Journal of Korean Public Health Nursing (한국보건간호학회지)

Korean Society of public Health Nursing (한국보건간호학회)
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The Reciprocal Causal Relationship Between Cognitive Function and Depressive Symptoms Among Older Adults: Living with Others Versus Alone

노인의 인지기능과 우울 증상 간의 상호인과관계: 독거 여부를 중심으로

  • Kim, Da Eun (College of Nursing and Research Institute of Nursing Science, Kyungpook National University) ;
  • Kim, Eunjoo (Research Institute of Nursing Science, College of Nursing, Seoul National University)
  • 김다은 (경북대학교 간호대학) ;
  • 김은주 (서울대학교 간호대학 간호과학연구소)
  • Received : 2022.05.13
  • Accepted : 2022.07.29
  • Published : 2022.08.31
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Abstract

Purpose: This study aimed to examine the differences in the reciprocal causal relationship between cognitive function and depressive symptoms depending on whether older adults lived with others or alone. Methods: We used panel data retrieved from the sixth (Time 1) and seventh (Time 2) waves of the Korean Longitudinal Study of Aging (KLoSA). The study sample included 2,638 older adults living with others and 628 older adults living alone. We conducted cross-lagged panel analyses (CLPA) to identify the bidirectional causal relationship between cognitive function and depressive symptoms in the groups of older adults living with others and those living alone. Results: In the group of older adults living with others, cognitive function and depressive symptoms showed significant reciprocal relationships. In the group of older adults living alone, although the CLPA confirmed that higher levels of depressive symptoms at Time 1 influenced lower levels of cognitive function at Time 2, cognitive function at Time 1 was not associated with depressive symptoms at Time 2. Conclusion: The results suggest that the strategies for preventing cognitive decline and depressive symptoms should be developed according to whether the older adults live alone. Moreover, further studies should identify factors influencing depressive symptoms among older adults living alone, which will ultimately enable the management of depressive symptoms.

Keywords

Acknowledgement

이 연구는 한국연구재단의 지원을 받아 수행되었음(과제번호: NRF-2021R1G1A1003102).

References

  1. Andresen, E. M., Malmgren, J. A., Carter, W. B., & Patrick, D. L. (1994). Screening for depression in well older adults: Evaluation of a short form of the CES-D. American Journal of Preventive Medicine, 10(2), 77-84. https://doi.org/10.1016/S0749-3797(18)30622-6
  2. Baik, O. M. (2013). A systematic review for the studies of the psychosocial interventions for the depressed elderly in South Korea. Korean Journal of Gerontological Social Welfare, (59), 7-30. https://doi.org/10.21194/KJGSW..59.201303.7
  3. Bang, J. H., Bang, Y. S., Son, B. Y., & Oh, E. J. (2019). The effects of a cognitive stimulation activity program on the mild cognitive impairment elderly's cognitive function, self-efficacy, and depression. Journal of the Korea Entertainment Industry Association, 13, 231-248. https://doi.org/10.21184/jkeia.2019.4.13.3.231
  4. Byun, H. S., Kim, Y., & Lee, H. J. (2018). Change in objective cognition and depression, anxiety related to subjective cognitive function in the elderly: 6-month follow-up. Journal of Cognitive Enhancement and Intervention, 9(1), 1-13. https://doi.org/10.21197/JCEI.9.1.1
  5. Calero, M. D., Lopez Perez-Diaz, A. G., Navarro Gonzalez, E., & Calero-Garcia, M. J. (2013). Cognitive plasticity, cognitive functioning and quality of life (QoL) in a sample of young-old and old-old adults in southern Spain. Aging Clinical and Experimental Research, 25(1), 35-42. https://doi.org/10.1007/s40520-013-0012-2
  6. Chan, A., Malhotra, C., Malhotra, R., & Ostbye, T. (2011). Living arrangements, social networks and depressive symptoms among older men and women in Singapore. International Journal of Geriatric Psychiatry, 26(6), 630-639. https://doi.org/10.1002/gps.2574
  7. Cherbuin, N., Kim, S., & Anstey, K. J. (2015). Dementia risk estimates associated with measures of depression: A systematic review and meta-analysis. BMJ Open, 5(12), e008853. https://doi.org/10.1136/bmjopen-2015-008853
  8. Choi, D. W., Han, K. T., Jeon, J., Jang, S. I., Kim, S. J., & Park, E. C. (2019). Association between depressive-symptom trajectories and cognitive function in the late middle-aged and older population: Results of the Korean longitudinal study of ageing. Scientific Reports, 9(1), 7807. https://doi.org/10.1038/s41598-019-44158-7
  9. Chon, Y., & Lee, S. (2022). A qualitative study on the issues of the early introduction of the customized care services for older adults. Korean Journal of Gerontological Social Welfare 77(1), 225-252. https://doi.org/10.21194/kjgsw.77.1.202203.225
  10. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357. https://doi.org/10.1037/0033-2909.98.2.310
  11. Dantas, B. A. d. S., de Miranda, J., Cavalcante, A. C., Toscano, G. A. d. S., Torres, L. S., Rossignolo, S. C. O., Nobre, T. T., Maia, E. M. C., de Miranda, F. A. N., & Torres, G. d. V. (2019). Impact of multidimensional interventions on quality of life and depression among older adults in a primary care setting in Brazil: A quasi-experimental study. Brazilian Journal of Psychiatry, 42(2), 201-208. https://doi.org/10.1590/1516-4446-2019-0577
  12. Dodge, H. H., Kadowaki, T., Hayakawa, T., Yamakawa, M., Sekikawa, A., & Ueshima, H. J. T. G. (2005). Cognitive impairment as a strong predictor of incident disability in specific ADL-IADL tasks among community-dwelling elders: The Azuchi study. The Gerontologist, 45(2), 222-230. https://doi.org/10.1093/geront/45.2.222
  13. Ju, E. S., Bang, Y., & Oh, E. (2020). The effects of cognition-exercise program using step on cognitive function, gait, and depression in elderly with mild cognitive impairment. Journal of The Korean Society of Integrative Medicine, 8(3), 21-31. https://doi.org/10.15268/ksim.2020.8.3.021
  14. Kang, Y. (2006). A normative study of the Korean-mini mental state examination (K-MMSE) in the elderly. Korean Journal of Psychology, 25(2), 1-12.
  15. Kim, D. E., & Yoon, J. Y. (2022). Trajectory classes of social activity and their effects on longitudinal changes in cognitive function among older adults. Archives of Gerontology and Geriatrics, 98, 104532. https://doi.org/10.1016/j.archger.2021.104532
  16. Kim, M., Lim, K. C., & Ko, H. (2021). Factors influencing subjective cognitive function among community-dwelling older adults. Geriatric Nursing, 42(5), 1070-1076. https://doi.org/10.1016/j.gerinurse.2021.06.002
  17. Kim, S. J., Shin, I. S., Shin, H. Y., Kim, J. M., Kim, S. W., & Yoon, J. S. (2015). Comparison of depression between the elderly living alone and those living with a spouse. Journal of the Korean Society of Biological Therapies in Psychiatry, 21, 192-198.
  18. Lee, M., Kang, E. N., & Lee, J. J. (2013). Effectiveness of care services designed for older adults living alone: Depression, self-neglect and social network. Journal of the Korean Gerontological Society, 33(4), 787-803.
  19. Mazzuco, S., Meggiolaro, S., Ongaro, F., & Toffolutti, V. (2017). Living arrangement and cognitive decline among older people in Europe. Ageing and Society, 37(6), 1111-1133. https://doi.org/10.1017/S0144686X16000374
  20. National Institution of Dementia. (2022, April). Korean Dementia observatory 2021(Report no.: NMC-2022-0031-10). Seoul: Author.
  21. Ng, T. P., Nyunt, M. S. Z., Feng, L., Niti, M., Tan, B. Y., Chan, G., Khoo, S. A., Chan, S. M., Yap, P., & Yap, K. B. (2017). Multi-domains lifestyle interventions reduces depressive symptoms among frail and pre-frail older persons: Randomized controlled trial. The Journal of Nutrition, Health & Aging, 21(8), 918-926. https://doi.org/10.1007/s12603-016-0867-y
  22. Shingles, R. D. (1976). Causal inference in cross-lagged panel analysis. Political Methodology, 3(1), 95-133.
  23. Sohn, J. N. (2013). Factors influencing depressive symptoms in community dwelling older people. Journal of Korean Academy of Psychiatric and Mental Health Nursing, 22(2), 107-116. https://doi.org/10.12934/jkpmhn.2013.22.2.107
  24. Statistics Korea. (2021, September). 2021 senior citizen statistics. Retrieved May 1, 2022, from https://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=403253
  25. Steinberg, S. I., Negash, S., Sammel, M. D., Bogner, H., Harel, B. T., Livney, M. G., McCoubrey, H., Wolk, D. A, Kling, M. A., & Arnold, S. E. (2013). Subjective memory complaints, cognitive performance, and psychological factors in healthy older adults. American Journal of Alzheimer's Disease & Other Dementias®, 28(8), 776-783. https://doi.org/10.1177/1533317513504817
  26. Su, X., Huang, X., Jin, Y., Wan, S., & Han, Z. (2018). The relationship of individual social activity and cognitive function of community Chinese elderly: A cross-sectional study. Neuropsychiatric Disease and Treatment, 14, 2149-2157. https://doi.org/10.2147/NDT.S160036
  27. van den Kommer, T. N., Comijs, H. C., Aartsen, M. J., Huisman, M., Deeg, D. J. H., & Beekman, A. T. F. (2013). Depression and cognition: How do they interrelate in old age? The American Journal of Geriatric Psychiatry, 21(4), 398-410. https://doi.org/10.1016/j.jagp.2012.12.015
  28. van Gelder, B. M., Tijhuis, M., Kalmijn, S., Giampaoli, S., Nissinen, A., & Kromhout, D. (2006). Marital status and living situation during a 5-year period are associated with a subsequent 10-year cognitive decline in older men: The FINE study. The Journals of Gerontology: Series B, 61(4), 213-219. https://doi.org/10.1093/geronb/61.4.P213
  29. Yoon, J. Y., & Brown, R. L. (2014). Causal inference in cross-lagged panel analysis: A reciprocal causal relationship between cognitive function and depressive symptoms. Research in Gerontological Nursing, 7(4), 152-158. https://doi.org/10.3928/19404921-20140310-01
  30. Zyphur, M. J., Allison, P. D., Tay, L., Voelkle, M. C., Preacher, K. J., Zhang, Z., Hamaker, E. L., Shamsollahi, A., Pierides, D. C., Koval, P., & Diener, E. (2020). From data to causes I: Building a general cross-lagged panel model (GCLM). Organizational Research Methods, 23(4), 651-687. https://doi.org/10.1177/1094428119847278