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The moderating effect of cognitive function on the association between social support and depressive symptoms among community-dwelling older adults: Cross-sectional and longitudinal analyses

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dc.contributor.authorRoh, HW-
dc.contributor.authorCho, EJ-
dc.contributor.authorSon, SJ-
dc.contributor.authorHong, CH-
dc.date.accessioned2023-03-24T06:26:57Z-
dc.date.available2023-03-24T06:26:57Z-
dc.date.issued2022-
dc.identifier.issn0165-0327-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/25099-
dc.description.abstractBACKGROUND: The moderating effect of cognitive function on the association between social support and late-life depressive symptoms has not been thoroughly investigated. Identifying cognitive function as a possible moderator of this association might help plan community-based interventions for late-life depressive symptoms. METHODS: Participants were community-dwelling older adults who visited a community-based mental health center. The ENRICHD Social Support Instrument and the Montgomery-Asberg Depression Rating Scale were used to evaluate social support and depressive symptoms, respectively. Cognitive function was assessed using the Korean version of the Mini-Mental State Examination. Data from 1088 and 506 participants were included in the cross-sectional and longitudinal analyses, respectively. Multiple linear regression analysis was performed to assess the effects of social support on depressive symptoms and the possible moderating effect of cognition. RESULTS: After adjusting for possible confounders, greater social support at baseline was associated with fewer depressive symptoms in both cross-sectional (estimate = -0.25 standard error [SE] = 0.03, P < 0.001) and longitudinal analyses (estimate = -0.11, SE = 0.05, P = 0.014). Moreover, the association between social support and depressive symptoms was significantly moderated by cognitive function (P for interaction < 0.001 for cross-sectional analysis, and P for interaction = 0.011 for longitudinal analysis). LIMITATIONS: The tool for assessing social support was self-reported. There may have been a selection bias in the study sample. CONCLUSIONS: Greater social support was associated with fewer late-life depressive symptoms in both analyses. However, social support may have less benefits for alleviating depressive symptoms in older adults with cognitive decline.-
dc.language.isoen-
dc.subject.MESHAged-
dc.subject.MESHCognition-
dc.subject.MESHCross-Sectional Studies-
dc.subject.MESHDepression-
dc.subject.MESHHumans-
dc.subject.MESHIndependent Living-
dc.subject.MESHSocial Support-
dc.titleThe moderating effect of cognitive function on the association between social support and depressive symptoms among community-dwelling older adults: Cross-sectional and longitudinal analyses-
dc.typeArticle-
dc.identifier.pmid36057289-
dc.subject.keywordCognitive function-
dc.subject.keywordCommunity-dwelling older adults-
dc.subject.keywordLate-life depression-
dc.subject.keywordSocial support-
dc.contributor.affiliatedAuthorRoh, HW-
dc.contributor.affiliatedAuthorSon, SJ-
dc.contributor.affiliatedAuthorHong, CH-
dc.type.localJournal Papers-
dc.identifier.doi10.1016/j.jad.2022.08.117-
dc.citation.titleJournal of affective disorders-
dc.citation.volume318-
dc.citation.date2022-
dc.citation.startPage185-
dc.citation.endPage190-
dc.identifier.bibliographicCitationJournal of affective disorders, 318. : 185-190, 2022-
dc.embargo.liftdate9999-12-31-
dc.embargo.terms9999-12-31-
dc.identifier.eissn1573-2517-
dc.relation.journalidJ001650327-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Psychiatry & Behavioural Sciences
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