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The Role of Social Connection/engagement Predicts Changes in Depressive Symptoms and IADL in Stroke
Social connections/engagement have been found to be potentially protective against depression and declines in physical functioning. We examined whether social connection/engagement was protective against depression and functional decline after stroke. Participants were 898 individuals with incident...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682282/ http://dx.doi.org/10.1093/geroni/igab046.3320 |
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author | Elayoubi, Joanne Nelson, Monica |
author_facet | Elayoubi, Joanne Nelson, Monica |
author_sort | Elayoubi, Joanne |
collection | PubMed |
description | Social connections/engagement have been found to be potentially protective against depression and declines in physical functioning. We examined whether social connection/engagement was protective against depression and functional decline after stroke. Participants were 898 individuals with incident stroke from the Health and Retirement Study between 1998-2012. Multilevel modeling was used to examine how social connection/engagement were associated with trajectories of depressive symptoms and limitations with instrumental activities of daily living (IADLs). Models controlled for age, gender, education, and race. In addition, analyses with depressive symptoms as outcome controlled for functional limitations with ADLs. Participants who were lonely and did not have friends in their neighborhood pre-stroke had more depressive symptoms at the time of stroke. Participants with close children pre-stroke showed less increase in depressive symptoms over time. Within-person increase in loneliness and within-person decline in providing help were related to more depressive symptoms post-stroke. Participants who felt lonely and did not provide help pre-stroke had more IADL limitations at the time of stroke. Smaller pre-stroke household size and pre-stroke volunteering were associated with less increase in IADL limitations with stroke. Within-person increase in having friends and providing help after stroke were associated with fewer IADL limitations post-stroke. Taken together, these findings suggest that social connection/engagement may buffer the negative psychological and physical outcomes of a stressful event such as stroke. |
format | Online Article Text |
id | pubmed-8682282 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-86822822021-12-20 The Role of Social Connection/engagement Predicts Changes in Depressive Symptoms and IADL in Stroke Elayoubi, Joanne Nelson, Monica Innov Aging Abstracts Social connections/engagement have been found to be potentially protective against depression and declines in physical functioning. We examined whether social connection/engagement was protective against depression and functional decline after stroke. Participants were 898 individuals with incident stroke from the Health and Retirement Study between 1998-2012. Multilevel modeling was used to examine how social connection/engagement were associated with trajectories of depressive symptoms and limitations with instrumental activities of daily living (IADLs). Models controlled for age, gender, education, and race. In addition, analyses with depressive symptoms as outcome controlled for functional limitations with ADLs. Participants who were lonely and did not have friends in their neighborhood pre-stroke had more depressive symptoms at the time of stroke. Participants with close children pre-stroke showed less increase in depressive symptoms over time. Within-person increase in loneliness and within-person decline in providing help were related to more depressive symptoms post-stroke. Participants who felt lonely and did not provide help pre-stroke had more IADL limitations at the time of stroke. Smaller pre-stroke household size and pre-stroke volunteering were associated with less increase in IADL limitations with stroke. Within-person increase in having friends and providing help after stroke were associated with fewer IADL limitations post-stroke. Taken together, these findings suggest that social connection/engagement may buffer the negative psychological and physical outcomes of a stressful event such as stroke. Oxford University Press 2021-12-17 /pmc/articles/PMC8682282/ http://dx.doi.org/10.1093/geroni/igab046.3320 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstracts Elayoubi, Joanne Nelson, Monica The Role of Social Connection/engagement Predicts Changes in Depressive Symptoms and IADL in Stroke |
title | The Role of Social Connection/engagement Predicts Changes in Depressive Symptoms and IADL in Stroke |
title_full | The Role of Social Connection/engagement Predicts Changes in Depressive Symptoms and IADL in Stroke |
title_fullStr | The Role of Social Connection/engagement Predicts Changes in Depressive Symptoms and IADL in Stroke |
title_full_unstemmed | The Role of Social Connection/engagement Predicts Changes in Depressive Symptoms and IADL in Stroke |
title_short | The Role of Social Connection/engagement Predicts Changes in Depressive Symptoms and IADL in Stroke |
title_sort | role of social connection/engagement predicts changes in depressive symptoms and iadl in stroke |
topic | Abstracts |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8682282/ http://dx.doi.org/10.1093/geroni/igab046.3320 |
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