, 292.

11.

Cornman

J. C.

Goldman

Glei

D. A.

Weinstein

, & Chang

M. C.

(2003). Social ties and perceived support: Two dimensions of social relationships and health among the elderly in Taiwan. Journal of Aging and Health, 15, 616–644.

12.

Crooks

V. C.

Lubben

Petitti

D. B.

Little

, & Chiu

(2008). Social network, cognitive function, and dementia incidence among elderly women. The American Journal of Public Health, 98, 1221–1227.

13.

Crum

R. M.

Anthony

J. C.

Bassett

S. S.

, & Folstein

M. F.

(1993). Population-based norms for the Mini-Mental State Examination by age and educational level. The Journal of the American Medical Association, 269, 2386–2391.

14.

Devanand

D. P.

Sano

Tang

Taylor

Gurland

B. J.

Wilder

(1996). Depressed mood and the incidence of Alzheimer's disease in the elderly living in the community. Archives of General Psychiatry, 53, 175–182.

15.

Duke University. (1978). Multidimensional functional assessment: The OARS methodology (2nd ed.). Durham, NC: Center for the Study of Aging and Human Development, Duke University.

16.

Fillenbaum

G. G.

(1988). Multidimensional functional assessment of older adults: The Duke Older Americans Resources and Services procedures. Hillsdale, NJ: Lawrence Erlbaum Associates.

17.

Folstein

M. F.

Folstein

S. E.

, & McHugh

P. R.

(1975). “Mini-Mental State.” A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.

18.

Fratiglioni

Wang

H. X.

Ericsson

Maytan

, & Winblad

(2000). Influence of social network on occurrence of dementia: A community-based longitudinal study. The Lancet, 355, 1315–1319.

19.

Fuhrer

Antonucci

T. C.

, & Dartigues

J. F.

(1992). The co-occurrence of depressive symptoms and cognitive impairment in a French community: Are there gender differences. European Archives of Psychiatry and Clinical Neuroscience, 242, 161–171.

20.

Gabryelewicz

Styczynska

Pfeffer

Wasiak

Barczak

Luczywek

(2004). Prevalence of major and minor depression in elderly persons with mild cognitive impairment-MADRS factor analysis. International Journal of Geriatric Psychiatry, 19, 1168–1172.

21.

Glei

D. A.

Landau

D. A.

Goldman

Chuang

Y. L.

Rodríguez

, & Weinstein

(2005). Participating in social activities helps preserve cognitive function: An analysis of a longitudinal, population-based study of the elderly. International Journal of Epidemiology, 34, 864–871.

22.

Grau

Eiroa

, & Cayuela

(1996). Versión española del OARS multidimensional Functional Assessment Questionnaire: Adaptación transcultural y medida de la validez [Spanish version of the OARS Multidimensional Functional Assessment Questionnaire: Cross-cultural adaptation and validity measurement]. Atención Primaria, 17(8), 486–495.

23.

Green

A. F.

Rebok

, & Lyketsos

C. G.

(2008). Influence of social network characteristics on cognition and functional status with aging. International Journal of Geriatric Psychiatry, 23, 972–978.

24.

Herrmann

Mittmann

Silver

I. L.

Shulman

K. I.

Busto

U. A.

Shear

N. H.

(1996). A validation study of the geriatric depression scale short form. International Journal of Geriatric Psychiatry, 11, 457–460.

25.

Holtzman

R. E.

Rebok

G. W.

Saczynski

J. S.

Kouzis

A. C.

Doyle

Wilcox K.

, & Eaton

W. W.

(2004). Social network characteristics and cognition in middle-aged and older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 9, P278–P284.

26.

Hughes

T. F.

Andel

Small

B. J.

Borenstein

A. R.

, & Mortimer

J. A.

(2008). The association between social resources and cognitive change in older adults: Evidence from the Charlotte County Healthy Aging Study. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 63, P241–P244.

27.

INE (Instituto Nacional de Estadística). (2000). Population Demographic Censuses. Municipal Register 2000.

28.

Katz

Ford

A. B.

Moskowitz

R. W.

Jackson

B. A.

, & Jaffe

M. W.

(1963). Studies of illness in the aged. The index of ADL: A standardized measure of biological and psychological function. The Journal of the American Medical Association, 185, 914–919.

29.

Koizumi

Awata

Kuriyama

Ohmori

Hozawa

Seki

(2005). Association between social support and depression status in the elderly: Results of a 1-year community-based prospective cohort study in Japan. Psychiatry and Clinical Neurosciences, 59, 563–569.

30.

Krueger

K. R.

Wilson

R. S.

Kamenetsky

J. M.

Barnes

L. L.

Bienias

J. L.

, & Bennett

D. A.

(2009). Social engagement and cognitive function in old age. Experimental Aging Research, 35, 45–60.

31.

Lawton

M. P.

, & Brody

E. M.

(1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9, 179–186.

32.

Lee

, & Shinkai

(2005). Correlates of cognitive impairment and depressive symptoms among older adults in Korea and Japan. International Journal of Geriatric Psychiatry, 20, 576–586.

33.

Leung

K. K.

Chen

C. Y.

Lue

B. H.

, & Hsu

S. T.

(2007). Social support and family functioning on psychological symptoms in elderly Chinese. Archives of Gerontology and Geriatrics, 44, 203–213.

34.

Litwin

(2011). The association between social network relationships and depressive symptoms among older Americans: What matters most? International Psychogeriatrics, 23, 930–940.

35.

Lobo

Ezquerra

Burgada

Gómez F.

Sala

J. M.

, & Diaz

Seva A.

(1979). El mini-examen cognoscitivo: Un test sencillo, práctico, para detectar alteraciones intelectuales en pacientes médicos [Cognoctive mini-test: A simple practical test to detect intellectual changes in medical patients]. Actas Luso-Españolas de Neurología y Psiquiatria, 3, 189–202.

36.

Martínez

Onís

M. C.

Dueñas

Aguado

Albert

, & Luque

(2002). Versión española del cuestionario de Yesavage abreviado (GDS) para el cribado de depresión en mayores de 65 años. Adaptación y validación [The Spanish version of the Yesavage abbreviated questionnaire (GDS) to screen depressive dysfunctions in patients older than 65 years]. Medifam, 12, 620–630.

37.

Mechakra-Tahiri

Zunzunegui

M. V.

Préville

, & Dubé

(2009). Social relationships and depression among people 65 years and over living in rural and urban areas of Quebec. International Journal of Geriatric Psychiatry, 24, 1226–1236.

38.

Millán-Calenti

J. C.

Maseda

Rochette

Vázquez

G. A.

Sánchez

, & Lorenzo

(2011). Mental and psychological conditions, medical comorbidity and functional limitation: Differential associations in older adults with cognitive impairment, depressive symptoms and co-existence of both. International Journal of Geriatric Psychiatry, 26, 1071–1079.

39.

Prince

M. J.

Harwood

R. H.

Blizard

R. A.

Thomas

, & Mann

A. H.

(1997). Social support deficits, loneliness and life events as risk factors for depression in old age. The Gospel Oak Project VI. Psychological Medicine, 27, 323–332.

40.

Scarmeas

, & Stern

(2003). Cognitive reserve and lifestyle. Journal of Clinical and Experimental Neuropsychology, 25, 625–633.

41.

Seeman

T. E.

Albert

Lusignolo

T. N.

, & Berkman

(2001). Social relationships, social support, and patterns of cognitive aging in healthy, high-functioning older adults: MacArthur studies of successful aging. Health Psychology, 20, 243–255.

42.

Sheikh

J. I.

, & Yesavage

J. A.

(1986). Geriatric Depression Scale (GDS). Recent evidence and development of a shorter version. Clinical Gerontologist, 5, 165–172.

43.

SPSS Inc. (2007). SPSS Base 16.0 for Windows User's Guide. Chicago, IL: Prentice Hall Press.

44.

Steffens

D. C.

, & Potter

G. G.

(2008). Geriatric depression and cognitive impairment. Psychological Medicine, 38, 163–175.

45.

Bargalló

Vinyoles E.

Domènech

Vila J.

Pallàs

Argimon J. M.

Boquet

Espinàs J.

Pueyo

Abos T.

, Limón Ramírez, E., & Los investigadores del proyecto Cuida'l. (2002). Concordancia entre el Mini-Examen Cognoscitivo y el Mini-Mental State Examination en el cribado del déficit cognitivo [Concordance among Mini-Examen Cognoscitivo and Mini-Mental State Examination in cognitive impairment screening]. Atención Primaria, 30, 5–13.

46.

Yeh

S. C.

, & Liu

Y. Y.

(2003). Influence of social support on cognitive function in the elderly. BMC Health Services Research, 3, 9.

47.

Zunzunegui

M. V.

Alvarado

B. E.

Del Ser

, & Otero

(2003). Social networks, social integration, and social engagement determine cognitive decline in community-dwelling Spanish older adults. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 58, S93–S100.

48.

Zunzunegui

M-V.

Béland

, & Otero

(2001). Support from children, living arrangements, self-rated health and depressive symptoms of older people in Spain. International Journal of Epidemiology, 30, 1090–1099.