View in EDS

Estimating the Impact of Sustained Social Participation on Depressive Symptoms in Older Adults

Saved in:
Bibliographic Details
Title: Estimating the Impact of Sustained Social Participation on Depressive Symptoms in Older Adults
Authors: Shiba, Koichiro, Torres, Jacqueline M., Daoud, Adel, 1981, Inoue, Kosuke, Kanamori, Satoru, Tsuji, Taishi, Kamada, Masamitsu, Kondo, Katsunori, Kawachi, Ichiro
Source: Epidemiology. 32:886-895
Subject Terms: Depressive symptoms, Social participation, Japan, Time-dependent confounding, Time-varying exposure, Older adults, Machine learning, Targeted maximum likelihood estimation
Description: Background: Social participation has been suggested as a means to prevent depressive symptoms. However, it remains unclear whether a one-time boost suffices or whether participation needs to be sustained over time for long-term prevention. We estimated the impacts of alternative hypothetical interventions in social participation on subsequent depressive symptoms among older adults. Methods: Data were from a nationwide prospective cohort study of Japanese older adults ≥65 years of age (n = 32,748). We analyzed social participation (1) as a baseline exposure from 2010 (approximating a one-time boost intervention) and (2) as a time-varying exposure from 2010 and 2013 (approximating a sustained intervention). We defined binary depressive symptoms in 2016 using the Geriatric Depression Scale. We used the doubly robust targeted maximum likelihood estimation to address time-dependent confounding. Results: The magnitude of the association between sustained participation and the lower prevalence of depressive symptoms was larger than the association observed for baseline participation only (e.g., prevalence ratio [PR] for participation in any activity = 0.83 [95% confidence interval = 0.79, 0.88] vs. 0.90 [0.87, 0.94]). For activities with a lower proportion of consistent participation over time (e.g., senior clubs), there was little evidence of an association between baseline participation and subsequent depressive symptoms, while an association for sustained participation was evident (e.g., PR for senior clubs = 0.96 [0.90, 1.02] vs. 0.88 [0.79, 0.97]). Participation at baseline but withholding participation in 2013 was not associated with subsequent depressive symptoms. Conclusions: Sustained social participation may be more strongly associated with fewer depressive symptoms among older adults.
Access URL: https://research.chalmers.se/publication/549125
Database: SwePub
FullText Text:
  Availability: 0
CustomLinks:
  – Url: https://resolver.ebscohost.com/openurl?sid=EBSCO:edsswe&genre=article&issn=15315487&ISBN=&volume=32&issue=&date=20210101&spage=886&pages=886-895&title=Epidemiology&atitle=Estimating%20the%20Impact%20of%20Sustained%20Social%20Participation%20on%20Depressive%20Symptoms%20in%20Older%20Adults&aulast=Shiba%2C%20Koichiro&id=DOI:10.1097/EDE.0000000000001395
    Name: Full Text Finder
    Category: fullText
    Text: Full Text Finder
    Icon: https://imageserver.ebscohost.com/branding/images/FTF.gif
    MouseOverText: Full Text Finder
  – Url: https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=EBSCO&SrcAuth=EBSCO&DestApp=WOS&ServiceName=TransferToWoS&DestLinkType=GeneralSearchSummary&Func=Links&author=Shiba%20K
    Name: ISI
    Category: fullText
    Text: Nájsť tento článok vo Web of Science
    Icon: https://imagesrvr.epnet.com/ls/20docs.gif
    MouseOverText: Nájsť tento článok vo Web of Science
Header DbId: edsswe
DbLabel: SwePub
An: edsswe.oai.research.chalmers.se.2f484ebf.0457.4254.a867.a62af1c74370
RelevancyScore: 904
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 904.003845214844
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Estimating the Impact of Sustained Social Participation on Depressive Symptoms in Older Adults
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Shiba%2C+Koichiro%22">Shiba, Koichiro</searchLink><br /><searchLink fieldCode="AR" term="%22Torres%2C+Jacqueline+M%2E%22">Torres, Jacqueline M.</searchLink><br /><searchLink fieldCode="AR" term="%22Daoud%2C+Adel%22">Daoud, Adel</searchLink>, 1981<br /><searchLink fieldCode="AR" term="%22Inoue%2C+Kosuke%22">Inoue, Kosuke</searchLink><br /><searchLink fieldCode="AR" term="%22Kanamori%2C+Satoru%22">Kanamori, Satoru</searchLink><br /><searchLink fieldCode="AR" term="%22Tsuji%2C+Taishi%22">Tsuji, Taishi</searchLink><br /><searchLink fieldCode="AR" term="%22Kamada%2C+Masamitsu%22">Kamada, Masamitsu</searchLink><br /><searchLink fieldCode="AR" term="%22Kondo%2C+Katsunori%22">Kondo, Katsunori</searchLink><br /><searchLink fieldCode="AR" term="%22Kawachi%2C+Ichiro%22">Kawachi, Ichiro</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <i>Epidemiology</i>. 32:886-895
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Depressive+symptoms%22">Depressive symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Social+participation%22">Social participation</searchLink><br /><searchLink fieldCode="DE" term="%22Japan%22">Japan</searchLink><br /><searchLink fieldCode="DE" term="%22Time-dependent+confounding%22">Time-dependent confounding</searchLink><br /><searchLink fieldCode="DE" term="%22Time-varying+exposure%22">Time-varying exposure</searchLink><br /><searchLink fieldCode="DE" term="%22Older+adults%22">Older adults</searchLink><br /><searchLink fieldCode="DE" term="%22Machine+learning%22">Machine learning</searchLink><br /><searchLink fieldCode="DE" term="%22Targeted+maximum+likelihood+estimation%22">Targeted maximum likelihood estimation</searchLink>
– Name: Abstract
  Label: Description
  Group: Ab
  Data: Background: Social participation has been suggested as a means to prevent depressive symptoms. However, it remains unclear whether a one-time boost suffices or whether participation needs to be sustained over time for long-term prevention. We estimated the impacts of alternative hypothetical interventions in social participation on subsequent depressive symptoms among older adults. Methods: Data were from a nationwide prospective cohort study of Japanese older adults ≥65 years of age (n = 32,748). We analyzed social participation (1) as a baseline exposure from 2010 (approximating a one-time boost intervention) and (2) as a time-varying exposure from 2010 and 2013 (approximating a sustained intervention). We defined binary depressive symptoms in 2016 using the Geriatric Depression Scale. We used the doubly robust targeted maximum likelihood estimation to address time-dependent confounding. Results: The magnitude of the association between sustained participation and the lower prevalence of depressive symptoms was larger than the association observed for baseline participation only (e.g., prevalence ratio [PR] for participation in any activity = 0.83 [95% confidence interval = 0.79, 0.88] vs. 0.90 [0.87, 0.94]). For activities with a lower proportion of consistent participation over time (e.g., senior clubs), there was little evidence of an association between baseline participation and subsequent depressive symptoms, while an association for sustained participation was evident (e.g., PR for senior clubs = 0.96 [0.90, 1.02] vs. 0.88 [0.79, 0.97]). Participation at baseline but withholding participation in 2013 was not associated with subsequent depressive symptoms. Conclusions: Sustained social participation may be more strongly associated with fewer depressive symptoms among older adults.
– Name: URL
  Label: Access URL
  Group: URL
  Data: <link linkTarget="URL" linkTerm="https://research.chalmers.se/publication/549125" linkWindow="_blank">https://research.chalmers.se/publication/549125</link>
PLink https://erproxy.cvtisr.sk/sfx/access?url=https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=edsswe&AN=edsswe.oai.research.chalmers.se.2f484ebf.0457.4254.a867.a62af1c74370
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1097/EDE.0000000000001395
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 886
    Subjects:
      – SubjectFull: Depressive symptoms
        Type: general
      – SubjectFull: Social participation
        Type: general
      – SubjectFull: Japan
        Type: general
      – SubjectFull: Time-dependent confounding
        Type: general
      – SubjectFull: Time-varying exposure
        Type: general
      – SubjectFull: Older adults
        Type: general
      – SubjectFull: Machine learning
        Type: general
      – SubjectFull: Targeted maximum likelihood estimation
        Type: general
    Titles:
      – TitleFull: Estimating the Impact of Sustained Social Participation on Depressive Symptoms in Older Adults
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Shiba, Koichiro
      – PersonEntity:
          Name:
            NameFull: Torres, Jacqueline M.
      – PersonEntity:
          Name:
            NameFull: Daoud, Adel
      – PersonEntity:
          Name:
            NameFull: Inoue, Kosuke
      – PersonEntity:
          Name:
            NameFull: Kanamori, Satoru
      – PersonEntity:
          Name:
            NameFull: Tsuji, Taishi
      – PersonEntity:
          Name:
            NameFull: Kamada, Masamitsu
      – PersonEntity:
          Name:
            NameFull: Kondo, Katsunori
      – PersonEntity:
          Name:
            NameFull: Kawachi, Ichiro
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Type: published
              Y: 2021
          Identifiers:
            – Type: issn-print
              Value: 15315487
            – Type: issn-print
              Value: 10443983
            – Type: issn-locals
              Value: CTH_SWEPUB
          Numbering:
            – Type: volume
              Value: 32
          Titles:
            – TitleFull: Epidemiology
              Type: main
ResultId 1